Title 40

NRS 439B.2809 “Health care entity” defined. “Health care entity” means: 1. Any facility licensed pursuant to chapter 449 of NRS; 2. A practitioner group practice; 3. An entity that provides staffing or services of practitioners; or 4. Any other entity that provides health care sp…

NRS 439B.2811 “Medical debt” defined. “Medical debt” means an obligation or alleged obligation owed by a consumer of health care to pay money to a health care entity or its assignee for medical services, products or devices, regardless of whether the obligation is past due. The t…

NRS 439B.2813 “Medical debtor” defined. “Medical debtor” means a natural person who: 1. Owes a medical debt; or 2. Is the guarantor of a natural person who owes a medical debt. (Added to NRS by 2025, 1647)

NRS 439B.2815 “National Drug Code” defined. “National Drug Code” means the numerical code assigned to a prescription drug by the United States Food and Drug Administration. (Added to NRS by 2025, 1647)

NRS 439B.2817 “Practitioner group practice” defined. “Practitioner group practice” means any business entity organized for the purpose of the practice of one or more healing arts by more than one practitioner. (Added to NRS by 2025, 1647)

NRS 439B.2819 “Small practitioner group practice” defined. “Small practitioner group practice” means a practitioner group practice consisting of a number of practitioners less than or equal to the maximum number of practitioners established by regulation of the Department for a s…

NRS 439B.2821 “Third party” defined. “Third party” means any insurer, governmental entity or other organization providing health coverage or benefits in accordance with state or federal law. (Added to NRS by 2025, 1647)

NRS 439B.2823 Publication by hospital of list of items and services with standard charge; exempt information. 1. A hospital shall compile, publish in accordance with NRS 439B.2827 and update annually a list of: (a) Each item or service provided by the hospital for which the hospi…

NRS 439B.2825 Publication by hospital of lists of shoppable services; exempt information and hospitals. 1. Except as otherwise provided in subsection 6, a hospital shall compile, publish in accordance with NRS 439B.2827 and update annually: (a) A list of shoppable services provid…

NRS 439B.2827 Manner of publication of lists. 1. A hospital shall: (a) Publish the most current version of each list compiled pursuant to NRS 439B.2823 or 439B.2825 in a single digital file that is presented in a machine-readable format without additional rows or spacing between …

NRS 439B.2829 Submission by hospital of report relating to facility fees; publication of report. 1. On or before July 1 of each year, a hospital shall submit to the Department in the form prescribed by the Department: (a) A report which includes the information prescribed by subs…

NRS 439B.2831 Noncompliant hospital prohibited from taking certain actions relating to medical debt; investigation of violations; cancellation and refund of certain medical debt. 1. A hospital shall not take any action described in subsection 2 with regard to any medical debt whi…

NRS 439B.2833 Complaints regarding noncompliance; monitoring of compliance; regulations. 1. Any person who believes that a hospital has failed to comply with the provisions of NRS 439B.2801 to 439B.2839, inclusive, may submit a complaint to the Department. The Department shall: (…

NRS 439B.2835 Notice of violation; plan of correction. 1. If the Department determines that a hospital has failed to comply with the provisions of NRS 439B.2801 to 439B.2839, inclusive, the Department shall issue to the hospital a notice of the violation. The notice must include,…

NRS 439B.2837 Administrative penalty. 1. The Department shall impose an administrative penalty against a hospital that the Department determines, after notice and the opportunity for a hearing in accordance with NRS 439B.2833 and 439B.2835 and any regulations adopted pursuant the…

NRS 439B.2839 Internet website to inform public concerning violations; confidentiality of certain documents and information; certain documents deemed public records. 1. The Department shall: (a) Maintain a publicly available Internet website to inform the public concerning violat…

NRS 439B.2841 Information to be provided by health care entity before collection of medical debt; itemized receipt upon payment of medical debt; investigation of violations; deceptive trade practice; exemption. 1. Before taking any action to collect a medical debt or authorizing …

NRS 439B.300 Legislative findings and declarations; applicability. 1. The Legislature finds and declares that: (a) The practice of refusing to treat an indigent patient if another hospital can provide the treatment endangers the health and well-being of such patients. (b) Countie…

NRS 439B.310 “Indigent” defined. For the purposes of NRS 439B.300 to 439B.340, inclusive, “indigent” means those persons: 1. Who are not covered by any policy of health insurance; 2. Who are ineligible for Medicare, Medicaid, the Children’s Health Insurance Program, the benefits …

NRS 439B.320 Hospital required to provide care for proportionate share of indigent patients; duties of Department and board of county commissioners; reimbursement for care. 1. A hospital shall provide, without charge, in each fiscal year, care for indigent inpatients in an amount…

NRS 439B.330 Eligibility of indigent for assistance; payment of hospital for serving disproportionately large share of patients; discharge forms; appeal from determination of county regarding indigent status. 1. Except as otherwise provided in this subsection, subsection 2 and NR…

NRS 439B.340 Report on indigent patients treated; verification by Director; compensation for treatment provided in excess of obligation; assessment for failure to fulfill minimum obligation. 1. Before September 30 of each year, each county in which hospitals subject to the provis…

NRS 439B.350 Department to establish; purpose. 1. The Department shall establish a program to increase awareness of health care programs for children and to encourage enrollment in such programs. The program must provide for the dissemination of information to the public relating…

NRS 439B.360 Evaluation: Recommendations; report to Interim Finance Committee. 1. The Director shall evaluate the effectiveness of the program established pursuant to NRS 439B.350 annually. The evaluation must include, without limitation, measuring the effectiveness of the conten…

NRS 439B.370 Director authorized to contract for certain services. The Director may, within the limits of available money, contract for services to assist the Department in carrying out the provisions of NRS 439B.350 and 439B.360. (Added to NRS by 1997, 1546) MISCELLANEOUS PROVIS…

NRS 439B.400 Hospital must maintain and use uniform list of billed charges; exception. Each hospital in this State shall maintain and use a uniform list of billed charges for that hospital for units of service or goods provided to all inpatients. A hospital may not use a billed c…

NRS 439B.410 Hospital required to provide emergency services and care; unlawful acts of hospital or physician working in hospital emergency room; treating hospital may recover penalty from transferring hospital; exceptions; administrative investigations and sanctions. 1. Except a…

NRS 439B.420 Prohibited acts of hospitals and related entities; exceptions; submission of contracts to Director; civil penalty. 1. A hospital or related entity shall not establish a rental agreement with a physician or entity that employs physicians that requires any portion of h…

NRS 439B.425 Prohibited referral of patients; exceptions; penalty. 1. Except as otherwise provided in this section, a practitioner shall not refer a patient, for a service or for goods related to health care, to a health facility, medical laboratory, diagnostic imaging or radiati…

NRS 439B.430 Prohibited acts of hospitals; examination by Director; administrative fine; injunctive relief. 1. For the purposes of this section: (a) An “affiliated person” is a person controlled by any combination of the hospital, the parent corporation, a subsidiary or the princ…

NRS 439B.440 Director may require hospitals, health facilities and providers of health services to submit information; independent audit; examinations; penalty. 1. The Director may by regulation require hospitals, other health facilities and providers of health services to submit…

NRS 439B.450 Powers and duties of Director. The Director: 1. May adopt such regulations as are necessary to carry out the provisions of NRS 439B.160 to 439B.500, inclusive. 2. Shall ensure that the administration of NRS 439B.160 to 439B.500, inclusive, does not cause the State to…

NRS 439B.460 Director authorized to delegate powers and duties. The Director may delegate: 1. Any of the Director’s powers or duties pursuant to NRS 439B.160 to 439B.500, inclusive, to the Administrator of the Medicaid Division of the Authority. 2. Any of the Department’s powers …

NRS 439B.500 Penalty for violation of provisions. In addition to any civil or administrative penalty specifically provided in NRS 439B.160 to 439B.500, inclusive, any person who violates a provision of NRS 439B.160 to 439B.500, inclusive, shall be punished by a fine of not more t…

NRS 439B.600 Definitions. As used in NRS 439B.600 to 439B.695, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.605 to 439B.622, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2007, 3137; A 2017, 4301; 20…

NRS 439B.605 “Manufacturer” defined. “Manufacturer” has the meaning ascribed to it in 42 U.S.C. § 1396r-8(k)(5). (Added to NRS by 2017, 4297; A 2021, 3723)

NRS 439B.607 “National Drug Code” defined. “National Drug Code” means the numerical code assigned to a prescription drug by the United States Food and Drug Administration. (Added to NRS by 2021, 3722)

NRS 439B.610 “Pharmacy” defined. “Pharmacy” means every store or shop licensed by the State Board of Pharmacy where drugs, controlled substances, poisons, medicines or chemicals are stored or possessed, or dispensed or sold at retail, or displayed for sale at retail, or where pre…

NRS 439B.615 “Pharmacy benefit manager” defined. “Pharmacy benefit manager” has the meaning ascribed to it in NRS 683A.174. (Added to NRS by 2017, 4297)

NRS 439B.616 “Rebate” defined. 1. “Rebate” means a discount or concession that affects the price of a prescription drug which is provided by the manufacture of the drug to: (a) A third party; (b) A pharmacy benefit manager after the pharmacy benefit manager has processed a claim …

NRS 439B.618 “Third party” defined. “Third party” means: 1. An insurer, as that term is defined in NRS 679B.540; 2. A health benefit plan, as that term is defined in NRS 687B.470, for employees which provides coverage for prescription drugs; 3. The Public Employees’ Benefits Prog…

NRS 439B.619 “Unit” defined. “Unit” has the meaning ascribed to it in 42 U.S.C. § 1395w-3a(b)(2)(B). (Added to NRS by 2021, 3723)

NRS 439B.620 “Wholesale acquisition cost” defined. “Wholesale acquisition cost” means the manufacturer’s published list price for a prescription drug with a unique National Drug Code for sale to a wholesaler or any other person or entity that purchases the prescription drug direc…

NRS 439B.622 “Wholesaler” defined. “Wholesaler” has the meaning ascribed to it in NRS 639.016. (Added to NRS by 2021, 3723)

NRS 439B.625 Organization representing interests of retail merchants to prepare and update list of most commonly prescribed drugs or generic equivalents. The organization with the largest membership in this State which represents the interests of retail merchants, as determined b…

NRS 439B.630 Authority to annually compile lists of certain prescription drugs. 1. On or before February 1 of each year, the Authority shall compile: (a) A list of prescription drugs that the Authority determines to be essential for treating diabetes in this State and the wholesa…