# Nevada SB354: AN ACT relating to insurance; prohibiting certain health plans from requiring step therapy before providing coverage for certain prescription drugs for the prevention of human immunodeficiency virus or the treatment of human immunodeficiency virus or hepatitis C; and providing other matters properly relating thereto.

Nevada SB354, AN ACT relating to insurance; prohibiting certain health plans from requiring step therapy before providing coverage for certain prescription drugs for the prevention of human immunodeficiency virus or the treatment of human immunodeficiency virus or hepatitis C; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) Senate bill sponsored by Jeff Stone (Republican); status failed, last action 2025-06-03 ((No further action taken.)); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/NV-SB354-83rd2025
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Nevada SB354
- State: Nevada
- Session: 83rd Regular Session (2025)
- Title: AN ACT relating to insurance; prohibiting certain health plans from requiring step therapy before providing coverage for certain prescription drugs for the prevention of human immunodeficiency virus or the treatment of human immunodeficiency virus or hepatitis C; and providing other matters properly relating thereto.
- Status: failed
- Chamber: Senate
- Introduced: 2025-03-13
- Last action: 2025-06-03, (No further action taken.)
- Sponsor: Jeff Stone (Republican)
- Cosponsors: 3
- Subjects: BDR 57-1041
- Touches household money: yes
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Fewer HIV and hepatitis C insurance barriers: benefit, medium. For policies issued, delivered, or renewed starting January 1, 2027, most Nevada health plans cannot use these treatment barriers. These include prior approval requirements and making patients try another drug first. The protection covers FDA-approved drugs to prevent HIV or treat HIV or hepatitis…
- Some public plans keep drug trial rules: cost, low. Beginning January 1, 2027, managed care plans serving Nevada Medicaid or Public Employees’ Benefits Program members can retain step therapy. This means a plan can require patients to try another drug first. The public employee program’s Board can also use this rule when it provides a self-insured p…

## Sponsors and cosponsors

- Sponsor: Jeff Stone (Republican), Senate
- Cosponsor: Rebecca Edgeworth (Republican), House
- Cosponsor: James Ohrenschall (Democratic), Senate
- Cosponsor: Melanie Scheible (Democratic), Senate

## Actions (10)

- 2025-06-03: (No further action taken.) (Senate)
- 2025-04-25: From printer. To engrossment. Engrossed. First reprint. To committee. (Senate)
- 2025-04-22: Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer. (Senate)
- 2025-04-22: Notice of eligibility for exemption. (Senate)
- 2025-04-21: Reprinting dispensed with. (Senate)
- 2025-04-21: Read second time. Amended. (Amend. No. 315.) (Senate)
- 2025-04-21: Placed on Second Reading File. (Senate)
- 2025-04-21: From committee: Amend, and do pass as amended. (Senate)
- 2025-03-17: From printer. To committee. (Senate)
- 2025-03-13: 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/SB354.pdf)
- Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB354_R1.pdf)

## Related bills

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## Sources
- [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB354.pdf)
- [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/SB/SB354_R1.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)
- [SB352: AN ACT relating to health care; prohibiting certain health insurers and provide…](https://policyrisk.com/state-bill/NV-SB352-83rd2025)
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Source: PRIA, https://policyrisk.com/state-bill/NV-SB354-83rd2025 (as of 2026-11-01).