EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

1-1 Section 1. Chapter 689A of NRS is hereby amended by adding

1-2 thereto a new section to read as follows:

1-3 1. A policy of health insurance must provide coverage for services

1-4 related to the diagnosis, treatment and management of osteoporosis,

1-5 including, without limitation:

1-6 (a) A baseline bone-mass measurement for women 55 years of age or

1-7 older;

1-8 (b) An annual bone-mass measurement for women who are at risk of

1-9 developing osteoporosis, including, without limitation, women who are

1-10 deficient in estrogen, women with vertebral abnormalities, women who

1-11 are receiving long-term glucocorticoid therapy, women with primary

1-12 hyperparathyroidism and women who have a family history of

1-13 osteoporosis; and

2-1 (c) A regular bone-mass measurement for men who are at risk of

2-2 developing osteoporosis, including, without limitation, men with vertebral

2-3 abnormalities, men who are receiving long-term glucocorticoid therapy,

2-4 men with primary hyperparathyroidism and men who have a family

2-5 history of osteoporosis.

2-6 2. A policy of health insurance subject to the provisions of this

2-7 chapter that is delivered, issued for delivery or renewed on or after

2-8 October 1, 1999, has the legal effect of including the coverage required

2-9 by this section, and any provision of the policy that conflicts with this

2-10 section is void.

2-11 3. As used in this section, "bone-mass measurement" means a

2-12 radiologic or radioisotopic procedure or other scientifically proven

2-13 technology performed on a person to identify bone mass or detect bone

2-14 loss.

2-15 Sec. 2. NRS 689A.330 is hereby amended to read as follows:

2-16 689A.330 If any policy is issued by a domestic insurer for delivery to

2-22 section 1 of this act.

2-23 Sec. 3. Chapter 689B of NRS is hereby amended by adding thereto a

2-24 new section to read as follows:

2-25 1. A policy of group health insurance must provide coverage for

2-26 services related to the diagnosis, treatment and management of

2-27 osteoporosis, including, without limitation:

2-28 (a) A baseline bone-mass measurement for women 55 years of age or

2-29 older;

2-30 (b) An annual bone-mass measurement for women who are at risk of

2-31 developing osteoporosis, including, without limitation, women who are

2-32 deficient in estrogen, women with vertebral abnormalities, women who

2-33 are receiving long-term glucocorticoid therapy, women with primary

2-34 hyperparathyroidism and women who have a family history of

2-35 osteoporosis; and

2-36 (c) A regular bone-mass measurement for men who are at risk of

2-37 developing osteoporosis, including, without limitation, men with vertebral

2-38 abnormalities, men who are receiving long-term glucocorticoid therapy,

2-39 men with primary hyperparathyroidism and men who have a family

2-40 history of osteoporosis.

3-1 2. A policy of group health insurance subject to the provisions of this

3-2 chapter that is delivered, issued for delivery or renewed on or after

3-3 October 1, 1999, has the legal effect of including the coverage required

3-4 by this section, and any provision of the policy that conflicts with this

3-5 section is void.

3-6 3. As used in this section, "bone-mass measurement" means a

3-7 radiologic or radioisotopic procedure or other scientifically proven

3-8 technology performed on a person to identify bone mass or detect bone

3-9 loss.

3-10 Sec. 4. Chapter 695B of NRS is hereby amended by adding thereto a

3-11 new section to read as follows:

3-12 1. A contract for hospital or medical service must provide coverage

3-13 for services related to the diagnosis, treatment and management of

3-14 osteoporosis, including, without limitation:

3-15 (a) A baseline bone-mass measurement for women 55 years of age or

3-16 older;

3-17 (b) An annual bone-mass measurement for women who are at risk of

3-18 developing osteoporosis, including, without limitation, women who are

3-19 deficient in estrogen, women with vertebral abnormalities, women who

3-20 are receiving long-term glucocorticoid therapy, women with primary

3-21 hyperparathyroidism and women who have a family history of

3-22 osteoporosis; and

3-23 (c) A regular bone-mass measurement for men who are at risk of

3-24 developing osteoporosis, including, without limitation, men with vertebral

3-25 abnormalities, men who are receiving long-term glucocorticoid therapy,

3-26 men with primary hyperparathyroidism and men who have a family

3-27 history of osteoporosis.

3-28 2. A contract for hospital or medical service subject to the provisions

3-29 of this chapter that is delivered, issued for delivery or renewed on or after

3-30 October 1, 1999, has the legal effect of including the coverage required

3-31 by this section, and any provision of the contract that conflicts with this

3-32 section is void.

3-33 3. As used in this section, "bone-mass measurement" means a

3-34 radiologic or radioisotopic procedure or other scientifically proven

3-35 technology performed on a person to identify bone mass or detect bone

3-36 loss.

3-37 Sec. 5. Chapter 695C of NRS is hereby amended by adding thereto a

3-38 new section to read as follows:

3-39 1. A health maintenance plan must provide coverage for services

3-40 related to the diagnosis, treatment and management of osteoporosis,

3-41 including, without limitation:

3-42 (a) A baseline bone-mass measurement for women 55 years of age or

3-43 older;

4-1 (b) An annual bone-mass measurement for women who are at risk of

4-2 developing osteoporosis, including, without limitation, women who are

4-3 deficient in estrogen, women with vertebral abnormalities, women who

4-4 are receiving long-term glucocorticoid therapy, women with primary

4-5 hyperparathyroidism and women who have a family history of

4-6 osteoporosis; and

4-7 (c) A regular bone-mass measurement for men who are at risk of

4-8 developing osteoporosis, including, without limitation, men with vertebral

4-9 abnormalities, men who are receiving long-term glucocorticoid therapy,

4-10 men with primary hyperparathyroidism and men who have a family

4-11 history of osteoporosis.

4-12 2. Evidence of coverage subject to the provisions of this chapter that

4-13 is delivered, issued for delivery or renewed on or after October 1, 1999,

4-14 has the legal effect of including the coverage required by this section,

4-15 and any provision of the evidence of coverage that conflicts with this

4-16 section is void.

4-17 3. As used in this section, "bone-mass measurement" means a

4-18 radiologic or radioisotopic procedure or other scientifically proven

4-19 technology performed on a person to identify bone mass or detect bone

4-20 loss.

4-21 Sec. 6. NRS 695C.050 is hereby amended to read as follows:

4-22 695C.050 1. Except as otherwise provided in this chapter or in

4-42 this chapter for services provided pursuant to any other contract.

5-1 Sec. 7. NRS 695C.330 is hereby amended to read as follows:

5-2 695C.330 1. The commissioner may suspend or revoke any

6-1 3. If the certificate of authority of a health maintenance organization is

6-2 suspended, the health maintenance organization shall not, during the

6-3 period of that suspension, enroll any additional groups or new individual

6-4 contracts, unless those groups or persons were contracted for before the

6-5 date of suspension.

6-6 4. If the certificate of authority of a health maintenance organization is

6-7 revoked, the organization shall proceed, immediately following the

6-8 effective date of the order of revocation, to wind up its affairs and shall

6-9 conduct no further business except as may be essential to the orderly

6-10 conclusion of the affairs of the organization. It shall engage in no further

6-11 advertising or solicitation of any kind. The commissioner may by written

6-12 order permit such further operation of the organization as he may find to

6-13 be in the best interest of enrollees to the end that enrollees are afforded the

6-14 greatest practical opportunity to obtain continuing coverage for health care.

6-15 Sec. 8. NRS 287.010 is hereby amended to read as follows:

6-16 287.010 1. The governing body of any county, school district,

6-43 independent administrator must be approved by the commissioner of

7-1 insurance as to the reasonableness of administrative charges in relation to

7-2 contributions collected and benefits provided. The provisions of NRS

7-3 689B.030 to 689B.050, inclusive, and section 5 of this act apply to

7-4 coverage provided pursuant to this paragraph.

7-5 (d) Defray part or all of the cost of maintenance of a self-insurance fund

7-6 or of the premiums upon insurance. The money for contributions must be

7-7 budgeted for in accordance with the laws governing the county, school

7-8 district, municipal corporation, political subdivision, public corporation or

7-9 other public agency of the State of Nevada.

7-10 2. If a school district offers group insurance to its officers and

7-11 employees pursuant to this section, members of the board of trustees of the

7-12 school district must not be excluded from participating in the group

7-13 insurance. If the amount of the deductions from compensation required to

7-14 pay for the group insurance exceeds the compensation to which a trustee is

7-15 entitled, the difference must be paid by the trustee.