NevadaAB20283rd Regular Session (2025)HouseWALLET

AN ACT relating to insurance; revising certain definitions for the purposes of certain coverage for health care services; revising provisions governing the circumstances under which a managed care organization is not required to authorize coverage of a health care service; revising the applicability of certain provisions requiring certain insurers to establish a system of procedures for resolving complaints of insured persons and providing for the external review of an adverse determination to include certain insurers that issue policies or certificates that provide only dental coverage; revising the information which a health carrier is required to provide in a notice of an adverse determination; authorizing a dentist of a covered person to submit to the Office for Consumer Health Assistance in the Department of Health and Human Services a request for an external review of an adverse determination; requiring an independent review organization to notify the dentist of a covered person and a health carrier of certain information and the determination and reasons of the independent review organization; requiring a decision of an independent review organization to be based, in part, on certain documentary evidence, including any recommendation of the dentist of the insured; and providing other matters properly relating thereto.

Sponsored By: Tracy Brown-May (Democratic)

Signed by Governor

BDR 57-573

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Denials need clinician review and notice

A managed care plan can deny a covered service only after a Nevada-licensed doctor or dentist reviews your records and signs off. That clinician must have the right training and review notes, tests, and other records. When a plan issues an adverse decision, it must give clear notice of your right to external review. The notice must include the steps and forms, and say your doctor or dentist can ask for a fast review when delay could be dangerous.

External review for dental plans

Dental-only plans are now part of the state’s external review and complaint system. Your dentist can file an external review for you within 4 months of the denial notice. Licensed dentists count as clinical peers in reviews. The independent reviewer must consider your dentist’s recommendation and send the final decision to you and your dentist.

Sponsors & Cosponsors

Sponsor

  • Tracy Brown-May

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 62 • No: 0

Senate vote 5/19/2025

Final Passage - Senate (1st Reprint)

Yes: 20 • No: 0

House vote 4/22/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 23.

    5/27/2025legislature
  2. Approved by the Governor.

    5/26/2025legislature
  3. Enrolled and delivered to Governor.

    5/23/2025legislature
  4. In Assembly. To enrollment.

    5/20/2025House
  5. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.

    5/19/2025Senate
  6. Read second time.

    5/16/2025Senate
  7. From committee: Do pass.

    5/15/2025Senate
  8. Read first time. Referred to Committee on Commerce and Labor. To committee.

    4/29/2025Senate
  9. In Senate.

    4/28/2025Senate
  10. To Senate.

    4/25/2025House
  11. From printer. To engrossment. Engrossed. First reprint.

    4/25/2025House
  12. To printer.

    4/22/2025House
  13. Read third time. Passed, as amended. Title approved. (Yeas: 42, Nays: None.)

    4/22/2025House
  14. Dispensed with reprinting.

    4/21/2025House
  15. Read second time. Amended. (Amend. No. 42.)

    4/21/2025House
  16. Placed on Second Reading File.

    4/21/2025House
  17. From committee: Amend, and do pass as amended.

    4/21/2025House
  18. From printer. To committee.

    2/5/2025House
  19. To printer.

    2/4/2025House
  20. Read first time.

    2/4/2025House
  21. Referred to Committee on Commerce and Labor.

    2/3/2025House
  22. Prefiled.

    2/3/2025House

Bill Text

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