Existing law requires public and private policies of insurance regulated under Nevada law to include certain coverage. (NRS 287.010, 287.04335, 422.27172-422.272428, 689A.04033-689A.0465, 689B.0303-689B.0379, 689C.1652-689C.169, 689C.194, 689C.1945, 689C.195, 689C.425, 695A.184-695A.1875, 695A.265, 695B.1901-695B.1948, 695C.050, 695C.1691-695C.176, 695G.162-695G.177) 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 employees. (NRS 608.1555) Sections 1, 3-9, 11 and 13-15 of this bill require that certain public and private policies of health insurance and health plans, including Medicaid, include medically necessary treatment and care, including bariatric surgery, for diseases and conditions caused by severe obesity under certain circumstances and with certain restrictions. Sections 1, 3-9, 11 and 13-15 exclude from this required coverage drugs for weight loss. Section 2 of this bill authorizes the Commissioner of Insurance to require that certain policies of health insurance issued by a domestic insurer to a person who resides in another state include the coverage required by section 1. Section 10 of this bill authorizes the Commissioner to suspend or revoke the certificate of a health maintenance organization that fails to comply with the requirements of section 8. The Commissioner would also be authorized to take such actions against other health insurers who fail to comply with the requirements of sections 1, 3-7, 9 and 11. (NRS 680A.200) Section 12 of this bill requires the Director of the Department of Health and Human Services to administer section 15 in the same manner as other provisions governing Medicaid.

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