Assembly Bill No. 163–Assemblymen Berman, Ohrenschall, Chowning, Freeman, Segerblom, Cegavske, Williams, Tiffany, Evans, Giunchigliani, Buckley, de Braga, McClain, Von Tobel, Angle and Koivisto
February 9, 1999
____________
Referred to Committee on Commerce and Labor
SUMMARY—Requires certain policies of health insurance to include coverage for annual mammograms for certain women under 40 years of age. (BDR 57-622)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State or on Industrial Insurance: No.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1
Section 1. NRS 689A.0405 is hereby amended to read as follows: 689A.0405 1. A policy of health insurance must provide coverage1-3
for benefits payable for expenses incurred for:1-4
(a) An annual cytologic screening test for women 18 years of age or1-5
older;1-6
(b) A baseline mammogram for women between1-7
1-8
(c) An annual mammogram for women 40 years of age or older1-9
and1-10
(d) An annual mammogram for women under 40 years of age:1-11
(1) Who have a personal history of breast cancer;1-12
(2) Who have a personal history of benign breast disease proven by1-13
a biopsy;1-14
(3) Who have a grandmother, mother, sister or daughter who has1-15
had breast cancer; or1-16
(4) Who do not give birth before they reach 30 years of age.2-1
2. A policy of health insurance must not require an insured to obtain2-2
prior authorization for any service provided pursuant to subsection 1.2-3
3. A policy subject to the provisions of this chapter which is delivered,2-4
issued for delivery or renewed on or after October 1, 1989, has the legal2-5
effect of including the coverage required by paragraphs (a), (b) and (c) of2-6
subsection 1, and any provision of the policy or the renewal which is in2-7
conflict with paragraph (a), (b) or (c) of subsection 1 is void.2-8
4. A policy subject to the provisions of this chapter which is2-9
delivered, issued for delivery or renewed on or after October 1, 1997, has2-10
the legal effect of including the coverage required by paragraphs (a), (b)2-11
and (c) of subsection 1, and subsection 2, and any provision of the policy2-12
or the renewal which is in conflict with paragraph (a), (b) or (c) of2-13
subsection 1, or subsection 2 is void.2-14
5. A policy subject to the provisions of this chapter which is2-15
delivered, issued for delivery or renewed on or after October 1, 1999, has2-16
the legal effect of including the coverage required by subsections 1 and 2,2-17
and any provision of the policy or the renewal which is in conflict with2-18
subsection 1 or 2 is void.2-19
Sec. 2. NRS 689B.0374 is hereby amended to read as follows: 689B.0374 1. A policy of group health insurance must provide2-21
coverage for benefits payable for expenses incurred for:2-22
(a) An annual cytologic screening test for women 18 years of age or2-23
older;2-24
(b) A baseline mammogram for women between2-25
2-26
(c) An annual mammogram for women 40 years of age or older2-27
and2-28
(d) An annual mammogram for women under 40 years of age:2-29
(1) Who have a personal history of breast cancer;2-30
(2) Who have a personal history of benign breast disease proven by2-31
a biopsy;2-32
(3) Who have a grandmother, mother, sister or daughter who has2-33
had breast cancer; or2-34
(4) Who do not give birth before they reach 30 years of age.2-35
2. A policy of group health insurance must not require an insured to2-36
obtain prior authorization for any service provided pursuant to subsection2-37
1.2-38
3. A policy subject to the provisions of this chapter which is delivered,2-39
issued for delivery or renewed on or after October 1, 1989, has the legal2-40
effect of including the coverage required by paragraphs (a), (b) and (c) of2-41
subsection 1, and any provision of the policy or the renewal which is in2-42
conflict with paragraph (a), (b) or (c) of subsection 1 is void.3-1
4. A policy subject to the provisions of this chapter which is3-2
delivered, issued for delivery or renewed on or after October 1, 1997, has3-3
the legal effect of including the coverage required by paragraphs (a), (b)3-4
and (c) of subsection 1, and subsection 2, and any provision of the policy3-5
or the renewal which is in conflict with paragraph (a), (b) or (c) of3-6
subsection 1, or subsection 2 is void.3-7
5. A policy subject to the provisions of this chapter which is3-8
delivered, issued for delivery or renewed on or after October 1, 1999, has3-9
the legal effect of including the coverage required by subsections 1 and 2,3-10
and any provision of the policy or the renewal which is in conflict with3-11
subsection 1 or 2 is void.3-12
Sec. 3. NRS 695B.1912 is hereby amended to read as follows: 695B.1912 1. A policy of health insurance issued by a hospital or3-14
medical service corporation must provide coverage for benefits payable for3-15
expenses incurred for:3-16
(a) An annual cytologic screening test for women 18 years of age or3-17
older;3-18
(b) A baseline mammogram for women between3-19
3-20
(c) An annual mammogram for women 40 years of age or older3-21
and3-22
(d) An annual mammogram for women under 40 years of age:3-23
(1) Who have a personal history of breast cancer;3-24
(2) Who have a personal history of benign breast disease proven by3-25
a biopsy;3-26
(3) Who have a grandmother, mother, sister or daughter who has3-27
had breast cancer; or3-28
(4) Who do not give birth before they reach 30 years of age.3-29
2. A policy of health insurance issued by a hospital or medical service3-30
corporation must not require an insured to obtain prior authorization for3-31
any service provided pursuant to subsection 1.3-32
3. A policy subject to the provisions of this chapter which is delivered,3-33
issued for delivery or renewed on or after October 1, 1989, has the legal3-34
effect of including the coverage required by paragraphs (a), (b) and (c) of3-35
subsection 1, and any provision of the policy or the renewal which is in3-36
conflict with paragraph (a), (b) or (c) of subsection 1 is void.3-37
4. A policy subject to the provisions of this chapter which is3-38
delivered, issued for delivery or renewed on or after October 1, 1997, has3-39
the legal effect of including the coverage required by paragraphs (a), (b)3-40
and (c) of subsection 1, and subsection 2, and any provision of the policy3-41
or the renewal which is in conflict with paragraph (a), (b) or (c) of3-42
subsection 1, or subsection 2 is void.4-1
5. A policy subject to the provisions of this chapter which is4-2
delivered, issued for delivery or renewed on or after October 1, 1999, has4-3
the legal effect of including the coverage required by subsections 1 and 2,4-4
and any provision of the policy or the renewal which is in conflict with4-5
subsection 1 or 2 is void.4-6
Sec. 4. NRS 695C.1735 is hereby amended to read as follows: 695C.1735 1. A health maintenance plan must provide coverage for4-8
benefits payable for expenses incurred for:4-9
(a) An annual cytologic screening test for women 18 years of age or4-10
older;4-11
(b) A baseline mammogram for women between4-12
4-13
(c) An annual mammogram for women 40 years of age or older4-14
and4-15
(d) An annual mammogram for women under 40 years of age:4-16
(1) Who have a personal history of breast cancer;4-17
(2) Who have a personal history of benign breast disease proven by4-18
a biopsy;4-19
(3) Who have a grandmother, mother, sister or daughter who has4-20
had breast cancer; or4-21
(4) Who do not give birth before they reach 30 years of age.4-22
2. A health maintenance plan must not require an insured to obtain4-23
prior authorization for any service provided pursuant to subsection 1.4-24
3. A policy subject to the provisions of this chapter which is delivered,4-25
issued for delivery or renewed on or after October 1, 1989, has the legal4-26
effect of including the coverage required by paragraphs (a), (b) and (c) of4-27
subsection 1, and any provision of the policy or the renewal which is in4-28
conflict with paragraph (a), (b) or (c) of subsection 1 is void.4-29
4. A policy subject to the provisions of this chapter which is4-30
delivered, issued for delivery or renewed on or after October 1, 1997, has4-31
the legal effect of including the coverage required by paragraphs (a), (b)4-32
and (c) of subsection 1, and subsection 2, and any provision of the policy4-33
or the renewal which is in conflict with paragraph (a), (b) or (c) of4-34
subsection 1, or subsection 2 is void.4-35
5. A policy subject to the provisions of this chapter which is4-36
delivered, issued for delivery or renewed on or after October 1, 1999, has4-37
the legal effect of including the coverage required by subsections 1 and 2,4-38
and any provision of the policy or the renewal which is in conflict with4-39
subsection 1 or 2 is void.~