NevadaAB28283rd Regular Session (2025)HouseWALLET

AN ACT relating to health care; requiring a medical facility or an entity that bills for care provided by a provider of health care that receives notice from a patient of an overcharge in a medical bill to review the potential overcharge and refund any overpayment; authorizing the imposition of certain administrative fines for the failure to issue such a refund within a certain period; requiring the Governor's Consumer Health Advocate to provide certain assistance concerning overcharges and overpayments for health care; and providing other matters properly relating thereto.

Sponsored By: David Orentlicher (Democratic)

Vetoed

BDR 40-785

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Patients get help with medical overcharges

Nevada patients must identify the charges they believe are wrong and notify the medical facility or provider’s billing entity. Within 30 days, it must respond about canceling unpaid charges, refunding overpayments, or needing more time to investigate. If it will not cancel or refund the full disputed amount, it must provide Office for Consumer Health Assistance contacts. Facilities, providers, and billing entities cannot bill or collect for disputed care during internal or Office reviews; unrelated billing continues. Confirmed overpayments must be refunded within 60 days of that finding. Facilities may instead credit your other current bills; provider billing entities may credit current bills from the same provider. The Governor’s Consumer Health Advocate must review disputed bills and help with overcharges and overpayments, with no set assistance deadline. Missed refunds can bring an administrative fine of 10% of the overpayment, capped at $5,000 per violation. The state health division or relevant licensing board assesses the fine, depending on the entity; no additional administrative sanction applies.

Sponsors & Cosponsors

Sponsor

  • David Orentlicher

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 39 • No: 24

Senate vote • 6/2/2025

Final Passage - Senate (2nd Reprint)

Yes: 13 • No: 8

House vote • 4/22/2025

Final Passage - Assembly (1st Reprint)

Yes: 26 • No: 16

Actions Timeline

  1. Vetoed by the Governor.

    6/10/2025legislature
  2. Enrolled and delivered to Governor.

    6/5/2025legislature
  3. Senate Amendment No. 678 and 982 concurred in. To enrollment.

    6/2/2025House
  4. In Assembly.

    6/2/2025House
  5. From printer. To re-engrossment. Re-engrossed. Third reprint. To Assembly.

    6/2/2025Senate
  6. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 8.) To printer.

    6/2/2025Senate
  7. Reprinting dispensed with.

    6/2/2025Senate
  8. Read third time. Amended. (Amend. No. 982.)

    6/2/2025Senate
  9. Taken from General File. Placed on General File for next legislative day.

    6/1/2025Senate
  10. Placed on General File.

    6/1/2025Senate
  11. From committee: Amend, and do pass as amended.

    6/1/2025Senate
  12. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To committee.

    5/21/2025Senate
  13. Taken from General File. Placed on General File for next legislative day.

    5/20/2025Senate
  14. From printer. To re-engrossment. Re-engrossed. Second reprint.

    5/20/2025Senate
  15. Read second time. Amended. (Amend. No. 678.) To printer.

    5/19/2025Senate
  16. Placed on Second Reading File.

    5/19/2025Senate
  17. From committee: Amend, and do pass as amended.

    5/19/2025Senate
  18. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/29/2025Senate
  19. In Senate.

    4/28/2025Senate
  20. To Senate.

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

    4/25/2025House
  22. To printer.

    4/22/2025House
  23. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 26, Nays: 16.)

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

    4/21/2025House
  25. Read second time. Amended. (Amend. No. 436.)

    4/21/2025House

Bill Text

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