Title 40

NRS 439B.650 Authority to compile annual report concerning price of certain drugs; contents of report; presentation of report at public hearing. On or before June 1 of each year, the Authority shall: 1. Analyze the information submitted pursuant to NRS 439B.635 to 439B.645, inclu…

NRS 439B.655 Pharmacies to provide to Authority contact information, electronic mail address and address of Internet website; exceptions. 1. Except as otherwise provided in subsections 2 and 3, each pharmacy shall, in accordance with the regulations adopted pursuant to NRS 439B.6…

NRS 439B.660 Manufacturer required to provide list of its pharmaceutical sales representatives; electronic access to list; prohibition against unlisted person marketing prescription drugs; reports. 1. A manufacturer of a prescription drug shall provide to the Authority a list of …

NRS 439B.665 Report by certain nonprofit organizations that receive items of value from manufacturer. 1. On or before February 1 of each year, a nonprofit organization that advocates on behalf of patients or funds medical research in this State and has received a payment, donatio…

NRS 439B.670 Authority to place on Internet website certain information concerning pharmacies, nonprofit organizations and prescription drugs and certain reports by Authority; additional or alternative procedures for obtaining information concerning pharmacies, nonprofit organiza…

NRS 439B.675 Manner of presentation of information. 1. Except as otherwise provided in this section, the Authority shall ensure that the list of prescription drugs prepared pursuant to NRS 439B.625 and the information that pharmacies and the Authority provide and obtain pursuant …

NRS 439B.680 Immunity from civil and criminal liability. The Authority and its members, officers and employees are not liable civilly or criminally for any act, omission, error or technical problem that results in: 1. The failure to provide to consumers information regarding a ph…

NRS 439B.685 Regulations. The Authority shall adopt such regulations as it determines to be necessary or advisable to carry out the provisions of NRS 439B.600 to 439B.695, inclusive. Such regulations must provide for, without limitation: 1. Notice to consumers stating that: (a) A…

NRS 439B.690 Suspension of components of program or duties of Authority if sufficient money not available; acceptance of gifts and grants. 1. On or before July 1 of each odd-numbered year, the Authority shall make a determination of whether sufficient money is available and autho…

NRS 439B.695 Administrative penalty for failure to provide information to Authority; use of money collected by Authority. 1. If a pharmacy that is licensed under the provisions of chapter 639 of NRS and is located within the State of Nevada fails to provide to the Authority the i…

NRS 439B.700 Definitions. As used in NRS 439B.700 to 439B.760, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.703 to 439B.739, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2019, 320)

NRS 439B.703 “Covered person” defined. “Covered person” means a policyholder, subscriber, enrollee or other person covered by a third party. (Added to NRS by 2019, 320)

NRS 439B.706 “Independent center for emergency medical care” defined. “Independent center for emergency medical care” has the meaning ascribed to it in NRS 449.013. (Added to NRS by 2019, 320)

NRS 439B.709 “In-network emergency facility” defined. “In-network emergency facility” means a hospital or independent center for emergency medical care that is an in-network provider. (Added to NRS by 2019, 320)

NRS 439B.712 “In-network provider” defined. “In-network provider” means, for a particular covered person, a provider of health care that has entered into a provider contract with a third party for the provision of health care to the covered person. (Added to NRS by 2019, 320)

NRS 439B.715 “Medically necessary emergency services” defined. “Medically necessary emergency services” means health care services that are provided by a provider of health care to screen and to stabilize a covered person after the sudden onset of a medical condition that manifes…

NRS 439B.718 “Out-of-network emergency facility” defined. “Out-of-network emergency facility” means a hospital or independent center for emergency medical care that is an out-of-network provider. (Added to NRS by 2019, 320)

NRS 439B.721 “Out-of-network provider” defined. “Out-of-network provider” means, for a particular covered person, a provider of health care that has not entered into a provider contract with a third party for the provision of health care to the covered person. (Added to NRS by 20…

NRS 439B.724 “Provider contract” defined. “Provider contract” means a contract between a third party and an in-network provider to provide health care services to a covered person. (Added to NRS by 2019, 320)

NRS 439B.727 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 695G.070. (Added to NRS by 2019, 320)

NRS 439B.730 “Prudent person” defined. “Prudent person” means a person who: 1. Is not a provider of health care; 2. Possesses an average knowledge of health and medicine; and 3. Is acting reasonably under the circumstances. (Added to NRS by 2019, 321)

NRS 439B.733 “Screen” defined. “Screen” means to conduct the medical screening examination required to be provided to a patient in the emergency department of a hospital pursuant to 42 U.S.C. § 1395dd. (Added to NRS by 2019, 321)

NRS 439B.736 “Third party” defined. 1. “Third party” includes, without limitation: (a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services; (b) The Public Employees’ Benefits Program established pursu…

NRS 439B.739 “To stabilize” and “stabilized” defined. “To stabilize” and “stabilized” have the meanings ascribed to them in 42 U.S.C. § 1395dd(e)(3). (Added to NRS by 2019, 321)

NRS 439B.742 Inapplicability of provisions to certain hospitals, persons and health care services. The provisions of NRS 439B.745 and 439B.748 do not apply to: 1. A hospital which has been certified as a critical access hospital by the Secretary of Health and Human Services pursu…

NRS 439B.745 Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services. 1. An out-of-network provider shall not collect from a covered person for medically necessary emergency services, and a …

NRS 439B.748 Payment to out-of-network emergency facility by third party. 1. If an out-of-network emergency facility had a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services…

NRS 439B.751 Payment to out-of-network provider, other than emergency facility, by third party. 1. If an out-of-network provider, other than an out-of-network emergency facility, had a provider contract as an in-network provider within the 12 months immediately preceding the date…

NRS 439B.754 Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration. 1. An out-of-network provider shall accept or rejec…

NRS 439B.757 Election by certain entities and organizations not otherwise covered to submit to provisions; regulations. Any entity or organization, not otherwise subject to the provisions of NRS 439B.700 to 439B.760, inclusive, that provides coverage for emergency medical service…

NRS 439B.760 Reports; confidentiality of information. 1. On or before December 31 of each year, an arbitrator who arbitrated a matter pursuant to NRS 439B.754 during the immediately preceding 12 months shall report to the Department in the form prescribed by the Department: (a) T…

NRS 439B.800 Definitions. As used in NRS 439B.800 to 439B.875, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.805 to 439B.830, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2021, 3050; A 2025, 3707)

NRS 439B.805 “All-payer claims database” defined. “All-payer claims database” means the all-payer claims database established pursuant to NRS 439B.835. (Added to NRS by 2021, 3050)

NRS 439B.810 “Covered entity” defined. “Covered entity” has the meaning ascribed to it in 45 C.F.R. § 160.103. (Added to NRS by 2021, 3050)

NRS 439B.815 “Direct patient identifier” defined. “Direct patient identifier” means data that directly identifies a patient, including, without limitation, a name, telephone number, social security number, number associated with a medical record, health plan beneficiary number or…

NRS 439B.817 “Office” defined. “Office” means the Office of Data Analytics of the Authority. (Added to NRS by 2025, 3703)

NRS 439B.820 “Proprietary financial information” defined. “Proprietary financial information” means data that discloses or allows the determination of: 1. A specific term of a contract, discount or other agreement between any or all of a provider of health care, a health facility…

NRS 439B.825 “Provider of health care” defined. “Provider of health care” has the meaning ascribed to it in NRS 629.031. (Added to NRS by 2021, 3051)

NRS 439B.830 “Unique identifier” defined. “Unique identifier” means an identifier that is guaranteed to be unique for a patient and can be used to track information relating to the patient but is not a direct patient identifier. (Added to NRS by 2021, 3051)

NRS 439B.835 Establishment of database; duties of Office; advisory committees. 1. The Office shall, to the extent that federal money is available for this purpose, establish an all-payer claims database of information relating to health insurance claims resulting from medical, de…

NRS 439B.840 Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers. If an all-payer claims database is established pursuant to NRS 439B.835: 1. Except as otherwise provided in this section, each hea…

NRS 439B.845 Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings. 1. Except as otherwise provided in subsection 3 and NRS 439B.855, data contained in the all-payer claims database, if established pursuant to NRS 439B.835, is confid…

NRS 439B.850 Data requests. To obtain data pursuant to subsection 3 of NRS 439B.855 from the all-payer claims database, if established pursuant to NRS 439B.835, a person or entity must submit a request to the Office. The request must include, without limitation: 1. A description …

NRS 439B.855 Access to and use of data; prohibition on release of data to certain entities; duties of recipient of data; requirement to include certain information in report which contains or uses data. If the all-payer claims database is established pursuant to NRS 439B.835: 1. …

NRS 439B.860 Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Office intends to publish in next calendar year. 1. The Office shall, at least annually, publish a report concerning the quality, efficiency and cost of health…

NRS 439B.865 Reports concerning cost, performance and effectiveness of database and information concerning grants. If the all-payer claims database is established pursuant to NRS 439B.835: 1. On or before December 31 of each even-numbered year, the Office shall submit to the Dire…