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 coverage for1-3
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
(d) An annual mammogram for women under 40 years of age when1-10
medically necessary.1-11
2. A policy of health insurance must not require an insured to obtain1-12
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 legal1-15
effect of including the coverage required by paragraphs (a), (b) and (c) of2-1
subsection 1, and any provision of the policy or the renewal which is in2-2
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 is2-4
delivered, issued for delivery or renewed on or after October 1, 1997, has2-5
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 policy2-7
or the renewal which is in conflict with paragraph (a), (b) or (c) of2-8
subsection 1, or subsection 2 is void.2-9
5. A policy subject to the provisions of this chapter which is2-10
delivered, issued for delivery or renewed on or after October 1, 1999, has2-11
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 with2-13
subsection 1 or 2 is void.2-14
Sec. 2. NRS 689B.0374 is hereby amended to read as follows: 689B.0374 1. A policy of group health insurance must provide2-16
coverage for benefits payable for expenses incurred for:2-17
(a) An annual cytologic screening test for women 18 years of age or2-18
older;2-19
(b) A baseline mammogram for women between2-20
2-21
(c) An annual mammogram for women 40 years of age or older2-22
(d) An annual mammogram for women under 40 years of age when2-23
medically necessary.2-24
2. A policy of group health insurance must not require an insured to2-25
obtain prior authorization for any service provided pursuant to subsection2-26
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 legal2-29
effect of including the coverage required by paragraphs (a), (b) and (c) of2-30
subsection 1, and any provision of the policy or the renewal which is in2-31
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 is2-33
delivered, issued for delivery or renewed on or after October 1, 1997, has2-34
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 policy2-36
or the renewal which is in conflict with paragraph (a), (b) or (c) of2-37
subsection 1, or subsection 2 is void.2-38
5. A policy subject to the provisions of this chapter which is2-39
delivered, issued for delivery or renewed on or after October 1, 1999, has2-40
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 with2-42
subsection 1 or 2 is void.3-1
Sec. 3. NRS 695B.1912 is hereby amended to read as follows: 695B.1912 1. A policy of health insurance issued by a hospital or3-3
medical service corporation must provide coverage for benefits payable for3-4
expenses incurred for:3-5
(a) An annual cytologic screening test for women 18 years of age or3-6
older;3-7
(b) A baseline mammogram for women between3-8
3-9
(c) An annual mammogram for women 40 years of age or older3-10
(d) An annual mammogram for women under 40 years of age when3-11
medically necessary.3-12
2. A policy of health insurance issued by a hospital or medical service3-13
corporation must not require an insured to obtain prior authorization for3-14
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 legal3-17
effect of including the coverage required by paragraphs (a), (b) and (c) of3-18
subsection 1, and any provision of the policy or the renewal which is in3-19
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 is3-21
delivered, issued for delivery or renewed on or after October 1, 1997, has3-22
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 policy3-24
or the renewal which is in conflict with paragraph (a), (b) or (c) of3-25
subsection 1, or subsection 2 is void.3-26
5. A policy subject to the provisions of this chapter which is3-27
delivered, issued for delivery or renewed on or after October 1, 1999, has3-28
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 with3-30
subsection 1 or 2 is void.3-31
Sec. 4. NRS 695C.1735 is hereby amended to read as follows: 695C.1735 1. A health maintenance plan must provide coverage for3-33
benefits payable for expenses incurred for:3-34
(a) An annual cytologic screening test for women 18 years of age or3-35
older;3-36
(b) A baseline mammogram for women between3-37
3-38
(c) An annual mammogram for women 40 years of age or older3-39
(d) An annual mammogram for women under 40 years of age when3-40
medically necessary.3-41
2. A health maintenance plan must not require an insured to obtain3-42
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 legal4-3
effect of including the coverage required by paragraphs (a), (b) and (c) of4-4
subsection 1, and any provision of the policy or the renewal which is in4-5
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 is4-7
delivered, issued for delivery or renewed on or after October 1, 1997, has4-8
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 policy4-10
or the renewal which is in conflict with paragraph (a), (b) or (c) of4-11
subsection 1, or subsection 2 is void.4-12
5. A policy subject to the provisions of this chapter which is4-13
delivered, issued for delivery or renewed on or after October 1, 1999, has4-14
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 with4-16
subsection 1 or 2 is void.~