The Truckee Meadows Public Lands Management Act transfers approximately 3,900 acres of federal land in Nevada to local governments, school districts, and tribal nations at no cost to support economic development, housing, conservation, and public services, with recipients responsible for transfer costs and required to return the land if it stops serving approved purposes like parks, schools, or fire reduction. The bill also designates approximately 223,101 acres as new wilderness areas and establishes five National Conservation Areas totaling about 632,461 acres to protect wildlife, scenic, recreational, and cultural resources while allowing continued grazing, hunting, and fishing. Additional provisions transfer approximately 19,692 acres to three Native American tribes—the Pyramid Lake Paiute Tribe, Reno-Sparks Indian Colony, and Washoe Tribe—adding these lands to their existing reservations, and authorize the federal government to sell federal lands for development and affordable housing through competitive bidding, with revenue from sales split among education (5%), local conservation projects (10%), and a special account for land acquisition and environmental projects (85%). Management plans for the National Conservation Areas must be completed within seven years through consultation with Indian Tribes and stakeholders, with motorized vehicle use restricted to designated routes.