On April 24, 2025, the Nevada State Legislature introduced Assembly Bill 522, a significant piece of legislation aimed at expanding Medicaid coverage for preventive health services targeting specific demographics. The bill seeks to address critical health issues among women and older adults, particularly focusing on cardiovascular health, osteoporosis, and obesity.

Key provisions of Assembly Bill 522 include the requirement for Medicaid to cover counseling for maintaining a healthy weight for women aged 40 to 60 with a body mass index of 18.5 or greater. Additionally, it mandates osteoporosis screenings for women aged 65 and older, or younger women at risk of fractures equivalent to that of a 65-year-old without additional risk factors. The bill also proposes coverage for behavioral counseling and interventions promoting physical activity and healthy diets for Medicaid recipients with cardiovascular risk factors, as well as preventive medication for those aged 40 to 75 who are at risk of cardiovascular disease.

A notable aspect of the bill is its stipulation that Medicaid recipients will not face higher deductibles, copayments, or waiting periods to access these services. This provision aims to enhance accessibility and encourage preventive care among vulnerable populations.

The bill has sparked discussions among lawmakers and health advocates regarding its potential impact on public health and Medicaid expenditures. Supporters argue that the proactive approach to preventive care could reduce long-term healthcare costs by addressing health issues before they escalate. However, some legislators have raised concerns about the financial implications of expanding Medicaid services, particularly in light of Nevada's budget constraints.

As the bill progresses through the legislative process, experts anticipate that its passage could lead to improved health outcomes for women and older adults in Nevada, potentially setting a precedent for similar initiatives in other states. The Department of Health and Human Services is tasked with applying for necessary federal waivers to secure funding for the proposed coverage, indicating a collaborative effort between state and federal entities to enhance public health services.

In summary, Assembly Bill 522 represents a significant legislative effort to improve preventive healthcare access for specific populations in Nevada, with potential long-term benefits for both individual health and the state's healthcare system. The ongoing debates surrounding its financial viability and implementation will be crucial as the bill moves forward.