# Nevada AB448: AN ACT relating to health care; establishing various requirements relating to providers of vision insurance and providers of vision care; revising provisions relating to certain contracts between a provider of vision insurance and a provider of vision care; prohibiting certain conduct of a provider of vision insurance or provider of vision care which would constitute an unfair or deceptive trade practice in the business of insurance; and providing other matters properly relating thereto. Nevada AB448, AN ACT relating to health care; establishing various requirements relating to providers of vision insurance and providers of vision care; revising provisions relating to certain contracts between a provider of vision insurance and a provider of vision care; prohibiting certain conduct of a provider of vision insurance or provider of vision care which would constitute an unfair or deceptive trade practice in the business of insurance; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by Gregory S. Koenig (Republican); status signed, last action 2025-06-06 (Chapter 316.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB448-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB448 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to health care; establishing various requirements relating to providers of vision insurance and providers of vision care; revising provisions relating to certain contracts between a provider of vision insurance and a provider of vision care; prohibiting certain conduct of a provider of vision insurance or provider of vision care which would constitute an unfair or deceptive trade practice in the business of insurance; and providing other matters properly relating thereto. - Status: signed - Chamber: House - Introduced: 2025-03-17 - Last action: 2025-06-06, Chapter 316. - Sponsor: Gregory S. Koenig (Republican) - Cosponsors: 0 - Subjects: BDR 57-983 - Touches household money: no - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - HMOs and limited plans face new rules: benefit, medium. 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”… - New rules for vision plans and eye doctors: benefit, medium. 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… - Stronger enforcement against unfair vision practices: benefit, low. 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. Compan… - New rules for public employee health plans: mixed, low. 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… ## Sponsors and cosponsors - Sponsor: Gregory S. Koenig (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-23 | Senate | Final Passage - Senate (2nd Reprint) | pass | 21 | 0 | | | 2025-04-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | ## Actions (23) - 2025-06-06: Chapter 316. (legislature) - 2025-06-05: Approved by the Governor. (legislature) - 2025-05-29: Enrolled and delivered to Governor. (legislature) - 2025-05-27: Senate Amendment No. 680 concurred in. To enrollment. (House) - 2025-05-26: In Assembly. (House) - 2025-05-23: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To Assembly. (Senate) - 2025-05-23: From printer. To re-engrossment. Re-engrossed. Second reprint. (Senate) - 2025-05-22: Read second time. Amended. (Amend. No. 680.) To printer. (Senate) - 2025-05-22: Placed on Second Reading File. (Senate) - 2025-05-22: From committee: Amend, and do pass as amended. (Senate) - 2025-04-28: Read first time. Referred to Committee on Health and Human Services. To committee. (Senate) - 2025-04-24: In Senate. (Senate) - 2025-04-24: To Senate. (House) - 2025-04-24: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-22: To printer. (House) - 2025-04-22: Read third time. Passed, as amended. Title approved. (Yeas: 42, Nays: None.) (House) - 2025-04-21: Taken from General File. Placed on General File for next legislative day. (House) - 2025-04-18: Dispensed with reprinting. (House) - 2025-04-18: Read second time. Amended. (Amend. No. 479.) (House) - 2025-04-18: Placed on Second Reading File. (House) - 2025-04-18: From committee: Amend, and do pass as amended. (House) - 2025-03-18: From printer. To committee. (House) - 2025-03-17: Read first time. Referred to Committee on Commerce and Labor. To printer. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_R2.pdf) ## Related bills - 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) - 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) - AB409: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles, under certain circumstances, to issue a special license plate honoring certain v… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB448_R2.pdf) ## Related - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [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) - [AB409: AN ACT relating to motor vehicles; requiring the Department of Motor Vehicles,…](https://policyrisk.com/state-bill/NV-AB409-83rd2025) - [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-AB448-83rd2025 (as of 2026-11-01).