All Roll Calls
Yes: 63 • No: 0
NevadaSB983rd Regular Session (2025)SenateWALLET
AN ACT relating to insurance; revising provisions governing certain duties of insurers and certain other providers of health coverage with regard to coverage and claims for persons who are eligible for or provided medical assistance under Medicaid; and providing other matters properly relating thereto.
Sponsored By: Senate Committee on Commerce and Labor
Signed by Governor
BDR 57-290
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 5 benefits, 0 costs, 2 mixed.
Fewer denials of Medicaid-paid claims
Plans cannot deny a state agency claim just for missing prior authorization when the agency approved the care. They also cannot deny only because of filing date, form type, or missing point‑of‑sale papers if the agency files within three years of service. The agency has up to six years after submission to start enforcement. These rules cover individual and group insurers, HMOs, societies, and prepaid limited health plans.
Plans must honor Medicaid assignments
If Medicaid paid for your care, group insurers, prepaid limited health plans, and corporations that issue health coverage must treat Medicaid as having your assignment of benefits. This applies even if the plan excludes Medicaid or you did not sign an assignment. This helps the state recover and coordinate payments and can prevent billing disputes.
Private plans can't use Medicaid status
Private health plans cannot use your Medicaid eligibility to decide coverage or payments. This applies to individual and group policies, HMOs, fraternal societies, and prepaid limited health plans. Your private coverage and claim payments are judged by the plan, not by whether you have or could get Medicaid.
Insurer recovery after Medicaid has limits
Group insurers and prepaid limited health plans can seek money from other liable parties only if their Medicaid managed care contract allows it or they have fully repaid Medicaid. Any action must follow the plan’s terms and state law. This can affect who gets money from a third-party recovery.
Who gets paid back after Medicaid
If Medicaid paid for your care, plans must treat Medicaid as having your assignment of benefits, even without a written assignment. Insurers, HMOs, and societies can seek recovery from other liable parties only if a Medicaid managed‑care contract allows it or after they repay Medicaid in full. This can affect how injury or other third‑party recoveries are split.
Faster insurer help to Medicaid agencies
When the state agency is assigned your rights and asks, plans must give coverage details like names, addresses, and ID numbers. Insurers, HMOs, and societies must answer agency claim questions within 60 days if the claim was filed within three years of service. Plans cannot add extra requirements on the state agency beyond what they require of other assignees. These rules cover individual and group insurers, HMOs, and societies; prepaid limited health plans must also not add extra requirements.
Faster plan replies and info for Medicaid
HMOs and prepaid limited health plans must answer state agency questions on Medicaid claims within 60 days. This applies when the agency filed the claim within 3 years of the service date. When a state agency is assigned a subscriber’s rights and asks, prepaid plans must also give coverage dates, what the plan covers, the subscriber’s name and address, and the plan ID. This can include details for a spouse or dependent.
Sponsors & Cosponsors
Sponsor
Senate Committee on Commerce and Labor
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/19/2025
Final Passage - Assembly (As Introduced)
Yes: 42 • No: 0
Senate vote • 4/15/2025
Final Passage - Senate (As Introduced)
Yes: 21 • No: 0
Actions Timeline
Chapter 33.
5/27/2025legislatureApproved by the Governor.
5/26/2025legislatureEnrolled and delivered to Governor.
5/23/2025legislatureIn Senate. To enrollment.
5/19/2025SenateRead third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.
5/19/2025HouseTaken from General File. Placed on General File for next legislative day.
5/16/2025HouseTaken from General File. Placed on General File for next legislative day.
5/15/2025HouseRead second time.
5/14/2025HouseFrom committee: Do pass.
5/12/2025HouseRead first time. Referred to Committee on Health and Human Services. To committee.
4/16/2025HouseIn Assembly.
4/16/2025HouseRead third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
4/15/2025SenateRead second time.
4/14/2025SenatePlaced on Second Reading File.
4/14/2025SenateFrom committee: Do pass.
4/14/2025SenateRead first time. To committee.
2/3/2025SenateFrom printer.
11/4/2024SenatePrefiled. Referred to Committee on Commerce and Labor. To printer.
10/29/2024Senate
Bill Text
As Enrolled
As Introduced
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