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

7 provisions identified: 5 benefits, 0 costs, 2 mixed.

Direct pay for addiction counselors

If your plan covers treatment by a licensed clinical alcohol and drug counselor, you or the counselor are entitled to reimbursement. With an assignment of benefits, the counselor can be paid directly. Applies to insurance and HMO coverage. Starts January 1, 2026.

Direct payment to providers by assignment

You can assign your health benefits to your provider. Nonprofit service plans and HMOs must pay the provider directly. Paying the provider counts as full payment by the plan. If they paid you by mistake after getting the assignment, they must pay the provider when told. Starts January 1, 2026.

Equal coverage for chiropractors and podiatrists

If your plan covers podiatry or chiropractic care, you or the provider are entitled to reimbursement. Plans cannot limit covered visits for these providers below other physicians. Plans cannot pay them less than for similar doctor services. This applies to insurance policies and HMO evidence of coverage. Starts January 1, 2026.

Reimbursement for therapists and social workers

If your plan covers care by a licensed marriage and family therapist, clinical professional counselor, or licensed social worker, you or the provider are entitled to reimbursement. The service must be within the provider’s licensed scope. Starts January 1, 2026.

Reimbursement when covered care is provided

When a covered service is provided by a listed licensed provider, you or that provider are entitled to reimbursement. Listed providers include acupuncturists, psychologists, therapists, social workers, podiatrists, chiropractors, clinical alcohol and drug counselors, and certain registered nurses. Applies across individual and group policies, nonprofit service contracts, and HMO plans. Starts January 1, 2026.

Parity for registered nurse services

If your plan covers services by a registered nurse allowed to perform additional acts, you or the nurse are entitled to reimbursement. Plans cannot limit visits or pay these nurses less than other providers for similar services. Plans and employers do not have to pay for duplicate services by an RN. Applies to insurance, HMO plans, and employer benefits. Starts January 1, 2026.

All changes start January 1, 2026

The law takes effect January 1, 2026. Health plans and employers must follow these rules starting then.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Commerce and Labor

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

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

  1. Chapter 308.

    6/6/2025legislature
  2. Approved by the Governor.

    6/5/2025legislature
  3. Enrolled and delivered to Governor.

    5/29/2025legislature
  4. Senate Amendment No. 589 concurred in. To enrollment.

    5/27/2025House
  5. In Assembly.

    5/26/2025House
  6. From printer. To engrossment. Engrossed. First reprint. To Assembly.

    5/23/2025Senate
  7. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To printer.

    5/22/2025Senate
  8. Reprinting dispensed with.

    5/21/2025Senate
  9. Read second time. Amended. (Amend. No. 589.)

    5/21/2025Senate
  10. Placed on Second Reading File.

    5/21/2025Senate
  11. From committee: Amend, and do pass as amended.

    5/21/2025Senate
  12. Read first time. Referred to Committee on Commerce and Labor. To committee.

    4/17/2025Senate
  13. In Senate.

    4/17/2025Senate
  14. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

    4/16/2025House
  15. Read second time.

    4/15/2025House
  16. From committee: Do pass.

    4/14/2025House
  17. From printer. To committee.

    3/26/2025House
  18. Read first time. Referred to Committee on Commerce and Labor. To printer.

    3/24/2025House

Bill Text

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