Existing law requires public and private policies of insurance to include certain coverage. (NRS 287.010, 287.04335, 422.2717-422.272428, 689A.04033-689A.0465, 689B.030-689B.0379, 689C.1652-689C.169, 689C.425, 695A.184-695A.1875, 695A.255-695A.265, 695B.1901-695B.1949, 695C.050, 695C.1691-695C.176, 695G.162-695G.177) Existing law also requires employers to provide certain benefits 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 public and private health plans, including Medicaid and insurance for state and local government employees, to provide coverage for certain procedures or services that are medically necessary to preserve fertility for an insured who has been diagnosed with breast or ovarian cancer if: (1) the cancer may directly or indirectly cause infertility; or (2) the insured is expected to receive medical treatment for the cancer and the treatment could directly or indirectly cause infertility. An insurer that is affiliated with a religious organization is not required to provide the coverage required by sections 1, 3-8 and 11 if the insurer: (1) objects to providing the coverage on religious grounds; and (2) provides a written notice to insureds or prospective insureds disclosing that the insurer refuses to provide such coverage.
Section 2 of this bill authorizes the Commissioner of Insurance to require a policy of individual health insurance issued by a domestic insurer to a person residing in another state to contain the coverage required by section 1 in certain circumstances. Section 12 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 15 in the same manner as other provisions relating to Medicaid.
Section 10 of this bill authorizes the Commissioner to suspend or revoke the certificate of a health maintenance organization that fails to provide the coverage required by section 8. The Commissioner is also authorized to take such action against other health insurers who fail to provide the coverage required by sections 1, 3-8 and 11. (NRS 680A.200)
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