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83rd Session bill

SB9

AN ACT relating to insurance; revising provisions governing certain duties of insurers and certain other providers of health coverage with regard to coverage and claims for persons who are eligible for or provided medical assistance under Medicaid; and providing other matters properly relating thereto. Close title AN ACT relating to insurance; revising provisions governing certain duties of insurers and certain other providers of health coverage with regard to coverage and claims for persons who are eligible for or provided medical assistance under Medicaid; and providing other matters properly relating thereto.

Introduction Date

Tuesday, October 29, 2024

Primary Sponsor

Senate Committee on Commerce and Labor

Public exhibits

1

Support 1 · Opp 0 · Neutral 0

Auditor findings

3

recusal 3 · QPQ 0

Auditor finding — recusal failure

3 recusal-failure finding(s) on this bill

Legislator voted on this bill despite a documented financial relationship with an interested party. NRS 281A.420 conflict-of-interest.

Bill digest

AN ACT relating to insurance; revising provisions governing certain duties of insurers and certain other providers of he

Under existing law, if a state agency is assigned any rights of a person who is eligible for medical assistance under Medicaid, insurers and certain other providers of health coverage are subject to certain requirements. Among other requirements, existing law requires the insurer or other provider to: (1) respond to any inquiry by the state agency regarding a claim for payment for the provision of any medical item or service not later than 3 years after the date of the provision of the medical item or service; and (2) agree not to deny a claim submitted by the state agency for certain reasons. (NRS 689A.430, 689B.300, 695A.151, 695B.340, 695C.163, 695F.440) Section 202 of the federal Consolidated Appropriations Act, 2022, Pub. L. No. 117-103, revised certain requirements for a state plan for medical assistance concerning the liability of third parties for payment of a claim for a health care item or service. (42 U.S.C. § 1396a) Sections 1-6 of this bill revise existing law to comply with those requirements. Sections 1-6 require insurers and certain other providers of health coverage that the state agency reasonably believes cover the person who is eligible for medical assistance under Medicaid to respond to an inquiry regarding a claim for payment for the provision of any medical item or service not later than 60 days after receiving the inquiry. Sections 1-6 also require insurers and certain other providers of health coverage to agree not to deny a claim submitted by th

Public testimony

NELIS exhibits (1 on file)

Support (1)

  • Marianna Kacyra — Nevada Dental Association (Letter)

Bill text + amendments: view on NELIS →