Title 57

NRS 695B.19047 Policy covering prescription drug for medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of provisions. 1…

NRS 695B.1905 Contract covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions. 1. Except as otherwise provided in this section, a contract for hospital or medical s…

NRS 695B.19055 Limitation on cost-sharing obligation for insulin covered under policy covering prescription insulin drugs prohibited from imposing certain cost-sharing obligations. 1. A hospital or medical services corporation that offers or issues a policy of health insurance wh…

NRS 695B.1906 Required provision in policy covering prescription drugs concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception. 1. A hospital or medical services corporation who offers or i…

NRS 695B.19065 Required provision concerning coverage for screening for lung cancer in policy that provides coverage for treatment of lung cancer. 1. A hospital or medical services corporation that offers a policy of health insurance that provides coverage for the treatment of lu…

NRS 695B.1907 Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening. 1. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of colorectal cance…

NRS 695B.1908 Required provision in certain contracts concerning coverage for certain drugs and related services for treatment of cancer. Except as otherwise provided in NRS 695B.1903: 1. No contract for hospital or medical services that provides coverage for a drug approved by t…

NRS 695B.19085 Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Corporation required to allow insured or attending practitioner to apply exemption from step therapy protocol in certain circumstances; procedure for …

NRS 695B.19087 Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior…

NRS 695B.1909 Contract covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy. 1. An insurer that offers or issues a contract for hospital or medical service which provides coverage for the treatment of cancer through…

NRS 695B.191 Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts. 1. A policy of health insurance, issued by a medical service corporation, which provides coverage for the surgical procedure known as a mastectomy must als…

NRS 695B.1911 Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances. 1. A hospital or medical services corporation that issues a policy of health insurance shall provide coverage for screening, genetic c…

NRS 695B.1912 Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service must provide coverage for benefits payable for expenses incurred for: (a) A mam…

NRS 695B.1913 Required provision concerning coverage for examination of person who is pregnant for certain diseases. 1. A hospital or medical services corporation that issues a policy of health insurance shall provide coverage for the examination of a person who is pregnant for t…

NRS 695B.1914 Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care provider. 1. A contract for hospital or medical servic…

NRS 695B.1915 Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of corporation to prescribe requirements for covering surgical …

NRS 695B.19155 Required provision concerning coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts. 1. A hospital or medical services corporation that offers or issues a po…

NRS 695B.1916 Required provision in contract covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception. 1. An insurer that offers or issues a contract for hospital or medical service which provid…

NRS 695B.1918 Required provision in contract covering outpatient care concerning coverage of health care services related to hormone replacement therapy; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service which provides coverage for ou…

NRS 695B.1919 Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions. 1. Except as otherwise provided in subsection 8, an insurer that offers or issues a contract for hospital or medical service shall i…

NRS 695B.19192 Required provision concerning coverage for procedure or service for preservation of fertility in certain circumstances; exemption. [Effective January 1, 2027.] 1. Except as otherwise provided in subsection 4, a hospital or medical services corporation that issues a…

NRS 695B.19195 Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service shall include in the contract coverage for: (a) Counseling, suppo…

NRS 695B.19197 Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts. 1. A hospital or medical services corporation that of…

NRS 695B.19199 Required provision concerning coverage for noninvasive prenatal screening. 1. A hospital or medical services corporation that offers or issues a policy of group health insurance shall include in the policy coverage for noninvasive prenatal screening at any time dur…

NRS 695B.192 Contract containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception. 1. No hospital, medical or dental service contract issued by a corporation pursuant to the provisions of this chapter may contain any excl…

NRS 695B.1923 Required provision concerning coverage for treatment of certain inherited metabolic diseases. 1. A contract for hospital or medical service must provide coverage for: (a) Enteral formulas for use at home that are prescribed or ordered by a physician as medically nec…

NRS 695B.1924 Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts. 1. A hospital or medical servi…

NRS 695B.1925 Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts. 1. An insurer that offers or issues a contract for hospital or medical service must provide coverage for benefits payable for expenses incurred f…

NRS 695B.1926 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds. 1. A hospital or medical services corporation that offers or issues a policy of he…

NRS 695B.1927 Required provision in contract covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes. 1. No contract for hospital or medical service that provides coverage for hospital, medical or surgical expenses may be deliv…

NRS 695B.1929 Required provision of coverage for management and treatment of sickle cell disease and its variants; policy covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disease and its variants. 1. A hospit…

NRS 695B.193 Contract covering family member of subscriber required to include certain coverage for subscriber’s newly born and adopted children and children placed with subscriber for adoption. 1. All individual and group service or indemnity-type contracts issued by a nonprofit…

NRS 695B.19305 Required provision concerning coverage for dental service provided by qualified dental hygienist in certain circumstances. 1. An insurer that offers or issues a contract for dental services which includes coverage for a dental service that a qualified dental hygien…

NRS 695B.1931 Contract prohibited from excluding coverage relating to treatment of temporomandibular joint; exception. 1. Except as otherwise provided in this section, no contract for hospital or medical service may be delivered or issued for delivery in this state if it contains…

NRS 695B.1932 Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products. 1. A hospital or medical service corporation which offers or issues a policy of health insurance that provides coverage for prescrip…

NRS 695B.1942 Required provision in contract covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act. 1. A policy of health insurance issued by a hospital or medical service corporation that provides coverage for the treatment of pr…

NRS 695B.1944 Required provision in certain group contracts concerning continuing coverage for employee or member on leave without pay as result of total disability. 1. As used in this section, “total disability” and “totally disabled” mean the continuing inability of the employe…

NRS 695B.1948 Contract covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of contract. 1. An insurer that offers or issues a contract for hospital or medical services that includes co…

NRS 695B.1949 Contract covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by insurer if insured is person with disability. 1. An insurer that offers or issues a contract for hospital or medical services that includ…

NRS 695B.1951 Reimbursement for treatment by podiatrist. 1. If any contract for hospital or medical services provides coverage for treatment which is within the authorized scope of practice of a qualified podiatrist, the insured or a podiatrist who is licensed pursuant to chapter…

NRS 695B.1955 Reimbursement for treatment by licensed clinical alcohol and drug counselor. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a licensed clinical alcohol and drug counselor, the insur…

NRS 695B.196 Reimbursement for acupuncture. If any contract for hospital or medical services provides coverage for acupuncture performed by a physician, the insured or a person who is licensed pursuant to chapter 634A of NRS and performs acupuncture on the insured, as applicable,…

NRS 695B.197 Reimbursement for treatment by licensed psychologist. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of the practice of a qualified psychologist, the insured or a licensed psychologist who provides…

NRS 695B.1973 Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a licensed marriage…

NRS 695B.1975 Reimbursement for treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker. If any contract for hospital or medical service provides coverage for treatment which is within the authorized…

NRS 695B.198 Reimbursement for treatment by chiropractic physician. 1. If any contract for hospital or medical service provides coverage for treatment which is within the authorized scope of practice of a qualified chiropractic physician, the insured or a chiropractic physician w…

NRS 695B.199 Reimbursement for services provided by certain nurses. 1. If any contract for medical service provides coverage for services which are within the authorized scope of practice of a registered nurse who is authorized pursuant to chapter 632 of NRS to perform additional…