Strict deadlines for deciding on freedom are latest big change in Nevada’s bail landscape

At a hearing this spring, activist Jagada Chambers described jail as “a dungeon” where every moment is trauma-filled.

It’s why he and others pushed lawmakers to put a strict cap on how long courts have to give a defendant an initial bail hearing that could mean the difference between spending a few hours in jail, or several days, without being convicted of a crime.

Legislators ultimately passed AB424, a measure that requires that a pretrial release hearing happen within 48 hours — drawing cheers from supporters who want to ensure that people are not kept behind bars for long periods of time simply because they don’t have as much money as other defendants to bail out sooner.

“We have to take into consideration the people that we're talking about here are innocent,” said Chambers, who has worked on voter rights restoration and other issues affecting formerly incarcerated people. “You should make any effort to take appropriate channels to get that handled within an hour because a person in that [dungeon] — it’s irreparable damage.”

The measure, which goes into effect next July, comes after a decades-long push in Nevada and nationwide to end or curtail the practice of using money to broker release from jail. Those efforts have largely hit dead ends in the Legislature — until a landmark decision from the Nevada Supreme Court last year helped force lawmakers’ hands by setting significant requirements for judges who want to use money as collateral for release.

“You put a bunch of cracks in the ceiling and eventually you break through,” said Sen. Dallas Harris (D-Las Vegas), who presented the bill in the Senate along with Sen. Dina Neal (D-North Las Vegas). “This was that session for bail reform.”

Critics of the status quo say using money in exchange for freedom means people are often kept behind bars longer because they are poor, rather than because they pose an actual risk to public safety. Lawmakers drew a contrast between indigent clients unable to bail out and a case involving multibillionaire Henry Nicholas, who was released without bail as he faced charges of felony drug trafficking stemming from an arrest in Las Vegas.

Even a  short jail stint can disrupt a defendant’s job and family life, making it harder to get back on their feet and return to being a productive member of the community. And bill supporters chafe that drawn-out, pretrial detention is happening to people who are presumed innocent.

“$5,000 — for some people that is insurmountable and just amounts to detention. For others, it's absolutely nothing, and that has zero to do with how dangerous the person is to the community,” Harris told The Nevada Independent. “And that is not the goal of our system at all.”

The pivotal ruling came in April 2020 in the case of Jose Valdez-Jimenez, who was assessed $40,000 bail that he could not pay after police arrested him for stealing thousands of dollars of Victoria’s Secret merchandise in Las Vegas. Among other things, the Supreme Court’s order required defendants get an individualized and adversarial court hearing — one that can involve cross-examining witnesses — promptly after their arrest to consider whether they should remain behind bars.  

But how to define “prompt” had been an open question in the year after the court ruling, subject to a wide range of opinions and questions about what can be reasonably expected from smaller jurisdictions. Lawmakers ultimately put parameters on the matter through AB424, which passed 30-12 in the Assembly and 17-4 in the Senate (several Republicans joined Democrats to support the measure).

“Having this standard across the state of, ‘you have to have a bail hearing within 48 hours,’ I think will make a huge difference,” said Washoe County Deputy Public Defender Kendra Bertschy. “How they're being treated really depends on what side of the street they're arrested on. And that's really concerning with the level of justice, and the equal justice that you're given, really depends on what court you end up in front of.”

The outcome hasn’t satisfied advocates who want complete abolition of money-based bail. They expect Nevada will still need private funds supported by donors that bail people out and help them get on with their lives before the 48-hour clock runs out.

“I think they took safe steps this year ... I think they did what was not going to ruffle too many feathers,” said Leslie Turner with the Mass Liberation Project and the Vegas Freedom Fund, which bails people out of jail and offers a wide range of support services to address other needs in their life upon release.

Holly Welborn, policy director at the ACLU of Nevada, described the law as an improvement but not a total transformation.

“We have at least met the floor of what's constitutionally permissible in the bail system in state statute,” she said. “But we haven't really embraced ending the system of wealth-based detention.”

But prosecutors, police and judges — especially ones in rural jurisdictions with smaller staffs — argue the hard deadline goes too far and is “unworkable.”

“It's an unfunded mandate,” said Jennifer Noble of the Nevada District Attorneys Association. “And it's not something where we object to the principle of it ... it's just that we need resources and funding and more people, frankly, because it's not just attorneys that are in this process.”

Others have criticized the bill as going too far in the effort to ease up on a “tough on crime” mentality that prevailed in the 1990s and beyond. Chuck Callaway of the Las Vegas Metropolitan Police Department said he worries about crimes rates going up when he sees statistics about people cycling quickly out of jail, and he senses in some of the Legislature’s recent work “an attitude of not holding criminals accountable for their actions.”

A bail bondsman arrives at the bail window at the Las Vegas Detention Center on July 29, 2021. (Daniel Clark/The Nevada Independent)

How bail works

The commercial bail bonds industry as it exists in the United States has been around since the late 1800s. After a person is arrested, a monetary amount is assigned based on the charges they face, often in line with the guidelines of a standard bail schedule, and loved ones can pay the money in full to get them out. The exception is for very serious charges such as murder, when defendants are constitutionally barred from bailing out. 

That money will be reimbursed if the person shows up to court to face the charges. In situations where loved ones do not have sufficient cash to make bail, they can enlist a bail bonds company to make the payment, but state law allows the bail company to keep 15 percent of the payment as a nonrefundable fee for its services — even if the person makes all of their court dates.

People being held in jail because they await trial — and who are considered innocent because they have yet to be convicted — make up a large portion of the Clark County Detention Center’s population. The jail, which averages about 3,700 people a day, reported 2,779 defendants were staying there on a pre-trial basis in December 2019, as opposed to serving out a sentence after a conviction.

About 85 percent of people the jail was holding pre-trial were accused of a felony, with the rest facing lesser charges. But there were signs that inability to pay bail was holding back people accused of low-level offenses — in December 2019, the jail reported having 44 people in custody for more than seven days on bail amounts less than $2,500.

Activists attempted to change the law most recently in 2019, when they came together to research what other states were doing and introduced AB325 — a bill that would have factored in a defendant’s ability to pay when setting bail. The measure, sponsored by then-Assemblyman Ozzie Fumo (D-Las Vegas) and other Democrats, faced strident opposition before it was killed, and lawmakers instead advanced a resolution calling for an interim study on pre-trial issues

“We wrote that bill, and it was ... killed,” Turner said. “But then everything that the Nevada Supreme Court ruling in Valdez-Jimenez stated, was literally everything that was in that original bill, AB325.” 

In Valdez-Jimenez, justices ruled that Nevada bail law was unconstitutional because it did not require the court to consider terms of release that were less restrictive than incarceration before determining that cash bail should be imposed.

It also shifted the burden of proof. Prior to April 2020, the law required the defendant to make a “showing of good cause” about why they should be released. In the ruling, justices flipped that standard and ruled that it was the state’s responsibility to prove — through “clear and convincing evidence” — that bail was necessary to ensure a person’s appearance in court or public safety. 

Advocates support alternatives to cash as ways to ensure someone’s court appearance, including drug testing, GPS monitoring, court date reminder calls, substance abuse rehabilitation and check-ins.

If judges conclude bail is needed, they have to document “findings of fact” about why they came to that conclusion. Harris has framed the new paradigm as a win for civil libertarians.

“This issue is an opportunity for me to proudly wear the conservative label,” Harris, who chaired an interim committee on bail, said when she presented AB424 to fellow lawmakers. “I see this as a question of how long the government can hold you, deprive you of your liberty, prior to making any argument about why that liberty should be deprived.”

State Senator Dallas Harris on the fourth day of the 81st session of the Legislature in Carson City on Thursday, Feb. 4, 2021. (David Calvert/The Nevada Independent)

Overextending staff

The bill faced fierce pushback from prosecutors and rural judges, who argued that they could drive members of their small staffs to burnout if they needed to maintain availability through the weekends. Keith Lee, a lobbyist for the Nevada Judges of Limited Jurisdiction, also questioned bill proponents’ arguments that some defendants were waiting up to 12 days for a bail hearing.

“I have no way to know whether those are correct or not. I assume they're correct. I would respectfully suggest to you that they are one-offs, however,” he told lawmakers. “And I certainly want to dispel any implication that the reason there was so many hours taken is a result of the judge’s failure to act.”

Some bill opponents asked that the deadline for a hearing be extended to at least 48 judicial hours — meaning the clock would stop for nights and weekends — on the basis that a literal 48-hour timeline prevents even defense attorneys from preparing their case to get their client out. 

Noble, representing prosecutors, said lawmakers needed to consider all the support staff needed to prepare for the kind of robust hearing envisioned in the Valdez-Jimenez ruling. That includes investigative staff to pull criminal histories from an FBI database, staff to obtain information from law enforcement and staff in the pretrial services department to prepare risk assessments (an evaluation of how likely a defendant is to skip court or commit another crime).

“It is not as simple as just providing prosecutors to staff these hearings on the weekend,” she said. 

Judge Stephen Bishop of White Pine County called the 48-hour drop-dead timeline an “overcorrection.”

“It's going to be setting my court up for failure, my attorneys that for failure, and even the defendants up for failure,” he said during a hearing on the bill.

Some proponents said the cost concerns did not outweigh constitutional rights.

“What I'm hearing is that upholding our civil liberties is too expensive,” said Las Vegas resident Joseph Lankowski, who testified to lawmakers while he was out of jail on bail. “Where are we going to find the money to give our citizens their constitutional rights? And that's just not a viable excuse for me.”

In an interview, Harris acknowledged the new requirement could be a challenge, but she said she hoped it would push jurisdictions that have underfunded correctional facilities and services for people who cannot afford a lawyer to direct federal American Rescue Plan dollars to the cause.

“I think the courts are going to have to stretch a little bit, and get creative in order to be able to meet this new 48 hour requirement,” she said. “I’m hoping that the statutory requirement will give them a little bit of motivation to invest in that area.”

The bail window at the Las Vegas Detention Center as seen late Thursday night, July 29, 2021. (Daniel Clark/The Nevada Independent)

Work left undone

The Legislature’s moves this session fell short of doing away with cash bail. Proponents had hoped to get rid of the bail schedule entirely when they thought they might have the timeline reduced to 24 hours — that would make it unnecessary because incarcerated people would know they will see a judge within a day and could likely avoid missing much work because they are behind bars.

“We could eliminate bail, if we went to the 24 hours, and then it wouldn't be a wealth-based system,” said Clark County Chief Deputy Public Defender John Piro, who noted many people bail out within the first 12-24 hours. “But because we're not there, we're gonna have to keep some amount of bail so that people can bail out if they get ahead.”

The issue is also complicated because the Nevada Constitution explicitly says “all persons shall be bailable by sufficient sureties” except in certain murder cases. Eliminating cash bail would likely mean embarking on the multi-year process of removing it from the Constitution; Harris said she wasn’t aware that anyone is launching such a project.

The bill wasn’t the only one to come out of the work of a committee that spent the legislative interim exploring Nevada’s pre-trial release system. One bill that made it into law, AB440, requires officers to give people a citation instead of something stronger for their first nonviolent misdemeanor offense. 

The committee did also send a letter to court administrators, asking them to re-validate a pretrial risk assessment form. In interim meetings, several speakers argued the tool perpetuated racial biases because it predicts future conduct on statistics such as previous arrests among people of certain races.

Another bill, SB401 proposed collecting detailed information about the number, reason and bail amounts of people being held in jail before trial, and reporting that data to a statewide court administrator. It died over concerns about the costs of implementation.

If football is the analogy, Harris said, the Legislature didn’t quite score a touchdown on bail issues, but got within goal range. Keeping cash bail, but requiring a hearing within 48 hours, allows people who can get out earlier the option of doing so because they can pay, without letting those who can’t remain in jail for too long.

“Forty-eight hours I think is where we could kind of push our system right now to be a bit better,” Harris said.

Turner said she hasn’t seen much of a difference in bail practices in the year since the Supreme Court's ruling, based on calls she receives from people seeking help through the Freedom Fund, although she is noticing that bail amounts have been lower than they previously were. She’s also heard people say they aren’t getting the Valdez-Jimenez hearings they are entitled to — a trend that attorneys said they noticed in the wake of the decision.

She wants to make sure courts are complying with the ruling and stricter timelines. But she’s also got her eye on bigger goals than just successful implementation, including getting law students involved in helping craft future policies that take bold steps in changing the criminal justice system.

“I think I'm reimagining what pretrial detention is, and what it actually means for public safety,” Turner said. “Figuring out how we can write new policy and write and create new systems that reflect the world that we all want to live in.”

With approval of consumption lounges, state ushers in next expansion of cannabis industry

After a tumultuous round of dispensary licensing in 2018 brought uncertainty and infighting to the state’s nascent cannabis industry, the Cannabis Compliance Board (CCB) assumed the marijuana regulatory reins in 2020, cracking down on bad actors and providing specialized regulation that brought stability to the industry ahead of the 2021 legislative session.

From that baseline, lawmakers took a major step this session to expand and diversify the industry’s disproportionately white and male ownership and also provide tourists with a place to legally consume marijuana by creating a new license type for cannabis consumption lounges. They also approved a slew of other changes — including allowing permanent curbside pickup, revising how law enforcement determines whether someone is driving under the influence of marijuana and changing product labeling — built from lessons learned in the eight years since the state first authorized marijuana dispensaries.

“It's been a long journey from where we started, really, in the 2013 session and then launching dispensaries, so it's really nice to see how the industry has matured,” said Assemblyman Steve Yeager (D-Las Vegas). “The legislation that we see this session is really in recognition that we've primarily done things right and to try to take that next step.”

After the compliance board began its work governing the state’s marijuana industry in July 2020, the 2021 legislative session presented the agency with an important opportunity to hold conversations with lawmakers, said Tyler Klimas, the board’s executive director.

“We’re very pleased with how the CCB came out in this session … So much of this particular legislative session was about education for the CCB,” Klimas said. “In 2021, this was really our first chance to come back in front of the Legislature and update them on the progress of the CCB … I think the Legislature was very receptive to our message.”

The session saw a wide variety of cannabis-related legislation passed that Yeager emphasized was largely aimed at implementing best practices and making selective tweaks to existing regulations. He also noted that many of those changes came as the pandemic saw more people get comfortable with marijuana use.

“I think the stigma is definitely going to lessen. I think it did during the pandemic … I think we have a lot of new customers in the cannabis industry because of the pandemic,” Yeager said. “The more we sort of move forward as an industry, consumers will become more comfortable with it.”

Here’s a look at the bills that passed during the session related to the state’s marijuana industry and the work of the CCB, all of which have been signed into law by Gov. Steve Sisolak:

AB341: Authorizing cannabis consumption lounges

The biggest change for the marijuana industry from the 2021 legislative session comes by way of AB341, a bill that provides for the licensing and regulation of cannabis consumption lounges by the CCB.

The measure, introduced by Yeager, has been heralded as a major step by many in and around the industry as a way to increase diversity in the state’s disproportionately white group of cannabis business owners. Throughout the session, the Las Vegas-based assemblyman also described the consumption lounges as a way for the state to solve tourists’ dilemma of having no legal place to consume cannabis.

“I see that only as a plus from the tourism aspect,” Yeager told The Nevada Independent in an interview. “But then on the local side, right, being able to bring in new players into the business, having that create jobs — that's really important coming out of the pandemic.”

Assemblyman Steve Yeager on the final day of the 81st session of the Legislature on Monday, May 31, 2021, in Carson City. (David Calvert/The Nevada Independent)

Though a cannabis consumption lounge does already exist near Las Vegas in the form of NuWu Cannabis Marketplace, which sits on the land of the Las Vegas Paiute Tribe, Yeager’s bill allows for the first state-licensed and regulated locations where Nevadans will be able to consume cannabis outside of their homes — and where tourists will be able to legally use marijuana products. 

Lounges will be restricted to people 21 and over, and venues will be able sell ready-to-consume or single-use products, although not in quantities that would make them de facto retail cannabis dispensaries.

Scot Rutledge, a lobbyist who serves on the advisory board of the Chamber of Cannabis, a nonprofit organization whose members include individuals and businesses within the marijuana industry, said that many members have expressed enthusiasm about the lounges.

“There’s a tremendous amount of excitement because this is the first time in Nevada we're providing for a new license type,” Rutledge said. “The intent is to allow folks who aren’t in the industry to have as much of a chance, if not more, to participate.”

The bill allows for the initial licensing of up to 20 independent consumption lounges and 20 retail consumption lounges that will be attached to existing dispensaries, with the possibility of additional independent licenses if the CCB approves more than 20 retail lounge licenses before June 30, 2022.

Those new licenses open up the possibility of expanding diversity within the ownership of the industry, which has been limited in the past. A demographic report on the state’s cannabis industry released by the CCB in February showed that marijuana business owners and board members in Nevada are disproportionately white and male, compared to the industry workforce, which is made up of a greater proportion of people of color.

The bill explicitly prioritizes expanding diversity within the industry by requiring at least 10 of the first 20 independent lounge licenses to be issued to social equity applicants.

“Those 10 licenses are reserved for social equity applicants, and if there aren't any, they stay there until there is. They don't get redistributed among other people,” Yeager said. “We're purposely holding some back, which I'm hoping is going to help us achieve the purpose.”

However, the definition of a social equity applicant is left up to the discretion of the CCB. Klimas said that definition will be established with the help of an equity, inclusion and diversity subcommittee formed under the Cannabis Advisory Commission.

“We'll need to define what a social equity applicant is. That's really the start of it,” Klimas said. “What does it mean to be an individual that has been harmed by the War on Drugs and how can we help get those individuals into this industry.”

The measure also allows the CCB to give more financial leeway to social equity applicants. An application for a retail consumption lounge costs $100,000, but an application for an independent consumption lounge costs $10,000, and the license issuance and renewal fees are each $10,000 for both types of lounges. But the bill also allows the board to reduce all fees by up to 75 percent for a social equity applicant.

Outside of social equity, the bill leaves much of the regulatory work to the board, with the ability for local governments to provide additional regulations through ordinances.

“We just didn't believe that 120 days was really enough time to sort of figure out some of the details around how these venues might be operated or all of the things that need to be considered in licensing those businesses,” Rutledge said. “So I think we did it the right way by deferring a lot of those decisions to the CCB.”

Klimas said that prior to the licensing of lounges, the board will spend the next several months developing the regulations for the new cannabis establishments, through workshops, board meetings and advisory commission meetings.

The 2018 licensing round, conducted by the Department of Taxation, was marred by accusations that state officials played favorites and unevenly distributed key information about application scoring.

“Given some of the past licensing processes, this process is going to be about openness and transparency and thoroughness to ensure everybody's on the same page and the board is very public in how we're going to do things,” Klimas said.

Even though the CCB will complete most of the regulatory work, Rutledge emphasized that there is a certain framework he and other cannabis advocates hope to establish for the lounges. One aspect of that came from law enforcement, which did not want to see marijuana and alcohol sold in the same place. Another is focused on ensuring that businesses have more freedom in operating their lounges, because the bring-your-own-marijuana model has been ineffective for such businesses outside of Nevada.

“We also understood that what they had done in Denver originally … that didn't allow these lounges to sell cannabis — it was a bring your own cannabis model — and those did not work very well, either.” Rutledge said. “The idea of having just a place where patrons who purchase cannabis of your dispensary could walk in and consume and leave with really no entertainment or food or beverage. That wasn't what we wanted to get to.”

Layke Martin, executive director of the Nevada Dispensary Association, said both the retail and independent lounges could foster new ideas within the industry.

“I think there's a lot of opportunity for creativity and entrepreneurship,” Martin said. “I think a lot of these can become a destination, in and of themselves. And so it could be a video game thing where you can also consume cannabis. Or it could be like a tasting room situation where you can also consume cannabis, and you have the opportunity to get educated and try new products, kind of like a tasting room in a winery.”

Martin also noted that several existing dispensaries, including Planet 13 and The Apothecary Shoppe, have been planning for the possibility of lounges since the idea was brought forward and then axed during previous legislative sessions. She said that “some already have the space ready to go.”

Dispensary with casinos in background
Planet 13 Cannabis Dispensary located near the Las Vegas Strip is seen Friday, Dec. 6, 2019. (Jeff Scheid/The Nevada Independent)

While Klimas said that it likely won’t be until the beginning of next year or even mid-2022 when the new licenses “come on board,” Yeager sees the lounges as a way to help boost the return of the state’s economy.

“I can tell you without a doubt that Vegas is back in a really big way, and I think the addition of consumption lounges is only going to add to that,” Yeager said. “I actually think it's going to put Las Vegas on the map, to the extent that it isn't already, to be the cannabis destination, especially if we're able to open up some really interesting, innovative concepts.”

The Assembly and Senate approved the bill 29-12 and 17-3, respectively, with the Senate passing the bill on the last day of the session, as Sens. Dina Neal (D-Las Vegas) and Fabian Doñate (D-Las Vegas) were the only members of their party to oppose the measure.

Customers gather inside NuWu Cannabis Marketplace at 1235 Paiute Circle on Thursday, March 14, 2019. The dispensary is owned by the Las Vegas Paiute Tribe. (Jeff Scheid/The Nevada Independent)

AB149: Increasing transparency of cannabis testing

This bill, sponsored by Assemblywoman Sarah Peters (D-Reno), requires the board to develop, implement and maintain an online database where the public can find information about cannabis products tested by laboratories in the state.

The CCB still needs to receive approval from the Legislature’s Interim Finance Committee in order to fund the database, which is projected to cost nearly $250,000 over the next two years, but Klimas expressed enthusiasm about offering the feature to consumers.

“It's just another level of transparency that we can bring out. I would do it tomorrow if I had the capacity to do it,” he said. “This data should be available for everybody to use. Right now, you can go to a dispensary, and if you purchase a product, you can ask for the certificate of analysis. So you can see that kind of information, [but] some people don't know they can ask for it.”

Some of the state’s independent labs have in the past voiced concerns about transparency. In 2019, an association of four marijuana testing labs rebuked certain unidentified labs over allegations that the labs were inflating THC content readings and giving fewer samples a failing grade in an attempt to attract more business.

The measure builds off of existing law that requires the CCB to establish standards for independent cannabis testing labs, which test cannabis and cannabis products for a variety of factors, including for microbial substances (bacteria, molds, and yeasts), potency of the product (cannabinoid and terpenoid profiling), heavy metals and pesticides.

The information available online will be based off of the seed-to-sale tracking that the board uses to track cannabis products as they are grown and sold throughout the state, and the database also will be required to contain the final results of all testing performed on cannabis products by an independent lab.

The Assembly and Senate approved the bill with no opposition. Sen. James Ohrenschall (D-Las Vegas) did not vote on the measure because his wife, Riana Durrett, is a member of the CCB.

A cannabis bud in a gloved hand
Priscilla Vilchis, CEO of Premium Produce, inspects a cannabis bud at her grow facility in Las Vegas on Tuesday, Dec. 4, 2018. (Jeff Scheid/The Nevada Independent)

SB168: Curbside pickup for cannabis products

Sponsored by Sen. Roberta Lange (D-Las Vegas), this bill authorizes and allows dispensaries to offer curbside pickup in accordance with regulations adopted by the CCB. The measure legalizes a practice first allowed last year when the state was still in a coronavirus-related stay-at-home order.

Some of the present-day features of curbside pickup include designated parking spaces for pickup, security cameras with a direct line of sight to those spaces and a prohibition on people less than 21 years of age being in the vehicle. 

Proponents of the measure have touted the service as beneficial to businesses and a way for customers to more conveniently obtain their products.

“Customers really liked it, actually,” Martin said. “If you go through reviews of dispensaries, you'll often see curbside pickup positively viewed as a feature.”

The measure additionally allows local governments to adopt ordinances regulating curbside pickup beyond the rules adopted by the board.

The bill was approved in a 35-6 vote in the Assembly and a 19-1 vote in the Senate, and the governor signed the measure on May 27.

Parking space marked for Thrive Dispensary
A parking space outside the future Thrive dispensary in Reno on Sept. 27, 2019. Photo by David Calvert.

SB122: Extra health and safety training for cannabis employees

This bill, sponsored by Sen. Chris Brooks (D-Las Vegas), requires employees of cannabis establishments, including cultivation and production facilities and dispensaries, to complete a health and safety course developed by the federal Occupational Safety and Health Administration (OSHA) within one year of being hired.

Employers are required to cover the cost of the training and are required to fire an employee who has not completed the training within one year. Employees hired before July 1, 2021 are required to complete the OHSA training program by July 1, 2022, and certain employees not involved in the day-to-day operations of an establishment, as well as communications and legal employees, are excluded from the requirement.

The required training includes a 30-hour course for supervisory employees and a 10-hour course for other employees, which must be conducted by an authorized outreach trainer and may be online or in person.

Though there are other training requirements already in place for employees of cannabis businesses, Martin emphasized the importance of such training.

“It's a highly regulated industry. Safety and security [are] paramount,” she said.

The bill passed 31-11 in the Assembly and 14-7 in the Senate, with some Republican lawmakers voting against the measure. During a committee vote on the bill in March, a few Republican senators expressed concerns that the bill would be onerous and unnecessary for retail employees in the industry.

Criminal justice changes

AB400: Marijuana DUIs

This Yeager-sponsored measure, which went into effect on July 1, removes specific “per se” limits for cannabis metabolites that if found in a person’s blood would trigger a DUI — except for in cases where the DUI is punishable as a felony, including those that caused someone’s death or substantial bodily harm. Cannabis metabolites are the substances that form when THC is broken down in the body.

Under this law, drivers generally will be considered to be under the influence of marijuana if the substance has impaired their ability to safely operate their vehicle, instead of having impairment determined by a test for a specific amount of marijuana in their blood or urine.

“There's no scientific basis toward ‘per se’ limits,” Rutledge said. “That's problematic for anyone who consumes cannabis, certainly. It's especially cruel to patients who theoretically consume larger amounts of THC than the average recreational consumer and may not actually be under the influence while operating a vehicle.”

Yeager explained that the science has shown for years that the “per se” limits are not an accurate reflection of impairment because cannabis is metabolized differently in different people’s bodies.

“I was up at the session in 2013 and 2015 as a lobbyist,” he said. “And I remember talking back then to folks in the Legislature about the DUI laws because cannabis is this weird ... space because it's federally illegal but legal in the state. And our state laws around DUI really contemplate its federal illegality, and we're almost zero tolerance.”

Yeager said that it took a long time for other people to get comfortable with the idea behind the bill and realize that impairment for cannabis cannot be treated the same as alcohol, which ultimately led to his measure passing during the 2021 session.

The bill was passed along party lines in the Assembly with Republicans opposed and passed out of the Senate on a 15-6 vote, with some Republican senators opposed.

AB158: Lessening penalties for minors possessing marijuana

This bill from Assemblywoman Daniele Monroe-Moreno (D-North Las Vegas) significantly lightens penalties for minors who purchase or possess alcohol or cannabis, including prohibiting jail time and fees for first and second offenses.

In an interview with The Nevada Independent, Monroe-Moreno framed the measure as a way of being constructive with children who make mistakes, rather than strictly punitive. Proponents of the measure have described the bill as another way to help the communities most negatively affected by the War on Drugs.

For people under the age of 21 who are found guilty of a misdemeanor for possessing, consuming or purchasing alcohol or possessing less than one ounce of cannabis, the bill replaces misdemeanor penalties of up to six months jail time and up to a $1,000 fine with penalties of up to 24 hours of community service and a requirement to attend a meeting of a panel of victims injured by a person who was driving under the influence of alcohol or a controlled substance.

The bill also revises the penalties for a second violation to require up to 100 hours of counseling or participation in an educational program, support group or treatment program.

The measure was approved unanimously in the Assembly and Senate and was signed into law by the governor on May 28.

AB326: Cracking down on the illicit market

Sponsored by Assemblyman Tom Roberts (R-Las Vegas), who previously worked for the Las Vegas Metropolitan Police Department, this bill aims to curb the state’s illegal cannabis market by authorizing a district or city attorney to bring a civil action — with a penalty of up to $50,000 — against any person who engages in a cannabis business activity, including cultivating and selling cannabis, without a license. Someone who commits such a violation could still be subject to a criminal prosecution.

The bill also seeks to bring more transparency to existing businesses, while restricting illegal marijuana delivery services, by requiring all advertising for a cannabis establishment to contain the establishment’s name and license number.

“It's really intended to keep the black market, the illicit market, from operating within the shadow of the legal market,” Martin said.

The bill received no opposition in votes in the Assembly and Senate, with Ohrenschall recusing himself from the vote when it passed out of the Senate on May 21.

Regulatory changes

SB168: Granting the CCB regulatory power over packaging and labeling

In addition to making curbside pickup a permanent feature for cannabis businesses, this measure authorizes the board to adopt regulations for the packaging and labeling of cannabis and cannabis products.

“We have really extensive packaging and labeling regulations on the books right now,” Klimas said. “What this bill allows and recognizes is that this is an ever-evolving industry, so let's make sure the board has the power to … host workshops and get stakeholder feedback both from the public and the industry. And if we need to make changes on packaging and labeling, then we can do that and we don't have to wait every two years.”

Klimas added that the board will regularly host workshops focused on labeling and packaging, so that the agency can “constantly stay ahead” on regulations.

The bill was approved in a 35-6 vote in the Assembly and a 19-1 vote in the Senate.

A customer and retailer exchanging money at a cannabis retailer
A medical marijuana patient, right, pays for cannabis at Reef Dispensaries at 3400 Western Ave. on Wednesday, Feb. 15, 2017. (Jeff Scheid/The Nevada Independent)

SB49: Changes to CCB disciplinary hearings

This bill, brought forward on behalf of the CCB, makes a number of changes to disciplinary hearings conducted by the board — including authorizing the CCB to employ support staff for conducting such hearings, authorizing the chair of the board to grant extensions to the 45-day requirement within which hearings must be held and removing an authorization for the board to take the testimony of a witness by deposition because of the intensive time and resources typically required for depositions.

The measure also removes a barrier for minor stakeholders in cannabis businesses, allowing the board to adopt policies for waiving the registration requirements for people who have an ownership interest of less than 5 percent in the establishment. That provision is meant to lighten the burden for publicly traded companies.

David Staley, an audit investigator for the board, said during a February hearing for the bill that the background check and registration requirements can be restrictive for publicly traded companies with thousands of shareholders that have shares traded on a daily basis.

Under this bill, the labeling of cannabis products offered for sale is required to include the words “THIS PRODUCT CONTAINS CANNABIS,” rather than “THIS IS A MEDICAL CANNABIS PRODUCT” or “THIS IS A CANNABIS PRODUCT.”

No lawmakers voted against this bill; the measure passed 41-0 and 20-0 in the Assembly and Senate, respectively.

SB278: Clarifies the cannabis wholesale tax

Sponsored by Sen. James Settelmeyer (R-Minden), this bill clarifies the definition of “wholesale sale” for the purpose of the marijuana excise tax.

“It just clarifies [that] facilities that are owned by the same individuals can move product back and forth if one facility is more capable of performing a function than the other one,” Klimas said. “That just clarifies … when that is actually taxed.”

The bill passed through both chambers with no opposition and was approved by the governor on June 3.

SB404: Authorizes regulations for cannabis weighing and measuring equipment

Brought forward on behalf of the Governor’s Office of Finance, this bill authorizes the State Sealer of Consumer Equitability to adopt regulations for cannabis weighing and measuring equipment. The bill is meant to update existing law, which did not previously include references to cannabis-specific equipment.

The measure passed 20-0 out of the Senate, while members of the Assembly voted to pass the bill 33-8, with some Republican lawmakers opposed.

Cannabis on display at Reef Dispensaries, 3400 Western Ave., on Wednesday, Feb. 15, 2017. Photo by Jeff Scheid.

Other bills

AB101: Authorizes veterinarians to administer CBD products to animals

This measure, sponsored by Yeager, authorizes licensed veterinarians to administer products containing CBD or hemp in the treatment of an animal and to recommend use of such products to pet owners. It also prohibits the state Board of Veterinary Medical Examiners from taking disciplinary action against veterinarians who administer or use such products.

As Yeager notes, this bill — nicknamed the “pot for pets” bill — does not actually deal with marijuana, as do several other measures he sponsored. Cannabis contains more THC and less CBD, while hemp products (authorized for use by this bill), contain more CBD and less THC. The two compounds are both found in plants of the Cannabis genus.

“It was surprisingly easy to get through, this time,” Yeager said of the measure, which has been considered but rejected in past legislative sessions. “And maybe that's just the comfort level that we have, Nevadans have, not just with the cannabis industry but certainly with CBD. I think a lot of people have experience with CBD at this point.”

The bill was approved 40-0 in the Assembly and 20-0 in the Senate, before being signed into law by the governor on May 28.

SB58: Investigations into cannabis offenses

Brought forward on behalf of the Investigation Division of the Department of Public Safety, this measure is aimed at improving coordination between state agencies during cannabis-related investigations by requiring the division to provide investigative services to help carry out criminal investigations relating to cannabis when requested by the CCB, Department of Taxation or Division of Public and Behavioral Health.

This legislation passed with no opposition in the Assembly or Senate.

Failed licensing efforts

While lawmakers authorized the licensure of 40-plus new cannabis establishments through consumption lounges, discussions of adding other new license types stalled during the session.

SB235: Dual licensing

This measure, sponsored by Sen. Dallas Harris (D-Las Vegas), would have allowed the CCB to issue cannabis establishment licenses in excess of the caps set by the state when the licensing of adult-use cannabis dispensaries began. The new licensing procedure, intended to prioritize social equity applicants and increase the number of new licenses, would be determined by a study conducted by the board every two years.

However, the bill was met with significant backlash, even sparking internal conflict within the Nevada Dispensary Association that resulted in some members leaving the group. Some smaller operators within the association favored an amendment that sought to give those who lost out during a 2018 round of licensing a chance to receive a license.

The amendment, which would have established a path for adding a significant number of new licenses for those who lost out in 2018, reignited arguments from a yearslong legal battle over the previous licensing round and disputes about whether the market can support a large number of new marijuana stores.

As of June, there were 85 active dispensaries licensed by the CCB, with the possibility for roughly 40 more dispensaries approved during the 2018 licensing process. Unlike other business types, the number of retail cannabis stores in the state is strictly capped. 

Nevada law allows counties to have a certain number of dispensary licenses based on population, with current numbers allowing for up to 80 licenses in Clark County, 20 licenses in Washoe County, four licenses in Carson City and Lyon County, and two licenses in all other counties. However, local regulations can further restrict the number of licenses allowed in a county.

Though Yeager never heard the measure in the committee he chaired, he said there was a lot of controversy surrounding the idea. 

“The industry itself was so conflicted on that concept, and it just kind of blew up,” he said.

The legislation never received a vote on the Senate floor.

Medical marijuana and retail customers stand in line to check out at The+Source dispensary in Henderson on Thursday, November 9, 2017. (Jeff Scheid/The Nevada Independent)

AB322: Licensing cannabis events

Sponsored by Assemblyman C.H. Miller (D-North Las Vegas), this bill aimed to establish a form of “micro-licensing” by allowing the CCB to issue a new license type for cannabis events where products could be sold and consumed. Events could be similar to food festivals, for example, where different vendors sell marijuana products at the event and attendees are able to consume the products at the event.

With a financial impact estimated to be in the millions by the CCB, the measure never received a hearing in the Assembly’s money committee but was touted as a positive next step by proponents of other cannabis legislation.

“I think it's a good concept,” Yeager said. “I think we were just very wary of doing too much at one time, given how long it's taken us to get cannabis lounges up … Probably, [the] next step is cannabis events and licensing of larger events because the truth is people are consuming those events anyway. We know that, so we probably should regulate it in some fashion.”

Even though the CCB will only have two new types of licenses to work on over the next two years with the addition of retail and independent consumption lounges, Klimas said the board is still thinking about future rounds of licensing.

“Obviously lounges will be a licensing round, but when we're talking about the traditional establishments, like cultivation, production and retail, we're going to open up those licensing rounds at some point,” Klimas said. “But we want to make sure that those decisions on how many to award, how many to open up are driven by data.”

Though an effort to establish a cannabis market study failed with SB235, Klimas said that the board is still planning to perform a comprehensive study of the industry, likely conducted by a third party that Klimas hopes will provide an unbiased look at the market.

“We want to know what is the health of the market in the state of Nevada, what's our supply, what's our demand, what are our needs,” Klimas said. “That's going to be something exciting over the next year or two to get those results and see where this industry needs to continue to mature towards and how the CCB is going to facilitate that. That'll likely end up and result in new legislation that we’ll bring forth in the 2023 legislative session.”

From health care transparency to a public option, lawmakers largely drilled into non-pandemic health care issues in 2021 session

When lawmakers kicked off their 120-day legislative session in February, the state was still recovering from a brutal winter surge of COVID-19, which saw a thousand new cases of the virus reported across the state each day.

Lawmakers early in the session came forward with some modest proposals to address the pandemic — including a bill to give workers paid time off to get vaccinated — but it was unclear at that point what COVID-19’s trajectory in the Silver State would be. With an influx of federal financial support boosting the state’s pandemic response, it wasn’t always easy to tell where lawmakers could be of most help. With sessions slated for only 120 days every other year, it also wasn’t clear they could craft policy responsive enough to the ever-changing needs created by the pandemic.

Instead, lawmakers generally focused on a host of other important, but perhaps less high-profile, health care proposals, from legislation to support the provision of telehealth services in the state, which became all the more popular during the pandemic, to a bill that would provide for Medicaid coverage of community health workers. They also honed in on data transparency, hearing bills that would make changes to the state’s drug pricing transparency program and establish an all-payer claims database in an effort to better understand the health care landscape in the state.

Lawmakers also took up a last-minute bill to establish a state-managed public health insurance option in Nevada, the second-ever to be approved in the nation. Despite reservations from Republican lawmakers — and even from some Democrats — the Legislature introduced and approved the bill in just a little more than a month with some strong-arming by Senate Majority Leader Nicole Cannizzaro (D-Las Vegas), who spearheaded the legislation. 

Behind the scenes, there were frustrations, though, among health care lobbyists. Industry lobbyists, for instance, were caught off guard that Cannizzaro hadn’t involved them in the process of developing the public option bill and dropped the proposal on them in the final weeks of the session.

“I can tell you that when there are very challenging things that occur within health care, when you lock us all in a room, we tend to find solutions,” Tom Clark, lobbyist for the Nevada Association of Health Plans, said during the bill’s first hearing.

Bobbette Bond, policy director for the Culinary Health Fund, also said it was difficult to craft good policy in a legislative environment so heavily shaped by the pandemic. For much of the session, the legislative building was closed to the public and committee meetings were only able to be attended virtually.

“It was hard to get revisions made. It was hard to have good conversations about what could be done. It was hard to build stakeholders,” Bond said. “It was hard to communicate, and I think the policy suffered for that.”

Bond also expressed dismay in the two-thirds requirement for passing tax increases, on the grounds that it has prevented lawmakers from tackling more ambitious health care legislation. Because there isn’t more funding to go around, including to support health care, she said lawmakers have turned to putting mandates on industry.

“The mandates … end up substituting for actual public health policy,” Bond said.

The Culinary Health Fund, which is the health insurance arm of the politically powerful and Democratic-aligned Culinary Union, did, however, continue to play a significant role in shaping health care policy this session with Democrats remaining in control of both chambers of the Legislature. Other industry representatives, who often work collaboratively with Democratic lawmakers but more often align with Republicans on business priorities, had less of an upper hand.

Mike Hillerby, a longtime lobbyist on health care issues in the state, said Nevada loses “a lot of subtlety in the public policy debate” when the discussion is “driven by the relationship between a couple of unions and a couple of hospital chains.”

“That drives so much of what we do, and it's so contentious. Look at balance billing from 2019. Look at some of the stuff this time, and everything's driven by that. That's not indicative of the market and the rest of Nevada. That's not indicative of what's happening with providers and patients and payers in rural Nevada, in the Reno area, and yet so much of it is driven by that and that financial reality, that bargaining relationship, those contractual relationships,” Hillerby said. “We just lose a lot of the subtlety and the ability to make better decisions.”

Here’s a look at some of the health policies that passed this session and others that didn’t.

Gov. Steve Sisolak signed several pieces of public health-related legislation into law in Las Vegas on Wednesday, June 9, 2021. (Jeff Scheid/The Nevada Independent)

Public option

The highest-profile piece of health care legislation to pass this year, SB420 — Nevada’s public option bill — was introduced with just a little more than a month left in the legislative session by Cannizzaro, the Senate majority leader. Proponents were quiet about the legislation for the first couple of months of the session until Cannizzaro was asked by a reporter in mid-April about the proposal and health care lobbyists started receiving briefings from consultants on the concept.

The bill, which builds upon previous public option proposals introduced in Nevada in 2017 and 2019, aims to leverage the state’s purchasing power with Medicaid managed care organizations — private insurance companies that contract with the state to provide coverage to the state’s low-income population — to get insurers to also offer public option plans. The plans will resemble existing qualified health plans on the state’s health insurance exchange, though they will be required to be offered at a 5 percent markdown with the goal of reducing the plans’ premium costs by 15 percent over four years. The plans won’t be offered for sale on the exchange until 2026.

The proposal cleared both the Senate and Assembly on party line votes and was signed into law in early June by Gov. Steve Sisolak, making Nevada the second state in the nation after Washington to enact a state-based public health insurance option into law. Colorado became the third state to establish such a policy in mid-June.

Though the legislation was heavily opposed by the health insurance industry — with some groups running ads and sending mailers opposing the proposal — Cannizzaro muscled the bill through the Legislature as the clock counted down to the end of the 120-day session. The bill easily cleared the Senate — where Cannizzaro, as majority leader, controls which bills come to the floor — and Democratic leaders in the Assembly threw their support behind the bill shortly thereafter, setting aside concerns about whether the bill can accomplish its goals of improving health care access and affordability.

“It's not a secret I have been skeptical of this bill from the very beginning, but I've seen the amendments, and I have talked to a number of the different proponents of the bill and opponents of the bill on it,” Assembly Ways and Means Chair Maggie Carlton (D-Las Vegas) said in late May, shortly before allowing the bill to be voted out of her committee. “I feel much more comfortable knowing that, in the future, the people that are in this building now that do come back are well aware of what's going on, and I trust them to make the best decisions they can to protect the constituents of this state.”

In her remarks, Carlton was referring to the long runway the bill establishes before the public option actually goes into effect, leaving time for the state to conduct an actuarial study to figure out whether the bill actually accomplishes the goals it sets out to and two legislative session in 2023 and 2025 for lawmakers to make any tweaks to the policy as necessary.

Heather Korbulic, who as head of the state’s health insurance exchange will have a key role in shaping the policy’s implementation, has said she plans to bring stakeholders together to “outline the actuarial study and conduct a meaningful analysis of the public option as it relates to every aspect of health care throughout the state.” 

Richard Whitley, director of the Department of Health and Human Services, said in an interview earlier this month that the public option isn’t “a single solution” but “does definitely enhance the opportunity for individuals to gain access to health care.”

“I think of this as an option for coverage,” Whitley said. “It definitely enhances that overall framework of health care coverage.”

Nuclear medicine technologist Vanessa Martinez, views scans at Lou Ruvo Center of Brain Health, on Tuesday, June 11, 2019. (Jeff Scheid/The Nevada Independent)

Transparency and data efforts

For the last two legislative sessions, lawmakers have focused on prescription drug cost transparency, passing a first-in-the-nation diabetes drug transparency law in 2017 and expanding that law to include asthma drugs in 2019. This year, lawmakers built upon those transparency efforts by passing legislation requiring transparency from more portions of the health care industry.

This year, lawmakers approved a bill, SB40, to establish what’s known as an all-payer claims database — a state database of claims of medical, dental and pharmacy services provided in the state. The law requires all public and private insurers regulated under state law to submit their claims to the database and authorizes insurers governed by federal law — such as the Culinary Health Fund — to submit their claims to the database. A similar bill proposed during the 2019 legislative session failed to move forward in the final minutes of that session, though the concept was revived by the Patient Protection Commission, which brought SB40 forward this session.

The bill, however, required extensive work when it got to the Legislature, with state Sen. Julia Ratti (D-Sparks) taking the bill under her wing as chair of the Senate Health and Human Services Committee and working with industry advocates — including the Nevada Association of Health Plans, the Nevada State Medical Association and the Nevada Hospital Association — to finalize the legislation.

“We knew the bill was going to pass, at some level ... so we wanted to make sure that the information that was going to be collected was accurate, was consistent with what was required in other states that had all-payer claims databases and also to learn from what those other states had done so we wouldn’t make the same mistakes,” Clark, the Nevada Association of Health Plans lobbyist, said. “Fortunately, Senator Ratti and others were good to work with and we’re comfortable with the way the bill passed.”

The legislation additionally makes data contained in the all-payer claims database confidential, meaning that it is not a public record or subject to subpoena, and specifies how the information contained in it can be disclosed. It can be shared in de-aggregated form to state or federal government entities, including the Nevada System of Higher Education, and any entity that submits data to the database. Anyone else looking to obtain the data can only receive it in aggregated form by submitting a request to the Department of Health and Human Services.

Lawmakers also built upon the diabetes and asthma drug transparency bills passed in 2017 and 2019, respectively, by expanding the universe of drugs the state imposes transparency requirements on. SB380, which was proposed by an interim committee created during the 2019 session to study prescription drug costs, requires the state to compile a list of prescription drugs with a list price that is more than $40 for a course of therapy that has undergone a 10 percent price increase in the preceding year or a 20 percent increase in the two prior years.

The legislation requires drug manufacturers to submit a report to the state explaining the reason for the price increase and explaining the factors that contributed to the price increase. Meanwhile, pharmacy benefit managers, or PBMs, the middlemen in the drug pricing process, are required to submit their own reports with certain data about the drugs, including rebates negotiated with manufacturers and the amount of the rebates retained by the PBM.

The state’s drug transparency program will also, for the first time, have funding behind it, utilizing dollars that have been collected in the form of fines paid by companies for not complying with the state’s drug transparency law. The Department of Health and Human Services put a $780,000 fiscal note on the bill to allow state health officials to transfer the existing drug transparency database to the state’s Enterprise Information Technology Services Division and hire a pharmacist and management analyst to manage the drug transparency program.

SB380 was, however, only one of two bills put forward by the interim prescription drug committee to pass this session. The other was SB396, which allows the state to establish intra- and interstate drug purchasing coalitions with private entities. 

The three bills that did not pass were:

  • SB201, which would have licensed pharmaceutical sales representatives
  • SB378, which would have required at least half of the health plans offered in the state by private insurers to provide prescription drug coverage with no deductible and a fixed copayment and limit the total amount of copayments insured individuals are required to pay in a year 
  • SB392, which would have licensed PBMs and created additional rules for how PBMs can operate.

Nick McGee, senior director of public affairs for PhRMA, the drug industry advocacy organization, in an email expressed disappointment that lawmakers pursued SB380 this session while not advancing the other proposals out of the interim committee. PhRMA did, however, in the end testify in neutral on SB380.

“We are disappointed that the legislature overlooked this opportunity to address patients’ concerns related to their ability to afford and access the medicines they need,” McGee said. “Instead, lawmakers pursued onerous reporting and unnecessary registration requirements that won’t do anything to help patients afford their medicines and fail to provide transparency into why insurers are shifting more and more costs on to patients.”

Bond, the policy director for the Culinary Health Fund, which played a key role in bringing the 2017 bill to fruition, described SB380 as a “step forward,” though she said the bill didn’t end up “as strong as we would have liked.”

“It’s incremental, and it’s progress,” she said.

Lawmakers did not advance SB171, sponsored by state Sen. Joe Hardy (R-Boulder City), which would have barred most insurance companies from implementing copayment accumulator programs for any drug for which there is not a less expensive alternative or generic drug. Such programs prevent drug manufacturer coupons from applying toward patients’ deductibles and maximum out-of-pocket costs.

The Legislature additionally made a budgetary change to boost transparency, approving a request from the Department of Health and Human Services to centralize its data analysis efforts within the office of Data Analytics within the Director’s Office, while the Patient Protection Commission, which is focusing on health care spending and costs, was transferred from the governor’s office to Director’s Office as well.

Whitley, the department’s director, framed the reshuffling as an effort to bring together disparate health data collection and analysis efforts, adding that the pandemic showed the kind of real-time data the department could provide, as in the case of its COVID-19 dashboard, among other dashboards it now maintains.

“Usually people go, ‘We need more money.” Well, in government sometimes what you need is organizational structure,” Whitley said. “Putting data analytics all in one unit in my office … was really because of seeing all of the benefits that were coming out of monitoring the pandemic. That really served to inform what we could be doing.”

The Legislature also made a significant change to the Patient Protection Commission this session, transforming it from a largely industry-focused body to one instead made up largely of non-profit health industry representatives and patient advocates. AB348, sponsored by Carlton, requires the commission be made up of:

  • two patient advocates
  • one for-profit health care provider
  • one registered nurse who practices as a nonprofit hospital
  • one physician or registered nurse who practices at a federally qualified health center 
  • one pharmacist not affiliated with any retail chain pharmacy, or a patient advocate
  • one public nonprofit hospital representative
  • one private nonprofit health insurer representative
  • one member with expertise advocating for the uninsured
  • one member with expertise advocating for people with special health care needs
  • one member who has expertise in health information technology and works with the Department of Health and Human Services
  • one representative of the general public.

The bill also makes the Patient Protection Commission the sole state agency responsible for administering and coordinating the state’s involvement in the Peterson-Milbank Program for Sustainable Health Care Costs, a program that provides technical assistance to states developing targets for statewide health care spending trends. 

Health care industry representatives have, however, chafed at the reduction — or in the case of the drug industry, removal — of their representation on the commission. McGee, from PhRMA, said the change “[undermines] the ability of the commission to provide a comprehensive perspective.”

But Bond, a commission member whose ability to serve will be unaffected by the policy shift, said the change would give patients and consumers more of a voice.

“I understand the concerns about losing representation from the industry, but I also believe that industry has other places where they get represented,” Bond said. “They have the Nevada Hospital Association, the pharmaceutical industry has PhRMA. They get well represented in their core arena. Patients really don't have a core arena they can go to.”

The Patient Protection Commission’s other bill this session, SB5, also was approved by lawmakers, making a number of changes to telehealth in the state. That bill also contains a data transparency component, requiring the Department of Health and Human Services, to the extent money is available, to establish a data dashboard allowing for the analysis of data relating to telehealth access.

Another big bill that tried to tackle health care costs this session, AB347, sponsored by Assemblyman David Orentlicher (D-Las Vegas), died without receiving a vote. The ambitious bill, among other provisions, proposed establishing a rate-setting commission “to cover reasonable costs of providing health care services” while ensuring providers “earn a fair and reasonable profit.” The bill also would have raised Medicaid payments to Medicare levels via a provider tax.

Northeastern Nevada Regional Hospital staff gather in the emergency room area in Elko
Northeastern Nevada Regional Hospital staff gather in the emergency room area in Elko on Tuesday, April 3, 2018. (Jeff Scheid/The Nevada Independent)

Antitrust in health care

Lawmakers approved two antitrust in health care bills this session. The first one, AB47, requires parties to certain reportable health care or health carrier transactions to submit a notification to the attorney general with information about the transaction at least 30 days before it is finalized. Reportable transactions include material changes to the business or corporate structure of a group practice or health carrier that results in a group practice or health carrier providing 50 percent or more of services within a geographic market.

The bill, which was presented by the attorney general’s office, also prohibits employers from bringing court actions to restrict former employees from providing services to former customers or clients under certain circumstances and bars noncompete agreements from applying to employees that are paid on an hourly wage basis.

The bill attracted opposition from the Nevada Hospital Association and the Nevada State Medical Association. During a May hearing on the bill, Jesse Wadhams, a hospital association lobbyist, thanked the attorney general’s office for working with them on the bill but said the association still could not support the legislation.

“We believe the policy itself comes from a faulty premise,” Wadhams said. “We believe policies should promote more physicians, more access to care and more investment in the health care community.”

Another bill, SB329, requires hospitals to notify the Department of Health and Human Services of any merger, acquisition or similar transaction. It also requires physician group practices to report similar transactions if the practice represents at least 20 percent of the physicians in that specialty in a service area and if the practice represents the largest number of physicians of any practice in the transaction. The legislation, sponsored by state Sen. Roberta Lange (D-Las Vegas) and pushed for by the Culinary Health Fund, requires the department to publish that information online and write an annual report on that information.

Another section of the bill allows the attorney general or other individuals to bring a civil action against a health care provider that “willfully” enters into or solicits a contract that bars insurance companies from steering insured individuals to certain health care providers, putting health care providers in tiers or otherwise restricting insurers. It also makes such an action, known as “anti-tiering” or “anti-steering,” a misdemeanor. (A final amendment to the bill reduced the penalty from a felony to a misdemeanor.)

“I think this is one of the early steps in what will probably be a national trend,” Bond, of the Culinary Health Fund, said in an interview. “I think contract provisions are going to become more and more antitrust looking.”

The bill was opposed by the Nevada Hospital Association and individual Nevada hospital systems and hospitals.

“The technical elements of this and eliminating antitrust provisions by themselves are not the problem we have with this bill — it is making sure that it doesn’t impede the open contracting that occurs otherwise in this highly competitive environment,” Jim Wadhams, a lobbyist for the hospital association, said during a May hearing on the bill.

Tristian McArthur cares for an infant inside the Neonatal Intensive Care Unit at Sunrise Hospital on Tuesday, Dec. 4, 2018. (Daniel Clark/The Nevada Independent)

Medicaid

In perhaps the most substantial victory for health care providers this session, lawmakers rolled back a 6 percent Medicaid rate decrease approved by the Legislature during a budget-slashing special session last summer.

Legislative fiscal analysts projected the move would restore about $300 million in Medicaid funding both in the current fiscal year and in the upcoming biennium, including about $110 million in general fund spending.

“Nevada faced an unprecedented state budget crisis,” Bill Welch, CEO of the Nevada Hospital Association, and Jaron Hildebrand, executive director of the Nevada State Medical Association, wrote in a letter to the governor in May. “The work you did alongside the Nevada Legislature to restore funding to hospitals and providers will be instrumental in safeguarding the health care available to many Nevadans.”

Lawmakers made a number of other changes to Medicaid services as well, providing for coverage of doula services in AB256 and community health workers in AB191. The public option bill, SB420, also contained several Medicaid provisions, including one section providing that pregnant women are considered presumptively eligible for Medicaid without submitting an application for enrollment and another prohibiting pregnant women who are otherwise eligible for Medicaid to be barred from coverage for not having resided in the United States long enough to qualify.

On the mental health front, SB154 requires the state to apply for a waiver to receive federal funding to cover substance use disorder and mental health treatment inside what are known as institutions of mental disease — or psychiatric hospitals or residential treatment facilities with more than 16 beds. Medicaid has long been barred from paying for care in such facilities, but states were recently given the ability to apply to the federal government to cover these services through Medicaid via a federal waiver.

Lawmakers also approved AB358, sponsored by Assembly Speaker Jason Frierson (D-Las Vegas), which will allow for a more seamless transition of incarcerated people to Medicaid upon release from prison. The bill requires a person’s Medicaid eligibility to only be suspended, rather than terminated, when they are incarcerated and specifies that individuals who were not previously on Medicaid should be allowed to apply for enrollment in the program up to six months before their scheduled release date. The bill also requires eligibility for and coverage under Medicaid to be reinstated as soon as possible upon an individual’s release.

In a major victory for families of children with autism, lawmakers passed SB96, which boosts reimbursement rates for autism services.

A member of the Nevada National Guard places a swab in a container after performing a COVID-19 test at the Orleans on Wednesday, May 13, 2020. (Jeff Scheid/The Nevada Independent)

Public health

Lawmakers, by and large, did not spend much time tackling the COVID-19 pandemic head on during their legislative session, likely a byproduct of how rapidly the situation has evolved over the last six months.

Legislators did, however, approve SB209, sponsored by state Sen. Fabian Doñate (D-Las Vegas), which requires employers to provide paid leave to employees to receive the COVID-19 vaccine and requires the Legislative Committee on Health Care to conduct a study during the 2021-2022 interim about the state’s response to the COVID-19 pandemic and make recommendations to the governor and lawmakers for the next legislative session in 2023.

They also passed SB318, also sponsored by Doñate, requiring public health information provided by the state and local health districts to “take reasonable measures” to ensure that people with limited English proficiency have “meaningful and timely access to services to restrain the spread of COVID-19.” 

Beyond COVID, the Legislature passed a number of other public-health related measures this session, including, notably, establishing a public health resource office within the governor’s office through SB424, with the goal of taking a holistic, multidisciplinary approach to public health in the state. 

Lawmakers also approved SB461, which requires the state to disburse $20.9 million of American Rescue Plan dollars to specifically to address needs spotlighted by the public health emergency including “mental health treatment, substance use disorder treatment and other  behavioral health services, construction costs and other capital improvements in public facilities to meet COVID-19-related operational needs and expenses relating to establishing and enhancing public health data systems.”

The Legislature additionally passed a few tobacco-related pieces of legislation including AB59, sponsored by the attorney general’s office, officially raising the tobacco purchase age in the state to 21 — the federal Tobacco 21 law went into effect in December 2019 — and AB360, sponsored by Assemblyman Greg Hafen (R-Pahrump), which prohibits people from selling, distributing or offering to sell cigarettes or other tobacco products to a person under 40 without first conducting age verification. Additionally, SB460, the budget appropriations bill, allocates $5 million for vaping prevention activities.

Lawmakers also approved SB233, sponsored by state Sen. Joe Hardy (R-Boulder City), which appropriates $500,000 to the Nevada Health Services Corps, a state loan repayment program for physicians and other health practitioners aimed at encouraging providers to practice in underserved areas of the state. The Legislature also approved SB379, a health workforce data collection bill that proponents say is critical for the state’s health professional shortage area designation. 

“It’s kind of nerdy, wonky data stuff, but those designations are really critical for Nevada, for loan repayment, for health service corps, for [federally qualified health center] and community health center designation and reimbursement and all sorts of stuff,” said John Packham, co-director of the Nevada Health Workforce Research Center at the University of Nevada, Reno. “We just need better data, period, on the workforce.”

Vitality Unlimited provides substance abuse treatment in Elko
Vitality Unlimited provides substance abuse treatment in Elko. (Jeff Scheid/The Nevada Independent)

Mental health

While mental health advocates have become accustomed to making slim gains each legislative session, Robin Reedy, executive director of NAMI Nevada, believes 2021 was a good session for mental health.

“For once, it’s a long list. It’s just so amazing,” Reedy said of the mental health bills that passed this session. “Everything has just been an uphill climb constantly … but this year, oh my God.”

In addition to SB154, mentioned above, key mental health bills passed this session hone in on mental health parity (AB181), implement the 9-8-8 National Suicide Prevention Hotline (SB390), bolster crisis stabilization services in the state (SB156) and remove stigmatizing language from state law referring to people with mental illness (AB421).

Lawmakers also approved bills put forward by the regional behavioral health policy boards established during the 2017 legislative session, including SB44, which aims to smooth the licensure process to boost the number of behavioral health providers in the state, and SB70, which makes changes to the state’s mental health crisis hold procedures.

Reedy attributed the increased focus on mental health this session to a “perfect storm of things coming together.”

“I think it's incredibly sad that it took a pandemic for people to actually look more at mental health — when everyone was going through some form of anxiety or depression from being isolated, from not knowing what the future held, from it being just really untenable, and everyone has different levels of acceptance of those things, and living through those things, different levels of resilience,” Reedy said. “Suddenly it's like, ‘Mental health.’ We've been working on this forever. Finally.”

But Reedy said there’s still a long way to go. For instance, she wishes that SB390, which authorizes the state to impose a surcharge on certain mobile communication services, IP-enabled voice services and landline telephone services to fund the 9-8-8 line, would have capped that charge at 50 cents instead of 35 cents. She believes had the session been a regular session and had mental health advocates been able to pack the committee room with patients, they would have been able to get that fee cap increased.

“I just don't think 35 cents is going to be enough … We’re 51st in the nation [for mental health],” Reedy said. “I know telecommunications does not want to pay to fill the hole, but that means crisis lines are going to be busy.”

A medical staff member prepares a COVID -19 vaccine during the Amazon employees Covid-19 vaccination event at the Amazon Fulfillment Center in North Las Vegas on Wednesday, March 31, 2021. (Jeff Scheid/The Nevada Independent)

Other health care bills

In addition to reigning in drug pricing costs, lawmakers passed several bills making changes to how Nevadans can access certain kinds of prescription drugs. SB190, sponsored by Cannizzaro, will allow pharmacists to dispense certain kinds of hormonal birth control directly to patients. SB325, sponsored by Senate Minority Leader James Settelmeyer (R-Minden), similarly allowed pharmacists to dispense preventative HIV medication, including PrEP.

Other prescription-drug focused bills passed this session include AB178, a bill sponsored by Assemblywoman Melissa Hardy (R-Henderson) requiring insurers to waive restrictions on the time period in which a prescription can be refilled during a state of emergency or disaster declaration, and AB177, a bill from Assemblywoman Teresa Benitez-Thompson (D-Reno) aiming to expand access to prescription drugs in people’s preferred language.

Lawmakers also passed a number of other health care related bills including:

  • SB275, sponsored by state Sen. Dallas Harris (D-Las Vegas), modernizes state laws on HIV by treating the virus the same way as other communicable diseases
  • SB342, sponsored by the Senate Education Committee, puts the legislative stamp of approval on a major partnership between the UNR School of Medicine and Renown Health
  • SB290, sponsored by state Sen. Roberta Lange (D-Las Vegas), makes it easier for certain stage 3 and 4 cancer patients to receive prescription drug treatment by allowing them to apply for an exemption from step therapy, which requires patients to approve that certain drugs are ineffective before insurance will cover a higher-cost drug 
  • SB340, sponsored by state Sen. Dina Neal (D-Las Vegas), provides for the establishment of a home care employment standards board
  • SB251, sponsored by state Sen. Heidi Seevers Gansert (R-Reno), requires primary care providers to conduct or refer patients for screening, genetic counseling and genetic testing in accordance with federal recommendations around BRCA genes, which influence someone’s chance of developing breast cancer

Several health care bills also died with the end of the legislative session, including AB351, which would have allowed terminally ill patients to self-administer life-ending medication, and AB387, a midwife licensure bill.

Analysis: Which legislators had the most (and fewest) bills passed in the 2021 session?

Democrats controlled both houses of the Legislature during the 2021 session, and hundreds of high-profile Democratic measures sailed through the Assembly and Senate while a vast majority of Republican-backed measures failed to make much headway in the legislative process.

Out of 605 bills introduced and sponsored by a lawmaker this session, Democratic legislators had 63 percent of their bills and resolutions pass out of the Legislature, compared to just 18 percent for Republicans. Those in the majority party were able to pass priority measures, including bills establishing the “Right to Return,” a public health insurance option and permanent expanded mail voting, while many priorities for Republicans, such as a voter ID law, were killed without so much as a hearing.

Which lawmakers had the most success passing their bills? Which lawmakers were least successful? How did Assembly members fare compared to senators?

The Nevada Independent analyzed all bills and resolutions that were both introduced and primarily sponsored by a lawmaker and examined which of those bills passed out of the Legislature and which ones died. Of those 605 bills, 267 (44 percent) were approved by members of the Assembly and Senate, while the remaining 338 (56 percent) were left in the graveyard of the legislative session.

Those 605 measures make up only a portion of the 1,035 bills and resolutions introduced during the session — others were sponsored by committees, constitutional officers such as the secretary of state or governor, or helped implement the state budget. The 2021 session also saw fewer measures introduced than previous sessions, as the 2019 and 2017 sessions each saw closer to 1,200 bills and resolutions introduced.

State law limits the number of bills that can be introduced by any individual lawmaker — incumbent senators and Assembly members can request 20 and 10 bill draft requests, respectively, while newly-elected legislators are limited to six bills in the Assembly and 12 in the Senate. Legislative leadership for both the majority and minority parties are also allowed to introduce additional bills beyond the normal limits.

The analysis revealed that Assemblywoman Sandra Jauregui (D-Las Vegas) and Sen. Chris Brooks (D-Las Vegas) led their caucuses with the highest rate of bill passage, while Assembly members Jill Tolles (R-Reno) and P.K. O'Neill (R-Carson City) were the only Republicans who had more than half of their bills passed out of the Legislature. Eight Republican legislators ended the session with zero bills passed.

A previous analysis of votes during the 2021 session revealed that most bills passed with bipartisan support, as more than half of all votes included no opposition. But that trend was largely driven by Democrats in the majority passing their priorities while not advancing nearly as many Republican bills, with 175 more Democrat-backed measures passing out of the Legislature than measures introduced by Republicans.

The guide below explores the results of our analysis, examining the successes and failures of both parties and of individual lawmakers this session.

We’ve double-checked our work to make sure we’ve counted every vote and hearing, but if you spot something off or think a bill was missed or improperly noted, feel free to email sgolonka@thenvindy.com.

How did Democrat-sponsored legislation fare? Did any Republican lawmakers find success?

Though hundreds of the more than 1,000 bills and resolutions introduced during the session were sponsored by Democrat-controlled committees, there were only 350 measures specifically sponsored and introduced by a lawmaker from the majority party.

Many were headline-grabbing progressive bills that drew staunch Republican opposition, including expanding permanent mail-in voting (AB321) and setting up Nevada to become one of the first states to have a public health insurance option starting in 2026 (SB420).

Of the 350 bills from Democratic lawmakers, 221 (63.1 percent) passed out of both houses. However, Assembly Democrats fared slightly better than their Senate counterparts, with 65 percent of their bills passing compared with 60 percent for those in the Senate Democratic Caucus.

Senate Majority Leader Nicole Cannizzaro on the fourth day of the 81st session of the Legislature in Carson City on Thursday, Feb. 4, 2021. (David Calvert/The Nevada Independent)

The success rate of bills introduced by Republican lawmakers was dismal in comparison.

Members of the Assembly Republican caucus had 27 of their 126 introduced measures (21 percent) pass out of both houses, while Senate Republicans had 19 of their 129 (15 percent) pass out of the Legislature. The majority of Republican-backed measures were not even given a chance by the majority party, as 56 percent of 255 bills and resolutions introduced by Republican legislators never received an initial committee hearing.

Failed Republican-backed bills included an effort to create a bipartisan redistricting commission (SB462), a measure requiring voters to provide proof of identity (SB225) and a bill that aimed to limit the number of legislative actions allowed per session (AB98).

Among the 46 Republican-sponsored measures that passed out of the Legislature were a variety of health care-related bills, including legislation from Sen. Joe Hardy (R-Boulder City) that appropriated state funds to the Nevada Health Service Corps for encouraging certain medical and dental practitioners to practice in underserved areas (SB233). Lawmakers also approved a measure from Assembly Minority Leader Robin Titus (R-Wellington) authorizing the Board of Regents to waive fees for family members of National Guard members who reenlist (AB156).

Senate Minority Leader James A. Settelmeyer, left, and Senator Joe Hardy on the fourth day of the 81st session of the Legislature in Carson City on Thursday, Feb. 4, 2021. (David Calvert/The Nevada Independent)

While Republicans fared far worse, Democratic lawmakers still had more than a third of their bills fall victim to the legislative process.

Some bills were overwhelmed by backlash, such as SB452, a bill that aimed to grant casino resorts greater authority to ban firearms on their premises but was opposed by a broad coalition of Republicans, gun right advocates and criminal justice reform organizations and failed to advance out of the Assembly. 

Other bills were watered down or axed after lawmakers deemed there was not enough time to consider the effects of a measure. Such was the case for AB161, a bill that started as a ban on the state’s “summary eviction” process, then was amended into a legislative study on the process but still never received a floor vote. Some measures fell just shy of the support they needed, including AB387, an attempt to license midwives that fell one vote shy of a two-thirds majority in the Senate on the final day of the session.

Which lawmakers were most prolific? Which lawmakers introduced the fewest bills?

Although Democratic lawmakers significantly outpaced Republican lawmakers in getting their bills passed out of both houses of the Legislature, the number of bills introduced by each legislator remained similar between the two parties.

On average, lawmakers from the majority party introduced 9.2 measures during the 2021 session, compared to 10.2 for lawmakers in the minority party. 

Those who led their parties in introductions were typically house leaders or more experienced lawmakers.

In the Assembly, Speaker Jason Frierson (D-Las Vegas) topped the rest of his party with 18 bills introduced and sponsored, while Minority Floor Leader Titus had the most bills introduced and sponsored of anyone in the Assembly Republican caucus with 14.

Assembly Minority Leader Robin Titus speaks to Assembly Speaker Jason Frierson inside the Legislature on Monday, March 15, 2021 in Carson City. (David Calvert/The Nevada Independent)

Minority Leader James Settelmeyer (R-Minden) introduced and sponsored 25 bills, which was the most of any legislator during the session.

Four other Senators also stood above the pack: Sen. Dallas Harris (D-Las Vegas) led Democrats with 23 introductions, while Sen. Pat Spearman (D-North Las Vegas) and two Republican senators, Hardy and Keith Pickard (R-Henderson), rounded out the top with 20 bills each.

Assemblywoman Tracy Brown-May (D-Las Vegas), who was appointed by the Clark County Commission on Feb. 2, 2021 to fill the seat of Democratic former Assemblyman Alex Assefa, who resigned amid an investigation into whether he met residency requirements, was the only lawmaker who did not introduce a single piece of legislation this session.

The others at the bottom of the list — Assembly members Elaine Marzola (D-Henderson), Maggie Carlton (D-Las Vegas) and Richard McArthur (R-Las Vegas), and Sens. Fabian Doñate (D-Las Vegas) and Ira Hansen (R-Sparks) — introduced three bills each. Doñate was appointed to fill the seat of former Sen. Yvanna Cancela (D-Las Vegas), and introduced three of her bill draft requests submitted prior to the start of the session.

Which legislators had the most success with their bills?

Assemblywoman Sandra Jauregui (D-Las Vegas) had more success getting her bills passed than any Nevada lawmaker during the 2021 session, as all eight bills that she introduced and sponsored passed out of both houses of the Legislature.

Jauregui had one bill that was passed only with the support of her own party members in both houses. AB286, which bans so-called “ghost guns” and other firearm assembly kits that don’t come equipped with serial numbers, passed through the Assembly and Senate along party lines. 

Other bills Jauregui introduced included measures focused on the environment and residential properties, as well as AB123, which increases fees on special Vegas Golden Knights license plates to help give more funds to charities.

Assemblywoman Sandra Jauregui arrives on the first day of the 81st session of the Legislature in Carson City on Monday, Feb. 1, 2021. (David Calvert/The Nevada Independent)

Five other Assembly Democrats, all based out of Southern Nevada, had at least 80 percent of their measures pass out of both houses, including Assembly Speaker Frierson. Frierson, who saw 15 of his 18 sponsored measures pass, introduced several high-profile Democratic measures, including a pair of big election bills: AB126, which moves the state to a presidential primary system instead of a caucus-based system, and AB321, which permanently expands mail-in voting. 

Other bills introduced by the Assembly leader that passed out of the Legislature included a measure requiring a three-day grace period before landlords can charge late fees for overdue rent (AB308) and a bill allowing college athletes to profit off of their name and likeness (AB254). Frierson was also the primary sponsor of AB484, which authorizes the Department of Employment, Training and Rehabilitation (DETR) to use $54 million in federal funds to modernize the state’s outdated unemployment insurance system.

Frierson had only three bills that did not pass out of the Legislature, including a controversial measure that would have allowed for the Washoe and Clark County school boards to be partially appointed (AB255).

Other lawmakers to have at least 80 percent of their measures pass out of both houses were Assembly members Venicia Considine (D-Las Vegas), Steve Yeager (D-Las Vegas), Daniele Monroe-Moreno (D-North Las Vegas) and Howard Watts (D-Las Vegas).

Considine had five of her six introduced measures pass both houses with significant bipartisan support, including a measure that replaces the gendered language for crimes of sexual assault with gender-neutral language (AB214). 

Yeager saw eight of ten introduced bills pass, including AB341, which authorizes the licensing of cannabis consumption lounges, though he also presented several other, sometimes controversial, measures as chair of the Assembly Judiciary Committee. He presented AB400, a bill that removes “per se” limits on non-felony DUIs involving marijuana and that passed along party lines out of the Assembly. And he presented AB395, the death penalty bill that was scrapped by Democratic lawmakers in the Senate.

Though Monroe-Moreno had four of her five introduced bills pass out of both houses, including a measure that reduces the criminal penalties for minors found in possession of alcohol or small amounts of marijuana (AB158), she was also the sponsor of one of the few measures to fail to advance out of the Legislature because it failed to achieve a needed two-thirds majority. Her bill AB387, which would have established a midwifery licensure board, fell one vote shy of the two-thirds majority in the Senate.

Watts, a second-term assemblyman, sparked a variety of partisan disagreements throughout the session, as six of his ten introduced bills passed out of the Assembly with zero Republican support (Watts had eight bills pass out of both chambers). Those measures ranged broadly from a pair of environment-focused measures to a bill that bans offensive or racially discriminatory language and imagery, names, logos or mascots in Nevada schools (AB88).

In the Senate, only three legislators had more than two-thirds of their introduced measures pass out of both houses: Chris Brooks (D-Las Vegas), Roberta Lange (D-Las Vegas) and Majority Leader Nicole Cannizzaro (D-Las Vegas).

Sen. Chris Brooks on the final day of the 81st session of the Legislature on Monday, May 31, 2021, in Carson City. (David Calvert/The Nevada Independent)

Brooks was the most successful of the bunch, getting five of his six introduced bills passed, including SB448, an omnibus energy bill expanding the state’s transmission infrastructure that was passed out of the Assembly on the final day of the session. With a larger number of introductions (13), Lange had twice as many bills passed as Brooks (10), covering a wide range of topics from health care to employment to a bill permanently authorizing curbside pickup at dispensaries (SB168).

The majority leader also succeeded in passing a higher percentage of her bills than most of her Senate colleagues, as 12 different Cannizzaro-sponsored bills made their way to the governor’s office. Those measures were met with varying degrees of bipartisan support, as a bill requiring data brokers to allow consumers to make requests to not sell their information passed with no opposition (SB260), while a bill barring the suspension of driver’s licenses for the nonpayment of fees received mixed support from Republicans in both chambers (SB219). Another bill, SB420, which enacts a state-managed public health insurance option, passed along party lines in both the Senate and Assembly.

A few Assembly Republicans stood above the pack, as Assembly members Jill Tolles (R-Reno), P.K. O’Neill (R-Carson City), Lisa Krasner (R-Reno) and Tom Roberts (R-Las Vegas) were the only members of their party to have at least half of their bills pass out of both houses.

Tolles, who was more likely to side with Democrats on close votes during the session than any other Republican lawmaker, found the most success of the group, as four of the six bills she introduced and sponsored were sent to the governor. Those bills that passed were met with broad bipartisan support, such as AB374 — that measure, which establishes a statewide working group in the attorney general’s office aimed at preventing and reducing substance use, passed unanimously out of both houses. The third-term legislator did introduce some bills that were killed by Democrats, such as AB248, which sought to allow "partisan observers" to watch over elections at polling places.

Assemblywoman Jill Tolles on the final day of the 81st session of the Legislature on Monday, May 31, 2021, in Carson City. (David Calvert/The Nevada Independent)

Four of O’Neill’s seven bills were sent to the governor. One allows the Stewart Indian School Cultural Center and Museum to designate certain buildings and grounds of the former boarding school for Native children for special events and authorizes the sale and consumption of alcoholic beverages at such events (AB270). O’Neill was the only Republican present at a bill signing event for Native-focused legislation, after many of those bills passed with bipartisan support.

Half of Krasner and Roberts’ bills passed out of the Legislature, with each lawmaker introducing and sponsoring eight measures during the session.   

Nearly all four of Krasner’s bills that made it out of both chambers attracted unanimous votes, including AB143, which creates a statewide human trafficking task force and a plan for resources and services delivered to victims. Another well-received bill, AB251, seals juvenile criminal records automatically at age 18 and allows offenders to petition the court for the expungement or destruction of their juvenile records for misdemeanors. Both AB143 and AB251 have been signed by the governor.

Roberts, who was among the Republicans most likely to cross party lines and vote contrary to the majority of his caucus, had several bills sent to the governor with strong bipartisan support, including AB319, which establishes a pilot program for high school students to take dual credit courses at the College of Southern Nevada. Another of his four successful bills was AB326, which is aimed at curbing the illicit cannabis market.

Success for Republican senators in passing bills was more rare.

Sen. Ira Hansen (R-Sparks) had one bill sent to the governor and two bills killed without a hearing, giving him a higher percentage of bills passed (33 percent) than any other member of his caucus. Hansen’s one successful measure, SB112, aligns Nevada law with federal law regarding the administration of certain products for livestock. One of Hansen’s failed bills included an attempt to prohibit police officers from using surveillance devices without a warrant, unless there were pressing circumstances that presented danger to someone’s safety (SB213).

Sen. Ben Kieckhefer (R-Reno) was the second most successful member of his caucus in terms of getting bills passed, as three of the 14 measures (21 percent) he introduced passed out of both houses, including a measure establishing an esports advisory committee within the Gaming Control Board (SB165). But many of the measures introduced by Kieckhefer still failed, including a resolution to create an independent redistricting commission to conduct the reapportionment of districts (SJR9).

Only three other members of the Senate Republican caucus, including Minority Leader Settelmeyer, Hardy and Pete Goicoechea (R-Eureka), had at least 20 percent of their introduced measures pass fully out of the Legislature.

Which legislators had the least success with their bills?

Despite Democrats controlling both legislative chambers, a handful of Democratic lawmakers still had less than half of their sponsored measures sent off to the governor’s office.

In the Assembly, five members of the Democratic caucus failed to have 50 percent of their bills advance out of both houses, including Assemblywoman Michelle Gorelow (D-Las Vegas), who rounded out the bottom of the list as just one of her eight introduced bills passing out of the Legislature. Though that one successful bill — AB189, which establishes presumptive eligibility for pregnant women for Medicaid — garnered bipartisan support, many of Gorelow’s introduced measures failed to even receive an initial committee vote. Those failed bills included multiple more health care-focused measures, including an effort to require certain health plans to cover fertility preservation services (AB274).

The others in the caucus to have more than half of their bills fail were Assembly members Bea Duran (D-Las Vegas), David Orentlicher (D-Las Vegas), Edgar Flores (D-Las Vegas) and Cecelia Gonzalez (D-Las Vegas), who each had between 33 and 43 percent of their bills passed.

Duran found mixed success with her bills, getting three of her seven introduced measures passed, including a bill that requires all public middle schools, junior high schools and high schools to offer free menstrual products in bathrooms (AB224), but seeing four others fail, including one requiring public schools implement a survey about sexual misconduct (AB353).

One of Orentlicher’s five bills was among a small group that failed to advance at a mid-May deadline for second committee passage. The measure, AB243, would have required courts to consider whether a defendant is younger than 21 when deciding a sentence and failed to clear the deadline after previously passing out of the Assembly along party lines. Orentlicher introduced five bills, but only two passed out of both chambers.

While Flores introduced several measures that received broad unanimous support throughout the session, such as a measure that established a new, simpler Miranda warning for children (AB132), he also proposed several controversial measures that failed to advance out of the Assembly. One of those bills, AB351, would have allowed terminally ill patients to self-administer life-ending medication, and another, AB131, would have required all uniformed police officers to wear body cameras when interacting with the public. Only four of Flores’s ten introduced bills passed out of both legislative chambers.

Assemblymen Edgar Flores, center, and Glen Leavitt, left, speak inside the Legislature on Tuesday, March 9, 2021 in Carson City. (David Calvert/The Nevada Independent)

Gonzalez, a freshman, had four of her six introduced bills die at different times over the course of the session. Two of her bills died without ever being heard. Another bill she introduced (AB151) was never voted on by the Assembly because a Cannizzaro-sponsored bill took almost the same approach in barring the suspension of driver’s licenses for the nonpayment of fees. 

Gonzalez even had one piece of legislation, AB201, fail in its second house. That bill, which would have required more tracking and reporting on use of criminal informants, failed to advance out of a Senate committee after passing out of the Assembly along party lines.

Sen. James Ohrenschall (D-Las Vegas) was the only member of his caucus to have more than half of his bills fail. Though seven of his sponsored measures passed out of the Legislature, eleven other bills and resolutions from Ohrenschall failed to advance. Those bills often focused on the criminal justice system, including a measure that aimed to eliminate the death penalty for people who are convicted of first degree murder (SB228), though some stretched beyond that scope, such as an attempt to make Nevada the first state with an opt-out organ donation system (SB134) that failed to be voted out of committee.

Across the Senate and Assembly, eight Republican lawmakers had zero bills pass out of the Legislature. Those eight were Assembly members Alexis Hansen (R-Sparks), Annie Black (R-Mesquite), Andy Matthews (R-Las Vegas), Jill Dickman (R-Sparks), Jim Wheeler (R-Minden) and Richard McArthur (R-Las Vegas) and Sens. Carrie Buck (R-Henderson) and Pickard.

All eight of those Republicans were also among the least likely in their party to break from the majority of their caucus and vote with Democrats on legislation.

State Senator Keith Pickard on the fourth day of the 81st session of the Legislature in Carson City on Thursday, Feb. 4, 2021. (David Calvert/The Nevada Independent)

Those eight legislators introduced 70 measures combined, of which 58 died without ever receiving a committee hearing. Pickard was particularly unsuccessful, as he introduced 20 bills, and only one received a committee hearing before failing to advance past the first committee passage deadline in early April. The Henderson-based senator was previously derided by Democratic lawmakers, after backing out of a deal with Senate Democrats centered on a mining tax during one of the 2020 special sessions.

When were bills heard and when did they pass?

Throughout the session, lawmakers often waited until the latest possible days to complete the work needed for certain legislative deadlines.

In the week leading up to the first major deadline — bills and resolutions without an exemption were required to have passed out of their first committee by April 9 — lawmakers voted 336 bills out of committee. In the roughly nine weeks prior to that, only 236 bills were passed out of their first committee.

The other deadlines of the legislative session followed a similar pattern.

In the week leading up to and the week including the first house passage deadline (April 20), 340 bills received a vote in their first house, while just 71 bills were voted out of their first house in the 10 previous weeks.

The busiest week of the session was the week ending May 21, which included the second house passage deadline (May 20). During that week, 337 bills and resolutions were voted out of their second house, while a couple hundred more measures were acted on in some other way, including committee hearings, committee votes and first house votes.

The final shortened weekend of the session, stretching from May 29 through May 31, was also chock-full of legislative action, as lawmakers passed more than 150 bills out of their second house during those three final days.

Sisolak signs permanent expansion of mail-in voting, mining tax compromise, dozens of other bills

Gov. Steve Sisolak signed dozens of bills on Wednesday, including one making widespread distribution of mail-in ballots permanent for elections and another imposing a new tax on the mining industry as part of a bipartisan compromise to raise revenue for schools and prevent more drastic tax proposals from heading to the 2022 ballot.

“At a time when State legislatures across the country are attempting to roll back access to the polls, I am so proud that Nevada continues to push forward with proven strategies that make voting more accessible and secure,” Sisolak said in a statement about the elections bill. “Nevada has always been widely recognized as a leader in election administration and with this legislation, we will continue to build on that legacy.”

The bill signings come two days after the Legislature adjourned on Monday at midnight, sending hundreds of bills to Sisolak’s desk for a signature. The governor has ten days (excluding Sundays) after the Legislature adjourns to either sign bills, issue a veto or allow it to become law without a signature.

Here’s a look at some of the 58 bills the Democratic governor signed on Wednesday.

AB495: Mining tax compromise

Six Republican lawmakers joined Democrats in the waning hours of the session to support AB495, a bill that creates a new excise tax on the gross revenues of gold and silver companies. The new tax is estimated to bring in an extra $150 million to $170 million a biennium, and the bill as a whole will earmark more than $500 million over the biennium to education.

“This investment will benefit every student, educator and family in Nevada and I am so proud of the collaborative effort undertaken by stakeholders to bring this legislation over the finish line,” Sisolak said in a statement. “With this legislation, we are well on our way toward creating a better Nevada for our educators, students and families.”

The mining tax came in the face of pressure from three proposed constitutional amendments unveiled last summer. If lawmakers had advanced those, they would have headed to a statewide vote in 2022 and could have had a more dramatic impact on the mining industry, which has long been a target of progressive advocates who say it is not paying its fair share of taxes.

Instead, lawmakers let the three measures die. Two other proposed ballot initiatives — a sales tax hike and a gaming tax hike supported by the Clark County Education Association — are also supposed to be withdrawn by the union as part of the agreement.

The bill also includes a host of other elements of the deal. It designates existing mining tax revenues to education instead of having them flow to the general fund, and it sets aside $215 million of the state’s allotment of American Rescue Plan funds to support traditional and charter schools in their efforts to help children rebound from learning losses brought on by the pandemic.

It also gives a boost to Opportunity Scholarships, a tax credit-funded program that helps low-income children attend private schools but otherwise was on track to be phased out, opens the door for more funds for Medicaid personal care services, calls for a study on alternatives to the current model of elected school board trustees, and tasks the Commission on School Funding with exploring other routes for raising revenue for schools.

AB321: Permanent expanded mail voting

Nevada is now the sixth state to adopt largely all-mail voting systems after Sisolak signed Assembly Speaker Jason Frierson’s AB321, permanently codifying pandemic-related election changes adopted for the 2020 election season. The legislation was staunchly opposed by Republicans; the bill passed on party lines out of both the Assembly and Senate.

“I’m proud of the work we did to expand access to the ballot box for all eligible Nevadans. As John Lewis said, voting is the most powerful non-violent tool we have in a democracy,” Frierson said in a statement.

The bill requires all county and city clerks to send every active registered voter a mail ballot before a primary or general election. Inactive voters, who are legally registered to vote but don’t have a current address on file with election officials, will not be sent a mail ballot. The bill will allow voters to opt out of being mailed a ballot by providing written notice to their local or county election clerk, and the measure maintains certain minimum requirements for in-person polling places. 

The legislation does change some of the deadlines that were in place for the 2020 election — shortening from seven to four days the timeframe after an election when mail ballots postmarked by Election Day can be accepted. There is a reduction of seven to six days in time for voters to fix issues on their mail ballot (a process called “signature cure”). 

It also shortens the time for election officials to finish counting mail ballots after Election Day from nine days to seven days. It also requires the secretary of state’s office to enter into an agreement with the State Registrar of Vital Statistics to cross check the list of registered voters in the state with a list of deceased individuals.

The bill also explicitly authorizes election clerks to use electronic devices in signature verification, require more training on signature verification and adopt a handful of other provisions aimed at beefing up election security measures — including daily audits on any electronic checking of signatures.

A last-minute amendment added to the bill will allow the sponsors of initiative petitions to withdraw qualified petitions up to 90 days before an election — a change intended to give legal authority for the Clark County Education Association to withdraw initiatives aimed at raising sales and gaming taxes. Union leaders have said they’ll pull back the proposed ballot questions after lawmakers approved the mining tax compromise bill, AB495.

The bill appropriates about $12.2 million over the two-year budget cycle to the secretary of state’s office for the costs of ballot stock, postage and postcard notifications.

AB400: Marijuana DUIs

This bill removes “per se” limits on the amount of marijuana metabolite that can be in someone’s blood to trigger a DUI. While the limits are removed for situations that would constitute a misdemeanor, they remain when a person is facing a felony charge.

Supporters of the bill say the per se limits are an inaccurate way to detect impairment because of how marijuana works through the body differently than alcohol. 

The measure passed the Assembly 26-16, with all Republicans opposed, but 16-5 in the Senate after it was watered down from its original version.

SB320: Transparency on food delivery fees

Passed unanimously out of the Senate and Assembly, this measure requires services such as DoorDash and Uber Eats to clearly disclose fees applied to food orders.

Sponsored by Sen. Dina Neal (D-North Las Vegas), the bill was tempered from its original version but still requires conspicuous disclosure of what portions of the price are for the food, taxes, delivery fees and the average commission charged to the restaurant.

It limits commissions to 20 percent plus a credit card processing fee during the COVID-19 state of emergency, unless the restaurant agrees to pay the delivery platform more for services such as marketing.

SB166: Hate crimes

This measure clarifies that a crime does not need to be committed by someone with different characteristics than the victim to be considered a hate crime.

Sponsored by Sen. Melanie Scheible (D-Las Vegas), the bill specifies that characteristics include, race, color, religion, national origin, physical or mental disability, sexual orientation or gender identity. It also provides that a perpetrator may be punished with an additional penalty if he or she commits a crime based solely on the characteristic of the victim, even if the victim and perpetrator share that characteristic.

The measure passed out of the Senate on a party-line vote with Republicans in opposition, and then out of the Assembly in a 33-8 vote.

SB327: Hairstyle discrimination

Nevada joined at least 10 other states, including Washington, California and Colorado, with the passage and signing of SB327, which provides protections against discrimination based on hairstyles associated with particular races.

Sponsored by Sen. Dina Neal (D-North Las Vegas), the legislation extends statutory protection to hair texture and protective styles such as braids, locs, twists and knots in the workplace and public schools.

The bill passed out of the Senate in a 20-1 vote, with the only opposition vote from Sen. Ira Hansen (R-Sparks). In the Assembly, Republicans Heidi Kasama (R-Las Vegas), Lisa Krasner (R-Reno), P.K. O’Neill (R-Carson City), Tom Roberts (R-Las Vegas) and Jill Tolles (R-Reno), joined Democrats in support of the legislation, leading to a 33-8 vote.

“This is something that is new to some of the folks in this chamber, but very real to others who have spent years of their lives trying to make sure that their hair is appropriate, based upon what is often someone else's standards,” bill co-sponsor Sen. Dallas Harris (D-Las Vegas) said before a vote on the measure.

AB195: English Language Learner bill of rights

This measure establishes an English Language Learner (ELL) bill of rights which includes the right to a free and public education (regardless of and without disclosing immigration status), the right to have an interpreter for significant interactions with school districts and information about the student’s progress in the appropriate language. 

The bill’s sponsor, Assemblywoman Selena Torres (D-Las Vegas), said during one of the bill’s hearings that the legislation will help families be aware of their rights and more easily receive aid. 

The bill passed out of the Assembly on a 34-8 vote and then unanimously out of the Senate.

SB344: Tiger King bill

This so-called “Tiger King” bill, nicknamed for the Netflix series on a wild animal collector, prevents people who own a wild animal from allowing it to come into contact with the general public, including through allowing people to take a photo while holding the wild animal.

After passing through the Senate in a 12-9 vote along party lines, the measure was significantly watered down from its original version, which banned the owning, breeding, importing and selling of dangerous wild animals. Members of the Assembly voted 35-6 to pass the bill.

SB203: Lawsuits over sexual exploitation

This measure, sponsored by Sen. Marilyn Dondero Loop (D-Las Vegas), allows a victim of sexual abuse or exploitation, who was a minor at the time of the offense, to commence a civil action to recover damages at any time after the violation occurred. The bill does maintain, though, that any action must commence within 20 years after the victim turns 18 years old.

Entities are also liable for damages if they financially benefit from the exploitation, although a hotel or motel with more than 175 rooms is not considered to have benefited from the rental of a room used in the commission of exploitation.

The bill passed 18-3 in the Senate and 32-9 in the Assembly. All those opposed were Republicans.

June 2, 2021 Bill Signings by Michelle Rindels on Scribd

Our roads were built for cars, but a new law could start to make them safer for cyclists

Good morning, and welcome to the Indy Environment newsletter.

The 81st Legislative session came to a close Monday night (updates later on in the newsletter). But first: A special shoutout to my colleagues Michelle Rindels, Riley Snyder and Tabitha Mueller who led our legislative coverage with major help from our interns Jannelle Calderón and Sean Golonka. I was in awe of the excellent work they did covering this unusual (half-virtual) but consequential session that ended with a (surprising or maybe not) mining tax. 

As always, we want to hear from readers. Let us know what you’re seeing on the ground and how policies are affecting you. Email me with any tips or suggestions at daniel@thenvindy.com

To get this newsletter in your inbox, subscribe here.


Throughout the last year, as COVID-19 restrictions limited transportation and exercise options,  more and more people turned to bikes. At this point, the trend has been well-documented in reports of bicycle shortages and in data released by exercise apps that track user fitness.

The trend is welcome news for cycling advocates and transportation planners who have long pushed to make neighborhoods more conducive for getting around using multiple modes of transportation. But it also underscored the need to make roads safer for all who rely on them.

The Nevada Office of Traffic Safety reported 10 cyclist fatalities and 83 pedestrian fatalities in 2020, with the large majority of them occurring in Clark County. That marked an increase from 2019, when there were seven cyclist fatalities and 70 pedestrian fatalities, according to the office.

Last year, on U.S. Highway 95 outside Las Vegas, a box truck killed five cyclists riding with a safety vehicle. It was a tragic incident, and the news rippled across the community — in Las Vegas and elsewhere. As John Glionna wrote in The New York Times this year, it galvanized activists to push for policies aimed at better protecting cyclists and pedestrians on the road. 

The Legislature meets for 120 days every other year. There are systemic issues that lawmakers must grapple with. The budget. Tax policy. Funding for education and health care. All of those things often grab the big headlines, for good reason. But lawmakers in Carson City also pass a flurry of subject-specific bills, often small tweaks that can make a hugely meaningful difference.

SB285 is one of those bills. The legislation, awaiting Gov. Steve Sisolak’s signature, aims to address bicycle and pedestrian safety by making a number of small (but significant) changes to statute. It’s not a panacea, but activists see it as a step in the right direction.

“The goal is to be as inclusive as possible,” said Senator Dallas Harris (D-Las Vegas), the bill’s sponsor. “The road has to be shared by multiple modes of transportation, and we want to make sure everybody has the ability to get around the way that they so choose.”

Notably, the bill addresses an underlying issue: Driver’s ed. The fact is many people don’t know the rules of the roads for cyclists and pedestrians. SB285 requires driver’s education courses to incorporate rules for other types of transportation, including electric bikes and electric scooters. 

Clark County Commissioner Justin Jones, who worked on the bill, said Tuesday that “education is the most important piece of making sure that our cyclists and pedestrians are safe.” 

But education is only one element of the bill. The legislation also aims to address driving rules and infrastructure. Following what other states have done, the legislation allows drivers to pass bikes in a no-passing zone, if it is safe to do so. The legislation also spells out when it’s not safe for bikers to ride on the rightmost part of the lane — and can accordingly use the full lane.

Clark County, Jones noted, adopted a similar ordinance around managing traffic a few months ago. But, Jones said, “it’s an important step forward to have some baseline across the state.”

Finally, the legislation looks at how transportation is planned and constructed. It adds language around the implementation of “complete streets” programs, which aim to operate roads for all users and incorporate different types of transportation. SB285 states that projects undertaken through such programs must, when possible, “integrate bicycle lands and bicycle routes, facilities and signs into all plans, designs, construction and maintenance of roads.” In addition, the legislation requires designs to consider people of “all ages and abilities.”

“We understand that more people of more varied ages and abilities will start — or continue — to walk and bike when safer streets are provided through programs like complete streets,” Anne Macquarie, representing the Sierra Club Toiyabe Chapter, wrote in written testimony last month.

Several other pieces of legislation passed during the session could also make streets safer and more accommodating for different types of transportation. AB54, approved by Sisolak, would create an Advisory Committee on Traffic Safety within the Department of Transportation. AB343 would require large counties (Clark and Washoe) to submit plans to conduct “walking audits” of urban areas with an eye toward public health. And AB362 would allow Clark County’s regional transportation commission to provide microtransit as part of its slate of transportation options. 

Legislative reporter Michelle Rindels contributed to this report.

Here’s what else I’m watching this week:


WATER AND LAND

Lake Mead’s changing shores: Arizona Republic reporter Ian James wrote an excellent piece about the on-the-ground impacts of water-level declines. “At the bustling marinas in Lake Mead National Recreation Area, the shifting shorelines require costly and elaborate work: pulling the marinas out with cables and winches, extending power lines and fuel lines, using divers to unhook giant concrete anchors and dispatching barges to lower new anchors into the water.” 

  • An inside look at the Hoover Dam holding back less and less water (Arizona Republic)
  • “Climate science indicates that there will likely be less water in the Colorado River than many had hoped. This is inconvenient for 21st-century decision-makers, and overcoming their resistance may be the hardest challenge of all.” In a new editorial, John Fleck, the director of the University of New Mexico’s Water Resources Program, and Brad Udall, a climate researcher at Colorado State University, stress the need to allow science to guide Colorado River planning and incorporate “worst-case” climate scenarios.
  • Southern Nevada Water Authority General Manager John Entsminger testifies on the “real and urgent” drought conditions facing the Colorado River. (Nevada Current)

Picking a new Southern California water chief: The Metropolitan Water District of Southern California considered former water authority General Manager Pat Mulroy to lead the agency. Los Angeles Times reporter Sammy Roth has more on the contested vote and what it means. 

Legislation to require wildlife plans with development: The Legislature passed AB211, sponsored by Assemblywoman Sandra Jauregui (D-Las Vegas), aimed at protecting wildlife. The bill requires developers to submit plans about how they intend to offset new development on species habitat. Brian Bahouth, with the Sierra Nevada Ally, has more on the legislation. 

Douglas County commissioners declare drought conditions, via Carson Now.

  • PBS Newshour’s William Brangham and Courtney Norris on the western drought. From the report: “2021 is shaping up to potentially be the driest of all of the drought years in the last century, and definitely one of the driest of the last millennium.”

“We’ve recovered mastodons:” Capital Public Radio’s Rich Ibarra writes about the discovery of an exhaustive fossil deposit. It’s located in California at the foothills of the Sierra Nevada.


MINING AND ENERGY

A mining tax compromise: In the final days of the legislative session, a deal emerged on a mining tax that avoided advancing one of three proposed constitutional amendments, which would have gone before voters. My colleagues Riley Snyder and Michelle Rindels reported on the deal, how it advanced and why several Republicans came to vote for the new mining tax. We’ll have more reporting on the tax, what it means and who it affects in the coming weeks.

Energy policy advances out of the Legislature: A major bill SB448, focused on transmission and electric vehicle infrastructure, passed and is on Sisolak’s desk. Riley Snyder wrote more about the bill, and we’ll have a follow-up coming out on that soon. On Monday, the Senate also approved AB383, which sought to address energy efficiency standards in appliances.

Groups file injunction to stop lithium mine: Conservation groups want a federal court judge to issue an injunction that would prevent any construction of the Thacker Pass mine after they said negotiations with land managers and a company fell apart. (Great Basin Resource Watch)

CLIMATE CHANGE

How auto dealers are viewing the state’s efforts to increase emission standards, via the Nevada Current’s Jeniffer Solis. The state held a session on its clean car initiative last week. 

The Truckee Meadows Community College was featured in an Inside Higher Ed piece a few weeks ago looking at how campuses are preparing for the effects of climate change.

Gun free zones in casinos, increasing justice court fees and licensing midwives among many casualties of legislative session

Lawmakers ended the 81st session of the Legislature on Monday night passing dozens of high-profile measures but many others, including an effort to license midwives and a bill allowing casinos to prohibit firearms, failed to advance.

Out of roughly 1,000 bills and resolutions introduced during the 120-day legislative session, more than 400 measures failed to pass through the Senate and Assembly and make it to Gov. Steve Sisolak’s desk. Many bills were left for dead at deadlines for committee or house passage, but some — including an effort to increase justice court filing fees — were in limbo until minutes before the clock struck midnight on Monday.

Other major bills that failed to advance included a measure aimed at transitioning Nevada residents away from natural gas use, several affordable housing bills and a bill that would have abolished the death penalty.

Here’s a look at some of the bills that died at the end of the session:

SB452: Prohibiting guns on casino properties

In the waning weeks of the session, Senate Majority Leader Nicole Cannizzaro (D-Las Vegas) revived discarded portions of the session’s other major gun bill in the form of MGM Resorts-backed AB452, which aimed to grant casino resorts greater authority to ban firearms on their premises.

When Cannizzaro presented the bill, which would have required non-restricted gaming license holders (defined as more than 15 slot machines on property) to opt in to the provisions and would have prohibited individuals from bringing firearms onto casino property with certain exemptions, she described the measure as a way for lawmakers to further protect workers on the Las Vegas Strip.

Supporters said that the bill would largely mirror prohibitions on firearm possession at schools and libraries, but opponents — a broad coalition of Republicans, gun right advocates and criminal justice reform organizations — argued it would create uncertainty for gun owners and have a disparate racial impact.

The measure narrowly passed through the Senate in a 11-10 vote on Wednesday, but failed to receive a vote in the Assembly before sine die. During the joint committee hearing on the bill, many Assembly Democrats questioned its merits and expressed concerns about how the measure would affect minority communities.

“We are going to have situations where Black folks and brown folks are going to be the ones who are going to be not asked to leave, but who are going to be the ones that the police are called on,” said Assemblywoman Shondra Summers-Armstrong (D-Las Vegas) during the hearing.

AB387: Midwifery licensure board 

Nevada is the only state in the west that does not license midwives, but a proposed Board of Licensed Certified Professional Midwives nearly became a reality this session after falling just one vote short of a needed two-thirds majority late Monday evening.

During the last day of the legislative session, the Senate voted 13-8 on Democratic Assemblywoman Daniele Monroe-Moreno’s AB387, with Sens. Heidi Seevers Gansert (R-Reno) and Ben Kieckhefer (R-Reno) joining most Democrat senators in support. Sen. Mo Denis (D-Las Vegas) joined the Republican senators against the measure, ensuring the bill fell short of the needed two-thirds majority (because the bill required fees for licensure). 

The Assembly had previously passed the bill and its amendments with a 28-14 vote on May 28.  

The board would have been responsible for establishing an optional licensure process for practicing midwives and also would have set training and education requirements. 

An emotional hearing in the Assembly Committee on Commerce and Labor took place in April, in which several mothers shared their experiences with midwives and desire to have birth freedom while also having certain regulations and protections in place for all parties. 

Opposition to the measure was just as passionate, with opponents arguing that the board would overly restrict birthing options and punish midwives who may not want to be licensed or who have learned through apprenticeships rather than in a formal environment. 

SB437: Increased fees for justice court actions

An effort to double administrative fees for actions within the state’s justice courts fell two votes short of the two-thirds majority needed to pass on the last day of the session.

SB437, which would have increased the fee from $1 to $2 on the commencement of any action in a justice court for which a fee is required, in order to help fund the work of the state demographer within the Department of Taxation, passed through the Senate in mid-May on a 14-7 vote, but only after Sens. Kieckhefer and Pete Goicoechea (R-Eureka) switched from nay to yea votes.

Members of the Assembly then voted 26-16 along party lines on the measure, falling two votes short of the 28 votes needed to pass with a two-thirds majority. Republicans opposed to the bill, which was sponsored by the Senate Finance Committee, expressed confusion and concerns that it would tax the wrong people by imposing funds on litigants within the justice courts to fund the state demographer within the executive branch.

AB161: Study on summary evictions

A severely watered-down measure that would have created a legislative committee to study the state’s “summary eviction” process during the interim was left dead at the end of the session after failing to receive a vote in the Assembly.

The initial version of AB161, sponsored by Assemblywoman Selena Torres (D-Las Vegas), would have completely banned the “summary eviction” process, which involves possession of a rental unit and requires a tenant to either pay rent, vacate the property or respond to a notice through the courts within seven days. But the language in the bill was replaced with a study after lawmakers expressed concerns that there was not enough time to consider the consequences of upending the existing system in the midst of the eviction moratorium and amid staunch opposition from real estate groups.

The amended version of the bill, which received support from a slew of progressive groups, was passed out of its first committee in early April but never saw further action from lawmakers.

SB187: Limits on solitary confinement 

Sen. Pat Spearman’s (D-North Las Vegas) bill to limit the use of solitary confinement in Nevada prisons to 30 days never made it to an initial floor vote. 

SB187 also would have required regulations to limit solitary confinement to use only as a last resort. It also called for frequent mental health evaluations and giving inmates at least two hours of out-of-cell time daily, visitation and phone access.  

The Department of Corrections submitted a fiscal note stating that the measure would cost the department more than $40 million dollars for the biennium in order to modify policy at its seven major institutions and provide additional mental health support. 

“Even if they are guilty, they are still human beings, and we should treat them as such,” Spearman said of inmates during the bill’s hearing in the Senate Judiciary Committee on March 12. “If rehabilitation is the goal, then solitary confinement impinges upon that goal.” 

SB139: Prohibiting insurance companies from denying treatment for gender dysphoria

A bill that would have prohibited insurers from denying treatment for gender dysphoria – the psychological distress that results from an incongruence between sex assigned at birth and gender identity – did not survive after passing out of the first committee. 

Sen. Melanie Scheible’s (D-Las Vegas) SB139 aimed to require insurance companies, including Medicaid, to cover medically necessary treatment and surgeries for transgender Nevadans. 

The bill was meant to address instances of insurance companies denying coverage for treatment such as hormone replacement therapy and surgeries, despite existing laws and policies prohibiting the denial, exclusion or limitation of medically necessary health care services based on gender identity or expression. 

Advocates said that access to treatment should be considered medically necessary because without it, the mental health of people who have gender dysphoria suffers greatly. 

“When insurers fail to cover medically necessary care, people suffer anxiety, depression, social ostracism, and a higher risk of suicide,” transgender rights advocate Brooke Maylath said during the bill’s only hearing on March 12. “SB139 is designed to send a clear message to the greater healthcare community – discrimination is not acceptable in Nevada."

Although it received a deadline waiver, the measure did not advance after being referred to the Senate Committee on Finance on April 16. The state Public Employees' Benefits Program (PEBP) had submitted a fiscal note for $1 million for the biennium to extend the coverage for treatments. 

SB235: Additional marijuana licenses for unsuccessful applicants

A bill that became a lightning rod for marijuana industry criticism over a proposed amendment aimed at spurring the creation of scores of new dispensaries failed to make it to the legislative finish line.

The measure from Sen. Dallas Harris (D-Las Vegas), SB235, and a proposed amendment would have offered an alternative path to licensure for marijuana dispensary applicants who were unsuccessful in a 2018 licensing round. In that round, 61 dispensary licenses were issued to just 17 companies even though 127 potential businesses applied.

Those who lost out on the coveted permits pursued a massive lawsuit that ended with a judge saying there were flaws in the state’s process, but that the law did not permit her to order additional licenses as relief. An amendment to Harris’ bill that would have given unsuccessful candidates a path forward was forcefully criticized by the Nevada Dispensary Association, a statewide dispensary trade association whose representatives argued that it would threaten the strength and integrity of the industry.

Opponents also argued that the market could not support a large number of new stores without hurting existing ones; supporters countered with a competing analysis positing that the state could absorb nearly 1,300 new dispensaries.

The Cannabis Compliance Board submitted a fiscal note on the bill saying it would gain at least $610,000 over the biennium as a result of the increase in license renewal fees, and that it would cost an estimated $150,000 to complete a market study to determine demand for the issuance of additional cannabis licenses. 

The bill passed out of a Senate committee, was referred to the Senate Finance committee on April 20, and saw no further action before the end of session.

AB382: Regulating student loan servicers

A sweeping piece of student loan legislation that would have established new regulations on loan servicers in Nevada and would have granted more rights to borrowers was left for dead just a few days before the end of the session after falling one vote short of the two-thirds majority it needed to pass.

The bill was primarily aimed at enacting broad consumer protections through a borrowers’ bill of rights, as well as the licensing and regulation of servicers by the state’s Commissioner of Financial Institutions. 

Assemblywoman Jill Tolles (R-Reno) joined all Democratic Assembly members in voting in favor of the measure; however, some Republican lawmakers expressed concerns about the licensing fees that servicers would be required to pay. Student loan servicers Sallie Mae and Discover also opposed the bill, arguing that it could lead to greater costs for borrowers.

Bill sponsor Assemblyman Howard Watts (D-Las Vegas) said he adopted an amendment before putting the bill up for a vote that was aimed at addressing the concerns brought up by opponents.

“But some of the student lender interests decided to dig in on it. And unfortunately, again, all members of the minority caucus decided to side with them except for Assemblywoman Tolles,” Watts said, “in my opinion, picking those interests over borrowers that are in our state.”

SB462: Republican-backed effort to change redistricting commission

With the state set to handle the redistricting process in a likely special session sometime later this year, Senate Minority Leader James Settelmeyer (R-Minden) introduced an emergency measure, SB462, just two days before the end of the session that would have given Democrats and Republicans equal power in creating a redistricting commission.

That bill received zero action in the Democratic-controlled Legislature. Instead, members of both the Senate and Assembly adopted SCR13, sponsored by Senate Majority Leader Cannizzaro and Assembly Speaker Jason Frierson (D-Las Vegas), creating an interim reapportionment and redistricting committee composed of four Democrats and two Republicans.

Increasing awareness of mental health services

As the COVID-19 pandemic resulted in heightened mental health issues across the country, lawmakers in Nevada took steps to increase access to behavioral health care, typically through federal relief funds — but a pair of bills aimed at increasing awareness of mental health support services failed to advance out of the Legislature before the end of the session.

AB167, sponsored by Assemblyman Glen Leavitt (R-Boulder City), would have required K-12 schools and colleges to put information relating to mental health resources on student ID cards, including the phone number and text messaging option for the National Suicide Prevention Lifeline. After passing out of the Assembly on a 41-1 vote in late April, the bill did not receive a committee vote in the Senate.

AB315, which passed out of the Assembly unanimously a few days before the end of the session, would have required law enforcement agencies and fire departments to provide officers and firefighters with information about mental health awareness, prevention, mitigation and treatment, and provide two hours of mental health counseling within three months of retirement. The measure, sponsored by Assemblyman P.K. O’Neill (R-Carson City), passed out of a Senate committee on Sunday, but failed to receive a vote on the Senate floor during the final day of the session.

Lawmakers begin wrapping up 2021 session; ‘Right to Return’ passes, Death with Dignity fails

The Nevada Legislature building as seen in Carson City on Feb. 6, 2017.

Crunch time has finally arrived for the Legislature, with lawmakers planning to work steadily through Sunday to work out compromises and pass scores of bills with less than a day and a half left in the 120-day session.

Much attention has been paid to negotiations over the long anticipated AB495 — the measure implementing a new excise tax on mining and various other education and health care changes, up for its first hearing on Sunday evening. But many other high-profile measures are finally approaching the finish line — including final votes on “Right to Return” legislation, as well as last-minute appropriations and amendments.

Here’s a look at some of the latest developments in Carson City on the penultimate day of session. 

Physician aid in dying legislation will not advance

A deeply divisive bill that would have allowed terminally ill patients to self-administer life-ending medication is not moving forward.

Bill sponsor Edgar Flores (D-Las Vegas) told The Nevada Independent on Sunday that there was no consensus on AB351 and the bill would not receive any further hearings or a floor vote. 

“I've lost all hope,” Flores said. “The position of the leadership is just, we don’t think the votes are there.”

Similar legislation divided Republicans and Democrats in 2017, when it passed 11-10 in the Senate. Democrats largely supported the measure, but the bill never made it to a final vote after it died in an Assembly committee. A 2019 measure sponsored by then Sen. David Parks (D-Las Vegas) also never received a floor vote after passing through its first committee.

Flores chalked the death of the bill up to ethical dilemmas and hesitancy to pass such a contentious piece of legislation. But he hopes to continue the dialogue in future sessions.

“It's funny how … there's very contested bills and then one session it just comes in and it goes right through,” Flores said. “And I think it's a lot of just that education component, and then kind of holding out, just being consistent.”

In early April, New Mexico became the latest state to provide a legal pathway for physician aid-in-dying, Flores said, noting that opinions are shifting.

“There's an obvious trend where states are recognizing that there's folk who need it, and should have a right to request it if they want it,” Flores said. “So I think we'll come back in two years and do this whole thing again.”

— Tabitha Mueller

Assembly approves ‘Right to Return’ legislation, bill heads back to the Senate for final vote

The Assembly gave quick party-line approval to legislation that would guarantee the rights of laid-off gaming and tourism industry workers to return to their jobs.

The 26 Democratic Assembly members outvoted 16 Republicans to send SB386 back to the Senate for final concurrence on an amendment. The Senate voted along party lines last Wednesday to approve the legislation.

Lawmakers on Friday evening adopted an amendment that exempts small businesses — ones that prior to the pandemic employed 30 or fewer workers — from being affected by the so-called “Right to Return” legislation. The amendment likely exempts small restaurants and vendors operating in casinos from having to comply with the hiring requirements in the bill.

Assemblywoman Heidi Kasama (R-Las Vegas) urged lawmakers to vote against the legislation, saying its passage would hurt small businesses and 30 “seemed like an arbitrary number.”

However, Assemblywoman Maggie Carlton (D-Las Vegas) called SB386 a bill that “protects the people that built this state. They are the economic engine of Las Vegas.”

Carlton said the 78-day shutdown of the gaming industry in an effort to slow the spread of the pandemic a year ago March, “was done for the right reasons. This is also the right thing to do. This protects everyone.”

Gaming interests and the Culinary Union struck a deal on the high-profile legislation earlier last week, agreeing to limit the scope of the bill and exempting certain employee classes including managers and stage performers. The Nevada Resort Association agreed to take a neutral position on the bill in return for those concessions, though not all casino operators are on board with the proposed legislation.

SB386 would allow workers in the gaming and travel sectors the right to return to their jobs, covering those workers laid off after March 12, 2020, and who were employed for at least six months in the year before the governor’s first COVID-19 emergency declaration.

— Howard Stutz

Amendments to a bill pushing citations, rather than arrests, for minor crimes

A bill directing law enforcement to issue citations in lieu of arresting people for misdemeanor crimes, AB440, passed out of a conference committee Sunday morning with two amendments, one proposed by Sen. James Settelmeyer (R-Minden) and the other from Sen. Dallas Harris (D-Las Vegas).

Settelmeyer’s amendment establishes requirements for candidates running for county sheriff in rural Nevada counties. Specifically, the amendment lowers the population threshold for required qualifications from 100,000 to 30,000 and stipulates that a candidate running for county sheriff must have accumulated at least five years of service as a law enforcement officer and have been certified by the state or a federal law enforcement training program.

The other amendment gives law enforcement officials time to implement the measure, specifying that provisions within the act do not apply until the Division of Parole and Probation has sufficient resources to carry out the measure.

The bill passed out of the Assembly and Senate on party-line votes with Republicans in opposition.

— Tabitha Mueller

Gender-neutral bathrooms bill gets messy

A discussion over a bill requiring that single-stall bathrooms be designated as gender neutral going forward turned into a discussion about whether more urine ends up on the floor in men’s rooms.

Sen. Keith Pickard (R-Henderson) said he would oppose the bill — AB280 from Assemblywoman Sarah Peters (D-Reno) — because he doesn’t think there should be mandates on businesses to make their restrooms unisex. He also argued that “women have more sensitive sensibilities as a whole.”

“By doing this, we're going to be making all the restrooms men's rooms, and that will create problems for a good number of women in society,” Pickard said.

Sen. Joe Hardy (R-Boulder City), a doctor, also offered an anatomical explanation for why the floor of men’s rooms might be dirtier.

“So, it sounds to me like men are the problem, and they could work on that, but in the meantime, I think the bill is fine,” concluded Sen. Melanie Scheible (D-Las Vegas). 

The committee ended up passing the bill — which “grandparents” in existing restrooms but governs future builds — with Republicans opposed.

— Michelle Rindels

$1 million to Immunize Nevada in AB355

AB355, a bill that already includes a variety of allocations for nonprofits, has a new proposed addition — $1 million for the statewide nonprofit Immunize Nevada.

Sen. Julia Ratti said the organization has seen a deluge of support for the COVID-19 vaccination effort, but much of that is strictly limited to the pandemic. Ratti said she doesn’t want the group to be shortchanged in its normal work.

“This gives them the flexibility to make sure that we're not disrupting the regular programming that they do for flu, back to school,” she said.

So far, the bill includes: $750,000 for the “Expanding the Leaderverse” initiative at UNLV’s International Gaming Institute, $350,000 for the “We the People” civics program in schools, more than $3 million for the Lou Ruvo Center for Brain Health, $1 million for the Nevada Blind Children’s Foundation and $2 million for the Springs Preserve in Las Vegas to develop an ethnobotanical garden for teaching indigenous farming techniques.

Assembly Ways and Means Chairwoman Maggie Carlton (D-Las Vegas) has said that nonprofits often approach the Legislature seeking allocations that they can leverage into further donations, and AB355 is a vehicle for such allocations.

— Michelle Rindels

College athlete compensation, cannabis investigations and ‘pot for pets’ among latest bills signed by Sisolak

As Nevada lawmakers work through the final weekend before the adjournment of the 120-day legislative session, Gov. Steve Sisolak has also been busy fulfilling his end of the process — signing more than 40 bills into law on Friday and Saturday.

Some of the higher-profile measures signed by Sisolak over the past two days include bills aimed at allowing collegiate athletes to receive compensation, lowering the penalties for minors caught in possession of alcohol or small amounts of marijuana, requiring teaching about minorities and historically underrepresented groups and raising the legal and age prerequisites for a person to become state attorney general.

Sisolak had signed 174 bills into law as of Saturday evening. Once bills are approved by both houses of the Legislature and sent to the governor’s office, the state’s chief executive has five days during sessions and 10 days after they adjourn to either sign the bill, veto the measure or allow the clock to expire, which causes a bill to automatically become law.

Here’s a look at some of the major bills signed by Sisolak on Friday and Saturday. For a full list of bills signed by the governor this session, click here.

AB101: ‘Pot for pets’

Sponsored by Assemblyman Steve Yeager (D-Las Vegas), AB101 authorizes licensed veterinarians to administer products containing CBD or hemp in the treatment of an animal and to recommend use of such products to pet owners. It also prohibits the state Board of Veterinary Medical Examiners from taking disciplinary action against veterinarians who administer or use such products.

The bill passed unanimously out of the Senate and Assembly. 

AB158: Lowering penalties for minors caught buying alcohol or marijuana

This measure sponsored by Assemblywoman Daniele Monroe-Moreno (D-North Las Vegas) generally lowers the criminal penalties for minors found in possession of alcohol or small amounts of marijuana. 

Specifically, the bill prohibits imprisonment or a fine and instead requires any such person under the age of 21 found in possession of the prohibited substances to perform up to 24 hours of community service, attend a panel of victims of persons killed or injured by intoxicated drivers or undergo an evaluation to see if they have an alcohol or substance abuse disorder.

The bill also requires the automatic sealing of criminal records related to underage possession once a juvenile successfully completes the terms and conditions set by a court.

It passed unanimously out of the Senate and Assembly.

AB177: Prescription drug instructions in non-English languages

This measure, sponsored by Assemblywoman Teresa Benitez-Thompson (D-Reno), requires most pharmacies in the state to provide specific instructions on the use of a prescription drug in a language other than English, if requested by the recipient. It exempts pharmacies from civil liability if they contract with a third party translation service and injury cannot be linked to the “negligence, recklessness or deliberate misconduct of the pharmacy or employee.”

The measure passed out on a party-line 26-16 vote in the Assembly, but passed the Senate unanimously after an amendment was added granting civil immunity to pharmacies.

AB200: Regulations for veterinary telemedicine

Sponsored by Assemblywoman Shannon Bilbray-Axelrod (D-Las Vegas), the measure establishes regulations for veterinary telemedicine, allowing licensed veterinarians to practice telemedicine only after an in-person examination of an animal. Under the bill, veterinarians would not have to examine every member of a herd to consult remotely, and a doctor with access to medical records could also consult via remote communication.

The measure passed out of the Assembly on a 40-2 vote and then unanimously out of the Senate.

AB254: College athletes can profit off likeness

This bill from Assembly Speaker Jason Frierson (D-Las Vegas) would prohibit colleges or the National Collegiate Athletic Association (NCAA) from preventing student athletes from being compensated for use of their name, image or likeness. It’s intended to align with planned moves by the NCAA to allow for student-athlete compensation.

The bill also requires that the Legislative Committee on Education conduct an interim study concerning the issue.

It passed on a 34-8 vote in the Assembly and on a unanimous vote in the Senate.

AB261: Teaching about history of underrepresented groups 

This measure, sponsored by Assemblywoman Natha Anderson (D-Sparks), requires Nevada students to learn about the history and cultural contributions of minorities and historically underrepresented and discriminated against groups, including Native Americans, members of the LGBTQ community and African Americans. It would also require that textbooks and instructional materials accurately portray the history and contributions of marginalized groups.

The bill passed on party-line votes in the Senate and Assembly, with Republicans in opposition.

SB58: Cannabis investigations

This bill expands the duties of the Investigation Division of the Department of Public Safety to include assisting in investigations related to cannabis that the Department of Taxation or the Cannabis Compliance Board might be undertaking, if those agencies request the help. 

The bill passed unanimously in both houses.

SB66: Connecting kids to computers

This bill expands the work of the Office of Science, Innovation and Technology, calling on the agency to develop a statewide system to determine the extent to which students have access to the internet and computers in their homes. It also tasks the office with helping connect students to that technology. 

The bill passed unanimously in the Senate and on a 35-4 vote in the Assembly, with some Republicans opposed.

AB227: Cracking down on independent contracting in construction

This bill bars contractors from hiring people who don’t have a contractor’s license and are not their direct employees to do work for a contractor that requires a contractor’s license. Backed by Assemblywoman Maggie Carlton (D-Las Vegas), the bill is one strategy to tackle the issue of employee misclassification but was opposed by all Republicans.

The bill passed on party-line votes in both houses.

AB190: Sick leave used to care for family

This bill requires that employers who offer sick leave to their workers also let those employees use that accrued time to attend to medical needs of their immediate family, whether that be for an illness, injury or doctor’s appointment. It allows employers, however, to limit the amount of sick leave a worker can use for that purpose.

The bill, sponsored by the Assembly Commerce and Labor Committee, includes a preamble stating that caregivers in Nevada provided 324 million hours of uncompensated care in 2013, at an estimated value of $4.27 billion.

The measure passed unanimously in the Senate and on a 30-12 vote in the Assembly; all who voted against it are Republicans.

AB236: Raising requirements to be attorney general

This bill, sponsored by Assembly Speaker Jason Frierson (D-Las Vegas), raises the prerequisites for serving as attorney general. It requires the person in that role to be at least 30 years old — up from the current minimum age of 25 — and have lived in Nevada for at least three years, up from two.

The person must also be a member in good standing of the Nevada Bar.

Frierson said that the duties of the office have become increasingly complex over the years, and Nevada’s minimum qualifications have not kept up with the prerequisites common in other states. Opponents said other constitutional offices, such as governor or treasurer, only require the person to be 25 and have no other professional prerequisites.

Sen. Ira Hansen (R-Sparks) also said it gives way too much latitude to the state bar and limits the choices of Nevada voters.

The bill passed 31-11 in the Assembly and 12-8 in the Senate. All those who voted against it were Republicans.

SB362: Operating a ‘microtransit’ system

The bill authorizes the Regional Transportation Commission in Clark County to offer microtransit services, or transportation by a multi-passenger vehicle that carries fewer passengers than vehicles used on regular routes and is dispatched through a digital application service.

The measure passed unanimously out of the Senate and on a 36-5 vote in the Assembly.

SB363: Reporting requirements for charter schools

This measure requires charter schools that contract with education management companies to submit a report to the sponsor of the charter school, detailing the amount paid to those companies in the current and preceding fiscal years. Charter schools will also have to submit the same report to the director of the Legislative Counsel Bureau in even-numbered years.

The bill passed on a 19-2 vote in the Senate and a 35-6 vote in the Assembly.

AB181 - Mental health parity, attempted suicide report

This bill requires health care providers to report cases or suspected cases of attempted suicide to the state, with that information reported annually to the Patient Protection Commission. It also calls for an evaluation by the state Insurance Commissioner on whether insurers are adhering to a federal law requiring mental health parity — not limiting mental health benefits more than physical health benefits.

The measure passed 26-16 in the Assembly and 14-6 in the Senate. Those opposed were Republicans.

This story was updated on Sunday, May 30, 2021 at 12:53 p.m. to reflect that Assemblywoman Natha Anderson was the primary sponsor of AB261.

Deadline Day: Lawmakers approve ghost gun ban, medical debt protection and cage-free egg bills

Front of the Nevada Legislature building

Nevada lawmakers are moving to vote out dozens of bills including measures banning ghost guns, changing criminal justice procedures including bail and affecting education, cannabis and health care heading into one of the final major bill passage deadlines of the session.

Friday marks the deadline for bills to pass out of their second house, one of the biggest milestones before the Legislature is constitutionally required to adjourn no later than midnight on May 31. Ahead of the scheduled floor sessions, legislators teed up votes on nearly 170 measures that either need to pass by midnight or end up in the legislative graveyard.

Lawmakers haven’t saved everything for the last day — members of the Assembly and Senate have met late into the night throughout the week to finish processing a number of big-ticket bills: decriminalizing traffic tickets, sealing the records of evictions that happened during the pandemic, banning police ticket or arrest quotas and extending rollovers for school construction bond construction.

Friday isn’t the final stop on the legislative rollercoaster — lawmakers will spend the next 10 days zipping up final budget details, hashing out differences on amended bills and dealing with a rush of last-minute major policy items introduced in the waning days of the session, from the state public health insurance option to limiting firearm possession on casino property.

Here’s a look at some of the major bills that have passed so far this week. The Nevada Independent will update this story as additional bills are passed on Friday.

Medical debt collection

Collection agencies would be barred from certain aggressive practices and have to give more warning to people before they start collecting on medical debt under SB248, a bill backed by Sen. Marilyn Dondero Loop (D-Las Vegas) that passed the Assembly in a 28-13 vote. 

The bill requires collection agencies to notify a debtor by certified mail about the amount of debt, as well as when, why and where it was incurred, at least 60 days before the agency begins collection activities. The debtor can make payments during the notification period and it will not be reported to any credit reporting agency.

It also caps the fees collection agencies can charge to 5 percent of the base medical debt. Legal aid providers who presented the bill said they have seen instances where such fees were more than 100 percent.

The measure also bars collection agencies from taking “confession of judgment,” a practice that involves debtors signing away some of their rights and allows the collection agency to take steps such as garnishing the debtor’s wages.

Proponents argued that with about one in five Nevadans in collections for medical debt, and potentially more exposed to such situations if they lost insurance coverage during the pandemic, the protections could prevent many Nevadans from going into bankruptcy.

Marijuana DUI

Members of the Senate voted 15-6 to approve AB400, a bill that aims to update Nevada law to remove “per se” limits that specify how much marijuana metabolite in the blood would trigger a DUI. Proponents say the limits are an inaccurate indicator of impairment, because they can still be detected in the body long after a high wears off because of how marijuana is processed by the body differently than alcohol.

An amendment, however, has restored the per se limits in cases where someone is accused of a DUI causing death or substantial bodily harm. Supporters of the bill in its original form say the amendment keeps an unscientific measurement in the statute.

Removal of non-functional turf

Senators voted unanimously for AB356, a bill that would set in motion a plan to remove non-functional turf within the jurisdiction of the Southern Nevada Water Authority before the year 2027. Grass at single-family residences would be exempt.

The bill also requires the Legislative Committee on Public Lands to conduct a study on water conservation.

Cage-free eggs

Senators voted 16-5 in favor of AB399, a bill that prevents the sale of eggs in Nevada starting in 2024 if the hens aren’t in a cage-free housing system or are in such a system but without sufficient space to move around. Farms with fewer than 3,000 egg-laying hens are exempted from the requirement.

Members of the egg industry had lined up in support of the bill, saying cage-free eggs are the wave of the future and such a law would ensure uniformity in requirements across the region. Opponents, including Sen. Ira Hansen (R-Sparks) said he worried that the requirement would raise the price of eggs and harm low-income families.

Hairstyle protections

Under SB327, passed out of the Assembly on a 33-8 vote, hairstyles associated with particular races would be protected against discrimination.

Sponsored by Sen. Dina Neal (D-Las Vegas), the legislation extends statutory protection to hair textures and hairstyles such as braids, locs, twists and knots in the workplace and public schools.

The bill arrives as part of a nationwide movement to end hair discrimination. If passed, Nevada would join at least 10 other states that have passed similar legislation, including Washington, California and Colorado.

Paid-leave for health purposes

Members of the Assembly voted 30-11 to pass a measure that would require employers to provide paid leave for an employee receiving a COVID-19 vaccine.

The bill, SB209, would also allow an employee to use paid leave for any health reason, including for treating an illness and caregiving. Under the bill, the Legislative Committee on Health Care would also conduct a study during the 2021-2022 interim assessing the state’s response to the pandemic and making recommendations for legislation addressing future public health crises.

Tiger King bill

Members of the Assembly voted 35-6 for a so-called “Tiger King” bill nicknamed for the Netflix series on a wild animal collector. In its original form, the bill, SB344, prohibited owning and breeding wild animals, but it was significantly watered down.

Now, the bill prevents people who own a wild animal from allowing it to come into contact with the general public, including through allowing people to take a photo while holding the wild animal. 

Banning ‘ghost guns’

A contentious measure banning so-called “ghost guns” and other firearm assembly kits that don’t come equipped with serial numbers passed the Senate on a party-line vote.

The bill, AB286, is sponsored by Assemblywoman Sandra Jauregui (D-Las Vegas), and would prohibit a person from possessing, purchasing, transporting or receiving any unfinished frame or receiver of a firearm, or assembling any firearm not imprinted with a serial number. An earlier version of the bill would have also prohibited individuals from carrying firearms on to casino property, but those provisions were removed and later resurfaced in SB452 — an emergency bill from Senate Majority Leader Nicole Cannizzaro up for a hearing on Saturday.

Republicans opposed the bill — Sen. Ira Hansen (R-Sparks) said that law enforcement in Nevada believed few if any crimes were committed with ghost guns in the state.

“The idea that serial numbers somehow help reduce crime just doesn’t add up,” he said.

Those arguments failed to sway Democratic lawmakers.

“I think we have all as a society agreed that no one should be able to own a gun without a background check, and this bill brings us closer to that ideal,” Sen. Dallas Harris (D-Las Vegas) said. “End of statement.”

Lowering barriers to birth control

In a 28-13 vote, members of the Assembly passed out SB190, a bill allowing women to receive birth control through a pharmacy without a doctor’s visit. Assemblywomen Jill Tolles (R-Reno) and Melissa Hardy (R-Henderson) joined Democrats in support of the measure which supporters said will lower barriers to obtaining birth control.

Prohibiting ‘doxing’

Members of the Senate voted 15-6 to pass AB296, which allows victims of ‘doxing’ to bring a civil action to recover damages. ‘Doxing’ involves the unauthorized sharing of personal identifying information, such as an address, with the intent to cause harm or mental anguish.

The bill exempts the dissemination of certain information from liability for ‘doxing,’ including the reporting of conduct reasonably believed to be unlawful, information that depicts an elected officer acting in an official capacity, information gathered under the constitutionally protected rights of freedom of speech and assembly and good faith communications meant to further the right to petition or right to free speech in connection with public concern.

Several Republican lawmakers raised concerns that the bill contained exemptions for elected officials acting in an official capacity, or law enforcement “acting under the color of law.” 

Hate crime changes

Members of the Assembly voted 33-8 to pass SB166, a bill clarifying that a crime does not need to be committed by someone with different characteristics than the victim to be considered a hate crime, with qualifying characteristics including race, color, religion, national origin, physical or mental disability, sexual orientation and gender identity.

The amended version of the bill passed out of the Assembly additionally requires a prosecuting attorney to prove beyond a reasonable doubt that the perpetrator would not have committed the crime if not for the existence of such a characteristic.

The measure also expands the list of hate crimes for which a victim may bring forward a civil action to recover damages to include making threats or conveying false information concerning lethal weapons or acts of terrorism and threatening violence or death to a student or school employee.

Back on Track Act 

Assembly members passed SB173, dubbed the “Back on Track Act,” in a 33-8 vote. The bill calls on districts to create learning loss prevention plans and set up summer school programs, then authorizes them to request federal aid to fund the initiatives.

The bill allows schools to have the option for students to attend summer school in-person or virtually. The program aims to help students who may have fallen behind in school subjects or are credit deficient and those with disabilities or who are English learners.

Although the “Back on Track Act” goes into effect when approved, it is set to expire on Jan. 1, 2022. 

HOA debt collection

The Assembly voted 28-13 to pass SB186, a measure that would require collection agencies to file a report on collections related to homeowner’s associations (HOA). 

The bill would also prohibit collection agencies from collecting debts from a person who owes fees to an HOA if the collection agency is connected at all to the HOA, either through sharing the same owners or affiliates. 

The measure stipulates that if an HOA uses the foreclosure process, the home could not be sold to a person or entity involved in the process. It would also require an HOA to send its notices and communications by mail and email and that each HOA in a common-interest community with 150 or more units would need to establish an electronic portal that members could access.

Marriage license fees to help domestic violence victims

In a 32-9 vote, the Assembly passed SB177, which would double a fee on marriage licenses from $25 to $50 to better support sexual violence and domestic violence victim services in all the counties. 

The fees are expected to increase program funding from $2.5 million to $5 million annually. The bill states that 75 percent of the funding would go toward domestic violence victim services and 25 percent would go to sexual violence services. 

Land and water conservation

The Senate voted to pass AJR3, which would establish an effort to protect 30 percent of the nation’s lands and bodies of water by 2030. The vote was 12-9, along party lines.

The resolution points out that the state has lost more than 9 million acres of wildlife habitat in the  last two decades as a result of wildfires and only a small percentage of the land is currently protected. 

The conservation of land and water in the state may be accomplished through a combination of  federal and state actions, including designating or establishing wilderness areas, national parks and state parks. The resolution includes the designation of Spirit Mountain, known as Avi Kwa Ame, in Southern Nevada as a national monument, and permanent protection for the Desert National Wildlife Refuge from military expansion.

Previously, AJR3 passed the Assembly with a 26-16 vote, also along party lines. 

Allowing college athletes to profit off their likeness

College athletes in Nevada may soon be able to profit off of their name, image or likeness, after members of the Senate unanimously passed AB254 on Friday.

The bill would prohibit the National Collegiate Athletic Association (NCAA) from preventing students from using their likeness, name or image in sponsorships or for other professional services, with certain limits on what kinds of businesses that students can contract with. It also requires the Legislative Committee on Education to conduct an interim study on the issue.

Criminal justice changes

In an almost unanimous 38-1 vote, members of the Assembly passed out AB116 on Thursday, a bill that would decriminalize traffic tickets in Nevada (Assemblyman Greg Hafen (R-Pahrump) voted no). This is the fifth session in a row that Nevada lawmakers have considered the action, which proponents say would move the state away from the vestiges of a Victorian-era debtor’s prison but that local governments continue to oppose because of how it might affect their budgets. 

In a 40-0 vote on Thursday, members of the Assembly also passed out SB50, a bill introduced on behalf of the attorney general that would prohibit the issuance of no-knock warrants unless a sworn affidavit demonstrates that the underlying crime is a felony that could pose a significant and imminent threat to public safety or the warrant is necessary to prevent significant harm to the officer or another person.

Members of the Senate voted out several criminal justice reform measures late Thursday, including:

  • AB42, which implements a state Supreme Court order establishing a statutory right to a jury trial for a person charged with misdemeanor domestic violence that would lead to the accused losing firearm ownership rights.
  • AB104, which clarifies some of the existing procedures for awarding payments to the wrongfully convicted and expands the services a wrongfully convicted person may be compensated for, including housing assistance and financial literacy programs.
  • AB158, which significantly lightens penalties for minors who purchase or possess alcohol or cannabis, including prohibiting jail time and fees for first and second offenses.
  • AB186, which prohibits law enforcement agencies from requiring police officers to issue a certain number of traffic citations or make a certain number of arrests over a given period.
  • AB236, which raises the minimum age for candidates for state attorney general from 25 to 30 years of age, and requires the person to be a licensed attorney in good standing with the state Bar.

K-12 Education

Though much of the Legislature’s focus ahead of Friday’s deadline remains on passing bills out of their second house, members of the Senate also passed SB450, which allows school districts to use excess revenues from existing tax rates to fund Pay As You Go capital improvement projects, such as remodels and needed facility upgrades.

The measure passed on a 16-4 vote, with a few Republican senators upset with a lack of time to consider the measure, after the bill was introduced in the Legislature earlier in the week. Supporters have said the bill will not affect existing debt payments or reserve funds.

On Thursday, members of the Senate passed a variety of different K-12 focused Assembly bills, including:

  • AB109, which would require 80 percent of teachers at each charter school in the state to be licensed, including all teachers who teach a core academic subject.
  • AB195, which establishes an English language learner Bill of Rights that includes the right to a free and public education (regardless of and without disclosing immigration status) and the rights for a parent or guardian of an English learner to have an interpreter for significant interactions with school districts and to receive information about the student’s progress in the appropriate language.
  • AB235, which requires school districts to provide more help to students for filling out the Free Application for Federal Student Aid.

Higher education changes

Following the narrow failure of Question 1 in November, members of the Assembly on Tuesday voted 30-11 to pass SJR7, which attempts to take the same action as the failed ballot question by removing the Board of Regents from the state Constitution. Four Republicans, including a sponsor of the resolution, Tom Roberts (R-Las Vegas), joined all Democratic Assembly members in support, after the measure previously passed out of the Senate on a 20-0 vote. 

Proponents of the resolution have said that part of the reason Question 1 failed was because the language used was too complicated for voters to understand, and those supporters have also argued that removing the regents’ constitutional protection would create greater accountability. Opponents of the change, including members of the Board of Regents, have argued that the measure would do little to address higher education policy issues.

The resolution would need to be passed by the 2023 Legislature before going back to voters on the 2024 ballot.

Beyond deadline day, Gov. Steve Sisolak on Thursday signed a measure that would formally authorize the Board of Regents to “enter into an agreement to affiliate with a publicly or privately owned medical facility.” SB342 will in practice serve as a legislative seal of approval for regents as they seek to approve a major partnership between the UNR School of Medicine and Reno-based health care provider Renown Health. 

The affiliation agreement, which has been in various stages of drafting and negotiations since September of last year, will broadly integrate “medical education, clinical research and clinical practice activities between UNR Med and Renown,” according to a copy of the agreement shared with regents in April. 

Though the legislative blessing has been secured, the deal must still pass through the Board of Regents before final approval. Even so, the measure has found unanimous support from legislators, the governor, regents and higher education officials, and its approval sometime this summer appears all but assured. 

Economy & Business 

Members of the Senate voted along party-lines on Thursday to approve AB207, a bill by Assemblyman Howard Watts (D-Las Vegas) that would expand existing anti-discrimination laws affecting places of public accommodation to e-commerce.

Senators also voted 16-4 to approve AB184, a bill that temporarily creates an Office of Small Business Advocacy in the office of the lieutenant governor. Sisolak called for creation of the office in his 2021 State of the State address.

Banning racist school logos or mascots

Members of the Senate voted along party lines to pass AB88, a bill from Assemblyman Howard Watts (D-Las Vegas) that would require the board of trustees of each school district to ban offensive or racially discriminatory language or imagery in school names, logos or mascots.

The bill allows schools to adopt names, mascots or logos related to tribes as long as the tribe consents.

The measure would additionally ban counties and other local governments from using any alarms or sirens that were previously sounded on specific days or times to require people of a particular race, ethnicity, ancestry, national  origin or color to leave the area by a certain time. A siren of that kind is still used in Minden.

Pot for pets

In a 20-0 vote on Thursday, members of the Senate passed AB101 a bill that would give veterinarians the ability to administer hemp or CBD products containing no more than 0.3 percent of the psychoactive compound THC to an animal, or recommend those products to a pet owner.

Veterinarians and animal advocates have supported the measure, arguing that those products can help animals with anxiety, pain, cancer and arthritis and that the bill would stop the Nevada Board of Veterinary Medical Examiners from disciplining licensed veterinarians or facilities solely for administration or recommendation of a hemp or CBD product.

Record sealing for pandemic summary evictions

In a party-line 12-8 vote, Senate members approved AB141, a measure that would require courts to automatically seal eviction case court records for any summary eviction conducted during the COVID-19 pandemic.

A previous version of the bill would have required landlords to give some long-term tenants additional advance notice before filing a no-cause eviction.

Reporter Jacob Solis contributed to this report.