[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6547228,"mediaKeyId","3803013-9a19b52ef2ae64f5fbac61f363190779","parentId",3803013,"title","Committee advances bill directing Nevada regulators to write wildfire smoke protections for outdoor workers","audioSeconds",2168,"startMs",2822000,"endMs",4990000,"viewUrl","/Search/View?dp=1&key=3803013-9a19b52ef2ae64f5fbac61f363190779&start=2822&end=4990","thumbnailUrl","https://assets.pipeline.soar.com/3803013-9a19b52ef2ae64f5fbac61f363190779/thumbnail_2822000.jpg","articleUrl","/articles/6547228/Nevada/Committee-advances-bill-directing-Nevada-regulators-to-write-wildfire-smoke-protections-for-outdoor-workers","mediaUrl","https://secure.pipeline.soar.com/6547228-3cb9676a2f8f24d068ee68810f2c857c/orig.mp4?Expires=1771166096&Signature=dh3T6RiYf3HxM1NyLVcLj1vBo9jMsovIxn4ISe3481FMTTfqMbaxMhreqgZSKWDScM9U5~sZiNFT4AqYS7~AQKefwwAUKOaacJ94VEI-mbij7ohVrtl8iyOY~DsPxEB6lydLmya~Y1sLvZeKUB6mNrhXwLhzB-fz9P9vfgssb7jCrKDLBO~W6yQ-0-4eZI7ApkggKnesElXqVelMv58UKummyIkXpOPZm0MuRac9b6z86L6Bd77aLPSujrtUorhiFz17NHRG5UvZaPuXbDa0nGcui0~jkMGF3YlPX0lqmYFuRz8CIscEdjtnYQ9j3wmc-oZI8B25-GaNw49JYum2XA__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada Legislature","date","2025-06-01T09:56:44Z","article","Senator Edgar Flores, sponsor of Senate Bill 260, told the committee the bill is intended to protect outdoor workers from hazardous wildfire smoke without unnecessarily disrupting essential services. \"When we originally started this bill ... we wanted to provide direction as a state and say, look, when the air quality hits a 150, we want certain things to occur. When it hits 200, we want different things to occur,\" Flores said, adding that the bill instead sends the issue to regulators so they can tailor protections by industry.

Jackie Spicer of the Nevada Environmental Justice Coalition, who worked with the sponsor on language, told the committee Nevada's arid climate and rising wildfire risk make fine particulate matter from smoke a serious health threat: \"Smoke from wildfires contains fine particulate matter which is a harmful and dangerous pollutant that can enter our bloodstream and trigger serious respiratory and cardiovascular health problems.\" She said SB 260 directs the Division of Industrial Relations to develop regulations that would require employers to monitor air quality and reduce exposure when AQI reaches unhealthy (150) and hazardous (200) levels, provide employee communication and training, and set a process for determining when personal protective equipment or work stoppages are required.

Supporters — including the Nevada State AFL-CIO, AFSCME, Sierra Club Toiyabe Chapter, Northern Nevada Building Trades and multiple conservation and labor groups — urged passage, arguing workers need clear guidance and that a regulatory approach allows stakeholder input by industry. Several business groups, including the Nevada Builders Alliance and Nevada Policy, opposed the measure as drafted, arguing the bill would impose onerous daily reporting and compliance burdens; many trade organizations ultimately reached neutral positions after negotiations and amendments that sent standards to the Division of Industrial Relations.

Testimony and committee discussion repeatedly emphasized carve-outs and flexibility: the sponsor and proponents said essential emergency work (firefighters, utilities, emergency services) would be carved out or addressed in regulation, and the regulatory process would allow distinctions by industry (for example, differences between continuous concrete pours and routine outdoor tasks). Committee members asked whether school policies or other existing standards cover vulnerable populations; proponents said the bill targets outdoor workers only and that school districts and indoor settings are governed separately.

The committee moved SB 260 in a work session and voted to advance the measure (do pass); the motion passed on a voice vote. The chair assigned the floor statement to Assembly member Torres Faucette.","mediaType","Video","parentTitle","5/31/2025 - Assembly Committee on Commerce and Labor","oneSentenceSummary","The Assembly committee voted to send SB 260 to the floor, directing Nevada regulators to write rules that would require employers to monitor wildfire-smoke air quality and reduce outdoor-worker exposure at specified AQI levels.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6547233,"Nevada committee backs bill to require PBM rebate pass-through, fiduciary duty for patients",2395,377000,2772000,"/Search/View?dp=1&key=3803013-9a19b52ef2ae64f5fbac61f363190779&start=377&end=2772","https://assets.pipeline.soar.com/3803013-9a19b52ef2ae64f5fbac61f363190779/thumbnail_377000.jpg","/articles/6547233/Nevada/Nevada-committee-backs-bill-to-require-PBM-rebate-pass-through-fiduciary-duty-for-patients","https://secure.pipeline.soar.com/6547233-e3c8084c323a68f2f80c2b14cbaaf9f4/orig.mp4?Expires=1771166096&Signature=hyFigNGPQgCBMvPdee0IuoOzb7cHmcte6MxumRjOS3Cbujm8P~KbeERN8z1J6GAL5fINcfvOBYkqtPX4d2c9lMw37vGTYOu92VTNBGXNZ7TYCbo5JHzQ0Mx1Md-UT0K~gn6dBi07BcIVOwoIJNW6taQ2BwRsvphNlXu72MEhJjQk9LXvKD1deH8GCuyXQqiwHKDH7OWFRN4G-uza5Y7cGfBhnjVmM6VO7nNAo~NcYTUM6kkoH2Zoq4~t-uikQVwn4KDcRJ52dmxuW64NugTLAWEKeCHAZpgOnm7SE4pfpN3XSHiTYMm0F1~u-8Ie~FztvY6UVWgwkxg0169cj47x-Q__&Key-Pair-Id=KUT5TJCACFTXG","Senator Rochelle Winn, sponsor of Senate Bill 316, told the Assembly Committee on Commerce and Labor that the measure addresses how pharmacy benefit managers, or PBMs, handle rebates and discounts and would require the savings to flow to patients. \"Too many Nevadans cannot afford their life changing and life saving prescription drugs,\" Winn said, adding that PBMs have \"manipulated the market driving up the costs of drugs and putting smaller pharmacies out of business.\"

The bill would require PBMs and carriers to pass rebate savings to patients either at the pharmacy counter or by lowering enrollee cost-sharing, establish reporting requirements to the Division of Insurance, and create a statutory duty of care and a fiduciary obligation to prioritize patients over shareholders. Caitlin Cardavani of New Day Nevada, who testified with the sponsor, said the bill is broken into four parts, including strong transparency reporting and rebate pass-through provisions: \"This bill will require that 100% of the rebate minus agreed upon fees and other required reimbursements goes to benefit the patient either at the point of sale at the pharmacy counter or through lowering their out of pocket cost sharing obligations with their health insurer.\"

Supporters — including the Nevada Pharmacy Alliance, the Nevada Society of Dermatology and Dermatologic Surgery, and independent pharmacists — said PBM consolidation has concentrated market power (the sponsor said three PBMs control about 80% of the market) and that rebate structures have not reduced consumer out-of-pocket costs. Several supporters cited Arkansas data that they say showed roughly $400–$500 in annual savings at the pharmacy counter for selected drugs after rebate-pass-through policies were enacted there.

Opponents — including trade groups for PBMs and health plans (PCMA, Nevada Association of Health Plans, AHIP) — said the bill as written could shift administrative costs onto plans and enrollees, raise premiums and out-of-pocket costs, and create legal uncertainty because of the expanded fiduciary language. Paul Young of PCMA warned manufacturers might refuse to pay certain administrative fees if the bill's rebate definition was not carefully limited, which could raise consumer costs. Trey Abney of AHIP said rebate pass-through mandates have been estimated elsewhere to raise premiums and reduce shared savings across enrollees.

Committee counsel and the Division of Insurance answered procedural and technical questions during the hearing. The Division of Insurance described prior fiscal-note activity and said it would need resources to administer the new reporting and enforcement obligations; the sponsor said the bill as amended includes funding and cited an implementation staffing estimate of about four employees and roughly $900,000 to support enforcement and reporting.

After the hearing the committee moved to a work session and voted to advance SB 316 as amended (motion to do pass as amended). The motion passed on a voice vote; the committee chair assigned the floor statement to Assembly member Miller.

The measure explicitly excludes self-insured plans, Medicaid, Public Employees' Benefits (PEB) plans and other ERISA plans from the bill's pass-through requirement, leaving the mandate aimed at for-profit carriers and PBMs, according to sponsor remarks.","The Assembly Committee on Commerce and Labor voted to advance SB 316 after hearings where supporters said the bill would force pharmacy benefit managers to pass rebates to patients at the point of sale and create a duty of care and fiduciary obligations to patients; opponents warned of higher premiums and legal/operational risks.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6547223,"Committee approves work session recommendation on SB 173, with one recorded no vote",140,119000,259000,"/Search/View?dp=1&key=3803013-9a19b52ef2ae64f5fbac61f363190779&start=119&end=259","https://assets.pipeline.soar.com/3803013-9a19b52ef2ae64f5fbac61f363190779/thumbnail_119000.jpg","/articles/6547223/Nevada/Committee-approves-work-session-recommendation-on-SB-173-with-one-recorded-no-vote","https://secure.pipeline.soar.com/6547223-637f380fdf1eba7214a7c480ee3b58a5/orig.mp4?Expires=1771166096&Signature=ZF2QEDDzu3hek~pDEraKOyVNcyB1aJGZfD~uGh9DthQdezosuHv~QeJ2rgdYOMExyLInmqE77G7m9MdPHOfGEYy4r6x9MNPdhI9au1g9NaXMaj1Ezk~RZ~pqDB80Xl7bFoEQH9OSNiVkFdUtZ9isreB9VFE8DcwETe1GKtGsOsNSMeENstM6YGw6vaVF9NPKZZJTEEjgtIbqQEHlEtDnx8vaurGcnELjzeXsj0uv4meqmr1qhxZ0hVBMHP-sulBJzPBqxOBb1Z~ctyF9kaR~vzKarIoA~SUVncEgrdLOrHIJhpEgvH9iGV7X8kiOUC~9fZSflF4OuYkd5cYa6F32OQ__&Key-Pair-Id=KUT5TJCACFTXG","Chair Marzola opened a work session on Senate Bill 173 and said the speaker had waived the 24-hour rule so the committee could act. The chair noted the committee would consider two proposed amendments and that the purpose of the work session is to take action on measures previously heard.

Assembly member Kasama recorded a no vote and explained the reason on the record: she said she supported many aspects of the bill — disposable utensils, tree and heat mitigation provisions — but had concerns about Section 24 relating to manufacturers. \"I just feel like we're not giving them enough time or options for other products,\" Kasama said. \"That's why, unfortunately ... I will be voting no.\"

The chair called the voice vote on the motion; members voted aye and the chair recorded nays specifically from Assembly member Kasama, Urich, Cole and Hardy. The motion passed and the chair assigned the floor statement to Assembly member Roth. The committee then closed the work session.","The committee conducted a work session on SB 173 concerning environmental provisions, adopted a committee recommendation and assigned the floor statement; one member (Assembly member Kasama) recorded a no vote citing timing concerns for manufacturers in Section 24.","actionData","errors"]

Article not found

Committee advances bill directing Nevada regulators to write wildfire smoke protections for outdoor workers

Nevada committee backs bill to require PBM rebate pass-through, fiduciary duty for patients

Committee approves work session recommendation on SB 173, with one recorded no vote