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), Daniele Monroe-Moreno (Democratic), Erica P. Roth (Democratic), Natha C. Anderson (Democratic), Tanya P. Flanagan (Democratic)

Signed by Governor

BDR 57-915

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 1 costs, 2 mixed.

Fertility care coverage in private plans

Private health plans must cover care that preserves fertility if you have breast or ovarian cancer and risk infertility. Your doctor must find the care medically necessary and follow ASRM or ASCO guidance. Plans provide this through in‑network providers. This applies to policies delivered, issued, or renewed on or after January 1, 2026. Conflicting plan terms do not apply. An insurer affiliated with a religious organization can refuse this coverage, but it must give you written notice before issue and before renewal. Plans bought through voluntary purchasing groups must follow these rules when not in conflict with other laws. The Insurance Commissioner can require some out‑of‑state‑delivered policies from Nevada insurers to meet these Nevada standards when the other state does not review them.

Managed care must cover fertility care

Managed care plans must cover medically necessary fertility‑preserving care for people with breast or ovarian cancer. Care must follow ASRM or ASCO guidance and be in‑network. This applies to plans delivered, issued, or renewed on or after January 1, 2027. A managed care plan tied to a religious organization may refuse this coverage, but it must give written notice before issue and before renewal. The Insurance Commissioner can suspend or revoke an HMO’s certificate for failing to provide required coverage or issuing noncompliant documents, starting January 1, 2027.

Medicaid covers fertility preservation for cancer

Medicaid covers medically necessary fertility‑preserving care if you have breast or ovarian cancer and your cancer or treatment may cause infertility. Coverage follows ASRM or ASCO guidance and depends on federal matching funds. The state must seek any needed federal waiver or State Plan change. HMOs serving Medicaid enrollees must follow these rules starting January 1, 2026. The Medicaid benefit takes effect January 1, 2027. The state funds start‑up and system work with $158,600 in FY 2025–26 and $69,434 in FY 2026–27 from the General Fund, plus $225,800 and $193,008 from other funds. Unspent money reverts by September 18, 2026 and September 17, 2027.

Public employee plans must cover fertility care

If the state Board offers a self‑insured health plan, it must follow the same rules as insurers. That includes covering medically necessary fertility‑preserving care for breast or ovarian cancer. This requirement starts January 1, 2027.

Local governments can incur related costs

The usual local spending limit rule does not apply to extra costs tied to this law. This change affects local budgets and accounting, not direct household payments.

Sponsors & Cosponsors

Sponsors

  • Cinthia Zermeño Moore

    Democratic • House

  • Daniele Monroe-Moreno

    Democratic • House

  • Erica P. Roth

    Democratic • House

  • Natha C. 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. Carter II

    Democratic • House

  • Reuben D'Silva

    Democratic • House

  • Sandra Jauregui

    Democratic • House

  • Selena La Rue Hatch

    Democratic • House

  • Selena Torres-Fossett

    Democratic • House

  • Steve 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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