Healthcare (Children's Health)

signed · Nevada · Assembly May 30, 2025

AB 360: Revises provisions relating to testing for sexually transmitted diseases. (BDR 40-745)

AB 360 updates Nevada's requirements for syphilis testing during pregnancy. It expands testing obligations to include physician assistants and advanced practice nurses, and mandates that non-hospital facilities or hospital emergency/labor units use rapid or point-of-care tests (instead of standard blood tests) when results won't be available before a patient leaves, unless the patient has a syphilis history. The bill requires facilities to document patient refusals, develop compliance policies, and cover testing under Medicaid and other health insurance plans. It directly affects pregnant women in Nevada, healthcare providers, and medical facilities, aiming to improve early detection and treatment of syphilis to protect maternal and infant health.

Topics ✓ HealthcareSupports HealthcareExpands syphilis testing access during pregnancy by requiring rapid tests and including more providers, improving timely patient care and public health outcomes.90% confidence

Sub-Topics Children's Health Hospitals

in committee · Nevada · Assembly Jun 3, 2025

AB 297: Revises provisions relating to Medicaid. (BDR 38-838)

AB 297 (not Medicaid-related, as titled) creates a free postnatal home visitation program for new mothers in Nevada. It requires the state health department to provide at least two registered nurse visits per week for 28 days after birth, with no cost to the mother. The program must be funded using federal grants (like those under 42 U.S.C. § 711) and integrated into Nevada’s existing maternal and child health services. This directly affects new mothers in Nevada who give birth, aiming to improve postpartum care access.

Topics ✓ HealthcareSupports HealthcareCreates free postnatal nursing visits for new mothers, expanding access to maternal healthcare services without cost, directly strengthening public health program access.95% confidence

Sub-Topics Children's Health Healthcare Workforce

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signed · Nevada · Senate Jun 11, 2025

SB 494: Makes revisions relating to health and human services. (BDR 18-1116)

SB 494 creates the Nevada Health Authority to replace the Department of Health and Human Services for managing key health programs and services. The new Authority will include three divisions (Medicaid, Health Care Purchasing and Compliance, and Consumer Health) and assume responsibility for programs like Medicaid, the Children's Health Insurance Program, and the Public Employees’ Benefits Program. It transfers administration of the Graduate Medical Education Grant Program from the Office of Science, Innovation and Technology to the Consumer Health Division and updates the department name to "Department of Human Services." The bill also establishes the Nevada Health Authority Gift Fund to accept donations and updates related naming conventions.

Topics ✓ HealthcareSupports HealthcareCreates Nevada Health Authority to manage Medicaid, CHIP, and public health programs more effectively, restructuring administration to strengthen program oversight and continuity.85% confidence

Sub-Topics Children's Health

signed · Nevada · Assembly Jun 6, 2025

AB 52: 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.

Topics ✓ 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

Sub-Topics Children's Health

signed · Nevada · Senate Jun 6, 2025

SB 389: Revises provisions relating to the administration of pharmacy benefits under Medicaid and certain other health plans. (BDR 38-240)

SB 389 requires Nevada's Department of Health and Human Services to select a single state pharmacy benefit manager (SPBM) by January 1, 2030, to manage prescription drug coverage for Medicaid, the Children’s Health Insurance Program (CHIP), and other health plans using Medicaid’s formulary. The bill mandates reimbursement rates based on the "Nevada Average Acquisition Cost" (NAAC), which uses actual drug acquisition costs to maximize state savings, and requires Medicaid managed care organizations to contract with the SPBM and disclose pharmacy spending data. It also sets strict criteria for SPBM selection, prohibits conflicts of interest, and requires Department approval for all pharmacy contracts under the SPBM.

Topics ✓ HealthcareSupports HealthcareRequires single SPBM and NAAC reimbursement to maximize Medicaid savings, supporting program efficiency and coverage sustainability without restricting benefits.85% confidence

Sub-Topics Children's Health Prescription Drugs

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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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

signed · Nevada · Assembly Jun 11, 2025

AB 463: Revises provisions relating to prior authorization. (BDR 57-825)

AB 463 revises California health insurance rules for prior authorization, directly affecting insurers (including Medicaid, CHIP, and public employee plans), healthcare providers, and patients. It requires insurers to approve or deny non-urgent care requests within 48 hours and urgent care within 24 hours, mandates physician/dentist reviews for denials, and prohibits prior authorization for emergency services, preventive care, and certain chronic treatments. The bill also bans insurers from denying coverage due to missing prior authorization if it wasn’t required for that care at the time, and requires clear online disclosure of authorization procedures. Insurers must honor prior authorizations for up to 12 months (or longer for chronic conditions) and pay full rates for approved services.

Topics ✓ HealthcareSupports HealthcareRequires insurers to approve/deny requests faster, bans prior auth for emergency/preventive care, mandates physician reviews for denials - improves patient access and reduces barriers to care.92% confidence

Sub-Topics Children's Health Primary Care

in committee · Nevada · Assembly Jun 3, 2025

AB 290: Revises provisions relating to prior authorization for medical or dental care under health insurance plans. (BDR 57-861)

AB 290 revises prior authorization rules for health and dental insurance coverage, affecting all health insurers (including Medicaid and CHIP plans) and the patients and providers who rely on them. It requires insurers to publicly list covered services needing authorization and their clinical criteria, shorten response times (48 hours for urgent care, 7 days for routine care), and prohibit denying claims if prior authorization wasn't required at the time of service. The bill also mandates disclosure of AI use in processing requests, requires physician review for denials, and bans prior authorization for emergency care. These changes aim to increase transparency, reduce delays, and protect patients from unnecessary coverage denials.

Topics ✓ HealthcareSupports HealthcareRequires insurers to shorten authorization response times, prohibit improper claim denials, and increase transparency - directly improving patient access to care and protecting patient rights under healthcare insurance.95% confidence

Sub-Topics Children's Health

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vetoed · Nevada · Senate Jun 10, 2025

SB 128: Makes changes related to health care. (BDR 57-87)

SB 128 modifies healthcare coverage rules to protect patients from automated denials and improve access to information about stem cell treatments. It prohibits health insurers (including Medicaid, CHIP, and public employee plans) from using AI or automated tools to deny, modify, or reduce coverage for prior authorization requests, requiring human review by qualified healthcare professionals instead. The bill also mandates that doctors discuss stem cell therapy options with patients diagnosed with conditions like arthritis or osteoarthritis, and inform new primary care patients about stem cell donation, banking, or storage options during their first visit. These changes directly affect patients seeking coverage, healthcare providers, and insurers operating in Nevada.

Topics ✓ HealthcareSupports HealthcareProhibits AI/automated denials in coverage, mandates human review for prior authorizations, and requires stem cell therapy discussions, protecting patient access and rights in healthcare coverage.95% confidence ✗ TechnologyOpposes TechnologyProhibits AI/automated tools in healthcare coverage denials, restricting technology use in decision-making per bill text.90% confidence

Sub-Topics Children's Health Primary Care Artificial Intelligence

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