Senate Amendment to Assembly Bill No. 515 Second Reprint (BDR 57-254)
Proposed by: Senators McGinness, Porter, Amodei
Amendment Box: Replaces Amendment No. 1006.
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 sec. 4.5, page 2, lines 7 and 8, by deleting:
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health care services for women" and inserting:"
gynecological or obstetrical services".Amend sec. 4.5, page 2, by deleting lines 18 through 23 and inserting:
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4. As used in this section, "primary care physician" has the meaning ascribed to it in NRS 695G.060.".Amend sec. 7.5, page 2, line 29, by deleting:
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health care services for women" and inserting:"
gynecological or obstetrical services".Amend sec. 7.5, pages 2 and 3, by deleting lines 39 through 42 on page 2 and lines 1 and 2 on page 3, and inserting:
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4. As used in this section, "primary care physician" has the meaning ascribed to it in NRS 695G.060.".Amend sec. 13.5, page 3, line 9, by deleting:
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health care services for women" and inserting:"
gynecological or obstetrical services".Amend sec. 13.5, page 3, by deleting lines 19 through 24 and inserting:
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4. As used in this section, "primary care physician" has the meaning ascribed to it in NRS 695G.060.".Amend sec. 16.5, page 3, lines 29 and 30, by deleting:
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health care services for women" and inserting:"
gynecological or obstetrical services".Amend sec. 16.5, pages 3 and 4, by deleting lines 40 through 43 on page 3 and lines 1 and 2 on page 4 and inserting:
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4. As used in this section, "primary care physician" has the meaning ascribed to it in NRS 695G.060.".Amend the bill as a whole by adding a new section designated sec. 17.5, following sec. 17, to read as follows:
"Sec. 17.5. Chapter 695G of NRS is hereby amended by adding thereto a new section to read as follows:
1. If a managed care organization contracts for the provision of emergency medical services, outpatient services or inpatient services with a hospital or other licensed health care facility that provides acute care and is located in a city whose population is less than 45,000 or a county whose population is less than 100,000, the managed care organization shall not:
(a) Prohibit an insured from receiving services covered by the health care plan of the insured at that hospital or licensed health care facility if the services are provided by a provider of health care with whom the managed care organization has contracted for the provision of the services;
(b) Refuse to provide coverage for services covered by the health care plan of an insured that are provided to the insured at that hospital or licensed health care facility if the services were provided by a provider of health care with whom the managed care organization has contracted for the provision of the services;
(c) Refuse to pay a provider of health care with whom the managed care organization has contracted for the provision of services for providing services to an insured at that hospital or licensed health care facility if the services are covered by the health care plan of the insured;
(d) Discourage a provider of health care with whom the managed care organization has contracted for the provision of services from providing services to an insured at that hospital or licensed health care facility that are covered by the health care plan of the insured; or
(e) Offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care:
(1) To provide services to an insured that are covered by the health care plan of the insured at another hospital or licensed health care facility; or
(2) Not to provide services to an insured at that hospital or licensed health care facility that are covered by the health care plan of the insured.
2. Nothing in this section prohibits a managed care organization from informing an insured that enhanced health care services are available at a hospital or licensed health care facility other than the hospital or licensed health care facility described in subsection 1 with which the managed care organization contracts for the provision of emergency medical services, outpatient services or inpatient services.".
Amend the title of the bill to read as follows:
"AN ACT relating to health insurance; 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; prohibiting a managed care organization from committing certain acts that limit the accessibility of its insureds to services provided at certain hospitals and other licensed health care facilities with which the managed care organization has contracted; and providing other matters properly relating thereto.".
Amend the summary of the bill to read as follows:
"SUMMARY—Makes various changes relating to services covered by policies of health insurance and health care plans. (BDR 57-254)".