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. (Deleted by amendment.)

1-2 Sec. 1.5. NRS 687B.225 is hereby amended to read as follows:

1-3 687B.225 1. Except as otherwise provided in NRS 689A.0405,

1-14 pursuant to this section within 20 days after it receives the request.

2-1 2. The procedure for prior authorization may not discriminate among

2-2 persons licensed to provide the covered care.

2-3 Sec. 2. Chapter 689A of NRS is hereby amended by adding thereto the

2-4 provisions set forth as sections 3, 4 and 4.5 of this act.

2-5 Secs. 3 and 4. (Deleted by amendment.)

2-6 Sec. 4.5. 1. A policy of health insurance must include a provision

2-7 authorizing a woman covered by the policy to obtain covered health care

2-8 services for women without first receiving authorization or a referral

2-9 from her primary care physician.

2-10 2. The provisions of this section do not authorize a woman covered

2-11 by a policy of health insurance to designate an obstetrician or

2-12 gynecologist as her primary care physician.

2-13 3. A policy subject to the provisions of this chapter that is delivered,

2-14 issued for delivery or renewed on or after October 1, 1999, has the legal

2-15 effect of including the coverage required by this section, and any

2-16 provision of the policy or the renewal which is in conflict with this

2-17 section is void.

2-18 4. As used in this section:

2-19 (a) "Health care services for women" means gynecological or

2-20 obstetrical services, including, without limitation, perinatal care,

2-21 preventative gynecological care and reproductive health care services.

2-22 (b) "Primary care physician" has the meaning ascribed to it in NRS

2-23 695G.060.

2-24 Sec. 5. Chapter 689B of NRS is hereby amended by adding thereto the

2-25 provisions set forth as sections 6, 7 and 7.5 of this act.

2-26 Secs. 6 and 7. (Deleted by amendment.)

2-27 Sec. 7.5. 1. A policy of group health insurance must include a

2-28 provision authorizing a woman covered by the policy to obtain covered

2-29 health care services for women without first receiving authorization or a

2-30 referral from her primary care physician.

2-31 2. The provisions of this section do not authorize a woman covered

2-32 by a policy of group health insurance to designate an obstetrician or

2-33 gynecologist as her primary care physician.

2-34 3. A policy subject to the provisions of this chapter that is delivered,

2-35 issued for delivery or renewed on or after October 1, 1999, has the legal

2-36 effect of including the coverage required by this section, and any

2-37 provision of the policy or the renewal which is in conflict with this

2-38 section is void.

2-39 4. As used in this section:

2-40 (a) "Health care services for women" means gynecological or

2-41 obstetrical services, including, without limitation, perinatal care,

2-42 preventative gynecological care and reproductive health care services.

3-1 (b) "Primary care physician" has the meaning ascribed to it in NRS

3-2 695G.060.

3-3 Secs. 8-10. (Deleted by amendment.)

3-4 Sec. 11. Chapter 695B of NRS is hereby amended by adding thereto

3-5 the provisions set forth as sections 12, 13 and 13.5 of this act.

3-6 Secs. 12 and 13. (Deleted by amendment.)

3-7 Sec. 13.5. 1. A contract for hospital or medical service must

3-8 include a provision authorizing a woman covered by the contract to

3-9 obtain covered health care services for women without first receiving

3-10 authorization or a referral from her primary care physician.

3-11 2. The provisions of this section do not authorize a woman covered

3-12 by a contract for hospital or medical service to designate an obstetrician

3-13 or gynecologist as her primary care physician.

3-14 3. A contract subject to the provisions of this chapter that is

3-15 delivered, issued for delivery or renewed on or after October 1, 1999, has

3-16 the legal effect of including the coverage required by this section, and

3-17 any provision of the contract or the renewal which is in conflict with this

3-18 section is void.

3-19 4. As used in this section:

3-20 (a) "Health care services for women" means gynecological or

3-21 obstetrical services, including, without limitation, perinatal care,

3-22 preventative gynecological care and reproductive health care services.

3-23 (b) "Primary care physician" has the meaning ascribed to it in NRS

3-24 695G.060.

3-25 Sec. 14. Chapter 695C of NRS is hereby amended by adding thereto

3-26 the provisions set forth as sections 15, 16 and 16.5 of this act.

3-27 Secs. 15 and 16. (Deleted by amendment.)

3-28 Sec. 16.5. 1. A health care plan must include a provision

3-29 authorizing a woman covered by the plan to obtain covered health care

3-30 services for women without first receiving authorization or a referral

3-31 from her primary care physician.

3-32 2. The provisions of this section do not authorize a woman covered

3-33 by a health care plan to designate an obstetrician or gynecologist as her

3-34 primary care physician.

3-35 3. An evidence of coverage subject to the provisions of this chapter

3-36 that is delivered, issued for delivery or renewed on or after October 1,

3-37 1999, has the legal effect of including the coverage required by this

3-38 section, and any provision of the evidence of coverage or the renewal

3-39 which is in conflict with this section is void.

3-40 4. As used in this section:

3-41 (a) "Health care services for women" means gynecological or

3-42 obstetrical services, including, without limitation, perinatal care,

3-43 preventative gynecological care and reproductive health care services.

4-1 (b) "Primary care physician" has the meaning ascribed to it in NRS

4-2 695G.060.

4-3 Sec. 17. NRS 695C.050 is hereby amended to read as follows:

4-4 695C.050 1. Except as otherwise provided in this chapter or in

4-25 contract.

4-26 Secs. 18-21. (Deleted by amendment.)