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

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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 [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).

 

AN ACT relating to health insurance; requiring certain policies of health insurance to include coverage for annual mammograms for certain women under 40 years of age; and providing other matters properly relating thereto.

 

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:

1-2 689A.0405 1. A policy of health insurance must provide coverage

1-3 for benefits payable for expenses incurred for:

1-4 (a) An annual cytologic screening test for women 18 years of age or

1-5 older;

1-6 (b) A baseline mammogram for women between [the ages of] 35 and 40

1-7 [; and] years of age;

1-8 (c) An annual mammogram for women 40 years of age or older [.] ;

1-9 and

1-10 (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 by

1-13 a biopsy;

1-14 (3) Who have a grandmother, mother, sister or daughter who has

1-15 had breast cancer; or

1-16 (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 obtain

2-2 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 legal

2-5 effect of including the coverage required by paragraphs (a), (b) and (c) of

2-6 subsection 1, and any provision of the policy or the renewal which is in

2-7 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 is

2-9 delivered, issued for delivery or renewed on or after October 1, 1997, has

2-10 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 policy

2-12 or the renewal which is in conflict with paragraph (a), (b) or (c) of

2-13 subsection 1, or subsection 2 is void.

2-14 5. A policy subject to the provisions of this chapter which is

2-15 delivered, issued for delivery or renewed on or after October 1, 1999, has

2-16 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 with

2-18 subsection 1 or 2 is void.

2-19 Sec. 2. NRS 689B.0374 is hereby amended to read as follows:

2-20 689B.0374 1. A policy of group health insurance must provide

2-21 coverage for benefits payable for expenses incurred for:

2-22 (a) An annual cytologic screening test for women 18 years of age or

2-23 older;

2-24 (b) A baseline mammogram for women between [the ages of] 35 and 40

2-25 [; and] years of age;

2-26 (c) An annual mammogram for women 40 years of age or older [.] ;

2-27 and

2-28 (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 by

2-31 a biopsy;

2-32 (3) Who have a grandmother, mother, sister or daughter who has

2-33 had breast cancer; or

2-34 (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 to

2-36 obtain prior authorization for any service provided pursuant to subsection

2-37 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 legal

2-40 effect of including the coverage required by paragraphs (a), (b) and (c) of

2-41 subsection 1, and any provision of the policy or the renewal which is in

2-42 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 is

3-2 delivered, issued for delivery or renewed on or after October 1, 1997, has

3-3 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 policy

3-5 or the renewal which is in conflict with paragraph (a), (b) or (c) of

3-6 subsection 1, or subsection 2 is void.

3-7 5. A policy subject to the provisions of this chapter which is

3-8 delivered, issued for delivery or renewed on or after October 1, 1999, has

3-9 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 with

3-11 subsection 1 or 2 is void.

3-12 Sec. 3. NRS 695B.1912 is hereby amended to read as follows:

3-13 695B.1912 1. A policy of health insurance issued by a hospital or

3-14 medical service corporation must provide coverage for benefits payable for

3-15 expenses incurred for:

3-16 (a) An annual cytologic screening test for women 18 years of age or

3-17 older;

3-18 (b) A baseline mammogram for women between [the ages of] 35 and 40

3-19 [; and] years of age;

3-20 (c) An annual mammogram for women 40 years of age or older [.] ;

3-21 and

3-22 (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 by

3-25 a biopsy;

3-26 (3) Who have a grandmother, mother, sister or daughter who has

3-27 had breast cancer; or

3-28 (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 service

3-30 corporation must not require an insured to obtain prior authorization for

3-31 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 legal

3-34 effect of including the coverage required by paragraphs (a), (b) and (c) of

3-35 subsection 1, and any provision of the policy or the renewal which is in

3-36 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 is

3-38 delivered, issued for delivery or renewed on or after October 1, 1997, has

3-39 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 policy

3-41 or the renewal which is in conflict with paragraph (a), (b) or (c) of

3-42 subsection 1, or subsection 2 is void.

4-1 5. A policy subject to the provisions of this chapter which is

4-2 delivered, issued for delivery or renewed on or after October 1, 1999, has

4-3 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 with

4-5 subsection 1 or 2 is void.

4-6 Sec. 4. NRS 695C.1735 is hereby amended to read as follows:

4-7 695C.1735 1. A health maintenance plan must provide coverage for

4-8 benefits payable for expenses incurred for:

4-9 (a) An annual cytologic screening test for women 18 years of age or

4-10 older;

4-11 (b) A baseline mammogram for women between [the ages of] 35 and 40

4-12 [; and] years of age;

4-13 (c) An annual mammogram for women 40 years of age or older [.] ;

4-14 and

4-15 (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 by

4-18 a biopsy;

4-19 (3) Who have a grandmother, mother, sister or daughter who has

4-20 had breast cancer; or

4-21 (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 obtain

4-23 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 legal

4-26 effect of including the coverage required by paragraphs (a), (b) and (c) of

4-27 subsection 1, and any provision of the policy or the renewal which is in

4-28 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 is

4-30 delivered, issued for delivery or renewed on or after October 1, 1997, has

4-31 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 policy

4-33 or the renewal which is in conflict with paragraph (a), (b) or (c) of

4-34 subsection 1, or subsection 2 is void.

4-35 5. A policy subject to the provisions of this chapter which is

4-36 delivered, issued for delivery or renewed on or after October 1, 1999, has

4-37 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 with

4-39 subsection 1 or 2 is void.

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