All Roll Calls
Yes: 62 • No: 0
NevadaAB46383rd Regular Session (2025)HouseWALLET
AN ACT relating to insurance; requiring certain health insurers to respond to requests for prior authorization for medical or dental care within a certain amount of time; prohibiting certain insurers from requiring prior authorization for certain types of medical care; and providing other matters properly relating thereto.
Sponsored By: Shea M. Backus (Democratic)
Signed by Governor
BDR 57-825
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
No prior authorization for key care
Beginning January 1, 2026, private plans and Medicaid/CHIP cannot require prior authorization for several services. These include outpatient substance use disorder treatment; preventive services graded A or B by the U.S. Preventive Services Task Force; certain women’s preventive care; pediatric hospice in licensed facilities; treatment for neonatal abstinence syndrome by pediatric pain or palliative specialists; and diabetes blood glucose test strips. This removes common delays for these services.
Which plans these authorization rules cover
Beginning January 1, 2026, employers with self-insured health plans must follow the same benefit and payment rules as insured plans, including these prior-authorization protections, where applicable. Nonprofit hospital and medical/dental service corporations are treated as insurers under this law. The law does not apply while HMOs or managed care groups provide Medicaid or CHIP under contract, to PEBP managed care groups, or to review firms working for those contracts. Policies issued before January 1, 2026 are exempt until renewal, and carriers must have a written prior-authorization procedure approved by the Insurance Commissioner to keep using prior authorization after that date.
Faster prior-authorization answers for all plans
Beginning January 1, 2026, private health and dental plans must answer prior-authorization requests within 2 business days. If national rules allow more time, they can use it, but never beyond 7 calendar days. Medicaid and CHIP follow the same timing: answer in 2 business days, and never later than 7 days. If Nevada officials reject a change to the national rules after a hearing and give notice within 30 days, plans must use the 2‑business‑day limit.
Stronger private-plan authorization protections
Beginning January 1, 2026, if a private health carrier breaks Nevada’s prior-authorization rules for your request, that request is automatically approved. Carriers also must treat all licensed providers the same when applying prior-authorization rules. These protections help prevent unfair delays and denials.
Sponsors & Cosponsors
Sponsor
Shea M. Backus
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 6/2/2025
Final Passage - Senate (2nd Reprint)
Yes: 20 • No: 0
House vote • 5/30/2025
Final Passage - Assembly (1st Reprint)
Yes: 42 • No: 0
Actions Timeline
Chapter 475.
6/11/2025legislatureApproved by the Governor.
6/10/2025legislatureEnrolled and delivered to Governor.
6/6/2025legislatureIn Assembly. To enrollment.
6/4/2025HouseTo Assembly.
6/2/2025SenateRead third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.)
6/2/2025SenateRead second time.
6/1/2025SenateFrom committee: Do pass.
5/31/2025SenateRead first time. Referred to Committee on Health and Human Services. To committee.
5/31/2025SenateIn Senate.
5/31/2025SenateTo Senate.
5/31/2025HouseFrom printer. To reengrossment. Reengrossed. Second reprint.
5/31/2025HouseTo printer.
5/30/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.)
5/30/2025HouseDispensed with reprinting.
5/30/2025HouseRead third time. Amended. (Amend. No. 866.)
5/30/2025HousePlaced on General File.
5/30/2025HouseFrom committee: Amend, and do pass as amended.
5/30/2025HouseTo committee.
4/24/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/24/2025HouseTo printer.
4/21/2025HouseRereferred to Committee on Ways and Means. Exemption effective.
4/21/2025HouseTaken from General File.
4/21/2025HouseRead second time. Amended. (Amend. No. 480.)
4/21/2025HousePlaced on Second Reading File.
4/21/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
Reprint 2
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