Existing law requires public and private policies of insurance regulated under Nevada law and employers who provide such insurance for their employees to include coverage for drugs to: (1) support safe withdrawal from substance use disorder; and (2) provide medication-assisted treatment for opioid use disorder. (NRS 287.010, 287.04335, 422.4025, 608.1555, 689A.0459, 689B.0319, 689C.1665, 695A.1874, 695B.19197, 695C.050, 695C.1699, 695G.1719) Sections 2, 4-10 and 12-15 of this bill require certain public and private policies of health insurance to cover drugs that are alternatives to opioids for purposes for which opioids are commonly used. Sections 1, 2, 4-10, 12-14 and 16 of this bill: (1) prohibit certain insurers from imposing certain other conditions on covered opioid alternatives that are not imposed on opioids; and (2) require such an insurer to exempt an insured from medical management techniques that would otherwise apply to an alternative to an opioid if the provider of health care prescribing or administering the alternative confirms that the alternative is an appropriate treatment for the patient. Section 3 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 2. Section 11 of this bill authorizes the Commissioner to suspend or revoke the certification of a health maintenance organization that fails to comply with the requirements of section 9. The Commissioner would also be authorized to take such actions against other health insurers who fail to comply with the requirements of sections 2, 4-10 and 12. (NRS 680A.200)

Statutes affected:
As Introduced: 687B.225, 689A.330, 689C.425, 695C.050, 695C.330, 287.010, 287.04335, 422.4025, 422.403
BDR: 687B.225, 689A.330, 689C.425, 695C.050, 695C.330, 287.010, 287.04335, 422.4025, 422.403