NevadaSB24683rd Regular Session (2025)SenateWALLET

AN ACT relating to insurance; requiring certain health plans to authorize a woman covered by such a plan to obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician; requiring such health plans to authorize a woman covered by such a plan to designate an obstetrician or gynecologist as her primary care physician under certain circumstances; and providing other matters properly relating thereto.

Sponsored By: Angela D. Taylor (Democratic), Julie Pazina (Democratic), Michelee "Shelly" Cruz-Crawford (Democratic), RobertaAssistant Majority Leader Lange (Democratic)

Signed by Governor

BDR 57-205

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 4 benefits, 1 costs, 1 mixed.

Faster insurer prior-authorization decisions

Beginning January 1, 2026, insurers cannot require prior authorization for the OB/GYN services covered by this law. Insurers and hospital or medical service corporations must file their prior-authorization procedures with the Insurance Commissioner. They must answer any prior-authorization request within 20 days unless another law requires a faster reply. Their procedures may not discriminate among licensed providers.

Medicaid: direct OB/GYN access for women

Beginning January 1, 2026, Nevada Medicaid lets a covered woman get OB/GYN care without prior authorization or a referral. She may choose an OB/GYN as her primary care doctor if the provider meets the Department’s PCP rules and agrees to the same terms as other PCPs.

State employees get direct OB/GYN access

Beginning January 1, 2026, if the state offers a self-insured health plan, it must follow these OB/GYN access rules. Women in those plans can get covered OB/GYN care without prior authorization or a referral and may choose an in-network OB/GYN as their primary care doctor if plan PCP rules are met.

Women get direct OB/GYN access in private plans

Beginning January 1, 2026, most private health plans must let a covered woman get OB/GYN care without prior authorization or a referral. Plans must also let her choose an in-network OB/GYN as her primary care doctor if the doctor meets the plan’s PCP rules and agrees to the same terms as other PCPs. This applies to individual and group policies, HMOs, managed care plans, hospital and medical service contracts, fraternal society benefit contracts, and voluntary purchasing groups.

Local governments can spend to comply

Beginning January 1, 2026, the usual limit in NRS 354.599 does not apply to extra local government costs tied to this law. Local governments can spend what they need to comply.

When these OB/GYN rules start

Agencies may start writing rules and preparing now. All coverage and access requirements apply to plans delivered, issued, or renewed on or after January 1, 2026. Section 10 takes effect immediately.

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Sponsors & Cosponsors

Sponsors

  • Angela D. Taylor

    Democratic • Senate

  • Julie Pazina

    Democratic • Senate

  • Michelee "Shelly" Cruz-Crawford

    Democratic • Senate

  • RobertaAssistant Majority Leader Lange

    Democratic • Senate

Cosponsors

  • Edgar Flores

    Democratic • Senate

  • MelanieChief Majority Whip Scheible

    Democratic • Senate

  • Rochelle T. Nguyen

    Democratic • Senate

  • SkipDeputy Majority Whip Daly

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 47 • No: 15

House vote 5/22/2025

Final Passage - Assembly (1st Reprint)

Yes: 27 • No: 15

Senate vote 4/1/2025

Final Passage - Senate (As Introduced)

Yes: 20 • No: 0

Actions Timeline

  1. Chapter 288.

    6/6/2025legislature
  2. Approved by the Governor.

    6/5/2025legislature
  3. Enrolled and delivered to Governor.

    5/31/2025legislature
  4. Assembly Amendment No. 564 concurred in. To enrollment.

    5/29/2025Senate
  5. In Senate.

    5/22/2025Senate
  6. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.) To Senate.

    5/22/2025House
  7. From printer. To engrossment. Engrossed. First reprint.

    5/22/2025House
  8. Read second time. Amended. (Amend. No. 564.) To printer.

    5/20/2025House
  9. From committee: Amend, and do pass as amended.

    5/19/2025House
  10. Read first time. Referred to Committee on Commerce and Labor. To committee.

    4/3/2025House
  11. In Assembly.

    4/3/2025House
  12. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.

    4/1/2025Senate
  13. Read second time.

    3/31/2025Senate
  14. From committee: Do pass.

    3/27/2025Senate
  15. From printer. To committee.

    2/27/2025Senate
  16. Read first time. Referred to Committee on Commerce and Labor. To printer.

    2/26/2025Senate

Bill Text

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