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---
type: "Bill"
title: "Revises provisions relating to step therapy protocols. (BDR 57-885)"
description: "Revises provisions relating to step therapy protocols. (BDR 57-885)"
jurisdiction: "us/states/nv"
legislature: "Nevada Legislature"
session: "82"
identifier: "SB 194"
citation: "Nevada SB 194 (82)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Edgar Flores", "James Ohrenschall", "Lisa Krasner"]
version_count: 6
action_count: 15
vote_count: 2
first_action: "2023-02-23T08:00:00+00:00"
last_action: "2023-06-01T07:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/fa9b8957-bdde-47a7-9890-e29e15feeddf"
source_url: "https://www.leg.state.nv.us/App/NELIS/REL/82nd2023/Bill/9954/Overview"
source_hash: "b3d2411eafc3648735e9aae43f154ec7da4f7347e0404cc1e0840e2b2db395f6"
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 194 (82) — Revises provisions relating to step therapy protocols. (BDR 57-885)
## 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/SB194.pdf)
2. **Amendment 240** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/Amendments/A_SB194_240.pdf)
3. **Amendment 530** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/Amendments/A_SB194_R1_530.pdf)
4. **Reprint 1** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB194_R1.pdf)
5. **Reprint 2** (committee substitute) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB194_R2.pdf)
6. **As Enrolled** (enrolled) — [source](https://www.leg.state.nv.us/Session/82nd2023/Bills/SB/SB194_EN.pdf)
## Votes
- Assembly (2nd Reprint) — **420** (pass) · lower
- Senate (1st Reprint) — **210** (pass) · upper
## Sponsors
- Edgar Flores — primary (person)
- James Ohrenschall — primary (person)
- Lisa Krasner — primary (person)
- Jeff Stone — cosponsor (person)
- Julie Pazina — cosponsor (person)
- Roberta Lange — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-23T08:00:00+00:00** Read first time. Referred to Committee on Commerce and Labor. To printer. `reading-1, referral-committee`
- **2023-02-27T08:00:00+00:00** From printer.
- **2023-03-01T08:00:00+00:00** To committee.
- **2023-04-18T07:00:00+00:00** From committee: Amend, and do pass as amended. Placed on Second Reading File. `committee-passage`
- **2023-04-19T07:00:00+00:00** Read second time. Amended. (Amend. No. 240.) To printer. `reading-2`
- **2023-04-20T07:00:00+00:00** From printer. To engrossment. Engrossed. First reprint. Taken from General File. Placed on General File for next legislative day.
- **2023-04-21T07:00:00+00:00** Taken from General File. Placed on General File for next legislative day.
- **2023-04-24T07:00:00+00:00** Taken from General File. Placed on General File for next legislative day.
- **2023-04-25T07:00:00+00:00** Read third time. Amended. (Amend. No. 530.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To printer. `passage, reading-3`
- **2023-04-26T07:00:00+00:00** From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. In Assembly. Read first time. Referred to Committee on Commerce and Labor. To committee. `reading-1, referral-committee`
- **2023-05-19T07:00:00+00:00** From committee: Do pass. `committee-passage`
- **2023-05-22T07:00:00+00:00** Read second time. `reading-2`
- **2023-05-23T07:00:00+00:00** Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate. In Senate. To enrollment. `passage, reading-3`
- **2023-05-26T07:00:00+00:00** Enrolled and delivered to Governor. `enrolled, executive-receipt`
- **2023-06-01T07:00:00+00:00** Approved by the Governor. Chapter 151. `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fa9b8957-bdde-47a7-9890-e29e15feeddf`. Confidence: reported (aggregated from official Nevada legislature records).