NevadaAB34083rd Regular Session (2025)HouseWALLET

AN ACT relating to insurance; requiring certain health insurance to include coverage for the screening, assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for certain persons; establishing certain administrative sanctions for failure to provide such coverage; and providing other matters properly relating thereto.

Sponsored By: Assembly Committee on Health and Human Services

Failed

BDR 57-351

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Insurance covers more evaluations for kids

Covered health plans must cover screening, assessment, and diagnosis of ADHD, fetal alcohol spectrum disorders, intellectual disabilities, and specific learning disabilities. Coverage applies before age 18, or before age 22 for students enrolled in high school. The rule covers plans delivered, issued for delivery, or renewed on or after January 1, 2026. Insurers do not have to reimburse schools for services provided through school programs. The Insurance Commissioner can suspend or revoke an HMO’s authority for violating this requirement, following required legal procedures.

Medicaid adds evaluations for young people

Beginning January 1, 2026, Nevada Medicaid must cover screening, assessment, and diagnosis of four conditions when federal funding is available. These are ADHD, fetal alcohol spectrum disorders, intellectual disabilities, and specific learning disabilities. Recipients qualify before age 18, or before age 22 while enrolled in high school. Coverage depends on federal participation in the costs. Nevada must seek any needed federal waiver or State Plan amendment and cooperate with federal officials.

Public self-insured plans cover youth evaluations

Beginning January 1, 2026, the evaluation coverage requirement also applies to local-government reserve-funded plans and the Board’s self-insured plan. It covers screening, assessment, and diagnosis of ADHD, fetal alcohol spectrum disorders, intellectual disabilities, and specific learning disabilities. Covered people qualify before age 18, or before age 22 while enrolled in high school. The Board must follow the coverage requirement like a licensed insurer when it self-insures. Local-government plans also follow listed insurance rules, subject to statutory limits concerning certain active officers, employees, and their dependents.

Nevada can extend out-of-state coverage protections

Nevada’s Insurance Commissioner can require some out-of-state policies to follow Nevada insurance standards, including the new evaluation coverage requirement. The policy must come from a Nevada domestic insurer for delivery to a resident of another state. That state’s insurance official must tell Nevada that the policy is outside that official’s approval or disapproval authority. The Commissioner must issue a ruling; coverage is not automatic.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. (No further action taken.)

    6/3/2025House
  2. From printer. To engrossment. Engrossed. First reprint. To committee.

    4/17/2025House
  3. To printer.

    4/16/2025House
  4. Rereferred to Committee on Ways and Means. Exemption effective.

    4/16/2025House
  5. Taken from General File.

    4/16/2025House
  6. Read second time. Amended. (Amend. No. 191.)

    4/16/2025House
  7. From committee: Amend, and do pass as amended.

    4/15/2025House
  8. Notice of eligibility for exemption.

    3/17/2025House
  9. From printer. To committee.

    3/4/2025House
  10. Read first time. Referred to Committee on Commerce and Labor. To printer.

    3/3/2025House

Bill Text

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