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 for

1-3 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 [.] ; and

1-9 (d) An annual mammogram for women under 40 years of age when

1-10 medically necessary.

1-11 2. A policy of health insurance must not require an insured to obtain

1-12 prior authorization for any service provided pursuant to subsection 1.

1-13 3. A policy subject to the provisions of this chapter which is delivered,

1-14 issued for delivery or renewed on or after October 1, 1989, has the legal

1-15 effect of including the coverage required by paragraphs (a), (b) and (c) of

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

2-2 conflict with paragraph (a), (b) or (c) of subsection 1 is void.

2-3 4. A policy subject to the provisions of this chapter which is

2-4 delivered, issued for delivery or renewed on or after October 1, 1997, has

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

2-6 and (c) of subsection 1, and subsection 2, and any provision of the policy

2-7 or the renewal which is in conflict with paragraph (a), (b) or (c) of

2-8 subsection 1, or subsection 2 is void.

2-9 5. A policy subject to the provisions of this chapter which is

2-10 delivered, issued for delivery or renewed on or after October 1, 1999, has

2-11 the legal effect of including the coverage required by subsections 1 and 2,

2-12 and any provision of the policy or the renewal which is in conflict with

2-13 subsection 1 or 2 is void.

2-14 Sec. 2. NRS 689B.0374 is hereby amended to read as follows:

2-15 689B.0374 1. A policy of group health insurance must provide

2-16 coverage for benefits payable for expenses incurred for:

2-17 (a) An annual cytologic screening test for women 18 years of age or

2-18 older;

2-19 (b) A baseline mammogram for women between [the ages of] 35 and 40

2-20 [; and] years of age;

2-21 (c) An annual mammogram for women 40 years of age or older [.] ; and

2-22 (d) An annual mammogram for women under 40 years of age when

2-23 medically necessary.

2-24 2. A policy of group health insurance must not require an insured to

2-25 obtain prior authorization for any service provided pursuant to subsection

2-26 1.

2-27 3. A policy subject to the provisions of this chapter which is delivered,

2-28 issued for delivery or renewed on or after October 1, 1989, has the legal

2-29 effect of including the coverage required by paragraphs (a), (b) and (c) of

2-30 subsection 1, and any provision of the policy or the renewal which is in

2-31 conflict with paragraph (a), (b) or (c) of subsection 1 is void.

2-32 4. A policy subject to the provisions of this chapter which is

2-33 delivered, issued for delivery or renewed on or after October 1, 1997, has

2-34 the legal effect of including the coverage required by paragraphs (a), (b)

2-35 and (c) of subsection 1, and subsection 2, and any provision of the policy

2-36 or the renewal which is in conflict with paragraph (a), (b) or (c) of

2-37 subsection 1, or subsection 2 is void.

2-38 5. A policy subject to the provisions of this chapter which is

2-39 delivered, issued for delivery or renewed on or after October 1, 1999, has

2-40 the legal effect of including the coverage required by subsections 1 and 2,

2-41 and any provision of the policy or the renewal which is in conflict with

2-42 subsection 1 or 2 is void.

3-1 Sec. 3. NRS 695B.1912 is hereby amended to read as follows:

3-2 695B.1912 1. A policy of health insurance issued by a hospital or

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

3-4 expenses incurred for:

3-5 (a) An annual cytologic screening test for women 18 years of age or

3-6 older;

3-7 (b) A baseline mammogram for women between [the ages of] 35 and 40

3-8 [; and] years of age;

3-9 (c) An annual mammogram for women 40 years of age or older [.] ; and

3-10 (d) An annual mammogram for women under 40 years of age when

3-11 medically necessary.

3-12 2. A policy of health insurance issued by a hospital or medical service

3-13 corporation must not require an insured to obtain prior authorization for

3-14 any service provided pursuant to subsection 1.

3-15 3. A policy subject to the provisions of this chapter which is delivered,

3-16 issued for delivery or renewed on or after October 1, 1989, has the legal

3-17 effect of including the coverage required by paragraphs (a), (b) and (c) of

3-18 subsection 1, and any provision of the policy or the renewal which is in

3-19 conflict with paragraph (a), (b) or (c) of subsection 1 is void.

3-20 4. A policy subject to the provisions of this chapter which is

3-21 delivered, issued for delivery or renewed on or after October 1, 1997, has

3-22 the legal effect of including the coverage required by paragraphs (a), (b)

3-23 and (c) of subsection 1, and subsection 2, and any provision of the policy

3-24 or the renewal which is in conflict with paragraph (a), (b) or (c) of

3-25 subsection 1, or subsection 2 is void.

3-26 5. A policy subject to the provisions of this chapter which is

3-27 delivered, issued for delivery or renewed on or after October 1, 1999, has

3-28 the legal effect of including the coverage required by subsections 1 and 2,

3-29 and any provision of the policy or the renewal which is in conflict with

3-30 subsection 1 or 2 is void.

3-31 Sec. 4. NRS 695C.1735 is hereby amended to read as follows:

3-32 695C.1735 1. A health maintenance plan must provide coverage for

3-33 benefits payable for expenses incurred for:

3-34 (a) An annual cytologic screening test for women 18 years of age or

3-35 older;

3-36 (b) A baseline mammogram for women between [the ages of] 35 and 40

3-37 [; and] years of age;

3-38 (c) An annual mammogram for women 40 years of age or older [.] ; and

3-39 (d) An annual mammogram for women under 40 years of age when

3-40 medically necessary.

3-41 2. A health maintenance plan must not require an insured to obtain

3-42 prior authorization for any service provided pursuant to subsection 1.

4-1 3. A policy subject to the provisions of this chapter which is delivered,

4-2 issued for delivery or renewed on or after October 1, 1989, has the legal

4-3 effect of including the coverage required by paragraphs (a), (b) and (c) of

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

4-5 conflict with paragraph (a), (b) or (c) of subsection 1 is void.

4-6 4. A policy subject to the provisions of this chapter which is

4-7 delivered, issued for delivery or renewed on or after October 1, 1997, has

4-8 the legal effect of including the coverage required by paragraphs (a), (b)

4-9 and (c) of subsection 1, and subsection 2, and any provision of the policy

4-10 or the renewal which is in conflict with paragraph (a), (b) or (c) of

4-11 subsection 1, or subsection 2 is void.

4-12 5. A policy subject to the provisions of this chapter which is

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

4-14 the legal effect of including the coverage required by subsections 1 and 2,

4-15 and any provision of the policy or the renewal which is in conflict with

4-16 subsection 1 or 2 is void.

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