NevadaAB42883rd Regular Session (2025)HouseWALLET

AN ACT relating to insurance; requiring certain health plans to include coverage for certain procedures or services for the preservation of fertility of insureds who have been diagnosed with breast or ovarian cancer; providing certain exceptions for insurers affiliated with religious organizations; authorizing certain expenditures; making an appropriation; and providing other matters properly relating thereto.

Sponsored By: Cinthia Zermeño Moore (Democratic), DanieleSpeaker Pro Tempore Monroe-Moreno (Democratic), Erica P. Roth (Democratic), Natha C.Assistant Majority Whip Anderson (Democratic), Tanya P. Flanagan (Democratic)

Signed by Governor

BDR 57-915

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Fertility coverage in most health plans

Starting January 1, 2027, most Nevada‑regulated health plans must cover fertility preservation if you have breast or ovarian cancer and your doctor says the cancer or its treatment may cause infertility. Care must follow standard medical practice or ASRM/ASCO guidance and be available in‑network. This applies to individual and job‑based plans, HMOs and other managed care, hospital/medical service corporations, societies, and some purchasing group plans. Nevada can also require Nevada insurers’ out‑of‑state policies to follow these rules, and conflicting policy terms are void. Insurers tied to religious organizations may refuse but must give written notice, and HMOs can lose their license if they do not comply.

Medicaid adds fertility preservation coverage

Nevada Medicaid includes fertility preservation for people with breast or ovarian cancer when the disease or planned treatment may cause infertility, if federal funding is available. Care must follow standard medical practice or ASRM/ASCO guidance. The Department must apply for any needed federal waivers or State Plan changes and work with federal officials. Coverage begins after federal approval.

When coverage and funding start

Agencies may start writing rules and doing prep work right after the law’s passage. Full coverage and enforcement under this law take effect January 1, 2027. The funding section starts July 1, 2025.

Local plans can spend to comply

Local governments can treat extra costs to carry out this law as exempt from a state budget limit in NRS 354.599. This eases compliance for local group or self‑insurance plans.

State funds to launch Medicaid coverage

The state funds Medicaid fertility coverage setup and system work. General Fund: $158,600 for FY 2025–26 and $69,434 for FY 2026–27. Other authorized funds: $225,800 in FY 2025–26 and $193,008 in FY 2026–27. Unspent money cannot be committed after June 30 each year and must revert by September 18, 2026, and September 17, 2027.

Sponsors & Cosponsors

Sponsors

  • Cinthia Zermeño Moore

    Democratic • House

  • DanieleSpeaker Pro Tempore Monroe-Moreno

    Democratic • House

  • Erica P. Roth

    Democratic • House

  • Natha C.Assistant Majority Whip Anderson

    Democratic • House

  • Tanya P. Flanagan

    Democratic • House

Cosponsors

  • Brittney M. Miller

    Democratic • House

  • Cecelia González

    Democratic • House

  • Elaine H. Marzola

    Democratic • House

  • Hanadi Nadeem

    Democratic • House

  • Linda F. Hunt

    Democratic • House

  • Max E., II Carter

    Democratic • House

  • Reuben D'Silva

    Democratic • House

  • SandraMajority Floor Leader Jauregui

    Democratic • House

  • Selena La Rue Hatch

    Democratic • House

  • Selena Torres-Fossett

    Democratic • House

  • SteveSpeaker Yeager

    Democratic • House

  • Tracy Brown-May

    Democratic • House

  • Venicia Considine

    Democratic • House

  • Venise Karris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 58 • No: 4

Senate vote 6/2/2025

Final Passage - Senate (2nd Reprint)

Yes: 20 • No: 0

House vote 5/30/2025

Final Passage - Assembly (2nd Reprint)

Yes: 38 • No: 4

Actions Timeline

  1. Chapter 473.

    6/11/2025legislature
  2. Approved by the Governor.

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

    6/6/2025legislature
  4. In Assembly. To enrollment.

    6/4/2025House
  5. To Assembly.

    6/2/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.)

    6/2/2025Senate
  7. Read second time.

    6/1/2025Senate
  8. Placed on Second Reading File.

    6/1/2025Senate
  9. From committee: Do pass.

    6/1/2025Senate
  10. Read first time. Referred to Committee on Commerce and Labor. To committee.

    5/31/2025Senate
  11. In Senate.

    5/31/2025Senate
  12. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 38, Nays: 4.) To Senate.

    5/30/2025House
  13. From printer. To reengrossment. Reengrossed. Second reprint.

    5/30/2025House
  14. Read third time. Amended. (Amend. No. 891.) To printer.

    5/29/2025House
  15. Placed on General File.

    5/29/2025House
  16. From committee: Amend, and do pass as amended.

    5/29/2025House
  17. To committee.

    4/24/2025House
  18. From printer. To engrossment. Engrossed. First reprint.

    4/24/2025House
  19. To printer.

    4/21/2025House
  20. Rereferred to Committee on Ways and Means. Exemption effective.

    4/21/2025House
  21. Taken from General File.

    4/21/2025House
  22. Read second time. Amended. (Amend. No. 439.)

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

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

    4/21/2025House
  25. Notice of eligibility for exemption.

    3/27/2025House

Bill Text

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