Healthcare (Insurance)

signed · Nevada · Senate May 31, 2025

SB 268: Revises provisions relating to insurance coverage for certain dental services. (BDR 57-329)

SB 268 requires Nevada health insurance plans (including Medicaid) to cover dental services provided by qualified dental hygienists without dentist supervision, on the same terms as services provided with supervision. It defines a "qualified dental hygienist" as one with a special Nevada Board of Dental Examiners endorsement, employed by a nonprofit, and providing services within that scope. The law mandates this coverage for all new or renewed policies issued on or after October 1, 2025, affecting insurers, dental hygienists, and patients seeking these services. This directly impacts insurance companies by requiring policy changes and expands access to dental care for Nevadans served by nonprofit organizations.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for dental hygienist services without supervision, expanding access to dental care under Medicaid and health plans.95% confidence

Sub-Topics Insurance Medicaid

in committee · Nevada · Assembly Apr 12, 2025

AB 382: Revises provisions relating to health insurance coverage for biomarker testing. (BDR 57-913)

AB 382 requires health insurers in Nevada to cover biomarker testing for the diagnosis, treatment, management, or ongoing monitoring of *any* medical condition or disease when supported by medical evidence - expanding coverage beyond the previous limitation to cancer-related testing. It removes the prior requirement that coverage be deemed "medically necessary" and mandates insurers to: (1) cover such testing without prior authorization delays (24 hours for urgent requests, 72 hours otherwise), (2) establish clear appeal processes for denied coverage, and (3) publish these processes online. The bill directly affects all public and private health plans (including Medicaid and state employee plans) and their insured patients seeking biomarker testing for non-cancer conditions. Coverage remains limited to tests supported by evidence like FDA approvals, clinical guidelines, or national coverage determinations, excluding screening or tests outside a provider’s scope.

Topics ✓ HealthcareSupports HealthcareExpands health insurance coverage to all medical conditions (not just cancer), removes 'medically necessary' barrier, and mandates timely coverage without prior authorization delays.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Nevada · Assembly Apr 12, 2025

AB 470: Revises provisions relating to prior authorization for medical or dental care under health insurance plans. (BDR 57-883)

AB 470 revises rules for prior authorization in health insurance, directly affecting insurers (including Medicaid, public employee plans, and private insurers), healthcare providers, and patients. It prohibits prior authorization for emergency care, requires insurers to respond to non-urgent requests within 48 hours (24 hours for urgent care), and mandates that insurers publish their authorization procedures and decision criteria online. The bill also prevents insurers from denying coverage for medically necessary care if prior authorization wasn't required for that service at the time, and ensures approved requests remain valid for 12 months. These changes aim to reduce delays, increase transparency, and protect patients from coverage denials due to outdated or unclear authorization rules.

Topics ✓ HealthcareSupports HealthcareProhibits prior authorization for emergencies, mandates 48-hour insurer response for non-urgent care, improving patient access and rights as per healthcare support indicators.95% confidence

Sub-Topics Insurance Medicaid

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in committee · Nevada · Assembly Apr 12, 2025

AB 295: Revises provisions relating to health insurance. (BDR 57-238)

AB 295 shortens health insurers' response times for prior authorization requests: 5 days for non-urgent care and 48 hours for urgent care. It requires insurers to clearly explain denials to patients and providers, extends approval validity to 12 months for chronic conditions, and mandates transparency about AI use in decisions (including physician review for denials). Insurers must also submit annual reports on prior authorization requests to state agencies, which will publish the data online. The bill applies to all health insurers, including Medicaid and CHIP programs, and imposes penalties for noncompliance.

Topics ✓ HealthcareSupports HealthcareShortens insurer response times, requires clear denial explanations, extends approvals for chronic conditions, and mandates transparency - improves patient access and accountability in health insurance.95% confidence ✓ TechnologySupports TechnologyMandates transparency about AI use in health insurance decisions, enhancing data privacy protections for patients and providers.85% confidence

Sub-Topics Children's Health Insurance Artificial Intelligence

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in committee · Nevada · Assembly Jun 3, 2025

AB 340: Requires health insurance to cover certain screenings, assessments and diagnoses. (BDR 57-351)

AB 340 requires Nevada health insurance plans (including Medicaid, employer-sponsored coverage, and individual plans) to cover screening, assessment, and diagnosis for attention deficit hyperactivity disorder (ADHD), fetal alcohol spectrum disorders, intellectual disabilities, and specific learning disabilities. This applies to individuals under 18 or up to age 22 if enrolled in high school, effective January 1, 2026. The bill mandates that all covered policies include this coverage without requiring insurers to reimburse schools for services delivered through schools. It applies to all regulated health insurance policies in Nevada, with enforcement through the Insurance Commissioner’s authority to suspend or revoke non-compliant plans.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for ADHD, fetal alcohol spectrum, and disability screenings, expanding access to preventive care for minors under 22.95% confidence

Sub-Topics Insurance Medicaid

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signed · Nevada · Assembly Jun 6, 2025

AB 555: Establishes provisions relating to the coverage of prescription insulin drugs under certain policies of health insurance. (BDR 57-1167)

AB 555 caps out-of-pocket costs for prescription insulin under private health insurance policies at $35 for a 30-day supply, directly affecting insured individuals with diabetes (including type I, II, and gestational diabetes). It prohibits insurers from charging more than this amount regardless of the specific insulin drug prescribed, while requiring coverage to align with standard policy terms for other treatments. The bill excludes coverage for Medicaid/CHIP recipients and government employees (including their dependents), and allows the Insurance Commissioner to penalize non-compliant insurers. This policy change takes effect immediately without additional state or local costs.

Topics ✓ HealthcareSupports HealthcareCaps insulin out-of-pocket costs at $35/30-day supply, directly improving access and reducing financial burden for diabetes patients under private insurance.90% confidence

Sub-Topics Children's Health Insurance Prescription Drugs

in committee · Nevada · Assembly Apr 12, 2025

AB 399: Requires certain health insurance to cover certain health care related to severe obesity. (BDR 57-657)

AB 399 requires most health insurance plans in Nevada, including Medicaid, to cover medically necessary bariatric surgery and related pre- and post-surgery care for individuals with severe obesity. This includes services like psychological screening, nutritional education, and physical therapy, but explicitly excludes weight loss drugs such as those injected to lower glucose levels. Insurers must cover one surgery per lifetime and can require a preoperative period of up to three months at an accredited facility. The law applies to policies issued, delivered, or renewed on or after January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for bariatric surgery and related care, expanding access to obesity treatment under Nevada's healthcare system.95% confidence

Sub-Topics Insurance Medicaid

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passed · Nevada · Senate Jun 4, 2025

SB 316: Revises provisions relating to insurance. (BDR 57-777)

SB 316 regulates pharmacy benefit managers (PBMs), the companies that manage prescription drug coverage for insurers. It prohibits PBMs from steering patients to affiliated pharmacies, requiring them to disclose fees and rebates to insurers, and mandating that PBMs pass all rebates to insurers. Insurers must then use these rebate funds exclusively to lower premiums or reduce patient cost-sharing for prescriptions, and cannot charge patients more than the insurer pays for a drug. This directly affects PBMs, health insurers, and patients by increasing transparency and reducing out-of-pocket costs.

Topics ✓ HealthcareSupports HealthcareRequires PBMs to pass rebates to insurers, lowering premiums and patient costs for prescriptions, directly improving affordability and access to medication.95% confidence

Sub-Topics Insurance Prescription Drugs

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vetoed · Nevada · Senate Jun 11, 2025

SB 352: Revises provisions relating to health care. (BDR 57-712)

SB 352 amends Nevada law to prohibit health insurers and health care providers from discriminating against patients based on race, color, national origin, sex, age, disability, or gender identity/expression. The bill expands existing protections by adding race, color, national origin, sex, age, and disability to the list of prohibited discrimination bases in health insurance policies and health care services. It also authorizes Nevada's health care licensing agencies to create specific anti-discrimination regulations and discipline providers who violate these rules. This applies directly to all health insurance companies, Medicaid, and health care facilities operating in Nevada.

Topics ✓ HealthcareSupports HealthcareBill explicitly prohibits healthcare discrimination based on protected categories, expanding patient rights protections in insurance and services per Nevada law.95% confidence

Sub-Topics Insurance Medicaid

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