All Roll Calls
Yes: 63 • No: 0
Sponsored By: Gregory S. Koenig (Republican)
Signed by Governor
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4 provisions identified: 3 benefits, 0 costs, 1 mixed.
Starting January 1, 2026, many HMO plans must follow insurance trade‑practice rules when those rules fit. HMOs cannot cancel or refuse to renew your coverage except for nonpayment or other cause listed in the master contract. HMOs that are not licensed as insurers cannot use words like “insurance” or “mutual,” and only certificated entities may call themselves an HMO. Prepaid limited health service organizations and some nonprofit hospital or service corporations are treated like insurers where those rules apply. These changes add clearer protections and reduce misleading branding.
The law adds strong protections for people with vision benefits and their eye doctors. Vision insurers cannot control medical judgment, hire your doctor to provide covered care, or take back payment when you were eligible that day. They cannot cap what doctors charge for non‑covered care, force use of certain labs or products, or change pay based on the lab or supplier a doctor chooses. Insurers must share reimbursement rates before signing network contracts and must disclose any ownership ties to suppliers. Doctors must tell you in writing about any money interests or rebates before you agree to get glasses or contacts from a non‑network supplier. Ads cannot call items “covered” if they are only discounts or need extra copays or coinsurance. Insurers also cannot force a doctor to join one of their plans just to join another. The law defines who counts as an enrollee, what services and materials are covered, and which plans are included. These protections apply to plans and contracts delivered, issued, or renewed on or after January 1, 2026. Contracts in force on January 1, 2026, keep their terms until they renew.
The Insurance Commissioner can investigate and stop unfair or deceptive acts tied to vision coverage. The Commissioner may hold hearings, order bad actors to stop, and fine companies up to $5,000 per violation. Licensed agents, brokers, solicitors, or adjusters face up to $500 per violation. Companies, agents, and sellers must follow these trade‑practice rules.
If the Public Employees’ Benefits Program is self‑insured, it must follow insurer rules starting January 1, 2026. Local government self‑insurance funds must also follow key insurance and trade‑practice rules starting that date. New local costs tied to this law are not subject to NRS 354.599. These steps can give public workers protections like those in insured plans, while changing how local budgets handle added costs.
Gregory S. Koenig
Republican • House
There are no cosponsors for this bill.
All Roll Calls
Yes: 63 • No: 0
Senate vote • 5/23/2025
Final Passage - Senate (2nd Reprint)
Yes: 21 • No: 0
House vote • 4/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 42 • No: 0
Chapter 316.
Approved by the Governor.
Enrolled and delivered to Governor.
Senate Amendment No. 680 concurred in. To enrollment.
In Assembly.
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To Assembly.
From printer. To re-engrossment. Re-engrossed. Second reprint.
Read second time. Amended. (Amend. No. 680.) To printer.
Placed on Second Reading File.
From committee: Amend, and do pass as amended.
Read first time. Referred to Committee on Health and Human Services. To committee.
In Senate.
To Senate.
From printer. To engrossment. Engrossed. First reprint.
To printer.
Read third time. Passed, as amended. Title approved. (Yeas: 42, Nays: None.)
Taken from General File. Placed on General File for next legislative day.
Dispensed with reprinting.
Read second time. Amended. (Amend. No. 479.)
Placed on Second Reading File.
From committee: Amend, and do pass as amended.
From printer. To committee.
Read first time. Referred to Committee on Commerce and Labor. To printer.
As Enrolled
As Introduced
Reprint 1
Reprint 2
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; revising the criteria of eligibility for a waiver of fees by the Board of Regents for certain persons who are or were unaccompanied for a certain period of time; revising the criteria of eligibility for a waiver of fees by the Board of Regents for certain Native American students; providing for the continuity of waivers previously provided for certain Native American students; repealing certain provisions requiring the Chancellor of the Nevada System of Higher Education to cause to be analyzed certain natural materials upon the request of a resident of this State; and providing other matters properly relating thereto.
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 such prohibitions; and providing other matters properly relating thereto.
AB188, AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating to the costs of health insurance for certain retirees; revising provisions relating to the subsidy paid for certain health and welfare benefits for certain state employees who have retired with state service; revising requirements for certain retired public officers and employees to reinstate insurance under the Program; revising provisions relating to certain subsidies paid to the Program for the 2025-2027 biennium; requiring the Joint Interim Standing Committee on Government Affairs to conduct an interim study on the Program; making an appropriation; and providing other matters properly relating thereto.
SB217, AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain circumstances; authorizing a person whose engagement in such activity has been so burdened to assert the violation as a claim or defense in a judicial proceeding; authorizing a court to award damages against a governmental entity that substantially burdens such activity in certain circumstances; providing certain immunity from civil and criminal liability and administrative sanctions for certain persons and entities involved in the provision of assisted reproduction; providing that a fertilized egg or human embryo that exists before implantation in a human uterus is not a person for legal purposes; requiring certain health insurers to authorize a pregnant person to enroll in a health plan during a specified period; requiring certain public and private health insurers to provide certain coverage for the treatment of infertility and fertility preservation; providing a penalty; and providing other matters properly relating thereto.
AB499, AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of Motor Vehicles, under certain circumstances, to issue identification cards at no charge; requiring the Secretary of State to issue digital identification cards; requiring a county clerk in certain counties to establish a certain number of locations for a voter to return his or her mail ballot to a mail ballot drop box during the period between the last day for early voting and the day before the date of the general election; authorizing a county clerk in certain counties to establish such locations; authorizing a person, under certain circumstances, to return a mail ballot to a mail ballot drop box established at such a location on behalf of a voter; requiring the Secretary of State to establish and maintain a voter services portal on the Internet website of the Office of the Secretary of State; requiring the county clerk to include certain information relating to the voter services portal on any communication to a registered voter; requiring the Department of Motor Vehicles to submit electronically to the Secretary of State certain information relating to each person who has a driver's license or identification card issued by the Department; requiring the Secretary of State to include certain information received from the Department in the centralized, top-down database that is established by the Secretary of State for purposes of creating the statewide voter registration list; requiring certain information to be included on the return envelope for a mail ballot; revising provisions relating to curing mail ballots; requiring mail ballot drop boxes to be monitored and secured; providing that certain information on the statewide voter registration list relating to a voter is confidential and not a public record; making various other changes relating to elections; making appropriations; and providing other matters properly relating thereto.
AB409, AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles, under certain circumstances, to issue a special license plate honoring certain veterans; authorizing the combination of personalized prestige license plates and certain special license plates associated with military service; and providing other matters properly relating thereto.