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 695G of NRS is hereby amended by adding

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

1-3 1. If a physician recommends that an insured who received medically

1-4 necessary emergency services at a hospital remain in the hospital for

1-5 observation or to receive additional treatment after the insured becomes

1-6 stable, the managed care organization shall provide coverage for the

1-7 additional stay and treatment if:

1-8 (a) The physician, insured or a person designated by either of them

1-9 contacts the managed care organization in the manner required in the

1-10 health care plan of the insured to receive authorization; and

1-11 (b) The managed care organization does not affirmatively deny

1-12 coverage for the additional stay or treatment.

2-1 2. If a managed care organization does not immediately affirmatively

2-2 deny coverage for the additional stay and treatment when contacted

2-3 pursuant to subsection 1, the managed care organization shall provide

2-4 coverage for any additional stay and treatment provided to the insured

2-5 before the managed care organization has affirmatively denied coverage.

2-6 3. A health care plan subject to the provisions of this section that is

2-7 delivered, issued for delivery or renewed on or after October 1, 1999, has

2-8 the legal effect of including the coverage required by this section, and

2-9 any provision of the plan or the renewal which is in conflict with this

2-10 section is void.

2-11 4. As used in this section, "medically necessary emergency services"

2-12 has the meaning ascribed to it in subsection 3 of NRS 695G.170.

2-13 Sec. 2. NRS 639.2583 is hereby amended to read as follows:

2-14 639.2583 [If]