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AB 383-82

Revises provisions relating to health care. (BDR 40-116)

2025 Regular Session

The bill establishes a Right to Reproductive Health Care Act that blocks government actions that burden access to reproductive health services and allows legal remedies for violati

(No further action taken.)
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Bill Summary · AB 383-82

Summary of AB 383 (AB-83-82)

Note: This summary reflects the introduced/reprinted version and subsequent legislative actions as of the provided information. It focuses on purpose, key provisions, who is affected, and timelines.

Overview and purpose

  • AB 383 amends Nevada law to:
    • Protect access to reproductive health services by limiting governmental burden and allowing affected individuals to seek legal relief.
    • Expand Medicaid coverage related to contraception, including services and translation costs, and broaden who can provide covered contraception.
    • Clarify and reinforce cross-agency and cross-jurisdiction applicability of the new rights.

Key provisions

Right to Reproductive Health Care Act (Sections 2–7)

  • Establishes a new set of protections labeled the Right to Reproductive Health Care Act.
  • Prohibits a governmental entity (State or political subdivisions) from enacting or implementing measures that substantially burden:
    • Access to reproductive health services, related drugs/devices, or information.
    • The ability of a health care provider to deliver such services within their scope of practice, training, and experience.
  • Exceptions: A governmental burden may be allowed if the entity shows by clear and convincing evidence that the burden furthers a compelling interest and is the least restrictive means to do so.
  • Remedies: A person whose ability to obtain or provide reproductive health services is burdened can bring a claim or defense in court; prevailing claimants are entitled to costs and attorney’s fees.
  • Scope: Applies to state and local laws and their implementation, regardless of when enacted, with certain carve-outs (e.g., does not apply to NRS 442.250).

Medicaid coverage and related provisions (Section 8)

  • Expands the State Plan for Medicaid coverage for contraception to include:
    • Voluntary sterilization for men (in addition to existing provisions for women).
    • Clinical services related to covered contraception (beyond the devices/drugs themselves).
    • Translation services necessary to provide covered contraception, including the costs of such translation services.
  • Rate methodology: The Division of Health Care Financing and Policy (DHCFP) must develop a cost-effective rate methodology for translation services and ensure translation rates are comparable to rates used by other governmental entities.
  • Provider reimbursement: The State Plan must cover contraceptive services provided by any provider within the provider’s scope of practice, training, and experience; reimburse non-physician providers (e.g., physician assistants, APRNs) at rates not less than those paid to physicians for the same services.
  • Setting: Coverage requirements apply in both inpatient and outpatient settings.

Appropriations and implementation (Section 20.5)

  • Makes appropriations to, and authorizes expenditures by, the Division for Medicaid translation services and related purposes.

Who is affected

  • Individuals seeking reproductive health services, information, drugs, or devices.
  • Health care providers delivering reproductive health services within their scope of practice.
  • Governmental entities at the state and local levels that regulate or fund health care services.
  • Medicaid beneficiaries in Nevada who rely on contraception and related services.
  • Providers other than physicians, physician assistants, or APRNs who furnish covered contraception (subject to parity in reimbursement).

Procedural and timeline aspects

  • Introduced: February 3, 2025.
  • Legislative actions noted:
    • Feb 6, 2025: Bill read; placed on Chief Clerk’s desk.
    • Jun 3, 2025: No further action recorded.
    • Feb 3, 2025: Returned from Secretary of State; special order set for Feb 6, 2025.
  • Application scope includes all state and local laws enacted on or after January 1, 2024, subject to the Act unless explicitly excluded; generally applies to laws enacted before or after that date with described protections.
  • The Act emphasizes rights enforcement and potential damages/fees for prevailing plaintiffs in reproductive health burden cases.

Potential impact

  • Legal: Creates a broader framework to challenge governmental actions that burden reproductive health services.
  • Access: Aims to reduce barriers to contraception and related services, including translations and access in various settings.
  • Fiscal: May increase Medicaid expenditures for contraception coverage and translation services; could trigger state/local budget considerations.
  • Operational: Requires DHCFP to establish translation-rate methodology and update Medicaid coverage rules, potentially affecting provider billing practices.

Compiled from official sources — confirm details with the bill’s official record.

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