Nevada

NRS 695C.010 Short title.

NRS 695C.020 Legislative declaration.

NRS 695C.030 Definitions.

NRS 695C.050 Applicability of certain provisions.

NRS 695C.055 Applicability of certain other provisions.

NRS 695C.057 Applicability of certain provisions concerning portability and availability of health insurance.

NRS 695C.060 Establishment of health maintenance organization.

NRS 695C.070 Certificate of authority: Application.

NRS 695C.080 Certificate of authority: Evaluation of application.

NRS 695C.090 Certificate of authority: Issuance.

NRS 695C.100 Certificate of authority: Denial.

NRS 695C.110 Governing body: Composition; participation by enrollees.

NRS 695C.120 Powers of health maintenance organization.

NRS 695C.123 Contracts with certain federally qualified health centers.

NRS 695C.125 Contract between health maintenance organization and provider of health care: Organization required to use form to obtain information on provider of health care; modification; submission by organization of schedule of payments to provider.

NRS 695C.128 Contracts to provide services pursuant to certain state programs: Payment of interest on claims.

NRS 695C.130 Notice and approval required for exercise of powers; rules or regulations.

NRS 695C.140 Notice and approval required for modification of operations; regulations.

NRS 695C.145 Accounting principles required for certain reports and transactions; health maintenance organization subject to requirements for certain insurers.

NRS 695C.150 Fiduciary responsibilities.

NRS 695C.160 Investments.

NRS 695C.161 Definitions.

NRS 695C.163 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.

NRS 695C.165 Health maintenance organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is enrolled in health care plan.

NRS 695C.167 Certain accommodations required to be made when child is covered under health care plan of noncustodial parent.

NRS 695C.169 Health maintenance organization required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.

NRS 695C.170 Evidence of coverage: Issuance; form and contents.

NRS 695C.171 Required provision in plan covering mastectomies concerning coverage relating to mastectomy; prohibited acts.

NRS 695C.172 Evidence of coverage containing exclusion, reduction or limitation of coverage relating to complications of pregnancy; prohibited acts; exception.

NRS 695C.173 Plan covering family member of enrollee required to include certain coverage for enrollee’s newly born and adopted children and children placed with enrollee for adoption.

NRS 695C.176 Required provision concerning coverage for hospice care.

NRS 695C.177 Reimbursement for treatments by licensed psychologist.

NRS 695C.178 Reimbursement for treatment by chiropractic physician.

NRS 695C.179 Reimbursement for services provided by certain nurses.

NRS 695C.185 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply.

NRS 695C.187 Schedule for payment of claims: Mandatory inclusion in arrangements for provision of health care.

NRS 695C.190 Commissioner authorized to require submission of information necessary to determine approval or disapproval of filing.

NRS 695C.194 Provision of health care services to recipients of Medicaid or enrollees in Children’s Health Insurance Program: Requirement to contract with hospital with certain endorsement for inclusion in network of providers.

NRS 695C.200 Approval of forms and schedules.

NRS 695C.201 Offering policy of health insurance for purposes of establishing health savings account.

NRS 695C.202 Provision of health care services to recipients of Medicaid: Notice to recipients if Nevada Health Authority obtains waiver to provide dental care to persons with diabetes; coordination to ensure receipt of such care.

NRS 695C.203 Health maintenance organization prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.

NRS 695C.204 Health maintenance organization prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.

NRS 695C.205 Health maintenance organization prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions.

NRS 695C.207 Health maintenance organization prohibited from requiring or using information concerning genetic testing.

NRS 695C.210 Annual report of financial condition and financial statement; quarterly statement; administrative penalty for failure to file timely report or statement; extension of time.

NRS 695C.215 Financial statement required to include report of net worth.

NRS 695C.220 Applications, filings and reports open to public inspection; exception.

NRS 695C.230 Fees; forwarding of premium tax.

NRS 695C.240 Information required to be available for inspection.

NRS 695C.260 Establishment of system for resolving complaints and system for conducting external review of adverse determinations required.

NRS 695C.265 Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.

NRS 695C.267 Provision requiring binding arbitration authorized; procedures for arbitration; declaratory relief.

NRS 695C.270 Surety bond or deposit required; waiver.

NRS 695C.275 Commissioner required to adopt regulations for licensing of provider-sponsored organizations to extent authorized by federal law.

NRS 695C.280 Commissioner authorized to adopt regulations for licensing of agents or brokers.

NRS 695C.290 Insurance company authorized to establish or contract with health maintenance organization.

NRS 695C.300 Prohibited practices.

NRS 695C.310 Examinations by Commissioner: Affairs of and compliance program used by health maintenance organization; submission of books and records; assessment of expenses; exception.

NRS 695C.311 Examinations by Commissioner: Financial condition of health maintenance organization; application for initial certificate of authority; exception.

NRS 695C.313 Financial examination: Procedure; appointment of examiner; maintenance and use of records; penalty for obstruction or interference.

NRS 695C.315 Financial examination: Payment of expense.

NRS 695C.317 Procedures required for examination and hearing.

NRS 695C.318 Insolvency; determination of financial condition; actions by Commissioner; review; regulations.

NRS 695C.319 Power of Commissioner to order corrective action for hazardous operation or violation of law; regulations.

NRS 695C.320 Rehabilitation, liquidation or conservation: Conduct.

NRS 695C.325 Offering health care plan to certain small employers for purposes of establishing medical savings accounts.

NRS 695C.326 Health maintenance organization required to provide data relating to claims and costs to person responsible for overseeing health care plan upon request; annual report; format.

NRS 695C.328 Disclosure of data relating to claims and costs prohibited; exceptions; penalties for unauthorized disclosure.

NRS 695C.329 Penalty for failure of health maintenance organization to comply with certain requirements for electronic maintenance, transmittal and exchange of health information.

NRS 695C.330 Disciplinary proceedings: Grounds; effect of suspension or revocation.

NRS 695C.340 Disciplinary proceedings: Notice; hearing; judicial review.

NRS 695C.350 Violations: Remedies; penalties.

NRS 695C.1691 Required provision in certain plans concerning coverage for continued medical treatment; exceptions; regulations.

NRS 695C.1693 Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of health maintenance organization to require certain information; immunity from liability.

NRS 695C.1694 Required provision in plan covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception.

NRS 695C.1695 Required provision in plan covering outpatient care concerning coverage of health care services related to hormone replacement therapy; prohibited acts.

NRS 695C.1696 Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions.

NRS 695C.1698 Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts.

NRS 695C.1699 Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts.

NRS 695C.1701 Health maintenance organization required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.

NRS 695C.1703 Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary.

NRS 695C.1705 Group health care plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.

NRS 695C.1708 Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amount as though provided in person or by other means; prohibited acts; requirements for certain health maintenance organizations concerning teledentistry.

NRS 695C.1709 Required provision in group insurance policy concerning continuing coverage for enrollee on leave without pay as result of total disability.

NRS 695C.1712 Health care plan covering maternity care: Prohibited acts by organization if enrollee is acting as gestational carrier; child deemed child of intended parent for purposes of plan.

NRS 695C.1713 Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician.

NRS 695C.1715 Required provision concerning coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts.

NRS 695C.1717 Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts.

NRS 695C.1721 Required provision for coverage for procedure or service for preservation of fertility in certain circumstances; exemption. [Effective January 1, 2027.]

NRS 695C.1723 Required provision concerning coverage for treatment of certain inherited metabolic diseases.

NRS 695C.1727 Required provision in evidence of coverage covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes.

NRS 695C.1728 Required provision concerning coverage for management and treatment of sickle cell disease and its variants; plan covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disease and its variants.

NRS 695C.1731 Required provision in plan covering treatment of colorectal cancer concerning coverage for colorectal cancer screening.

NRS 695C.1733 Required provision in certain evidences of coverage concerning coverage for certain drugs and related services for treatment of cancer.

NRS 695C.1734 Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions.

NRS 695C.1735 Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts.

NRS 695C.1736 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds.

NRS 695C.1737 Required provision concerning coverage for examination of person who is pregnant for certain diseases.

NRS 695C.1743 Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts.

NRS 695C.1745 Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts.

NRS 695C.1751 Required provision in plan covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act.

NRS 695C.1753 Required provision concerning coverage for dental service provided by qualified dental hygienist in certain circumstances.

NRS 695C.1755 Evidence of coverage prohibited from excluding coverage for treatment of temporomandibular joint; exception.

NRS 695C.1757 Plan covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products.

NRS 695C.1759 Plan covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by health maintenance organization if insured is person with disability.

NRS 695C.1765 Reimbursement for acupuncture.

NRS 695C.1773 Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor.

NRS 695C.1775 Reimbursement for treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker.

NRS 695C.1783 Reimbursement for treatment by podiatrist.

NRS 695C.1789 Reimbursement for treatment by licensed clinical alcohol and drug counselor.

NRS 695C.1795 Reimbursement to provider of medical transportation.

NRS 695C.1798 Assignment of benefits by insured to provider of health care.

NRS 695C.3195 Conservation, rehabilitation or liquidation of health maintenance organization: Powers of Commissioner; claims of enrollees; distribution of general assets.

NRS 695C.16932 Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization.

NRS 695C.16934 Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of health maintenance organization to prescribe requirements for covering surgical treatments for minors; determination of medical necessity.

NRS 695C.16945 Plan covering prescription drugs: Required actions by health maintenance organization related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.

NRS 695C.16946 Required provision concerning coverage of recipients of Medicaid for antipsychotic or anticonvulsant medication that is not on list of preferred prescription drugs upon failure of drug on list to treat condition.

NRS 695C.16947 Plan covering prescription drugs: Submission to step therapy for drug to treat psychiatric condition prohibited in certain circumstances.

NRS 695C.17095 Plan covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of provisions.

NRS 695C.17305 Required provision for coverage for screening for lung cancer in health care plan that provides coverage for treatment for lung cancer.

NRS 695C.17333 Plan covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Health maintenance organization required to allow enrollee or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption.

NRS 695C.17335 Plan covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy.

NRS 695C.17343 Limitation on cost-sharing obligation for insulin covered under health care plan which provides coverage for prescription insulin.

NRS 695C.17345 Required provision in plan covering prescription drugs concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception.

NRS 695C.17347 Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances.

NRS 695C.17365 Required provision concerning coverage for noninvasive prenatal screening.