This study discusses the development of the present four associate degree nursing programs in the state of Nevada. It begins with a brief overview of the development of the associate degree program in the nation. Next it examines the survey of Nevada\u27s nursing needs and the plans and actions taken by citizens of Nevada in response to the survey; The first school began in what later became the University of Nevada, Las Vegas. In 1967 federal money was obtained to operate associate degree and baccalaureate nursing classes as a joint venture between the Reno and Las Vegas campuses of the University of Nevada. These classes were conducted by closed circuit television. By the end of the television project, the community college system was beginning, and an associate degree program opened in the Reno area community college. The next program opened in Elko at Northern Nevada Community College, in 1978, and in 1982 Western Nevada Community College in Carson City began its program; The development of the programs was influenced by the growth of associate degree nursing programs in the nation, and by the growth of the university and community college system in Nevada. The curriculums for the schools followed the general pattern set by Mildred Montag; The study closes with some questions about the future which revolve about the preparation and utilization of the associate degree nurse versus changes in health care provisions and escalating costs