# Nevada SB316: AN ACT relating to insurance; requiring health insurers, pharmacy benefit managers and the Commissioner of Insurance to prepare certain reports; expanding the scope of certain provisions relating to pharmacy benefit managers; prohibiting pharmacy benefit managers from engaging in certain practices; requiring pharmacy benefit managers to make certain disclosures; imposing requirements relating to the compensation of pharmacy benefit managers; revising requirements relating to the collection of certain medical debt; providing civil and criminal penalties; and providing other matters properly relating thereto. Nevada SB316, AN ACT relating to insurance; requiring health insurers, pharmacy benefit managers and the Commissioner of Insurance to prepare certain reports; expanding the scope of certain provisions relating to pharmacy benefit managers; prohibiting pharmacy benefit managers from engaging in certain practices; requiring pharmacy benefit managers to make certain disclosures; imposing requirements relating to the compensation of pharmacy benefit managers; revising requirements relating to the collection of certain medical debt; providing civil and criminal penalties; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) Senate bill sponsored by Jeff Stone (Republican), Robin L. Titus (Republican), Rochelle T. Nguyen (Democratic); status failed, last action 2025-06-04 (From printer. To reengrossment. Reengrossed. Fourth reprint.); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-SB316-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada SB316 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to insurance; requiring health insurers, pharmacy benefit managers and the Commissioner of Insurance to prepare certain reports; expanding the scope of certain provisions relating to pharmacy benefit managers; prohibiting pharmacy benefit managers from engaging in certain practices; requiring pharmacy benefit managers to make certain disclosures; imposing requirements relating to the compensation of pharmacy benefit managers; revising requirements relating to the collection of certain medical debt; providing civil and criminal penalties; and providing other matters properly relating thereto. - Status: failed - Chamber: Senate - Introduced: 2025-03-11 - Last action: 2025-06-04, From printer. To reengrossment. Reengrossed. Fourth reprint. - Sponsors: Jeff Stone (Republican), Robin L. Titus (Republican), Rochelle T. Nguyen (Democratic) - Cosponsors: 6 - Subjects: BDR 57-777 - Touches household money: yes - Roll calls: 2 (60 yes, 2 no in all) - Economic provisions PRIA read: 12 ## Summary No summary available. ## Bill overview: provisions PRIA read - Patients gain hospital debt cancellation protections: benefit, high. Beginning January 1, 2026, hospitals violating specified state or federal price-transparency rules cannot pursue qualifying medical debt. This covers debt originally billed with a charge above the published amount for the service, product, or device. Hospitals cannot send it to collectors, sue, see… - People can request electronic public records: benefit, low. Beginning January 1, 2026, Nevada government entities must provide electronic public records on request, generally in the requested format. They cannot deny access merely because confidential information appears in a record when it can be separated or removed. Exceptions cover records neither creat… - Drug benefit managers must protect patients: benefit, low. Pharmacy benefit managers must put covered patients’ interests first and act fairly toward contracting parties and pharmacies. The duty to patients takes priority when these duties conflict, and waivers of the duties are void. Managers must give written notice of interfering conflicts and avoid pra… - Drug rebates count toward patient costs: benefit, low. Covered health plans must calculate your prescription drug cost-sharing at the pharmacy counter using the drug’s net price, including rebates. This rule applies when the policy or plan provides prescription drug coverage and falls within the law’s scope. It can lower what you pay when rebates reduc… - Patients keep more pharmacy choices: benefit, low. Pharmacy benefit managers cannot steer patients to affiliated pharmacies when an eligible, unaffiliated pharmacy is in the network. They cannot unfairly restrict pharmacy choice, mislead patients about required pharmacies, or obstruct timely access to prescribed drugs or devices. Unaffiliated pharm… - State employee plans gain insurance oversight: benefit, low. Beginning January 1, 2028, the Nevada Board must follow listed insurance rules when providing health coverage through self-insurance. It must comply in the same manner as a licensed insurer. This includes applicable provisions of this act, except section 36. The change extends oversight but does no… - Patients and pharmacies gain complaint protections: benefit, low. Nevada’s Insurance Commissioner must receive, investigate, and track complaints about pharmacy benefit managers from people in Nevada. The Commissioner must publish complaints found more likely than not justified by a violation of the covered laws. Managers cannot punish pharmacies for reporting po… - Drug benefit contracts become more transparent: benefit, low. Pharmacy benefit managers must give contracting third parties requested written totals and types of charges, fees, commissions, and specified rebates. They must also provide requested clinical evidence about decisions on which drugs a plan covers. Nevada’s Insurance Commissioner can inspect manager… - Nevada can oversee some out-of-state policies: benefit, low. Nevada’s Insurance Commissioner can require specified Nevada standards for policies issued by Nevada-based insurers to residents of another state. The other state’s insurance official must first report that the policy is not subject to that state’s approval or disapproval. The Commissioner applies… - Pharmacies face fewer late claim changes: benefit, low. Pharmacy benefit managers generally cannot cut or deny a drug claim after it has been processed. Exceptions cover fraud, services already paid for, or services not provided. Before reversing and resubmitting a claim, managers must notify the pharmacy and try to resolve the issue. Reversal and resub… - Pharmacies gain payment floors and protections: benefit, low. Pharmacy benefit managers cannot pay a pharmacy less for a drug than its purchase cost shown on the wholesaler’s invoice. They cannot use later payment reconciliations to lower the pharmacy’s effective payment rate. They also cannot charge pharmacies or pharmacists a fee for processing claims elect… - Some plans miss or delay protections: cost, low. Plans governed by the federal ERISA law are exempt from Nevada’s pharmacy benefit manager rules unless their contracts require compliance. Specified managed-care coverage for Medicaid, CHIP, public employee benefits members, and local government officers, employees, and dependents is also exempt. T… ## Sponsors and cosponsors - Sponsor: Jeff Stone (Republican), Senate - Sponsor: Robin L. Titus (Republican), Senate - Sponsor: Rochelle T. Nguyen (Democratic), Senate - Cosponsor: Carrie Ann Buck (Republican), Senate - Cosponsor: James Ohrenschall (Democratic), Senate - Cosponsor: Lisa Krasner (Republican), Senate - Cosponsor: Melanie Scheible (Democratic), Senate - Cosponsor: Michelee "Shelly" Cruz-Crawford (Democratic), Senate - Cosponsor: Skip Daly (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-06-02 | House | Final Passage - Assembly (3rd Reprint) | pass | 42 | 0 | | | 2025-05-29 | Senate | Final Passage - Senate (1st Reprint) | pass | 18 | 2 | | ## Actions (27) - 2025-06-04: From printer. To reengrossment. Reengrossed. Fourth reprint. (House) - 2025-06-03: (No further action taken.) (House) - 2025-06-02: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To printer. (House) - 2025-06-02: Dispensed with reprinting. (House) - 2025-06-02: Read third time. Amended. (Amend. No. 999.) (House) - 2025-06-02: From printer. To reengrossment. Reengrossed. Third reprint. (House) - 2025-06-01: Read third time. Amended. (Amend. No. 957.) To printer. (House) - 2025-05-31: Read second time. (House) - 2025-05-31: Placed on Second Reading File. (House) - 2025-05-31: From committee: Do pass. (House) - 2025-05-30: Read first time. Referred to Committee on Commerce and Labor. To committee. (House) - 2025-05-30: In Assembly. (House) - 2025-05-30: From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. (Senate) - 2025-05-29: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 18, Nays: 2, Excused: 1.) To printer. (Senate) - 2025-05-29: Reprinting dispensed with. (Senate) - 2025-05-29: Read third time. Amended. (Amend. No. 848.) (Senate) - 2025-05-29: Placed on General File. (Senate) - 2025-05-29: From committee: Amend, and do pass as amended. (Senate) - 2025-04-22: To committee. (Senate) - 2025-04-22: From printer. To engrossment. Engrossed. First reprint. (Senate) - 2025-04-18: Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer. (Senate) - 2025-04-18: Read second time. Amended. (Amend. No. 190.) (Senate) - 2025-04-18: Notice of eligibility for exemption. (Senate) - 2025-04-18: Placed on Second Reading File. (Senate) - 2025-04-18: From committee: Amend, and do pass as amended. (Senate) - 2025-03-12: From printer. To committee. (Senate) - 2025-03-11: Read first time. Referred to Committee on Commerce and Labor. To printer. (Senate) ## Bill text - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R2.pdf) - Reprint 3: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R3.pdf) - Reprint 4: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316.pdf) ## Related bills - 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) - 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) - SB309: AN ACT relating to crimes; revising provisions relating to driving under the influence of alcohol or certain other prohibited substances; providing penalties;… (signed) ## Sources - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R2.pdf) - [Reprint 3 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB316_R3.pdf) ## Related - [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) - [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) - [SB309: AN ACT relating to crimes; revising provisions relating to driving under the in…](https://policyrisk.com/state-bill/NV-SB309-83rd2025) - [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-SB316-83rd2025 (as of 2026-11-01).