Bilbray-Axelrod is a third-generation Nevadan born in Las Vegas in 1973, and graduated from the University of San Diego where she studied political science and government.
She interned in the Clinton White House and then-Sen. Joe Biden's office, and was Congresswoman Dina Titus' liaison for veteran's affairs, environmental, and education issues from 2009 to 2011.
[3] Bilbray-Axelrod ran for the Assembly in 2016, prevailing in a three-way Democratic primary and defeating Republican Matt Williams in the general election.
[3] In March 2017, in accordance with Federal law and as a requirement of all employees of Organized Karma, it was reported Bilbray-Axelrod had registered in 2016 as a foreign agent on behalf of Saudi Arabia.
[3] As a Nevada Assemblywoman, Bilbray-Axelrod has served on Assembly committees for Government Affairs, Legislative Operations and Elections, Transportation, Growth and Infrastructure, and Judiciary.