All Roll Calls
Yes: 63 • No: 0
NevadaAB51183rd Regular Session (2025)HouseWALLET
AN ACT relating to insurance; revising provisions relating to reimbursement for certain treatment and services provided by certain providers of health care; and providing other matters properly relating thereto.
Sponsored By: Assembly Committee on Commerce and Labor
Signed by Governor
BDR 57-697
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Bill Overview
Analyzed Economic Effects
11 provisions identified: 8 benefits, 2 costs, 1 mixed.
Assign health benefits straight to providers
You can sign an assignment to send your plan benefits straight to the provider who treated you. Nonprofit hospital, medical, or dental service corporations and HMOs must pay the assigned amount to that provider. If they paid you by mistake after getting the assignment, they must pay the provider once told. This applies beginning January 1, 2026.
Group plans pay more licensed providers
Beginning January 1, 2026, group health plans must reimburse more licensed providers when the plan already covers the service. This includes chiropractors, podiatrists, psychologists, marriage and family therapists, clinical professional counselors, social workers, registered nurses (for services the plan pays when another provider gives them), and licensed acupuncturists when the plan covers acupuncture by a physician. Plans cannot give fewer visits or pay less for chiropractic care, podiatry, or nurse services than they pay other providers for similar care. If you sign an assignment of benefits, a licensed clinical alcohol and drug counselor can be paid directly.
HMO plans: parity and direct pay
If your HMO covers podiatry, services a registered nurse can lawfully provide, or licensed alcohol and drug counseling, you or the provider gets reimbursed. For nurse services, this applies when the plan pays other providers for the same service. HMOs cannot give podiatrists or registered nurses fewer visits than other providers, or pay them less for similar care. Licensed clinical alcohol and drug counselors can be paid directly when you assign your benefits. These rules apply starting January 1, 2026.
Individual plans must pay more providers
Beginning January 1, 2026, individual Nevada health plans must reimburse more licensed providers. If your plan already covers the service, it must pay you or the provider for care by psychologists, marriage and family therapists, clinical professional counselors, social workers, and licensed acupuncturists when the plan covers acupuncture by a physician. Plans must also pay registered nurses for services they already reimburse when another provider gives the same service. Plans cannot limit nurse visits or pay nurses less than they pay other providers for similar services. This does not add new covered services; it applies only when your plan already covers the service.
Individual plans pay podiatrists, chiropractors, counselors
If your individual Nevada health plan covers podiatry, chiropractic care, or licensed alcohol and drug counseling, you or the provider gets reimbursed. The plan cannot cap podiatry or chiropractic visits more than for other doctors, or pay them less for similar care. Licensed clinical alcohol and drug counselors can be paid directly when you assign your benefits to them. These rules apply only when your plan already covers the service. Beginning January 1, 2026, these protections are in force.
Medical service contracts pay more providers
Beginning January 1, 2026, contracts for hospital or medical services must reimburse more licensed providers when the contract already covers the service. Covered providers include podiatrists, chiropractic physicians, psychologists, marriage and family therapists, clinical professional counselors, social workers, and registered nurses for services the contract pays when another provider gives them. Licensed acupuncturists are paid when the contract covers acupuncture by a physician. Plans cannot give fewer visits or pay less for podiatry, chiropractic care, or nurse services than they pay other providers for similar care. If you assign benefits, a licensed clinical alcohol and drug counselor can be paid directly.
Employer plans must pay registered nurses
Beginning January 1, 2026, if your employer plan covers a service and pays another provider for it, it must also reimburse a registered nurse who provides the same service. The plan cannot give nurses fewer visits or pay nurses less than it pays other providers for similar services.
HMOs must pay more providers
Beginning January 1, 2026, HMOs must reimburse more licensed providers when the HMO’s evidence of coverage already lists the service. This includes psychologists, marriage and family therapists, clinical professional counselors, social workers, and chiropractic physicians. Licensed acupuncturists are paid when the HMO covers acupuncture by a physician. HMOs cannot give chiropractors fewer visits or pay them less than other doctors for similar services.
No double pay for duplicate nurse care
Beginning January 1, 2026, insurers and employer plans do not have to pay twice for the same care. If a registered nurse’s service duplicates a service already provided by another health care provider, payment for the duplicate service can be denied. This applies to individual and group policies, medical service contracts, and employer health plans.
No HMO pay for duplicate nurse care
An HMO does not have to pay for registered nurse services that duplicate services already provided by another provider. This exception applies only to duplicative care. It takes effect January 1, 2026.
When these changes start: 2026
The law takes effect on January 1, 2026. That is when the new reimbursement and parity rules begin.
Sponsors & Cosponsors
Sponsor
Assembly Committee on Commerce and Labor
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/22/2025
Final Passage - Senate (1st Reprint)
Yes: 21 • No: 0
House vote • 4/16/2025
Final Passage - Assembly (As Introduced)
Yes: 42 • No: 0
Actions Timeline
Chapter 308.
6/6/2025legislatureApproved by the Governor.
6/5/2025legislatureEnrolled and delivered to Governor.
5/29/2025legislatureSenate Amendment No. 589 concurred in. To enrollment.
5/27/2025HouseIn Assembly.
5/26/2025HouseFrom printer. To engrossment. Engrossed. First reprint. To Assembly.
5/23/2025SenateRead third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To printer.
5/22/2025SenateReprinting dispensed with.
5/21/2025SenateRead second time. Amended. (Amend. No. 589.)
5/21/2025SenatePlaced on Second Reading File.
5/21/2025SenateFrom committee: Amend, and do pass as amended.
5/21/2025SenateRead first time. Referred to Committee on Commerce and Labor. To committee.
4/17/2025SenateIn Senate.
4/17/2025SenateRead third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.
4/16/2025HouseRead second time.
4/15/2025HouseFrom committee: Do pass.
4/14/2025HouseFrom printer. To committee.
3/26/2025HouseRead first time. Referred to Committee on Commerce and Labor. To printer.
3/24/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
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