Existing law prescribes certain requirements governing the operation of hospitals and other medical facilities. (NRS 449.029-449.2488) Section 1 of this bill requires a hospital, upon the request of a patient giving birth at the hospital, to provide for the insertion or injection of long-acting reversible contraception unless: (1) the contraception is contraindicated for the patient; (2) a physician, physician assistant or advanced practice registered nurse determines that inserting or injecting the contraception would create an unreasonable risk of harm to the patient; or (3) the hospital is a religiously affiliated institution that objects to the insertion or injection of such contraception on religious grounds. Section 1 requires a religiously affiliated hospital that objects to the insertion or injection of such contraception on religious grounds to notify maternity patients of that objection. Section 1 also prohibits a hospital from requiring a provider of health care who objects to the insertion or injection of such contraception on religious grounds to participate in the insertion or injection of such contraception. Section 1 requires such a provider at a hospital to refer a patient who requests the insertion or injection of such contraception to a provider who is willing to provide that service. Section 1 restricts the amount that a provider of health care or hospital is authorized to require a third party insurer to pay for such contraception, the insertion or injection of such contraception or testing associated with such contraception. Sections 2-7 and 9 of this bill make conforming changes to provide for the administration and enforcement of the requirements of section 1 in the same manner as other requirements imposed by existing law on medical facilities. Existing law requires certain public and private insurers, including, without limitation, Medicaid, to cover certain types of contraception, including certain implantable rods and intrauterine contraceptive devices. (NRS 287.010, 287.04335, 422.27172, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715) Sections 8 and 10-16 of this bill prohibit such an insurer from refusing to cover the insertion of such a device or a contraceptive injection at a hospital immediately after an insured gives birth.

Statutes affected:
As Introduced: 449.029, 449.0301, 449.0302, 449.160, 449.163, 449.240, 422.27172, 654.190, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715
Reprint 1: 449.029, 449.0301, 449.0302, 449.160, 449.163, 449.240, 422.27172, 654.190, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715
Reprint 2: 449.029, 449.0301, 449.0302, 449.160, 449.163, 449.240, 422.27172, 654.190, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715
As Enrolled: 449.029, 449.0301, 449.0302, 449.160, 449.163, 449.240, 422.27172, 654.190, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715
BDR: 449.029, 449.0301, 449.0302, 449.160, 449.163, 449.240, 422.27172, 654.190, 689A.0418, 689B.0378, 689C.1676, 695A.1865, 695B.1919, 695C.1696, 695G.1715