District 19 covers a vast swath of rural Nevada, including all of Elko, Eureka, Lincoln, and White Pine Counties and parts of Clark and Nye Counties.

Communities in the district include Carlin, Elko, Wells, West Wendover, Jackpot, Spring Creek, Eureka, Caliente, Alamo, Pioche, Ely, McGill, Amargosa Valley, Beatty, Pahrump, Round Mountain, Moapa, and Sandy Valley.

[4] It borders the states of California, Arizona, Utah, and Idaho.

[8] The new districts went into effect on January 1, 2012 for filing for office, and for nominating and electing senators.

After the 1991 redistricting the rural district encompassed Humboldt, Pershing and Elko Counties as well as parts of Lander and Eureka Counties.