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AB 52 Nevada Assembly · 2025 Regular Session

Revises provisions relating to the payment of claims under policies of health insurance. (BDR 57-367)

AB 52 revises Nevada's health insurance claim payment rules, requiring private insurers and health plans to approve or deny claims within 21 days (electronically submitted) or 30 days (paper submissions), and pay approved claims within the same timeframes. It mandates insurers to request additional information within 20 days of receiving a claim, prohibits denying claims without a reasonable basis, and requires detailed denial notices within 21/30 days. The bill also extends compliance penalties to dental plans and managed care organizations, and exempts Medicaid, CHIP, and public employee health programs from these requirements. These changes aim to streamline claim processing and improve payment timelines for providers.
Issues: ✓ HealthcareSupports HealthcareSets strict claim processing timelines (21/30 days), prohibits arbitrary denials, requires detailed denial notices, and improves patient access to insurance claims - directly strengthening patient rights and access under healthcare policy.95% confidence
Bill status signed all 5 stages cleared
Introduction
Nov 2024
Committee Review
May 2025
Assembly Passage
Jun 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Nov 19, 2024 Signed Jun 6, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

Reprint 2 → As Enrolled · 5 edits · Jun 6, 2025
MODERATE
This bill updates the timeline for health insurance claim processing to speed up payments for providers and patients. It standardizes rules for all health insurers, including dental and fraternal benefit societies, and extends penalties for late payments to these additional groups. The changes also clarify exemptions for government programs like Medicaid.
Scope change
The bill's scope was expanded to apply uniform claim payment rules to fraternal benefit societies, dental care issuers, and managed care organizations, which were previously excluded from some of these requirements.
TIMELINE

Claim approval and payment deadlines were shortened to 21 days for electronic submissions and 30 days for paper submissions, down from the previous 30-day standard.

The deadline for requesting additional information from claimants was changed from 20 calendar days to 20 working days.

ENFORCEMENT

Administrative penalties for failing to meet the new claim processing timelines were extended to apply to fraternal benefit societies, dental issuers, and managed care organizations.

REQUIREMENT

Health carriers must now provide an annual explanation to providers and patients detailing how they will pay claims.

ELIGIBILITY

The requirement to provide notice of claim denial was extended to 21 days (electronic) or 30 days (paper) instead of the previous 10-day rule.

Floor votes · Senate May 31, 2025 · Assembly May 28, 2025

How they voted

20–0
Passed
Total votes 20
May 31, 2025
D Democratic12
12 Yea
100% Yea
R Republican8
8 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
14
Key actions
8
Committee
4
Jun 6, 2025
Signed into law
Approved by the Governor. Chapter 366.
executive
Jun 1, 2025
Lower · Passed
In Assembly. To enrollment.
lower
May 31, 2025
Upper · Passed
Read third time. Passed. Title approved. Preamble adopted. (Yeas: 21, Nays: None.) To Assembly.
upper
May 30, 2025
Upper · Passed
From committee: Do pass. Placed on Second Reading File. Read second time.
upper
May 28, 2025
Lower · Passed
From printer. To reengrossment. Reengrossed. Second reprint. Read third time. Passed, as amended. Title approved. Preamble adopted. (Yeas: 42, Nays: None.) To Senate.
lower
May 27, 2025
Lower · Passed
From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 824.) To printer.
lower
Apr 24, 2025
Lower · Passed
From printer. To engrossment. Engrossed. First reprint. To committee.
lower
Apr 21, 2025
Lower · Passed
From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 235.) Taken from General File. Rereferred to Committee on Ways and Means. Exemption effective. To printer.
lower
Nov 19, 2024
Introduced
Prefiled. Referred to Committee on Commerce and Labor. To printer.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.