Assembly Amendment to Assembly Bill No. 515 (BDR 57-254)
Proposed by: Committee on Commerce and Labor
Amendment Box:
Amends: Summary: Title: Preamble: Joint Sponsorship:
ASSEMBLY ACTION
Initial and Date | SENATE ACTION Initial and DateAdopted Lost | Adopted Lost
Concurred In Not | Concurred In Not
Receded Not | Receded Not
Amend the bill as a whole by adding a new section designated sec. 1.5, following section 1, to read as follows:
"Sec. 1.5. NRS 687B.225 is hereby amended to read as follows:
and sections 4.5, 7.5, 13.5 and 16.5 of this act, any contract for group, blanket or individual health insurance or any contract by a nonprofit hospital, medical or dental service corporation or organization for dental care which provides for payment of a certain part of medical or dental care may require the insured or member to obtain prior authorization for that care from the insurer or organization. The insurer or organization shall:(a) File its procedure for obtaining approval of care pursuant to this section for approval by the commissioner; and
(b) Respond to any request for approval by the insured or member pursuant to this section within 20 days after it receives the request.
2. The procedure for prior authorization may not discriminate among persons licensed to provide the covered care.".
Amend sec. 2, page 2, line 4, by deleting "and 4" and inserting:
", 4 and 4.5".
Amend the bill as a whole by adding a new section designated sec. 4.5, following sec. 4, to read as follows:
"Sec. 4.5.
1. A policy of health insurance must include a provision authorizing a woman covered by the policy to obtain covered health care services for women without first receiving authorization or a referral from her primary care physician.2. The provisions of this section do not authorize a woman covered by a policy of health insurance to designate an obstetrician or gynecologist as her primary care physician.
3. A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the policy or the renewal which is in conflict with this section is void.
4. As used in this section:
(a) "Health care services for women" means gynecological or obstetrical services, including, without limitation, perinatal care, preventative gynecological care and reproductive health care services.
(b) "Primary care physician" has the meaning ascribed to it in NRS 695G.060.".
Amend sec. 5, page 2, line 24, by deleting "and 7" and inserting:
", 7 and 7.5".
Amend the bill as a whole by adding a new section designated sec. 7.5, following sec. 7, to read as follows:
"Sec. 7.5.
1. A policy of group health insurance must include a provision authorizing a woman covered by the policy to obtain covered health care services for women without first receiving authorization or a referral from her primary care physician.2. The provisions of this section do not authorize a woman covered by a policy of group health insurance to designate an obstetrician or gynecologist as her primary care physician.
3. A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the policy or the renewal which is in conflict with this section is void.
4. As used in this section:
(a) "Health care services for women" means gynecological or obstetrical services, including, without limitation, perinatal care, preventative gynecological care and reproductive health care services.
(b) "Primary care physician" has the meaning ascribed to it in NRS 695G.060.".
Amend sec. 11, page 3, line 22, by deleting "and 13" and inserting:
", 13 and 13.5".
Amend the bill as a whole by adding a new section designated sec. 13.5, following sec. 13, to read as follows:
"Sec. 13.5.
1. A contract for hospital or medical service must include a provision authorizing a woman covered by the contract to obtain covered health care services for women without first receiving authorization or a referral from her primary care physician.2. The provisions of this section do not authorize a woman covered by a contract for hospital or medical service to designate an obstetrician or gynecologist as her primary care physician.
3. A contract subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the contract or the renewal which is in conflict with this section is void.
4. As used in this section:
(a) "Health care services for women" means gynecological or obstetrical services, including, without limitation, perinatal care, preventative gynecological care and reproductive health care services.
(b) "Primary care physician" has the meaning ascribed to it in NRS 695G.060.".
Amend sec. 14, page 4, line 2, by deleting "and 16" and inserting:
", 16 and 16.5".
Amend the bill as a whole by adding a new section designated sec. 16.5, following sec. 16, to read as follows:
"Sec. 16.5. 1. A health care plan must include a provision authorizing a woman covered by the plan to obtain covered health care services for women without first receiving authorization or a referral from her primary care physician.
2. The provisions of this section do not authorize a woman covered by a health care plan to designate an obstetrician or gynecologist as her primary care physician.
3. An evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the evidence of coverage or the renewal which is in conflict with this section is void.
4. As used in this section:
(a) "Health care services for women" means gynecological or obstetrical services, including, without limitation, perinatal care, preventative gynecological care and reproductive health care services.
(b) "Primary care physician" has the meaning ascribed to it in NRS 695G.060.".
Amend sec. 17, page 4, line 39, by deleting:
"
15 and 16" and inserting:"
15, 16 and 16.5".Amend the title of the bill, fifth line, after "insureds;" by inserting:
"providing that a policy of health insurance must include a provision allowing a woman who is covered by the policy to have direct access to certain health care services for women;".