# Nevada AB202: 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. Nevada AB202, 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., is a 83rd Regular Session (2025) House bill sponsored by Tracy Brown-May (Democratic); status signed, last action 2025-05-27 (Chapter 23.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB202-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB202 - State: Nevada - Session: 83rd Regular Session (2025) - Title: 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. - Status: signed - Chamber: House - Introduced: 2025-02-03 - Last action: 2025-05-27, Chapter 23. - Sponsor: Tracy Brown-May (Democratic) - Cosponsors: 0 - Subjects: BDR 57-573 - Touches household money: no - Roll calls: 2 (62 yes, 0 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - If review overturns denial, insurer pays: benefit, high. When the independent review overturns your insurer’s denial, the insurer must approve and cover the service right away. If the insurer failed to send records on time and the reviewer reverses the denial for that reason, the reviewer must promptly tell you, the insurer, and the state office and expl… - Dental plans get full appeal rights: benefit, medium. Dental-only insurance now uses the same complaint and external review rules as medical plans. Your dentist can file an external review for you within 4 months of a denial. Denial letters must say that a dentist, not just a doctor, can certify urgency for a faster review. Dentists count as your trea… - Faster, fairer external reviews of denials: benefit, medium. After you ask for external review, your insurer must do a first check in 5 business days and tell you and the state office the result within 1 business day. If the insurer says your request is ineligible, the Office for Consumer Health Assistance can still decide it is eligible and send it to revie… - Faster appeals for experimental denials: benefit, low. If your plan says a treatment is experimental or investigational, you have 4 months from the denial to ask for external review. You can make an oral expedited request when your doctor or dentist certifies in writing that delay would make the treatment less effective. The Office for Consumer Health… - Denials must come from qualified clinicians: cost, low. A managed care plan may deny a service only if a Nevada-licensed doctor or dentist makes the decision. That clinician must have the right training for your condition and must review your records. This can make some denials more likely to stand. ## Sponsors and cosponsors - Sponsor: Tracy Brown-May (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-19 | Senate | Final Passage - Senate (1st Reprint) | pass | 20 | 0 | | | 2025-04-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | ## Actions (22) - 2025-05-27: Chapter 23. (legislature) - 2025-05-26: Approved by the Governor. (legislature) - 2025-05-23: Enrolled and delivered to Governor. (legislature) - 2025-05-20: In Assembly. To enrollment. (House) - 2025-05-19: Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly. (Senate) - 2025-05-16: Read second time. (Senate) - 2025-05-15: From committee: Do pass. (Senate) - 2025-04-29: Read first time. Referred to Committee on Commerce and Labor. To committee. (Senate) - 2025-04-28: In Senate. (Senate) - 2025-04-25: To Senate. (House) - 2025-04-25: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-22: To printer. (House) - 2025-04-22: Read third time. Passed, as amended. Title approved. (Yeas: 42, Nays: None.) (House) - 2025-04-21: Dispensed with reprinting. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 42.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-02-05: From printer. To committee. (House) - 2025-02-04: To printer. (House) - 2025-02-04: Read first time. (House) - 2025-02-03: Referred to Committee on Commerce and Labor. (House) - 2025-02-03: Prefiled. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202_R1.pdf) ## Related bills - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - AB397: AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revisi… (vetoed) - AB259: AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating su… (vetoed) - AB234: AN ACT relating to Medicaid; requiring Medicaid to provide coverage for screening for certain forms of cancer; and providing other matters properly relating th… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB202_R1.pdf) ## Related - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB234: AN ACT relating to Medicaid; requiring Medicaid to provide coverage for screeni…](https://policyrisk.com/state-bill/NV-AB234-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-AB202-83rd2025 (as of 2026-11-01).