NevadaSB37683rd Regular Session (2025)SenateWALLET

AN ACT relating to industrial insurance; authorizing an injured employee with a claim for an occupational lung disease or occupational heart disease to seek treatment or services from a physician or chiropractic physician which is not on the panel of physicians and chiropractic physicians maintained by the Administrator of the Division of Industrial Relations of the Department of Business and Industry under certain circumstances; setting forth certain requirements for the reimbursement of the costs for such treatment or services; providing for a penalty for failure to comply with those requirements; authorizing certain notices and other documents required in certain hearings or appeals relating to industrial insurance to be provided by means of an electronic filing system; and providing other matters properly relating thereto.

Sponsored By: John C. Steinbeck (Republican), Skip Daly (Democratic)

Signed by Governor

BDR 53-629

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 0 costs, 3 mixed.

More specialist choice for lung and heart claims

The law lets workers with job‑related lung or heart disease pick a specialist outside the state panel when the panel has fewer than 12 providers who can see you within 30 days. You may choose from doctors who contract with managed‑care or health insurers. If you or your health insurer pay up front, the employer or its insurer must reimburse you in full within 30 days. If they miss the deadline, the Administrator orders them to pay twice the unpaid amount. Employers’ normal approval rules still apply in other cases, and insurers must include a form that explains your right to pick a different doctor.

Disability pay timing, stops, and light duty

Starting October 1, 2025, temporary total disability pays 66 2/3% of your average monthly wage. If your claim is allowed, the first check goes out within 14 working days after the first disability certification, and then on a regular schedule. Pay stops when a doctor says you can do suitable work, when your employer offers suitable light‑duty work, or while you are incarcerated. Light‑duty offers must be confirmed in writing within 10 days and include similar location, hours, pay, and the same benefits. Doctors must list your disability period and limits and sign the form, and insurers may include a request‑to‑continue form with each check.

Who pays medical bills during disputes

When a job insurer denies care, your doctor may take payment from you or your health or casualty insurer. For approved care, the work insurer only pays up to the lower of the state fee amount, the provider’s usual fee, or any contract rate. The special payment right for denied claims covers only care given before the first denial, and it does not cover hospitals. If you or your insurer paid and later win your hearing (or the work insurer accepts the claim), you must be repaid up to the allowed fee amount; any overpayment to a provider must be returned within 30 days. If a payer had to pay during an appeal and then wins, it may recover from your health or casualty insurer, and you must share any insurance documents and contact details after the appeal.

Faster hearings and electronic case notices

Notices and hearing papers may be sent by mail, by hand, or through an approved electronic filing system. A hearing officer can order an independent exam by a specialist, even if the doctor is off the panel, and the work insurer must pay for that exam. The Administrator may fine a provider, insurer, managed‑care group, or employer up to $250 for each violation of the listed rule.

Start date for these workers’ comp changes

These changes apply only to claims filed on or after October 1, 2025. Claims filed earlier stay under the old rules.

Sponsors & Cosponsors

Sponsors

  • John C. Steinbeck

    Republican • Senate

  • Skip Daly

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 60 • No: 1

House vote • 5/31/2025

Final Passage - Assembly (1st Reprint)

Yes: 40 • No: 0

Senate vote • 5/22/2025

Final Passage - Senate (1st Reprint)

Yes: 20 • No: 1

Actions Timeline

  1. Chapter 456.

    6/11/2025legislature
  2. Approved by the Governor.

    6/10/2025legislature
  3. Enrolled and delivered to Governor.

    6/4/2025legislature
  4. To enrollment.

    6/2/2025Senate
  5. In Senate.

    6/1/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 40, Nays: None, Excused: 2.) To Senate.

    5/31/2025House
  7. Read second time.

    5/30/2025House
  8. Placed on Second Reading File.

    5/30/2025House
  9. From committee: Do pass.

    5/30/2025House
  10. Read first time. Referred to Committee on Commerce and Labor. To committee.

    5/23/2025House
  11. In Assembly.

    5/23/2025House
  12. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 20, Nays: 1.) To Assembly.

    5/22/2025Senate
  13. Placed on General File.

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

    5/22/2025Senate
  15. From printer. To engrossment. Engrossed. First reprint. To committee.

    4/24/2025Senate
  16. Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

    4/21/2025Senate
  17. Notice of eligibility for exemption.

    4/21/2025Senate
  18. Read second time. Amended. (Amend. No. 115.)

    4/21/2025Senate
  19. Placed on Second Reading File.

    4/21/2025Senate
  20. From committee: Amend, and do pass as amended.

    4/21/2025Senate
  21. From printer. To committee.

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

    3/17/2025Senate

Bill Text

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