NV AB591

Appropriates funds from the State General Fund and State Highway Fund to support Nevada's civil government operations for the 2025-2027 biennium, covering all executive branch agencies, the judiciary, and the legislature

Provides major funding allocations including approximately $1.175 billion in FY2025-26 and $1.273 billion in FY2026-27 for Nevada Medicaid, $278 million annually for UNLV, and $179 million annually for UNR

Establishes transfer authorities allowing certain budget accounts (including Medicaid, child welfare, and emergency services) to move appropriations between fiscal years with Interim Finance Committee approval

Sets fiscal controls including suspending transfers to the Budget Stabilization Account during the biennium, requiring up to 15% reserves if the General Fund ending balance falls below $175 million, and mandating that personal care service providers pay direct care workers at least $16 of their $25/hour reimbursement rate

Requires the Legislative Auditor to conduct an audit of the Early Intervention Services Program by January 31, 2027, and establishes loan repayment requirements for the Nevada Employee Savings Trust administration and Nevada Office of Cyber Defense Coordination appropriations