# Nevada AB290: AN ACT relating to insurance; imposing requirements governing prior authorization for medical or dental care; prohibiting an insurer from requiring prior authorization for covered emergency services or denying coverage for covered, medically necessary emergency services; requiring an insurer to publish certain information relating to requests for prior authorization on the Internet; requiring an insurer and the Commissioner of Insurance to compile certain reports; and providing other matters properly relating thereto. Nevada AB290, AN ACT relating to insurance; imposing requirements governing prior authorization for medical or dental care; prohibiting an insurer from requiring prior authorization for covered emergency services or denying coverage for covered, medically necessary emergency services; requiring an insurer to publish certain information relating to requests for prior authorization on the Internet; requiring an insurer and the Commissioner of Insurance to compile certain reports; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by Duy Nguyen (Democratic), Hanadi Nadeem (Democratic), Toby Yurek (Republican) and 2 others; status failed, last action 2025-06-03 ((No further action taken.)); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB290-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB290 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to insurance; imposing requirements governing prior authorization for medical or dental care; prohibiting an insurer from requiring prior authorization for covered emergency services or denying coverage for covered, medically necessary emergency services; requiring an insurer to publish certain information relating to requests for prior authorization on the Internet; requiring an insurer and the Commissioner of Insurance to compile certain reports; and providing other matters properly relating thereto. - Status: failed - Chamber: House - Introduced: 2025-02-25 - Last action: 2025-06-03, (No further action taken.) - Sponsors: Duy Nguyen (Democratic), Hanadi Nadeem (Democratic), Toby Yurek (Republican), Tracy Brown-May (Democratic), Venicia Considine (Democratic) - Cosponsors: 14 - Subjects: BDR 57-861 - Touches household money: yes - Economic provisions PRIA read: 8 ## Summary No summary available. ## Bill overview: provisions PRIA read - Medicaid patients get emergency care protections: benefit, high. Beginning January 1, 2026, Nevada Medicaid and CHIP cannot require advance approval for covered emergency care, including applicable ambulance rides. They cannot deny coverage for covered, medically necessary emergency services. Care is presumed necessary if the provider sends written certification… - Health plans need approved care authorization rules: benefit, medium. Beginning January 1, 2026, health carriers keeping advance-approval requirements must develop compliant procedures and obtain the Insurance Commissioner's approval. This applies to policies issued or renewed after that date. Older policies become subject to the requirements when renewed. The change… - Medicaid patients gain prescription drug protections: benefit, medium. Beginning January 1, 2026, Nevada must manage Medicaid drug approval rules and step therapy, which requires trying other drugs first. The Drug Use Review Board must develop and approve step-therapy rules using medical evidence and best practices, not drug cost. The state must base its rules on the… - Medicaid patients get clearer denials and appeals: benefit, medium. Beginning January 1, 2026, Medicaid and CHIP care denials require review by a physician, pharmacist, or dentist for dental care. Reviewers need an unrestricted U.S. state or territory license, must work within their licensed field, and should have a similar specialty when practical. The state or pl… - Medicaid patients get more stable care approvals: benefit, medium. Beginning January 1, 2026, Medicaid and CHIP care approvals last 12 months unless federal law sets another period. The state or plan can cancel or tighten approval only for fraud, material misrepresentation, care not covered when provided, or care not provided within 90 business days after the requ… - Medicaid patients get posted rules and deadlines: benefit, medium. Beginning January 1, 2026, Nevada Medicaid and CHIP must post services needing advance approval and the medical rules used for review. Changes cannot take effect until posted, and claims cannot be denied for missing approval that was not required when care occurred. The state or managed care plan m… - Workers gain employer health benefit protections: benefit, medium. Beginning January 1, 2026, employers offering health benefits must provide the same benefits as the insurance policies specified by state law. They must also pay providers in the same manner and follow this law's advance-approval requirements. The law does not require employers to offer health bene… - Dental patients lose two payment protections: cost, medium. Beginning January 1, 2026, the law repeals two existing protections against refusing payment for previously approved dental care. Those protections covered health carriers, dental care organizations, and their administrators, with exceptions. The effect on a dental claim depends on other applicable… ## Sponsors and cosponsors - Sponsor: Duy Nguyen (Democratic), House - Sponsor: Hanadi Nadeem (Democratic), House - Sponsor: Toby Yurek (Republican), House - Sponsor: Tracy Brown-May (Democratic), House - Sponsor: Venicia Considine (Democratic), House - Cosponsor: Angela D. Taylor (Democratic), Senate - Cosponsor: Cecelia González (Democratic), House - Cosponsor: Erica Mosca (Democratic), House - Cosponsor: Gregory S. Koenig (Republican), House - Cosponsor: Heather Goulding (Democratic), House - Cosponsor: Heidi Kasama (Republican), House - Cosponsor: Lisa K. Cole (Republican), House - Cosponsor: Natha C. Anderson (Democratic), House - Cosponsor: Rebecca Edgeworth (Republican), House - Cosponsor: Reuben D'Silva (Democratic), House - Cosponsor: Venise Karris (Democratic), House - Cosponsor: Dina Neal (Democratic), Senate - Cosponsor: Edgar Flores (Democratic), Senate - Cosponsor: Rochelle T. Nguyen (Democratic), Senate ## Actions (12) - 2025-06-03: (No further action taken.) (House) - 2025-04-24: To committee. (House) - 2025-04-24: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-21: To printer. (House) - 2025-04-21: Rereferred to Committee on Ways and Means. Exemption effective. (House) - 2025-04-21: Taken from General File. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 474.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-03-18: Notice of eligibility for exemption. (House) - 2025-02-26: From printer. To committee. (House) - 2025-02-25: Read first time. Referred to Committee on Commerce and Labor. To printer. (House) ## Bill text - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB290.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB290_R1.pdf) ## Related bills - 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) - 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) - AB296: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles to contract with a person who makes installment loans to pay the fees and taxes d… (signed) ## Sources - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB290.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB290_R1.pdf) ## Related - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [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) - [AB296: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles t…](https://policyrisk.com/state-bill/NV-AB296-83rd2025) - [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-AB290-83rd2025 (as of 2026-11-01).