Nevada 2019 Regular Session Status: In Committee

SB 472 — Establishes a database of information concerning health insurance claims in this State. (BDR 40-1145)

Last action — (No further action taken.)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2019 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

AN ACT relating to health care; requiring the Department of Health and Human Services to seek federal financial participation or grant funding and, to the extent obtained in a certain amount, to establish an all-payer claims database containing information relating to health insurance claims for benefits provided in this State; requiring certain insurers to submit data to the database; authorizing certain additional insurers to submit data to the database; providing for the release of data in the database under certain circumstances; requiring the Department to publish a report on the quality and cost of health care using data from the database; requiring the Department to submit certain other reports concerning the database to the Legislature; providing immunity from civil and criminal liability for certain persons and entities; authorizing the imposition of administrative penalties for violations of certain requirements concerning the database; making appropriations; and providing other matters properly relating thereto.

Bill Text

What changed in the latest version

489 added · 481 removed

489 line(s) added, 481 removed.

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EXEMPT (Reprinted with amendments adopted on May 30, 2019) FIRST REPRINT S.B.
EXEMPT (Reprinted with amendments adopted on June 3, 2019) SECOND REPRINT S.B.
472 S ENATE B ILLN O .
472 S ENATE BILL NO .
472–COMMITTEE ON COMMERCE AND LABOR M ARCH 25, 2019 ____________ Referred to Committee on Health and Human Services SUMMARY—Establishes a database of information concerning health insurance claims in this State.
472–COMMITTEE ON C OMMERCE AND LABOR M ARCH 25, 2019 ____________ Referred to Committee on Health and Human Services SUMMARY—Establishes a database of information concerning health insurance claims in this State.
requiring the Department of Health and Human Services to establish an all-payer claims database containing information relating to health insurance claims for benefits provided in this State;
requiring the Department of Health and Human Services to seek federal financial participation or grant funding and, to the extent obtained in a certain amount, to establish an all-payer claims database containing information relating to health insurance claims for benefits provided in this State;
making an appropriation;
making appropriations;
(NRS 439B.600-439B.695, 457.230-457.280) Section 8 of this bill requires the Department of Health and Human Services to establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or establish an advisory committee if necessary, to assist the Department inment to establishing and maintaining the database.
(NRS 439B.600-439B.695, 457.230-457.280) Section 8 of this bill requires the Department of Health and Human Services to seek federal financial participation or grant funding to establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or pharmacy benefits - *SB472_R2* – 2 – provided in this State.
Section 9 of this bill requires any public - *SB472_R1* – 2 – or private insurer that provides health benefits and is regulated under state law to submit data to the database.
Section 8 authorizes the Department to establish an advisory committee if necessary, to assist the Department in establishing and maintaining the database.
Section 9 also authorizes certain insurers that are regulated under federal law to submit data to the database.
If a database is established, section 9 of this bill:
(1) requires any public submit data to the database;
and (2) authorizes certain insurers that are regulatedo under federal law to submit data to the database.
Section 11 of this bill requires a person or entity that Section 12 of this bill prescribes the conditions under which such a request may be granted, which differ depending on the sensitivity of the data requested.
Section 11 of this bill requires a person or entity that wishes to obtain data from the database to submit a request to the Department.
Section 12 also prohibits a person or entity to whom data is released from using or disclosing the data in certain circumstances.
Section 12 of this bill prescribes the conditions under which such a request may be granted, which differ depending on the sensitivity of the data requested.
Section 13 of this bill requires the Department to publish a report at least annually concerning the quality, efficiency and cost of health care in this State using data from the database.
Section 12 the data in certain circumstances.
Sections 14 and 18 of this bill require the Department to submit certain reports to the Legislature concerning theSection 15 of this bill provides an exemption from civil and criminal liability to:
If a database is established:
(1) a person or entity that provides information to the Department, including data submitted to the database, in good faith;
(1) section 13 of this bill requires the Department to publish a report at least annually concerning the quality, efficiency and cost of health care in this State using data from the database;
and (2) the Department and its members, officers and employees for failing to provide data from the database or providing incorrect data from the database.
and (2) sections 14 and 18 of this bill require the Department to submit certain reports to the Legislature concerning the establishment, operation and funding of the database.
Section 16 of this bill requires the Department to adopt regulations necessary for the establishment and maintenance of the database.
Section 15 of this bill provides an exemption from civil and criminal liability data submitted to the database, in good faith;
Section 16 requires such regulations to establish administrative database;
and (2) the Department and itsding members, officers and employees for failing to provide data from the database or providing incorrect data from the database.
and (2) any person or entity that accesses, maintains, uses or discloses data from the database in an unauthorized manner.
If a database is established, section 16 of this bill requires the Department to adopt regulations necessary for the establishment and maintenance of the database.
Section 17.5 of this bill makes an appropriation to the Division of Health Care Financing and Policy of the Department for the personnel and operating costs related to implementation of the database.
Section 16 requires such regulations to establish administrative penalties to be imposed against:
(1) an insurer that fails to submit data to the database;
and (2) any person or entity that manner.s, maintains, uses or discloses data from the database in an unauthorized Section 17.5 of this bill appropriates money for the personnel and operating costs related to implementation of the database.
“Direct patient identifier” means data that directly identifies a patient, including, without limitation, a name, telephone number, social security number, number associated with a medical record, health plan beneficiary number, certificate or license number, vehicle identification number, serial number, license plate number, Internet address, electronic mail address, biometric identifier or photographic image.
“Direct patient identifier” means a name, telephone number, number associated with a medical record, health plan beneficiary number, electronic mail address or any other data submitted to the all-payer claims database pursuant to section 9 of this act that directly identifies a patient.
- *SB472_R2* – 3 – Sec.
4.5.
“Health carrier” means an entity subject to the insurance laws and regulations of this State, or subject to the jurisdiction of the Commissioner of Insurance, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including, without limitation, a sickness and accident health insurance company, a health maintenance organization, a nonprofit hospital and health service corporation or any other entity providing a plan of health insurance, health benefits or health care services.
- *SB472_R1* – 3 – Sec.
Sec.
The Department shall establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or pharmacy benefits provided in this State.
The Department shall determine the availability of any federal financial participation or other public or private inclusive, of this act and take any actions necessary to obtain such funding.
If the Department obtains federal financial participation estimated amount necessary to carry out those provisions, the the Department must establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or pharmacy benefits provided in this State.
The Department shall:
If an all-payer claims database is established, the Department must:
The identifier must allow a person who receives data from the database that does not contain direct patient identifiers or indirect patient identifiers to identify data concerning the patient without identifying the patient.
The identifier must allow a person who receives data from the database that does not contain direct patient identifiers or - *SB472_R2* – 4 – indirect patient identifiers to identify data concerning the patient without identifying the patient.
Each health carrier, governing body of a local government agency that provides health insurance through a self- insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to section 16 of this - *SB472_R1* – 4 – act to submit data to the database and the Public Employee Benefits Program shall submit to the all-payer claims database the data prescribed by the Department pursuant to section 16 of this act.
Each health carrier, governing body of a local government agency that provides health insurance through a self- insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to section 16 of this act to submit data to the database and the Public Employee Benefits Program shall submit to the all-payer claims database the data prescribed by the Department pursuant to section 16 of this act.
The Department shall submit to the database the data prescribed pursuant to section 16 of this act for claims submitted to the Medicaid program.
The Department shall submit to the database the data prescribed pursuant to section 16 of this act for claims submitted to 2.e A provider of health coverage for federal employees, a provider of health coverage that is subject to the Employee Taft Hartley trust formed pursuant to 29 U.S.C.
2.
§ 186(c)(5) area not required but may submit to the all-payer claims database the data prescribed by the Department pursuant to section 16 of this act.
A provider of health coverage for federal employees, a provider of health coverage that is subject to the Employee Retirement Income Security Act of 1974 or the administrator of a Taft Hartley trust formed pursuant to 29 U.S.C.
§ 186(c)(5) are not required but may submit to the all-payer claims database the data prescribed by the Department pursuant to section 16 of this act.
As used in this section, “health carrier” means an entity subject to the insurance laws and regulations of this State, or subject to the jurisdiction of the Commissioner of Insurance, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including, without limitation, a sickness and accident health insurance company, a health maintenance organization, a nonprofit hospital and health service corporation or any other entity providing a plan of health insurance, health benefits or health care services.
The provisions of this section apply only to the extent that the all-payer claims database is created.
3.
- *SB472_R2* – 5 – 3.
- *SB472_R1* – 5 – 3.
3.
Sec.
payer claims database that contains direct patient identifiers, indirect patient identifiers, proprietary financial information or Department that:thereof to a person or entity approved by the (a) Is conducting research that has been approved by an institutional review board and is designed to:
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12.
1.
The Department may release data from the all- payer claims database that contains direct patient identifiers, indirect patient identifiers, proprietary financial information or any combination thereof to a person or entity approved by the Department that:
(a) Is conducting research that has been approved by an institutional review board and is designed to:
and (c) Has submitted a request that meets the requirements of this section.
and - *SB472_R2* – 6 – (c) Has submitted a request that meets the requirements of this section.
and - *SB472_R1* – 6 – (b) Submitted a request that meets the requirements of this section.
and (b) Submitted a request that meets the requirements of this section.
4.
claims database that does not contain direct patient identifiers, indirect patient identifiers or proprietary financial information to a request that meets the requirements of this section.
The Department may release data from the all-payer claims database that does not contain direct patient identifiers, indirect patient identifiers or proprietary financial information to a person or entity approved by the Department that has submitted a request that meets the requirements of this section.
submitted 5.
5.
(c) A prohibition on the recipient of the data determining or attempting to determine the identity of any person whom the data concerns or locating or attempting to locate data associated with a specific natural person;
(c) A prohibition on the recipient of the data determining or attempting to determine the identity of any person whom the data - *SB472_R2* – 7 – concerns or locating or attempting to locate data associated with a specific natural person;
or - *SB472_R1* – 7 – (b) Disclose or use the data in any manner other than as described in the request submitted pursuant to section 11 of this act.
or (b) Disclose or use the data in any manner other than as described in the request submitted pursuant to section 11 of this act.
The Department shall, at least annually, publish a report concerning the quality, efficiency and cost of health care in this State based on the data in the all-payer claims database.
If the all-payer claims database is created pursuant to section 8 of this act, the Department shall, at least annually, publish a report concerning the quality, efficiency and cost of health care in this State based on the data in the all-payer claims database.
3.
health care systems presented in a report published pursuant tor subsection 1 must account for differences in costs attributable to patients and recipients of Medicaid and Medicare and expensesred for educating providers of health care, where applicable.
Any comparison of cost among providers of health care or health care systems presented in a report published pursuant to subsection 1 must account for differences in costs attributable to populations served, severity of illness, subsidies for uninsured patients and recipients of Medicaid and Medicare and expenses for educating providers of health care, where applicable.
A report published pursuant to subsection 1 must not contain information identified as relating to a specific provider of health care, health facility or entity that reports data pursuant to section 9 of this act unless the provider of health care, health facility or entity to which the information pertains is allowed to view the report before publication, request corrections of any errors in the information and comment on the reasonableness of the conclusions of the report.
A report published pursuant to subsection 1 must not contain information identified as relating to a specific provider of health care, health facility or entity that reports data pursuant to section 9 of this act unless the provider of health care, health facility or entity to which the information pertains is allowed to view the report before publication, request corrections of any - *SB472_R2* – 8 – errors in the information and comment on the reasonableness of the conclusions of the report.
On or before October 31 of each year, the Department shall publish on an Internet website maintained by the Department a list of reports the Department intends to publish pursuant to this section during the next calendar year.
On or before October 31 of each year, the Department shall publish on an Internet website maintained by the Department a list of reports the Department intends to publish pursuant to this section, if any, during the next calendar year.
On or before December 31 of each even- numbered year, the Department shall submit to the Director of the Legislative Counsel Bureau for transmittal to the Legislature a report concerning the cost, performance and effectiveness of the - *SB472_R1* – 8 – all-payer claims database and any recommendations to improve the all-payer claims database.
After an all-payer claims database is created pursuant to section 8 of this act, on or before December 31 of each even-numbered year, the Department shall submit to the Director of the Legislative Counsel Bureau for transmittal to the Legislature a report concerning the cost, performance and effectiveness of the all-payer claims database and any recommendations to improve the all-payer claims database.
(a) Compile a report of any grants received by the Department to carry out the provisions of sections 2 to 16, inclusive, of this act;
(a) Compile a report of any federal financial participation or private or public grants received by the Department to carry out the provisions of sections 2 to 16, inclusive, of this act;
and (2) In all other cases, the Interim Finance Committee.
and Sec.
Sec.
1.
1.ll oNo person or entity providing information to the Department, including, without limitation, data submitted to the inclusive, of this act, may be held liable in a civil or criminal action for disclosing confidential information unless the person or entity has done so in bad faith or with malicious purpose.
No person or entity providing information to the Department, including, without limitation, data submitted to the all-payer claims database in accordance with sections 2 to 16, inclusive, of this act, may be held liable in a civil or criminal action for disclosing confidential information unless the person or entity has done so in bad faith or with malicious purpose.
The Department shall adopt regulations that prescribe:
If the all-payer claims database is created pursuant to section 8 of this act, the Department shall adopt regulations that prescribe:
Such data must include, without limitation, data concerning medical claims, pharmacy claims and dental claims.
Such data must include:
(1) Only types of data that are generally collected by health carriers for billing purposes in the ordinary course of business;
and - *SB472_R2* – 9 – (2) Data concerning medical claims, pharmacy claims and dental claims.
and - *SB472_R1* – 9 – (b) Any other regulations necessary to carry out the provisions of sections 2 to 16, inclusive, of this act.
and (b) Any other regulations necessary to carry out the provisions of sections 2 to 16, inclusive, of this act.
and (b) Accept any gifts, grants and donations for the purpose of carrying out the provisions of sections 2 to 16, inclusive, of this act.
and (b) Accept any gifts, grants and donations for the purpose of act.ying out the provisions of sections 2 to 16, inclusive, of this Sec.
Sec.
239.010 1.
NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.071, 49.095, 49.293,on and 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119B.370, 119B.382, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 172.075, 172.245, 176.01249, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 179.495, 179A.070, 179A.165, 179D.160, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3925, 209.419, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1473, 233.190, 237.300, 239.0105, - *SB472_R2* – 10 – 239.0113, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.550, 247.560, 250.087, 250.130, 250.140, 250.150, 268.095, 268.490, 268.910, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 286.110, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.906, 293.908, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 360.240, 360.247, 360.255, 360.755, 361.044, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.035, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 394.167, 394.1698, 394.447, 394.460, 394.465, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.407, 432B.430, 432B.560, 432B.5902, 433.534, 433A.360, 437.145, 439.840, 439B.420, 440.170, 445A.665, 445B.570, 449.209, 449.245, 449A.112, 450.140, 453.164, 453.720, 453A.610, 453A.700, 458.055, 458.280, 459.050, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.365, 480.940, 481.063, 481.091, 481.093, 482.170, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 599B.090, 603.070, 603A.210, 604A.710, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.047, 629.069, 630.133, 630.30665, 630.336, 630A.555, 631.368, 632.121, 632.125, 632.405, 633.283, 633.301, 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.400, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.325, 641A.191, 641A.289, 641B.170, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645E.300, 645E.375, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, - *SB472_R2* – 11 – 648.197, 649.065, 649.067, 652.228, 654.110, 656.105, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 679B.122, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.320, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 10 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119B.370, 119B.382, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 172.075, 172.245, 176.01249, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 179.495, 179A.070, 179A.165, 179D.160, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3925, 209.419, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1473, 233.190, 237.300, 239.0105, 239.0113, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.550, 247.560, 250.087, 250.130, 250.140, 250.150, 268.095, 268.490, 268.910, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 286.110, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.906, 293.908, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 360.240, 360.247, 360.255, 360.755, 361.044, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.035, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 394.167, 394.1698, - *SB472_R1* – 10 – 394.447, 394.460, 394.465, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.407, 432B.430, 432B.560, 432B.5902, 433.534, 433A.360, 437.145, 439.840, 439B.420, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 445A.665, 445B.570, 449.209, 449.245, 449A.112, 450.140, 453.164, 453.720, 453A.610, 453A.700, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.365, 480.940, 481.063, 481.091, 481.093, 482.170, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 599B.090, 603.070, 603A.210, 604A.710, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.047, 629.069, 630.133, 630.30665, 630.336, 630A.555, 631.368, 632.121, 632.125, 632.405, 633.283, 633.301, 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.400, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.325, 641A.191, 641A.289, 641B.170, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645E.300, 645E.375, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.228, 654.110, 656.105, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 679B.122, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.320, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 10 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Any such copies, abstracts or memoranda may be used to supply the general public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
Any such copies, - *SB472_R1* – 11 – abstracts or memoranda may be used to supply the general public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
This section does not supersede or in any manner affect the federal laws governing copyrights or enlarge, diminish or affect in any other manner the rights of a person in any written book or 2.coA governmental entity may not reject a book or record which is copyrighted solely because it is copyrighted.
This section does not supersede or in any manner affect the federal laws governing copyrights or enlarge, diminish or affect in any other manner the rights of a person in any written book or record which is copyrighted pursuant to federal law.
public book or record shall not deny a request made pursuant toof a subsection 1 to inspect or copy or receive a copy of a public book or record on the basis that the requested public book or record contains information that is confidential if the governmental entity can redact, delete, conceal or separate the confidential information from the information included in the public book or record that is not otherwise confidential.
2.
A governmental entity may not reject a book or record which is copyrighted solely because it is copyrighted.
3.
A governmental entity that has legal custody or control of a public book or record shall not deny a request made pursuant to subsection 1 to inspect or copy or receive a copy of a public book or record on the basis that the requested public book or record contains information that is confidential if the governmental entity can redact, delete, conceal or separate the confidential information from the information included in the public book or record that is not otherwise confidential.
(b) Except as otherwise provided in NRS 239.030, shall, upon request, prepare the copy of the public record and shall not require the person who has requested the copy to prepare the copy himself or herself.
(b) Except as otherwise provided in NRS 239.030, shall, upon request, prepare the copy of the public record and shall not require - *SB472_R2* – 12 – the person who has requested the copy to prepare the copy himself or herself.
There is hereby appropriated from the State General Fund to the Division of Health Care Financing and Policy of the Department of Health and Human Services for the personnel and operating costs related to implementation of the provisions of sections 2 to 16, inclusive, of this act, the following sums:
There is hereby appropriated from the State General Fund to:
For the Fiscal Year 2019-2020......................................$1,405 For the Fiscal Year 2020-2021..................................$429,707 2.
(a) The Division of Health Care Financing and Policy of the Department of Health and Human Services the sum of $1,405 for the personnel and operating costs related to the implementation of the provisions of sections 2 to 16, inclusive, of this act.
Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2020, and September 17, 2021, respectively, by either the entity to which the money was appropriated or the entity - *SB472_R1* – 12 – to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2020, and September 17, 2021, respectively.
(b) The Interim Finance Committee for distribution to the Division of Health Care Financing and Policy of the Department of Health and Human Services upon the submission by the Division of proof that the Department has obtained federal financial participation or other public or private grant funding in an amount equal to at least 90 percent of the estimated amount necessary to carry out the provisions of sections 2 to 16, inclusive, of this act, the sum of $429,707 for the personnel and operating costs necessary to carry out those provisions.
Sec.
2.
18.
Any balance of the sums appropriated by subsection 1 must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2021, by either the the money was subsequently granted or transferred, and must beich reverted to the State General Fund on or before September 17, 2021.
1.
2020, the Department of Health and Human Services shall:ember 1, (a) Develop a report concerning the implementation of sections 2 to 16, inclusive, of this act, including, without limitation, the cost of implementing the all-payer claims database, whether federal financial participation or public or private grant funding has been secured in an amount equal to at least 90 percent of that cost and the technical progress made toward full implementation of the all-payer claims database;
On or before December 1, 2019, and December 1, 2020, the Department of Health and Human Services shall:
and (b) Submit the report to the Director of the Legislative Counsel Bureau for transmittal to:
(a) Develop a report concerning the implementation of sections 2 to 16, inclusive, of this act, including, without limitation, the cost of implementing the all-payer claims database and the technical progress made toward full implementation of the all-payer claims database;
(1) In 2019, the Legislative Committee on Health Care and the Interim Finance Committee.
and (b) Submit the report to the Director of the Legislative Counsel Bureau(1) In 2019, the Legislative Committee on Health Care and the Interim Finance Committee.
Sec.
- *SB472_R2* – 13 – Sec.
H - *SB472_R1*
H - *SB472_R2*
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Amendments

3 amendments

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Action History

  1. (No further action taken.)

  2. From committee: Amend, and do pass as amended. Declared an emergency measure under the Constitution. Read third time. Amended. (Amend. No. 1090.) Rereferred to Committee on Ways and Means. To printer. From printer. To reengrossment. Reengrossed. Second reprint. To committee.

  3. From printer. To engrossment. Engrossed. First reprint. To Assembly. In Assembly. Read first time. Referred to Committee on Health and Human Services. To committee.

  4. Taken from Secretary's desk. Placed on General File. Read third time. Amended. (Amend. Nos. 1008 and 1042.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 12, Nays: 8, Excused: 1.) To printer.

  5. From committee: Amend, and do pass as amended. Placed on General File. Taken from General File. Placed on Secretary's desk.

  6. From committee: Do pass. Placed on Second Reading File. Read second time. Taken from General File. Re-referred to Committee on Finance. To committee. Exemption effective.

  7. Notice of eligibility for exemption.

  8. From printer. To committee.

  9. Read first time. Referred to Committee on Health and Human Services. To printer.

Sponsors

  • Senate Committee on Commerce and Labor · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 66 not signed on

Sponsors (1)

  • Senate Committee on Commerce and Labor

Co-sponsors (0)

None.

Not signed on (66)

66 members have not signed on to this bill.

Show all 66 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 472 do?
AN ACT relating to health care; requiring the Department of Health and Human Services to seek federal financial participation or grant funding and, to the extent obtained in a certain amount, to establish an all-payer claims database containing information relating to health insurance claims for benefits provided in this State; requiring certain insurers to submit data to the database; authorizing certain additional insurers to submit data to the database; providing for the release of data in the database under certain circumstances; requiring the Department to publish a report on the quality and cost of health care using data from the database; requiring the Department to submit certain other reports concerning the database to the Legislature; providing immunity from civil and criminal liability for certain persons and entities; authorizing the imposition of administrative penalties for violations of certain requirements concerning the database; making appropriations; and providing other matters properly relating thereto.
Who sponsors SB 472?
SB 472 is sponsored by Senate Committee on Commerce and Labor.
What is the current status of SB 472?
This bill died with 2019 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 472?
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