SB 337 Nevada Senate · 2025 Regular Session

Revises provisions relating to opioids. (BDR 40-204)

SB 337 requires health care facilities, providers, and insurers to offer patients a "non-opioid directive" form (allowing patients to decline opioids) and provide non-opioid treatment alternatives under specific circumstances. Starting January 1, 2027, facilities and providers must offer non-opioid alternatives to patients who request them or have completed the directive, except in limited cases. The bill mandates insurers to provide the form to new enrollees and creates a state advisory board to monitor compliance and recommend policies on opioid alternatives. It applies to all licensed health facilities, providers prescribing opioids, and health insurers, with enforcement through regulatory reviews and potential payment reductions for violations.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2025

Committee Review

Floor Vote

Governor

Introduced Mar 12, 2025 Last action Jun 3, 2025

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What changed between versions

As Introduced → Reprint 1 · 5 edits

MODERATE

SB 337 was amended to expand its scope from requiring 'providers of health care' to requiring 'practitioners' to offer non-opioid directives, and to add requirements for health insurance policies to cover opioid alternatives and safe withdrawal drugs. The bill also updated the effective date for alternative treatment requirements from January 1, 2027 to the later of July 1, 2027 or six months after regulations become effective.

Scope change

The bill now applies to 'practitioners' rather than just 'providers of health care,' and adds new requirements for health insurance coverage of opioid alternatives and substance use disorder treatments.

ELIGIBILITY

Changed requirement from 'providers of health care' to 'practitioners' for offering non-opioid directives.

REQUIREMENT

Added requirement for health insurance policies to cover drugs supporting safe withdrawal from substance use disorder and medication-assisted treatment for opioid use disorder.

Added requirement for certain public and private health insurance policies to cover drugs that are alternatives to opioids.

Added prohibition on insurers imposing prior authorization or other conditions on covered opioid alternatives that aren't imposed on opioids.

TIMELINE

Changed effective date for alternative treatment requirements from January 1, 2027 to the later of July 1, 2027 or six months after regulations become effective.

Floor votes

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Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 24, 2025

Upper · Passed

From printer. To engrossment. Engrossed. First reprint. To committee.

upper

Apr 21, 2025

Upper · Passed

From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 464.) Notice of eligibility for exemption. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

upper

Mar 13, 2025

Upper · Passed

From printer. To committee.

upper

1 primary · 0 co-sponsors