Revises provisions relating to facilities for skilled nursing. (BDR 40-584)
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SB 330 — Revises provisions relating to facilities for skilled nursing. (BDR 40-584)
Last action — Approved by the Governor. Chapter 200.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed Assembly
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 11, 2025. Enacted.
Signed by Governor Joe Lombardo (Republican) on May 31, 2025.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
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Cleared a recorded vote
Passed 2 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
106 added · 118 removedPlain-language change summary
The latest version of Senate Bill No. 330 updates the definition of a "facility for skilled nursing" to specify that these facilities provide inpatient care, rather than just care to patients in a general sense. Additionally, the bill requires cities and counties to adopt specific terms from state law when defining these facilities, but it allows local governments some flexibility if such facilities do not exist in their area. This change is important as it aims to ensure consistency in how skilled nursing facilities are defined and regulated across Nevada, ultimately providing clearer guidelines for care providers and patients alike.
(ReprintedSenate withBill amendmentsNo. adopted on April 21, 2025) FIRST REPRINT S.B.
330330–Senator SENATENeal B(by ILLNrequest) O.CHAPTER..........
330–SENATOR N EAL (BY REQUEST ) M ARCH 11, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to facilities for skilled nursing.
(BDR 40-584) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law provides for the licensing and regulation of medical facilities, which include facilities for skilled nursing.
(NRS 449.029-449.240) Existing law defines a “facility for skilled nursing” to mean an establishment, except for a hospital, which provides continuous skilled nursing and related care to a patient who is not in an acute episode of illness and whose primary need is the availability of such care on a continuous basis.
(NRS 449.0039) Section 1 of this bill amendsamendslity the definition of “facility for skilled nursing” to clarify that facilities for skilled citynursing adoptprovide aninpatient ordinancecare. using the preceding term in the Nevada Revised Statutes tond describe a facility for skilled nursing.
However,Section a2 countyof orthis citybill wouldrequires notthat beeach requiredcounty toand includecity aadopt specifiedan termordinance inusing the ordinancepreceding ifterm a facility of that type does not exist in the countyNevada orRevised cityStatutes or if the ordinances do not otherwise refer to describe a facility offor theskilled typenursing. corresponding to the term.
SectionHowever, 4a ofcounty thisor billcity deemswould anynot facilitybe thatrequired is operating on June 30, 2025, that is considered to beinclude a facilityspecified forterm skilledin nursingthe nursing under an ordinance requiredif by section 2 or 3.ce to be a facility forof skilledthat -type *SB330_R1*does –of 2the –type THEcorresponding PEOPLEto OFthe THEterm. STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 4 of this bill deems any facility thatlity is operating on June 30, 2025, that is considered to be a facility for skilled nursing or similar facility under a previously adopted ordinance to be a facility for skilled nursing under an ordinance required by section 2 or 3.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Except as otherwise provided in subsections 2 and 3, each board of county commissioners shall adopt an ordinance - 83rd Session (2025) – 2 – using the following terms to describe the following types of facilities, homes, houses and institutions:
(b)term Facilityis forused transitionalin NRS 449.0055.nal living for released offenders, as that (c) Group foster home, as that term is used in NRS 449.0055.424.015.
(c) Group foster home, as that term is used in NRS 424.015.
use2. the specified terms solely for the purpose of referring to the named facilities, homes, houses and institutions and does not require the board to adopt the State’s definition for the purpose of regulating or imposing any requirement with respect to such a facility, home, house or institution.
Subsection 1 requires the board of county commissioners to use the specified terms solely for the purpose of referring to the named facilities, homes, houses and institutions and does not require the board to adopt the State’s definition for the purpose of regulating or imposing any requirement with respect to such a facility, home, house or institution.
or (b) The county’s ordinances do not otherwise, by whatever name, refer to a facility, home, house or institution of the type correspondingcorSec. to the term.
-3.ingNRS *SB330_R1*268.0193 –is 3hereby –amended Sec.to read as follows:
3.
NRS 268.0193 is hereby amended to read as follows:
- 83rd Session (2025) – 3 – (f) Residential facility for groups, as that term is used in NRS 449.017.
The governing body of a city is not required to include a termter(a) setA forthfacility, inhome, subsectionhouse 1or ininstitution of the ordinancetype if:corresponding to the term does not exist in the city;
(a) A facility, home, house or institution of the type corresponding to the term does not exist in the city;
Notwithstanding the amendatory provisions of sections 2 and 3 of this act, any facility operating on June 30, 2025, that is considered a facility for skilled nursing, nursing home or similar facility under an ordinance adopted by a board of county commissioners or the governing body of a city on or before that date shall be deemed to be a facility for skilled nursing for all purposes under any ordinance adopted on or after July 1, 2025, by:
- *SB330_R1* – 4 – Sec.
H~~~~~ 25 - *SB330_R1*83rd Session (2025)
View plain text versions (3)
- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Introduced As Introduced pdf
Compared against the Nevada Revised Statutes as published AI-generated reading aid — verify against the official bill.
The bill updates the definition of 'facility for skilled nursing' and requires counties and cities to adopt specific terms for such facilities in their ordinances.
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NRS 449.0039
means an establishment which provides continuous skilled nursing and related care as prescribed by a physician to a patient in the facility who is not in an acute episode of illness and whose primary need is the availability of such care on a continuous basis.→ means an establishment which provides inpatient continuous skilled nursing and related care as prescribed by a physician to a patient in the facility who is not in an acute episode of illness and whose primary need is the availability of such care on a continuous basis.This change clarifies that facilities for skilled nursing specifically provide inpatient care.
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NRS 244.3549
the term "facility for skilled nursing" as that term is used in NRS 449.0039.
This requires county commissioners to adopt an ordinance using the state-defined term for skilled nursing facilities.
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NRS 268.0193
the term "facility for skilled nursing" as that term is used in NRS 449.0039.
This requires city governing bodies to adopt an ordinance using the state-defined term for skilled nursing facilities.
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any facility operating on June 30, 2025, that is considered a facility for skilled nursing, nursing home or similar facility under an ordinance adopted on or before that date shall be deemed to be a facility for skilled nursing for all purposes under any ordinance adopted on or after July 1, 2025.
This provision protects existing facilities by allowing them to be recognized as skilled nursing facilities under new ordinances.
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Approved by the Governor. Chapter 200.
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Enrolled and delivered to Governor.
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To enrollment.
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Read third time. Passed. Title approved. (Yeas: 37, Nays: 5.) To Senate. In Senate.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Read second time.
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From committee: Do pass.
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To Assembly. In Assembly. Read first time. Referred to Committee on Health and Human Services. To committee.
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From printer. To engrossment. Engrossed. First reprint.
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Read third time. Passed, as amended. Title approved, as amended. (Yeas: 14, Nays: 7.) To printer.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 357.) Reprinting dispensed with.
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From printer. To committee.
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Read first time. Referred to Committee on Health and Human Services. To printer.
Sponsors
- Dina Neal · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 66 not signed on · 12 voted No
Sponsors (1)
- Neal, Dina Democratic
Co-sponsors (0)
None.
Not signed on (66)
66 members have not signed on to this bill.
Show all 66 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 27 | 0 | 0 | 0 |
| Republican | 9 | 5 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 37 | 5 | 0 | 0 |
| % of votes cast | 88% | 12% | 0% | 0% |
How each member voted (42)
| Member | Party | Vote |
|---|---|---|
| OâNeill, PK | — | Yea |
| Anderson, Natha C. | Democratic | Yea |
| Backus, Shea M. | Democratic | Yea |
| Brown-May, Tracy | Democratic | Yea |
| Carter, Max E., II | Democratic | Yea |
| Considine, Venicia | Democratic | Yea |
| D'Silva, Reuben | Democratic | Yea |
| Dalia, Joe | Democratic | Yea |
| Flanagan, Tanya P. | Democratic | Yea |
| González, Cecelia | Democratic | Yea |
| Goulding, Heather | Democratic | Yea |
| Hunt, Linda F. | Democratic | Yea |
| Jackson, Jovan A. | Democratic | Yea |
| Jauregui, Sandra | Democratic | Yea |
| Karris, Venise | Democratic | Yea |
| La Rue Hatch, Selena | Democratic | Yea |
| Marzola, Elaine H. | Democratic | Yea |
| Miller, Brittney M. | Democratic | Yea |
| Monroe-Moreno, Daniele | Democratic | Yea |
| Moore, Cinthia Zermeño | Democratic | Yea |
| Mosca, Erica | Democratic | Yea |
| Nadeem, Hanadi | Democratic | Yea |
| Nguyen, Duy | Democratic | Yea |
| Orentlicher, David | Democratic | Yea |
| Roth, Erica P. | Democratic | Yea |
| Torres-Fossett, Selena | Democratic | Yea |
| Watts, Howard | Democratic | Yea |
| Yeager, Steve | Democratic | Yea |
| Cole, Lisa K. | Republican | Yea |
| DeLong, Rich | Republican | Yea |
| Dickman, Jill | Republican | Nay |
| Edgeworth, Rebecca | Republican | Yea |
| Gallant, Danielle | Republican | Nay |
| Gray, Ken | Republican | Nay |
| Gurr, Bert K. | Republican | Nay |
| Hafen, Gregory T., II | Republican | Nay |
| Hansen, Alexis M. | Republican | Yea |
| Hardy, Melissa R.. | Republican | Yea |
| Hibbetts, Brian | Republican | Yea |
| Kasama, Heidi | Republican | Yea |
| Koenig, Gregory S. | Republican | Yea |
| Yurek, Toby | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 1 | 7 | 0 | 0 |
| Democratic | 13 | 0 | 0 | 0 |
| Total | 14 | 7 | 0 | 0 |
| % of votes cast | 67% | 33% | 0% | 0% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Cannizzaro, Nicole J. | Democratic | Yea |
| Cruz-Crawford, Michelee "Shelly" | Democratic | Yea |
| Daly, Skip | Democratic | Yea |
| Dondero Loop, Marilyn | Democratic | Yea |
| Doñate, Fabian | Democratic | Yea |
| Flores, Edgar | Democratic | Yea |
| Lange, Roberta | Democratic | Yea |
| Neal, Dina | Democratic | Yea |
| Nguyen, Rochelle T. | Democratic | Yea |
| Ohrenschall, James | Democratic | Yea |
| Pazina, Julie | Democratic | Yea |
| Scheible, Melanie | Democratic | Yea |
| Taylor, Angela D. | Democratic | Yea |
| Buck, Carrie Ann | Republican | Nay |
| Ellison, John | Republican | Nay |
| Hansen, Ira | Republican | Nay |
| Krasner, Lisa | Republican | Nay |
| Rogich, Lori | Republican | Nay |
| Steinbeck, John C. | Republican | Yea |
| Stone, Jeff | Republican | Nay |
| Titus, Robin L. | Republican | Nay |
Subjects
Frequently asked questions
- Who sponsors SB 330?
- SB 330 is sponsored by Neal, Dina (Democratic).
- What is the current status of SB 330?
- This bill has been enacted into law. Introduced March 11, 2025. Enacted.
- Where can I track SB 330?
- Track SB 330 free on One Click Politics — get push/email alerts when it moves.
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