NRS 695G.1643 Required provision concerning coverage for habilitative speech-language pathology or rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts.
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NRS 695G.1643 Required provision concerning coverage for habilitative speech-language pathology or rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts.
1. A managed care organization that offers or issues a health care plan shall include in the plan coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as a treatment for stuttering for insureds who are less than 26 years of age.
2. A managed care organization shall not:
(a)Set a maximum annual limit on the benefits described in subsection 1, including, without limitation, a limit on the number of annual visits to a speech-language pathologist;
(b)Limit the benefits described in subsection 1 based on the cause of the stuttering; or
(c)Subject the benefits described in subsection 1 to medical management techniques.
3. A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by subsection 1, and any provision of the plan that conflicts with the provisions of this section is void.
4. As used in this section:
(a)“Habilitative speech-language pathology” means services that constitute the practice of speech-language pathology which help a person keep, learn or improve skills and functioning for daily living.
(b)“Medical management technique” means a practice which is used to control the cost or use of health care services or prescription drugs. The term includes, without limitation, the use of step therapy, prior authorization and categorizing drugs and devices based on cost, type or method of administration.
(c)“Practice of speech-language pathology” has the meaning ascribed to it in NRS 637B.060 .
(d)“Rehabilitative speech-language pathology” means services that constitute the practice of speech language pathology which help a person restore or improve skills and functioning for daily living that have been lost or impaired.