NevadaSB983rd Regular Session (2025)Senate

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

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Faster, fairer Medicaid claim handling

Insurers and health plans must answer state Medicaid claim inquiries within 60 days. This applies when the state files the claim within 3 years of the service. Plans cannot deny a state-filed claim only for missing prior authorization if the state approved the care. They also cannot deny only because of the submission date, claim form, or missing documentation, if the state filed within 3 years. The state must start any enforcement within 6 years of submission. If the state holds your assigned rights, plans cannot add extra rules beyond those for other assignees.

Private insurers cannot consider Medicaid

Insurers must decide your private coverage and payments without looking at whether Medicaid is available or you qualify. They cannot reduce or deny coverage or payment because Medicaid exists.

Medicaid has first rights to payment

When Medicaid pays for your care, the state has a valid assignment to your insurance benefits for that care, even without a written assignment. Insurers may seek repayment from other liable parties only if a Medicaid contract allows it or after they repay Medicaid in full. This ensures Medicaid gets paid back first for what it covered.

Sponsors & Cosponsors

Sponsor

  • Senate Committee on Commerce and Labor

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

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

  1. Chapter 33.

    5/27/2025legislature
  2. Approved by the Governor.

    5/26/2025legislature
  3. Enrolled and delivered to Governor.

    5/23/2025legislature
  4. In Senate. To enrollment.

    5/19/2025Senate
  5. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

    5/19/2025House
  6. Taken from General File. Placed on General File for next legislative day.

    5/16/2025House
  7. Taken from General File. Placed on General File for next legislative day.

    5/15/2025House
  8. Read second time.

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

    5/12/2025House
  10. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/16/2025House
  11. In Assembly.

    4/16/2025House
  12. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    4/15/2025Senate
  13. Read second time.

    4/14/2025Senate
  14. Placed on Second Reading File.

    4/14/2025Senate
  15. From committee: Do pass.

    4/14/2025Senate
  16. Read first time. To committee.

    2/3/2025Senate
  17. From printer.

    11/4/2024Senate
  18. Prefiled. Referred to Committee on Commerce and Labor. To printer.

    10/29/2024Senate

Bill Text

  • As Enrolled

  • As Introduced

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