Nevada 2025 Regular Session Status: Enacted Bipartisan · 2 R · 1 D cosponsors

AB 326 — Revises provisions relating to the designation of hospitals as centers for the treatment of trauma. (BDR 40-153)

Last action — Approved by the Governor. Chapter 418.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 03, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 09, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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Prognosis

Likely to advance 72% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (2 R · 1 D) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

138 added · 93 removed

138 line(s) added, 93 removed.

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EXEMPT (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.
Assembly Bill No.
326 A SSEMBLY B ILLN O.
326–Assemblymembers Koenig;
326–ASSEMBLYMEMBERS KOENIG ;
Cole and Torres-Fossett CHAPTER..........
COLE AND T ORRES -FOSSETT M ARCH 3, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Provides for a study on the treatment of trauma.
(BDR S-153) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
requiring the Department of Health and Human Services to conduct a study on the treatment of trauma in this State;
prohibiting a center for the treatment of trauma from representing it provides a specific level of care unless the center provides that level of care;
authorizing the State Board of Health to adopt regulations establishing specific designations for the level of care provided by a center for the treatment of trauma;
a hospital must obtain the approval of the Administrator of the Division of Publica, and Behavioral Health of the Department of Health and Human Services and, if the hospital is located in a county whose population is 700,000 or more (currently only Clark County), the district board of health.
Existing law requires that before operating a center for the treatment of trauma, and Behavioral Health of the Department of Health and Human Services and, if theic hospital is located in a county whose population is 700,000 or more (currently only Clark County), the district board of health.
(NRS 450B.236, 450B.237) Existing law also requires the Administrator to verify that a hospital meets certain standards designate a hospital as a center for the treatment of trauma.
(NRS 450B.236, 450B.237) Existing law also requires the Administrator to verify that a hospital meets certain standards and complete a comprehensive assessment of needs before approving a proposal to designate a hospital as a center for the treatment of trauma.
(NRS 450B.237) to Existing regulations authorize the Administrator to designate a center for the treatment of trauma as level I, II or III.
(NRS 450B.237) standards for the designation of hospitals as centers for the treatment of trauma.the (NRS 450B.237) Existing regulations authorize the Administrator to designate a center for the treatment of trauma as level I, II or III.
(NAC 450B.780-450B.875) Section 3.5 of this bill requires:
(NAC 450B.780-450B.875) Section 5 of this bill provides explicit statutory authorization for the State Board of Health to adopt regulations establishing specific levels of trauma care that a designation of a critical access hospital that meets certain requirements as a level IV center for the treatment of trauma.
(1) the Department of Health and Human Services to study during the 2025-2026 interim the current system for the treatment of trauma in this State and the future needs of this State relating to the treatment of trauma;
Section 4 of this bill prohibits the operator of a center for the treatment of trauma from representing that the center for the treatment of trauma provides a specific level of treatment unless the center has been designated by the Administrator to provide that level of treatment.
(2) the study (3) the Department to publish a report of the study on the Internet and submit theand report to the Governor and the Legislature.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Section 1.
Sections 1-3 and 3.5.
2.
4.
(Deleted by amendment.) - *AB326_R1* – 2 – Sec.
NRS 450B.236 is hereby amended to read as follows:
3.
450B.236 A person shall not [operate] :
(Deleted by amendment.) Sec.
3.5.
During the 2025-2026 interim, the Department of Health and Human Services shall study the current system for the treatment of trauma in the State and the future needs of the State relating to the treatment of trauma.
Operate a center for the treatment of trauma without first applying for and obtaining the written approval of the Administrator of the Division.
The study must include, without limitation:
(a) Consideration of the need to develop new hospitals to be designated as centers for the treatment of trauma or newly designate existing hospitals as centers for the treatment of trauma;
(b) Consideration of any plans to develop new hospitals to be designated as centers for the treatment of trauma or newly designate existing hospitals as centers for the treatment of trauma;
and (c) An evaluation of the potential benefits of designating hospitals as level IV centers for the treatment of trauma.
The study must:
Represent that a center for the treatment of trauma operated by the person provides a specific level of treatment unless the center for the treatment of trauma has been designated by the - 83rd Session (2025) – 2 – Administrator of the Division pursuant to the regulations adopted pursuant to subsection 3 of NRS 450B.237 to provide that level of treatment.
(a) Consider the demographics of each county in this State;
Sec.
(b) Consider the manner in which this State and each county in this State may most effectively ensure the availability of treatment of trauma for the residents of this State or county, as applicable;
5.
and (c) Include an opportunity for the public to comment on the subject matter of the study, including, without limitation:
NRS 450B.237 is hereby amended to read as follows:
(1) A publicized time period for the public to submit written comments to the Department;
persons who require treatment for trauma and for transporting andg admitting such persons to centers for the treatment of trauma.
and (2) A public meeting held in compliance with chapter 241 of the NRS to allow members of the public to provide in-person comments.
The program must provide for the development, operation and maintenance of a system of communication to be used in transporting such persons to the appropriate centers.
2.
The State Board of Health shall adopt regulations which establish the standards for the designation of hospitals as centers for the treatment of trauma.
The State Board of Health shall consider the standards adopted by the American College of Surgeons for a center for the treatment of trauma as a guide for such regulations.
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The Department may apply for and receive gifts, grants, donations and other money from any source for the purpose of carrying out the provisions of this section and to defray costs incurred by the Department for carrying out the provisions of this section.
The regulations adopted pursuant to subsection 2 may establish specific designations signifying the level of treatment provided by centers for the treatment of trauma, which may include, without limitation, levels I, II, III and IV.
If regulations are adopted for the designation of centers for the treatment of trauma as level IV, the regulations must limit the designation of level IV to critical access hospitals located more than 80 miles outside the boundaries of a county with two or more existing centers for the treatment of trauma.
On or before January 1, 2027, the Department shall:
The Administrator of the Division shall not approve a proposal to designate a hospital as a center for the treatment of trauma unless:
(a) Compile a written report of the study conducted pursuant to this section which must include, without limitation:
[this] subsection [;] 2;
(1) A conspicuous section disclosing the name of any person who provided any gift, grant, donation or other money for the purpose of carrying out the provisions of this section and the amount of money provided by the person;
ande standards established pursuant to (b) The Administrator determines, after conducting a comprehensive assessment of needs, that the proposed center for the treatment of trauma will operate in an area that is experiencing a shortage of trauma care.
(2) All written comments received pursuant to subparagraph (1) of paragraph (c) of subsection 2;
Such an assessment of needs must include, without limitation, consideration of:
(3) The minutes of the public meeting held pursuant to subparagraph (2) of paragraph (c) of subsection 2;
(1) The impact of the proposed center for the treatment of trauma on the capacity of existing hospitals to provide for the treatment of trauma;
and (4) A list of recommendations resulting from the study;
(2) The number and locations of cases of trauma that have occurred during the previous 5 calendar years in the county in which the proposed center for the treatment of trauma will be located and the level of treatment that was required for those cases;
(b) Publish the report on an Internet website maintained by the Department;
- 83rd Session (2025) – 3 – treatment of trauma in the county in which the proposed center for the treatment of trauma will be located;
and - *AB326_R1* – 3 – (c) Submit the report to the Governor and the Director of the Legislative Counsel Bureau for transmittal to the 84th Session of the Legislature.
and (4) Any additional criteria recommended by the American College of Surgeons or its successor organization, other than criteria related to community support for the proposed trauma center.
5.
[3.] 5.
As used in this section, “Department” means the Department of Health and Human Services.
Each district board of health in a county whose population is 700,000 or more shall adopt:
(a) Regulations which establish the standards for the designation of hospitals in the county as centers for the treatment of trauma which are consistent with the regulations adopted by the State Board of Health pursuant to subsection 2;
and (b) A plan for a comprehensive trauma system concerning the treatment of trauma in the county, which includes, without limitation, consideration of the future trauma needs of the county, consideration of and plans for the development and designation of new centers for the treatment of trauma in the county based on the may most effectively provide trauma services to persons in the county.
[4.] 6.
A district board of health in a county whose population is 700,000 or more shall not approve a proposal to designate a hospital as a center for the treatment of trauma unless:
(a) The hospital meets the standards established pursuant to subsection [3;] 5;
(b) The proposal has been approved by the Administrator of the Division pursuant to subsection [2;] 4;
and (c) The district board of health concludes, based on the plan adopted pursuant to paragraph (b) of subsection [3,] 5, that the proposed center for the treatment of trauma will not negatively impact the capacity of existing centers for the treatment of trauma in the county.
[5.] 7.
Upon approval by the Administrator of the Division 700,000 or more, the district board of health of the county in which the hospital is located, of a proposal to designate a hospital as a center for the treatment of trauma, the Administrator of the Division shall issue written approval which designates the hospital as such a center.
As a condition of continuing designation of the hospital as a center for the treatment of trauma, the hospital must comply with the following requirements:
(a) The hospital must admit any injured person who requires medical care.
- 83rd Session (2025) – 4 – (b) Any physician who provides treatment for trauma must be qualified to provide that treatment.
(c) The hospital must maintain the standards specified in the regulations adopted pursuant to subsections 2 , [and] 3 [.] and 5.
hospital which has been certified as a critical access hospital bya the Secretary of Health and Human Services pursuant to 42 U.S.C.
§ 1395i-4e.
4.
6.
The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.
Sec.
7.
This section and sections 3 and 3.5 of this act become effective upon passage and approval.
This section and sections 3, 3.5 and 6 of this act become effective upon passage and approval.
Sections 1 and 2 of this act become effective:
Sections 1, 2, 4 and 5 of this act become effective:
H - *AB326_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

2 amendments

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Action History

  1. Approved by the Governor. Chapter 418.

  2. Enrolled and delivered to Governor.

  3. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. In Assembly. To enrollment.

  4. Read second time.

  5. In Senate. Read first time. Referred to Committee on Health and Human Services. To committee. From committee: Do pass.

  6. From printer. To reengrossment. Reengrossed. Second reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.

  7. From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 856.) To printer.

  8. From printer. To engrossment. Engrossed. First reprint. To committee.

  9. Notice of eligibility for exemption. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 432.) Taken from General File. Rereferred to Committee on Ways and Means. Exemption effective. To printer.

  10. From printer. To committee.

  11. Read first time. Referred to Committee on Health and Human Services. To printer.

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 64 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (64)

64 members have not signed on to this bill.

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"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
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Frequently asked questions

Who sponsors AB 326?
AB 326 is sponsored by Torres-Fossett, Selena (Democratic), Cole, Lisa K. (Republican), and Koenig, Gregory S. (Republican).
What is the current status of AB 326?
This bill has been enacted into law. Introduced March 03, 2025. Enacted.
Where can I track AB 326?
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