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 689A of NRS is hereby amended by adding thereto

1-2 the provisions set forth as sections 2 and 3 of this act.

1-3 Sec. 2. 1. An insurer that offers or issues a policy of health

1-4 insurance that provides coverage for prescription drugs shall include in

1-5 the policy coverage for:

1-6 (a) Any type of contraceptive that is lawfully prescribed or ordered

1-7 which has been approved by the Food and Drug Administration; and

1-8 (b) Any type of hormone replacement therapy that is lawfully

1-9 prescribed or ordered.

1-10 2. An insurer that offers or issues a policy of health insurance that

1-11 provides coverage for prescription drugs shall not:

1-12 (a) Require an insured to pay a higher deductible, copayment or

1-13 coinsurance or require a longer waiting period or other condition for

2-1 coverage for a prescription for a contraceptive or hormone replacement

2-2 therapy than is required for other prescription drugs covered by the

2-3 policy;

2-4 (b) Refuse to issue a policy of health insurance or cancel a policy of

2-5 health insurance solely because the person applying for or covered by the

2-6 policy uses or may use in the future any of the services listed in subsection

2-7 1;

2-8 (c) Offer or pay any type of material inducement or financial incentive

2-9 to an insured to discourage the insured from accessing any of the services

2-10 listed in subsection 1;

2-11 (d) Penalize a provider of health care who provides any of the services

2-12 listed in subsection 1 to an insured, including, without limitation,

2-13 reducing the reimbursement of the provider of health care; or

2-14 (e) Offer or pay any type of material inducement, bonus or other

2-15 financial incentive to a provider of health care to deny, reduce, withhold,

2-16 limit or delay any of the services listed in subsection 1 to an insured.

2-17 3. A policy subject to the provisions of this chapter that is delivered,

2-18 issued for delivery or renewed on or after October 1, 1999, has the legal

2-19 effect of including the coverage required by subsection 1, and any

2-20 provision of the policy or the renewal which is in conflict with this section

2-21 is void.

2-22 4. As used in this section, "provider of health care" has the meaning

2-23 ascribed to it in NRS 629.031.

2-24 Sec. 3. 1. An insurer that offers or issues a policy of health

2-25 insurance that provides coverage for outpatient care shall include in the

2-26 policy coverage for any health care service related to reproductive health

2-27 care that is provided by a provider of health care who is licensed or

2-28 otherwise authorized in this state to furnish the service, including, without

2-29 limitation, a health care service related to contraception, emergency

2-30 contraception or hormone replacement therapy.

2-31 2. An insurer that offers or issues a policy of health insurance that

2-32 provides coverage for outpatient care shall not:

2-33 (a) Require an insured to pay a higher deductible, copayment or

2-34 coinsurance or require a longer waiting period or other condition for

2-35 coverage for outpatient care related to contraceptives or hormone

2-36 replacement therapy than is required for other outpatient care covered by

2-37 the policy;

2-38 (b) Refuse to issue a policy of health insurance or cancel a policy of

2-39 health insurance solely because the person applying for or covered by the

2-40 policy uses or may use in the future any of the services listed in subsection

2-41 1;

3-1 (c) Offer or pay any type of material inducement or financial incentive

3-2 to an insured to discourage the insured from accessing any of the services

3-3 listed in subsection 1;

3-4 (d) Penalize a provider of health care who provides any of the services

3-5 listed in subsection 1 to an insured, including, without limitation,

3-6 reducing the reimbursement of the provider of health care; or

3-7 (e) Offer or pay any type of material inducement, bonus or other

3-8 financial incentive to a provider of health care to deny, reduce, withhold,

3-9 limit or delay any of the services listed in subsection 1 to an insured.

3-10 3. A policy subject to the provisions of this chapter that is delivered,

3-11 issued for delivery or renewed on or after October 1, 1999, has the legal

3-12 effect of including the coverage required by subsection 1, and any

3-13 provision of the policy or the renewal which is in conflict with this section

3-14 is void.

3-15 4. As used in this section, "provider of health care" has the meaning

3-16 ascribed to it in NRS 629.031.

3-17 Sec. 4. NRS 689A.330 is hereby amended to read as follows:

3-18 689A.330 If any policy is issued by a domestic insurer for delivery to a

3-24 sections 2 and 3 of this act.

3-25 Sec. 5. Chapter 689B of NRS is hereby amended by adding thereto the

3-26 provisions set forth as sections 6 and 7 of this act.

3-27 Sec. 6. 1. An insurer that offers or issues a policy of group health

3-28 insurance that provides coverage for prescription drugs shall include in

3-29 the policy coverage for:

3-30 (a) Any type of contraceptive that is lawfully prescribed or ordered

3-31 which has been approved by the Food and Drug Administration; and

3-32 (b) Any type of hormone replacement therapy that is lawfully

3-33 prescribed or ordered.

3-34 2. An insurer that offers or issues a policy of group health insurance

3-35 that provides coverage for prescription drugs shall not:

3-36 (a) Require an insured to pay a higher deductible, copayment or

3-37 coinsurance or require a longer waiting period or other condition for

3-38 coverage for a prescription for a contraceptive or hormone replacement

3-39 therapy than is required for other prescription drugs covered by the

3-40 policy;

3-41 (b) Refuse to issue a policy of group health insurance or cancel a

3-42 policy of group health insurance solely because the person applying for or

4-1 covered by the policy uses or may use in the future any of the services

4-2 listed in subsection 1;

4-3 (c) Offer or pay any type of material inducement or financial incentive

4-4 to an insured to discourage the insured from accessing any of the services

4-5 listed in subsection 1;

4-6 (d) Penalize a provider of health care who provides any of the services

4-7 listed in subsection 1 to an insured, including, without limitation,

4-8 reducing the reimbursement of the provider of health care; or

4-9 (e) Offer or pay any type of material inducement, bonus or other

4-10 financial incentive to a provider of health care to deny, reduce, withhold,

4-11 limit or delay any of the services listed in subsection 1 to an insured.

4-12 3. A policy subject to the provisions of this chapter that is delivered,

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

4-14 effect of including the coverage required by subsection 1, and any

4-15 provision of the policy or the renewal which is in conflict with this section

4-16 is void.

4-17 4. As used in this section, "provider of health care" has the meaning

4-18 ascribed to it in NRS 629.031.

4-19 Sec. 7. 1. An insurer that offers or issues a policy of group health

4-20 insurance that provides coverage for outpatient care shall include in the

4-21 policy coverage for any health care service related to reproductive health

4-22 care that is provided by a provider of health care who is licensed or

4-23 otherwise authorized in this state to furnish the service, including, without

4-24 limitation, a health care service related to contraception, emergency

4-25 contraception or hormone replacement therapy.

4-26 2. An insurer that offers or issues a policy of group health insurance

4-27 that provides coverage for outpatient care shall not:

4-28 (a) Require an insured to pay a higher deductible, copayment or

4-29 coinsurance or require a longer waiting period or other condition for

4-30 coverage for outpatient care related to contraceptives or hormone

4-31 replacement therapy than is required for other outpatient care covered by

4-32 the policy;

4-33 (b) Refuse to issue a policy of group health insurance or cancel a

4-34 policy of group health insurance solely because the person applying for or

4-35 covered by the policy uses or may use in the future any of the services

4-36 listed in subsection 1;

4-37 (c) Offer or pay any type of material inducement or financial incentive

4-38 to an insured to discourage the insured from accessing any of the services

4-39 listed in subsection 1;

4-40 (d) Penalize a provider of health care who provides any of the services

4-41 listed in subsection 1 to an insured, including, without limitation,

4-42 reducing the reimbursement of the provider of health care; or

5-1 (e) Offer or pay any type of material inducement, bonus or other

5-2 financial incentive to a provider of health care to deny, reduce, withhold,

5-3 limit or delay any of the services listed in subsection 1 to an insured.

5-4 3. A policy subject to the provisions of this chapter that is delivered,

5-5 issued for delivery or renewed on or after October 1, 1999, has the legal

5-6 effect of including the coverage required by subsection 1, and any

5-7 provision of the policy or the renewal which is in conflict with this section

5-8 is void.

5-9 4. As used in this section, "provider of health care" has the meaning

5-10 ascribed to it in NRS 629.031.

5-11 Sec. 8. Chapter 695B of NRS is hereby amended by adding thereto the

5-12 provisions set forth as sections 9 and 10 of this act.

5-13 Sec. 9. 1. An insurer that offers or issues a contract for hospital or

5-14 medical service that provides coverage for prescription drugs shall

5-15 include in the contract coverage for:

5-16 (a) Any type of contraceptive that is lawfully prescribed or ordered

5-17 which has been approved by the Food and Drug Administration; and

5-18 (b) Any type of hormone replacement therapy that is lawfully

5-19 prescribed or ordered.

5-20 2. An insurer that offers or issues a contract for hospital or medical

5-21 service that provides coverage for prescription drugs shall not:

5-22 (a) Require an insured to pay a higher deductible, copayment or

5-23 coinsurance or require a longer waiting period or other condition for

5-24 coverage for a prescription for a contraceptive or hormone replacement

5-25 therapy than is required for other prescription drugs covered by the

5-26 contract;

5-27 (b) Refuse to issue a contract for hospital or medical service or cancel

5-28 a contract for hospital or medical service solely because the person

5-29 applying for or covered by the contract uses or may use in the future any

5-30 of the services listed in subsection 1;

5-31 (c) Offer or pay any type of material inducement or financial incentive

5-32 to an insured to discourage the insured from accessing any of the services

5-33 listed in subsection 1;

5-34 (d) Penalize a provider of health care who provides any of the services

5-35 listed in subsection 1 to an insured, including, without limitation,

5-36 reducing the reimbursement of the provider of health care; or

5-37 (e) Offer or pay any type of material inducement, bonus or other

5-38 financial incentive to a provider of health care to deny, reduce, withhold,

5-39 limit or delay any of the services listed in subsection 1 to an insured.

5-40 3. A contract subject to the provisions of this chapter that is delivered,

5-41 issued for delivery or renewed on or after October 1, 1999, has the legal

5-42 effect of including the coverage required by subsection 1, and any

6-1 provision of the contract or the renewal which is in conflict with this

6-2 section is void.

6-3 4. As used in this section, "provider of health care" has the meaning

6-4 ascribed to it in NRS 629.031.

6-5 Sec. 10. 1. An insurer that offers or issues a contract for hospital or

6-6 medical service that provides coverage for outpatient care shall include in

6-7 the contract coverage for any health care service related to reproductive

6-8 health care that is provided by a provider of health care who is licensed or

6-9 otherwise authorized in this state to furnish the service, including, without

6-10 limitation, a health care service related to contraception, emergency

6-11 contraception or hormone replacement therapy.

6-12 2. An insurer that offers or issues a contract for hospital or medical

6-13 service that provides coverage for outpatient care shall not:

6-14 (a) Require an insured to pay a higher deductible, copayment or

6-15 coinsurance or require a longer waiting period or other condition for

6-16 coverage for outpatient care related to contraceptives or hormone

6-17 replacement therapy than is required for other outpatient care covered by

6-18 the contract;

6-19 (b) Refuse to issue a contract for hospital or medical service or cancel

6-20 a contract for hospital or medical service solely because the person

6-21 applying for or covered by the contract uses or may use in the future any

6-22 of the services listed in subsection 1;

6-23 (c) Offer or pay any type of material inducement or financial incentive

6-24 to an insured to discourage the insured from accessing any of the services

6-25 listed in subsection 1;

6-26 (d) Penalize a provider of health care who provides any of the services

6-27 listed in subsection 1 to an insured, including, without limitation,

6-28 reducing the reimbursement of the provider of health care; or

6-29 (e) Offer or pay any type of material inducement, bonus or other

6-30 financial incentive to a provider of health care to deny, reduce, withhold,

6-31 limit or delay any of the services listed in subsection 1 to an insured.

6-32 3. A contract subject to the provisions of this chapter that is delivered,

6-33 issued for delivery or renewed on or after October 1, 1999, has the legal

6-34 effect of including the coverage required by subsection 1, and any

6-35 provision of the contract or the renewal which is in conflict with this

6-36 section is void.

6-37 4. As used in this section, "provider of health care" has the meaning

6-38 ascribed to it in NRS 629.031.

6-39 Sec. 11. Chapter 695C of NRS is hereby amended by adding thereto

6-40 the provisions set forth as sections 12 and 13 of this act.

6-41 Sec. 12. 1. A health maintenance organization that offers or issues

6-42 a health maintenance plan that provides coverage for prescription drugs

6-43 shall include in the plan coverage for:

7-1 (a) Any type of contraceptive that is lawfully prescribed or ordered

7-2 which has been approved by the Food and Drug Administration; and

7-3 (b) Any type of hormone replacement therapy that is lawfully

7-4 prescribed or ordered.

7-5 2. A health maintenance organization that offers or issues a health

7-6 maintenance plan that provides coverage for prescription drugs shall not:

7-7 (a) Require an enrollee to pay a higher deductible, copayment or

7-8 coinsurance or require a longer waiting period or other condition for

7-9 coverage for a prescription for a contraceptive or hormone replacement

7-10 therapy than is required for other prescription drugs covered by the plan;

7-11 (b) Refuse to issue a health maintenance plan or cancel a health

7-12 maintenance plan solely because the person applying for or covered by

7-13 the plan uses or may use in the future any of the services listed in

7-14 subsection 1;

7-15 (c) Offer or pay any type of material inducement or financial incentive

7-16 to an enrollee to discourage the enrollee from accessing any of the

7-17 services listed in subsection 1;

7-18 (d) Penalize a provider of health care who provides any of the services

7-19 listed in subsection 1 to an enrollee, including, without limitation,

7-20 reducing the reimbursement of the provider of health care; or

7-21 (e) Offer or pay any type of material inducement, bonus or other

7-22 financial incentive to a provider of health care to deny, reduce, withhold,

7-23 limit or delay any of the services listed in subsection 1 to an enrollee.

7-24 3. Evidence of coverage subject to the provisions of this chapter that

7-25 is delivered, issued for delivery or renewed on or after October 1, 1999,

7-26 has the legal effect of including the coverage required by subsection 1,

7-27 and any provision of the evidence of coverage or the renewal which is in

7-28 conflict with this section is void.

7-29 4. As used in this section, "provider of health care" has the meaning

7-30 ascribed to it in NRS 629.031.

7-31 Sec. 13. 1. A health maintenance organization that offers or issues

7-32 a health maintenance plan that provides coverage for outpatient care

7-33 shall include in the plan coverage for any health care service related to

7-34 reproductive health care that is provided by a provider of health care who

7-35 is licensed or otherwise authorized in this state to furnish the service,

7-36 including, without limitation, a health care service related to

7-37 contraception, emergency contraception or hormone replacement

7-38 therapy.

7-39 2. A health maintenance organization that offers or issues a health

7-40 maintenance plan that provides coverage for outpatient care shall not:

7-41 (a) Require an enrollee to pay a higher deductible, copayment or

7-42 coinsurance or require a longer waiting period or other condition for

7-43 coverage for outpatient care related to contraceptives or hormone

8-1 replacement therapy than is required for other outpatient care covered by

8-2 the plan;

8-3 (b) Refuse to issue a health maintenance plan or cancel a health

8-4 maintenance plan solely because the person applying for or covered by

8-5 the plan uses or may use in the future any of the services listed in

8-6 subsection 1;

8-7 (c) Offer or pay any type of material inducement or financial incentive

8-8 to an enrollee to discourage the enrollee from accessing any of the

8-9 services listed in subsection 1;

8-10 (d) Penalize a provider of health care who provides any of the services

8-11 listed in subsection 1 to an enrollee, including, without limitation,

8-12 reducing the reimbursement of the provider of health care; or

8-13 (e) Offer or pay any type of material inducement, bonus or other

8-14 financial incentive to a provider of health care to deny, reduce, withhold,

8-15 limit or delay any of the services listed in subsection 1 to an enrollee.

8-16 3. Evidence of coverage subject to the provisions of this chapter that

8-17 is delivered, issued for delivery or renewed on or after October 1, 1999,

8-18 has the legal effect of including the coverage required by subsection 1,

8-19 and any provision of the evidence of coverage or the renewal which is in

8-20 conflict with this section is void.

8-21 4. As used in this section, "provider of health care" has the meaning

8-22 ascribed to it in NRS 629.031.

8-23 Sec. 14. NRS 695C.050 is hereby amended to read as follows:

8-24 695C.050 1. Except as otherwise provided in this chapter or in

8-42 of human resources. This subsection does not exempt a health maintenance

9-1 organization from any provision of this chapter for services provided

9-2 pursuant to any other contract.

9-3 5. The provisions of sections 12 and 13 of this act apply to a health

9-4 maintenance organization that provides health care services through

9-5 managed care to recipients of Medicaid pursuant to a contract with the

9-6 welfare division of the department of human resources.

9-7 Sec. 15. NRS 695C.330 is hereby amended to read as follows:

9-8 695C.330 1. The commissioner may suspend or revoke any

9-43 would be hazardous to its enrollees; or

10-1 (j) The health maintenance organization has otherwise failed to comply

10-2 substantially with the provisions of this chapter.

10-3 2. A certificate of authority must be suspended or revoked only after

10-4 compliance with the requirements of NRS 695C.340.

10-5 3. If the certificate of authority of a health maintenance organization is

10-6 suspended, the health maintenance organization shall not, during the period

10-7 of that suspension, enroll any additional groups or new individual contracts,

10-8 unless those groups or persons were contracted for before the date of

10-9 suspension.

10-10 4. If the certificate of authority of a health maintenance organization is

10-11 revoked, the organization shall proceed, immediately following the

10-12 effective date of the order of revocation, to wind up its affairs and shall

10-13 conduct no further business except as may be essential to the orderly

10-14 conclusion of the affairs of the organization. It shall engage in no further

10-15 advertising or solicitation of any kind. The commissioner may by written

10-16 order permit such further operation of the organization as he may find to be

10-17 in the best interest of enrollees to the end that enrollees are afforded the

10-18 greatest practical opportunity to obtain continuing coverage for health care.

10-19 Sec. 16. NRS 232.320 is hereby amended to read as follows:

10-20 232.320 1. Except as otherwise provided in subsection 2, the director:

10-43 federal, state and local agencies;

11-1 (2) Set forth priorities for the provision of those services;

11-2 (3) Provide for communication and the coordination of those services

11-3 among nonprofit organizations, agencies of local government, the state and

11-4 the Federal Government;

11-5 (4) Identify the sources of funding for services provided by the

11-6 department and the allocation of that funding;

11-7 (5) Set forth sufficient information to assist the department in

11-8 providing those services and in the planning and budgeting for the future

11-9 provision of those services; and

11-10 (6) Contain any other information necessary for the department to

11-11 communicate effectively with the Federal Government concerning

11-12 demographic trends, formulas for the distribution of federal money and any

11-13 need for the modification of programs administered by the department.

11-14 (d) May, by regulation, require nonprofit organizations and state and

11-15 local governmental agencies to provide information to him regarding the

11-16 programs of those organizations and agencies, excluding detailed

11-17 information relating to their budgets and payrolls, which he deems

11-18 necessary for his performance of the duties imposed upon him pursuant to

11-19 this section.

11-20 (e) Has such other powers and duties as are provided by law.

11-21 2. The governor shall appoint the administrator of the mental hygiene

11-22 and mental retardation division.

11-23 Sec. 17. NRS 287.010 is hereby amended to read as follows:

11-24 287.010 1. The governing body of any county, school district,

11-43 and pay the deductions into the fund. The money accumulated for this

12-1 purpose through deductions from the compensation of officers and

12-2 employees and contributions of the governing body must be maintained as

12-3 an internal service fund as defined by NRS 354.543. The money must be

12-4 deposited in a state or national bank authorized to transact business in the

12-5 State of Nevada. Any independent administrator of a fund created under

12-6 this section is subject to the licensing requirements of chapter 683A of

12-7 NRS, and must be a resident of this state. Any contract with an independent

12-8 administrator must be approved by the commissioner of insurance as to the

12-9 reasonableness of administrative charges in relation to contributions

12-10 collected and benefits provided. The provisions of NRS 689B.030 to

12-11 689B.050, inclusive, and sections 6 and 7 of this act apply to coverage

12-12 provided pursuant to this paragraph.

12-13 (d) Defray part or all of the cost of maintenance of a self-insurance fund

12-14 or of the premiums upon insurance. The money for contributions must be

12-15 budgeted for in accordance with the laws governing the county, school

12-16 district, municipal corporation, political subdivision, public corporation or

12-17 other public agency of the State of Nevada.

12-18 2. If a school district offers group insurance to its officers and

12-19 employees pursuant to this section, members of the board of trustees of the

12-20 school district must not be excluded from participating in the group

12-21 insurance. If the amount of the deductions from compensation required to

12-22 pay for the group insurance exceeds the compensation to which a trustee is

12-23 entitled, the difference must be paid by the trustee.

12-24 Sec. 18. Chapter 422 of NRS is hereby amended by adding thereto a

12-25 new section to read as follows:

12-26 1. To the extent authorized by federal law, the department shall

12-27 reimburse directly, under the state plan for Medicaid, any provider of

12-28 health care for any health care service related to reproductive health care

12-29 if the provider is licensed or otherwise authorized in this state to furnish

12-30 the service, including, without limitation, a health care service related to

12-31 contraception, emergency contraception or hormone replacement

12-32 therapy.

12-33 2. As used in this section, "provider of health care" has the meaning

12-34 ascribed to it in NRS 629.031.

12-35 Sec. 19. NRS 422.222 is hereby amended to read as follows:

12-36 422.222 1. The administrator may adopt such regulations as are

12-40 adoption or such other date as the administrator specifies in the regulation.

13-1 Sec. 20. NRS 422.273 is hereby amended to read as follows:

13-2 422.273 1. For any Medicaid managed care program established in

13-43 community.

14-1 (b) "Federally-qualified health center" has the meaning ascribed to it in

14-2 42 U.S.C. § 1396d(l)(2)(B).

14-3 [(b)] (c) "Health maintenance organization" has the meaning ascribed to

14-4 it in NRS 695C.030.