NevadaAB55583rd Regular Session (2025)HouseWALLET

AN ACT relating to insurance; establishing a maximum cost-sharing amount that certain health insurers may impose for a 30-day supply of prescription insulin drugs; and providing other matters properly relating thereto.

Sponsored By: SteveSpeaker Yeager (Democratic)

Signed by Governor

BDR 57-1167

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

$35 monthly insulin cap on most plans

Starting October 1, 2025, most health plans that cover insulin must cap your out-of-pocket cost at $35 for each 30-day supply. This includes individual and group plans, health-benefit plans, HMOs, MCOs, hospital/medical-service corporations, social-benefit societies, prepaid limited health plans, and voluntary purchasing groups. The cap applies to all insulin types for type 1, type 2, and gestational diabetes.

Insulin cap overrides older diabetes cost rules

Nevada requires coverage for diabetes care and self-management. When the $35 insulin cap applies, plans do not have to use the same deductibles, copays, or coinsurance for insulin as for other diabetes services. This ensures the $35 limit controls insulin cost-sharing in individual, group, hospital/medical-service, and HMO coverage at renewal after October 1, 2025.

No insulin cap for Medicaid and some public plans

The $35 insulin cap does not apply if your coverage is through a managed Medicaid or CHIP plan, or through certain public employee and local government group plans run by HMOs or MCOs. Those plans can set different insulin cost-sharing. Other contracts those organizations offer must still follow the cap.

When rules start and how Nevada enforces

Policies or plans issued before October 1, 2025 are not covered until they renew or are extended. The Insurance Commissioner can require some out-of-state policies from Nevada insurers to follow Nevada’s insulin cap when the other state did not review the policy. The Commissioner can also suspend or revoke an HMO that breaks these diabetes coverage rules.

Sponsors & Cosponsors

Sponsor

  • SteveSpeaker Yeager

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 60 • No: 2

Senate vote 5/29/2025

Final Passage - Senate (As Introduced)

Yes: 18 • No: 2

House vote 5/23/2025

Final Passage - Assembly (As Introduced)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 265.

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

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

    6/1/2025legislature
  4. In Assembly. To enrollment.

    5/30/2025House
  5. Read third time. Passed. Title approved. (Yeas: 18, Nays: 2, Excused: 1.) To Assembly.

    5/29/2025Senate
  6. Read second time.

    5/28/2025Senate
  7. Placed on Second Reading File.

    5/28/2025Senate
  8. From committee: Do pass.

    5/28/2025Senate
  9. Read first time. Referred to Committee on Commerce and Labor. To committee.

    5/23/2025Senate
  10. In Senate.

    5/23/2025Senate
  11. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

    5/23/2025House
  12. Read second time.

    5/22/2025House
  13. Placed on Second Reading File.

    5/22/2025House
  14. From committee: Do pass.

    5/22/2025House
  15. From printer. To committee.

    5/9/2025House
  16. Read first time. Referred to Committee on Commerce and Labor. To printer.

    5/8/2025House

Bill Text

  • As Enrolled

  • As Introduced

Related Bills

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