---
type: "Bill"
title: "Revises provisions relating to health care. (BDR 40-462)"
description: "Revises provisions relating to health care. (BDR 40-462)"
jurisdiction: "us/states/nv"
legislature: "Nevada Legislature"
session: "82"
identifier: "SB 146"
citation: "Nevada SB 146 (82)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Pat Spearman", "Roberta Lange"]
version_count: 6
action_count: 12
vote_count: 2
first_action: "2023-02-14T08:00:00+00:00"
last_action: "2023-06-01T07:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8858ffc9-366d-4e38-b444-2478a9270216"
source_url: "https://www.leg.state.nv.us/App/NELIS/REL/82nd2023/Bill/9835/Overview"
source_hash: "4af86dd6b4d01fada57e389d06c2d1e71ec36ee032ee2d42f23a808c9ce5cb19"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nv"]
---

# Nevada SB 146 (82) — Revises provisions relating to health care. (BDR 40-462)

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As Introduced** (filed) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB146.pdf)
2. **Amendment 230** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/Amendments/A_SB146_230.pdf)
3. **Amendment 647** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/Amendments/A_SB146_R1_647.pdf)
4. **Reprint 1** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB146_R1.pdf)
5. **Reprint 2** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB146_R2.pdf)
6. **As Enrolled** (enrolled) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB146_EN.pdf)

## Votes

- Senate (1st Reprint) — **21–0** (pass) · upper
- Assembly (2nd Reprint) — **42–0** (pass) · lower

## Sponsors

- Pat Spearman — primary (person)
- Roberta Lange — primary (person)
- Fabian Doñate — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-02-14T08:00:00+00:00** Read first time. Referred to Committee on Health and Human Services. To printer. `reading-1, referral-committee`
- **2023-02-15T08:00:00+00:00** From printer. To committee.
- **2023-04-20T07:00:00+00:00** From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 230.) To printer. `committee-passage, reading-2`
- **2023-04-21T07:00:00+00:00** From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To Assembly. `passage, reading-3`
- **2023-04-24T07:00:00+00:00** In Assembly. Read first time. Referred to Committee on Health and Human Services. To committee. `reading-1, referral-committee`
- **2023-05-23T07:00:00+00:00** From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 647.) To printer. `committee-passage, reading-2`
- **2023-05-24T07:00:00+00:00** From printer. To reengrossment. Reengrossed. Second reprint. Taken from General File. Placed on General File for next legislative day.
- **2023-05-25T07:00:00+00:00** Read third time. Passed, as amended. Title approved. (Yeas: 42, Nays: None.) To Senate. `passage, reading-3`
- **2023-05-26T07:00:00+00:00** In Senate.
- **2023-05-27T07:00:00+00:00** Assembly Amendment No. 647 concurred in.
- **2023-05-29T07:00:00+00:00** To enrollment. Enrolled and delivered to Governor. `enrolled, executive-receipt, passage`
- **2023-06-01T07:00:00+00:00** Approved by the Governor. Chapter 163. `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8858ffc9-366d-4e38-b444-2478a9270216`. Confidence: reported (aggregated from official Nevada legislature records).