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 2, 4-10, 12 and 14-16 of this bill require that certain public and private policies of health insurance and health plans, including Medicaid, include coverage for habilitative and rehabilitative speech-language pathology as a treatment for stuttering for persons who are less than 18 years of age. Sections 1, 2, 4-10, 12 and 14-16 of this bill additionally prohibit an insurer from imposing a maximum annual limit on the coverage, limiting coverage based on the cause of the stuttering or imposing medical management techniques on those benefits. Section 13 of this bill makes a conforming change to require the Director of the Department of Health and Human Services to administer the provisions of section 16 in the same manner as other provisions relating to Medicaid. Section 3 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 2. Section 11 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 9. The Commissioner would also be authorized to take such action against other health insurers who fail to comply with the requirements of sections 2, 4-8 or 12. (NRS 680A.200)

Statutes affected:
As Introduced: 687B.225, 689A.330, 689C.425, 695C.050, 695C.330, 232.320, 287.010, 287.04335