Existing law requires certain private policies of insurance regulated under Nevada law to include coverage for screening for colorectal cancer if the policy of insurance covers the treatment of colorectal cancer. (NRS 689A.04042, 689B.0367, 695B.1907, 695C.1731, 695G.168) Existing law also requires employers to provide certain benefits for health care to employees, including the coverage required of health insurers, if the employer provides health benefits for its employee. (NRS 608.1555) Sections 1, 3-8 and 11 of this bill require certain private policies of health insurance and health plans that cover treatment for lung cancer to also cover screening for lung cancer in accordance with: (1) the guidelines published by the American Cancer Society; or (2) certain other guidelines or reports concerning screening for lung cancer which are published by nationally recognized professional organizations. Sections 9 and 11.5 of this bill provide that those requirements do not apply to Medicaid managed care organizations. Section 2 of this bill authorizes the Commissioner of Insurance to require certain policies of health insurance issued by a domestic insurer to a person who resides in another state to include the coverage required by section 1. Section 10 of this bill authorizes the Commissioner to suspend or revoke the certificate of authority issued to a health maintenance organization that fails to comply with the requirements of section 8. The Commissioner would also be authorized to take such action against other health insurers who fail to comply with the requirements of sections 1, 3-8 and 11. (NRS 680A.200) Section 17 of this bill requires the Department of Health and Human Services to: (1) conduct a study to determine if the criteria adopted by the American Cancer Society relating to screening for lung cancer creates inequities in access to screening for lung cancer based on sex or gender identity or expression; and (2) submit a report on its conclusions to the Director of the Legislative Counsel Bureau for transmittal to the Joint Interim Standing Committee on Health and Human Services.

Statutes affected:
As Introduced: 689A.330, 689C.425, 695C.050, 695C.330, 232.320, 287.010, 287.04335
Reprint 1: 689A.330, 689C.425, 695C.050, 695C.330, 695G.090
BDR: 689A.330, 689C.425, 695C.050, 695C.330, 232.320, 287.010, 287.04335