Nevada 2023 Regular Session Status: Enacted Bipartisan · 8 D · 1 R cosponsors

SB 167 — Prohibits the imposition of step therapy under certain circumstances. (BDR 57-81)

Last action — Chapter 269.

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

This bill has been enacted into law. Introduced February 16, 2023. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 10, 2023.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 78% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 12 sponsors

    2 primary, 10 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 D · 1 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

664 added · 713 removed

664 line(s) added, 713 removed.

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EXEMPT (Reprinted with amendments adopted on April 17, 2023) FIRST REPRINT S.B.
Senate Bill No.
167 S ENATE B ILL NO .
167–Senators Dondero Loop, Spearman;
167–SENATORS D ONDERO LOOP , SPEARMAN ;
Cannizzaro, Daly, D.
C ANNIZZARO , D ALY , D.
Harris, Krasner, Neal, Nguyen, Ohrenschall, Pazina and Scheible Joint Sponsor:
H ARRIS, K RASNER , N EAL , N GUYEN , OHRENSCHALL , PAZINA AND SCHEIBLE FEBRUARY 16, 2023 ____________ JOINT SPONSOR :
Assemblywoman Thomas CHAPTER..........
SSEMBLYWOMAN T HOMAS ____________ Referred to Committee on Commerce and Labor SUMMARY—Prohibits the imposition of step therapy under certain circumstances.
(BDR 57-81) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
(NOTROEQUESTED AFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law prohibits a policy of health insurance which provides coverage for prescription drugs, including a policy of health insurance provided by a local government or private employer for its employees, from limiting or excluding coverage for a drug if the drug:
Existing law prohibits a policy of health insurance which provides coverage for prescription drugs, including a policy of health insurance provided by a local government or private employer for its employees, from limiting or excluding the insurer for a medical condition of an insured and the insured’s provider ofby health care determines, after conducting a reasonable investigation, that none of the drugs which are otherwise currently approved for coverage are medically appropriate for the insured;
(1) had previously been approved for coverage by the insurer for a medical condition of an insured and the insured’s provider of health care determines, after conducting a reasonable investigation, that none of the drugs which are otherwise currently approved for coverage are medically appropriate for the insured;
and (2) is appropriately prescribed and considered safe and effective for treating the medical condition of the insured.
and (2) is appropriately prescribed and considered safe 689B.0368, 689C.168, 695A.184, 695B.1905, 695C.1734, 695F.156, 695G.166)9A.04045, Existing law also requires the Department of Health and Human Services to establish and manage the use by the Medicaid program of step therapy and prior authorization for prescription drugs.
(NRS 689A.04045, 689B.0368, 689C.168, 695A.184, 695B.1905, 695C.1734, 695F.156, 695G.166) Existing law also requires the Department of Health and Human Services to authorization for prescription drugs.
(NRS 422.403) Sections 1, 3-9 and 11-15 of this bill prohibit private insurers, voluntary purchasing groups, insurance plans for state, local and private employees and Medicaid from imposing a step therapy protocol for a drug that is approved by the United States Food and Drug - *SB167_R1* – 2 – Administration or that medical or scientific evidence establishes may be used to treat a psychiatric condition if:
(NRS 422.403) Sections 1, 3-9 and 11-15 of this bill prohibit private insurers, voluntary purchasing groups, insurance plans for state, local and private employees and Medicaid from imposing a step therapy protocol for a drug that is approved by the United States Food and Drug Administration or that medical or scientific evidence establishes may be used to treat a psychiatric condition if:
The Commissioner would also be authorized to take such sections 1, 3-8, 11 and 12 of this bill.
The Commissioner would also be authorized to take such action against other health insurers who fail to comply with the requirements of sections 1, 3-8, 11 and 12 of this bill.
(NRS 680A.200) with the requirements of THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
(NRS 680A.200) - 82nd Session (2023) – 2 – EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
(b) The drug is prescribed by:
(b)(1) A psychiatrist;ibed by:
(1) A psychiatrist;
Any provision of a policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or - *SB167_R1* – 3 – renewed on or after July 1, 2023, which is in conflict with this section is void.
Any provision of a policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.
(a) “Medical or scientific evidence” has the meaning ascribed to it in NRS 695G.053.
(a) “Medical or scientific evidence” has the meaning ascribed to (b) “Network plan” means a policy of health insurance offered by an insurer under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of - 82nd Session (2023) – 3 – include an arrangement for the financing of premiums.oes not (c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her policy of health insurance provides coverage for the recommended drug.
(b) “Network plan” means a policy of health insurance offered by an insurer under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the insurer.
The term does not include an arrangement for the financing of premiums.
(c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her policy of health insurance provides coverage for the recommended drug.
Chapter 689B of NRS is hereby amended by adding thereto a new section to read as follows:
Chapter 689B of NRS is hereby amended by adding the1.to A policy of group health insurance which provides coverage for prescription drugs must not require an insured to submit to a step therapy protocol before covering a drug approved by the Food and Drug Administration that is prescribed to treat a psychiatric condition of the insured, if:
1.
A policy of group health insurance which provides coverage for prescription drugs must not require an insured to submit to a step therapy protocol before covering a drug approved by the Food and Drug Administration that is prescribed to treat a psychiatric condition of the insured, if:
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nur(4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the insurer is located 60 miles or more from the residence of the insured;
or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), - *SB167_R1* – 4 – (2) or (3) who participates in the network plan of the insurer is located 60 miles or more from the residence of the insured;
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or reasonably expects each alternative drug that is required to be - 82nd Session (2023) – 4 – treating the psychiatric condition.otocol to be ineffective at 2.
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
2.
(c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her policy of group health insurance provides coverage for the recommended drug.
(c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for her policy of group health insurance provides coverage for the or recommended drug.
(2) A physician assistant under the supervision of a psychiatrist;
psychiatrist;hysician assistant under the supervision of a (3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the health - 82nd Session (2023) – 5 – carrier is located 60 miles or more from the residence of the insured;
or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph - *SB167_R1* – 5 – (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the health carrier is located 60 miles or more from the residence of the insured;
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or used earlier in the step therapy protocol to be ineffective ate treating the psychiatric condition.
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the insured, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
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689C.425 A voluntary purchasing group and any contract issued to such a group pursuant to NRS 689C.360 to 689C.600, inclusive, are subject to the provisions of NRS 689C.015 to 689C.355, inclusive, and section 4 of this act to the extent applicable and not in conflict with the express provisions of NRS 687B.408 and 689C.360 to 689C.600, inclusive.
689C.425 A voluntary purchasing group and any contract inclusive, are subject to the provisions of NRS 689C.015 to, 689C.355, inclusive, and section 4 of this act to the extent applicable and not in conflict with the express provisions of NRS 687B.408 and 689C.360 to 689C.600, inclusive.
- *SB167_R1* – 6 – (b) The drug is prescribed by:
- 82nd Session (2023) – 6 – (b)(1) A psychiatrist;ibed by:
(1) A psychiatrist;
2.
provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.
Any provision of a benefit contract subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.
(c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or her benefit contract provides coverage for the recommended drug.
(c) “Step therapy protocol” means a procedure that requires an insured to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the insured before his or herSec.
Sec.
7.t cChapter 695B of NRS is hereby amended by addingrug.
7.
thereto a new section to read as follows:
Chapter 695B of NRS is hereby amended by adding thereto a new section to read as follows:
(a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of - *SB167_R1* – 7 – the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
- 82nd Session (2023) – 7 – (a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
(b) The drug is prescribed by:
(b)(1) A psychiatrist;ibed by:
(1) A psychiatrist;
(a) “Medical or scientific evidence” has the meaning ascribed to it in NRS 695G.053.
to it in NRS 695G.053.entific evidence” has the meaning ascribed (b) “Network plan” means a policy of health insurance offered by a hospital or medical services corporation under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the hospital or medical services corporation.
(b) “Network plan” means a policy of health insurance offered by a hospital or medical services corporation under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the hospital or medical services corporation.
Sec.
- 82nd Session (2023) – 8 – thereto a new section to read as follows:y amended by adding 1.
8.
A health care plan which provides coverage for prescription drugs must not require an enrollee to submit to a step therapy protocol before covering a drug approved by the Food and Drug Administration that is prescribed to treat a psychiatric condition of the enrollee, if:
Chapter 695C of NRS is hereby amended by adding thereto a new section to read as follows:
1.
A health care plan which provides coverage for prescription drugs must not require an enrollee to submit to a step therapy protocol before covering a drug approved by the Food and - *SB167_R1* – 8 – Drug Administration that is prescribed to treat a psychiatric condition of the enrollee, if:
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nur(4) A primary care provider that is providing care to an enrollee in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the health maintenance organization is located 60 miles or more from the residence of the enrollee;
or (4) A primary care provider that is providing care to an enrollee in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the health maintenance organization is located 60 miles or more from the residence of the enrollee;
3.
As used in this section:
(c) “Step therapy protocol” means a procedure that requires an enrollee to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the enrollee before his or her health care plan provides coverage for the recommended drug.
- 82nd Session (2023) – 9 – (c) “Step therapy protocol” means a procedure that requires an enrollee to use a prescription drug or sequence of prescription drugs other than a drug that a practitioner recommends for treatment of a psychiatric condition of the enrollee before his or herSec.
Sec.
NRS 695C.050 is hereby amended to read as follows:
caNRS 695C.050 is hereby amended to read as follows:.
Except as otherwise provided in this chapter or in specific provisions of this title, the provisions of this title are not - *SB167_R1* – 9 – applicable to any health maintenance organization granted a certificate of authority under this chapter.
Except as otherwise provided in this chapter or in specific provisions of this title, the provisions of this title are not applicable to any health maintenance organization granted a certificate of authority under this chapter.
The provisions of NRS 695C.110, 695C.125, 695C.1691, 695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 695C.173, inclusive, 695C.1733, 695C.17335, 695C.1734, 695C.1751, 695C.1755, 695C.1759, 695C.176 to 695C.200, inclusive, and 695C.265 do not apply to a health maintenance organization that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services.
The provisions of NRS 695C.110, 695C.125, 695C.1691, 695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 695C.173, inclusive, 695C.1733, 695C.17335, 695C.1734, 695C.1751, 695C.1755, 695C.1759, 695C.176 to 695C.200, inclusive, and 695C.265 do not apply to a health maintenance organization that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services.
The Commissioner may suspend or revoke any certificate of authority issued to a health maintenance organization pursuant to the provisions of this chapter if the Commissioner finds that any of the following conditions exist:
The Commissioner may suspend or revoke any certificate of authority issued to a health maintenance organization - 82nd Session (2023) – 10 – pursuant to the provisions of this chapter if the Commissioner finds that any of the following conditions exist:
(a) The health maintenance organization is operating significantly in contravention of its basic organizational document, its health care plan or in a manner contrary to that described in and reasonably inferred from any other information submitted pursuant to NRS 695C.060, 695C.070 and 695C.140, unless any amendments to those submissions have been filed with and approved by the Commissioner;
(a) The health maintenance organization is operating significantly in contravention of its basic organizational document, reasonably inferred from any other information submitted pursuant and to NRS 695C.060, 695C.070 and 695C.140, unless any amendments to those submissions have been filed with and approved by the Commissioner;
- *SB167_R1* – 10 – (b) The health maintenance organization issues evidence of coverage or uses a schedule of charges for health care services which do not comply with the requirements of NRS 695C.1691 to 695C.200, inclusive, and section 8 of this act or 695C.207;
(b) The health maintenance organization issues evidence of coverage or uses a schedule of charges for health care services which do not comply with the requirements of NRS 695C.1691 to 695C.200, inclusive, and section 8 of this act or 695C.207;
(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees an opportunity to participate in matters relating to the content of programs pursuant to NRS 695C.110;
(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees an opportunity to participate in matters relating to the content of programs pursuant to NRS(g) The health maintenance organization has failed to put into effect the system required by NRS 695C.260 for:
(g) The health maintenance organization has failed to put into effect the system required by NRS 695C.260 for:
or (k) The health maintenance organization has otherwise failed to comply substantially with the provisions of this chapter.
or - 82nd Session (2023) – 11 – comply substantially with the provisions of this chapter.failed to 2.
2.
If the certificate of authority of a health maintenance organization is revoked, the organization shall proceed, immediately - *SB167_R1* – 11 – following the effective date of the order of revocation, to wind up its affairs and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the organization.
If the certificate of authority of a health maintenance organization is revoked, the organization shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the organization.
The Commissioner may, by written order, permit such further operation of the organization as the Commissioner may find to be in the best interest of enrollees to the end that enrollees are afforded the greatest practical opportunity to obtain continuing coverage for health care.
The Commissioner may, by written order, permit such further operation of the organization as the Commissioner may find to be in the greatest practical opportunity to obtain continuing coverage ford health care.
(2) A physician assistant under the supervision of a psychiatrist;
psychiatrist;physician assistant under the supervision of a (3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
or (4) A primary care provider that is providing care to an enrollee in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the prepaid - 82nd Session (2023) – 12 – from the residence of the enrollee;
or (4) A primary care provider that is providing care to an enrollee in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in the network plan of the prepaid limited health service organization is located 60 miles or more from the residence of the enrollee;
andlocated 60 miles or more (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the enrollee, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the enrollee, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
- *SB167_R1* – 12 – (b) “Network plan” means evidence of coverage offered by a prepaid limited health service organization under which the financing and delivery of medical care is provided, in whole or in part, through a defined set of providers under contract with the prepaid limited health service organization.
(b) “Network plan” means evidence of coverage offered by a prepaid limited health service organization under which the financing and delivery of medical care is provided, in whole or in prepaid limited health service organization.
The term does not include an arrangement for the financing of premiums.
The term does nothe include an arrangement for the financing of premiums.
(a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
- 82nd Session (2023) – 13 – psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
Any provision of a health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this section is void.
Any provision of a health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2023, which is in conflict with this sec3.onAs used in this section:
- *SB167_R1* – 13 – 3.
As used in this section:
287.010 1.
district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada may:
The governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada may:
(a) Adopt and carry into effect a system of group life, accident or health insurance, or any combination thereof, for the benefit of its officers and employees, and the dependents of officers and employees who elect to accept the insurance and who, where necessary, have authorized the governing body to make deductions - 82nd Session (2023) – 14 – from their compensation for the payment of premiums on the insurance.
(a) Adopt and carry into effect a system of group life, accident or health insurance, or any combination thereof, for the benefit of its officers and employees, and the dependents of officers and employees who elect to accept the insurance and who, where necessary, have authorized the governing body to make deductions from their compensation for the payment of premiums on the insurance.
(b) Purchase group policies of life, accident or health insurance, or any combination thereof, for the benefit of such officers and have authorized the purchase, from insurance companies authorized to transact the business of such insurance in the State of Nevada, and, where necessary, deduct from the compensation of officers and employees the premiums upon insurance and pay the deductions upon the premiums.
(b) Purchase group policies of life, accident or health insurance, or any combination thereof, for the benefit of such officers and employees, and the dependents of such officers and employees, as have authorized the purchase, from insurance companies authorized to transact the business of such insurance in the State of Nevada, and, where necessary, deduct from the compensation of officers and employees the premiums upon insurance and pay the deductions upon the premiums.
Any independent administrator of a fund created under this section is subject to the licensing requirements of chapter - *SB167_R1* – 14 – 683A of NRS, and must be a resident of this State.
Any independent administrator of a fund created under this section is subject to the licensing requirements of chapter 683A of NRS, and must be a resident of this State.
The provisions of NRS 686A.135, 687B.352, 687B.408, 687B.723, 687B.725, 689B.030 to 689B.050, inclusive, and section 3 of this act, 689B.265, 689B.287 and 689B.500 apply to coverage provided pursuant to this paragraph, except that the provisions of NRS 689B.0378, 689B.03785 and 689B.500 only apply to coverage for active officers and employees of the governing body, or the dependents of such officers and employees.
The provisions of NRS 686A.135, 687B.352, 687B.408, 687B.723, 687B.725, 689B.030 to 689B.050, inclusive, to coverage provided pursuant to this paragraph, except that the provisions of NRS 689B.0378, 689B.03785 and 689B.500 only apply to coverage for active officers and employees of the governing body, or the dependents of such officers and employees.
If the amount of the deductions from compensation required to pay for the group insurance exceeds the compensation to which a trustee is entitled, the difference must be paid by the trustee.
If the amount of the deductions from compensation - 82nd Session (2023) – 15 – required to pay for the group insurance exceeds the compensation to which a trustee is entitled, the difference must be paid by the trustee.
In any county in which a legal services organization exists, the governing body of the county, or of any school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada in the county, may enter into a contract with the legal services organization pursuant to which the officers and employees of the legal services organization, and the dependents of those officers and employees, are eligible for any life, accident or health insurance provided pursuant to this section to the officers and employees, and the dependents of the officers and employees, of the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency.
In any county in which a legal services organization exists, the governing body of the county, or of any school district, other local governmental agency of the State of Nevada in theion or county, may enter into a contract with the legal services organization pursuant to which the officers and employees of the legal services organization, and the dependents of those officers and employees, are eligible for any life, accident or health insurance provided pursuant to this section to the officers and employees, and the dependents of the officers and employees, of the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency.
- *SB167_R1* – 15 – 5.
5.
(a) Must be submitted to the Commissioner of Insurance for approval not less than 30 days before the date on which the contract is to become effective.
(a) Must be submitted to the Commissioner of Insurance for approval not less than 30 days before the date on which the contract is (b) Does not become effective unless approved by the Commissioner.
(b) Does not become effective unless approved by the Commissioner.
287.04335 If the Board provides health insurance through a plan of self-insurance, it shall comply with the provisions of NRS 686A.135, 687B.352, 687B.409, 687B.723, 687B.725, 689B.0353, 689B.255, 695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 695G.1675, 695G.170 to 695G.174, inclusive, and section 12 of this act, 695G.176, 695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 695G.310, inclusive, and 695G.405, in the same manner as an insurer that is licensed pursuant to title 57 of NRS is required to comply with those provisions.
287.04335 If the Board provides health insurance through a plan of self-insurance, it shall comply with the provisions of NRS 686A.135, 687B.352, 687B.409, 687B.723, 687B.725, 689B.0353, 689B.255, 695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 695G.1675, 695G.170 to 695G.174, inclusive, and section 12 of - 82nd Session (2023) – 16 – 695G.241 to 695G.310, inclusive, and 695G.405, in the sameive, manner as an insurer that is licensed pursuant to title 57 of NRS is required to comply with those provisions.
and (c) Review and approve, based on clinical evidence and best clinical practice guidelines and without consideration of the cost of the prescription drugs being considered, step therapy protocols used by the Medicaid program for prescription drugs.
and (c) Review and approve, based on clinical evidence and best clinical practice guidelines and without consideration of the cost of by the Medicaid program for prescription drugs.herapy protocols used 3.
3.
(a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of - *SB167_R1* – 16 – the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
(a) The drug has been approved by the Food and Drug Administration with indications for the psychiatric condition of the insured or the use of the drug to treat that psychiatric condition is otherwise supported by medical or scientific evidence;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120;
(3) An advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nur(4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in Medicaid is located 60 miles or more from the residence of the recipient;
or (4) A primary care provider that is providing care to an insured in consultation with a practitioner listed in subparagraph (1), (2) or (3), if the closest practitioner listed in subparagraph (1), (2) or (3) who participates in Medicaid is located 60 miles or more from the residence of the recipient;
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the recipient, or reasonably expects each alternative drug that is required to be - 82nd Session (2023) – 17 – used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
and (c) The practitioner listed in paragraph (b) who prescribed the drug knows, based on the medical history of the recipient, or reasonably expects each alternative drug that is required to be used earlier in the step therapy protocol to be ineffective at treating the psychiatric condition.
The Department shall not require the Drug Use Review Board to develop, review or approve prior authorization policies or procedures necessary for the operation of the list of preferred prescription drugs developed pursuant to NRS 422.4025.
The Department shall not require the Drug Use Review Board to develop, review or approve prior authorization policies or prescription drugs developed pursuant to NRS 422.4025.preferred [4.] 5.
[4.] 5.
H - *SB167_R1*
~~~~~ 23 - 82nd Session (2023)
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Amendments

1 amendment

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Action History

  1. Chapter 269.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. In Senate. To enrollment.

  5. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

  6. Taken from General File. Placed on General File for next legislative day.

  7. Taken from General File. Placed on General File for next legislative day.

  8. Taken from General File. Placed on General File for next legislative day.

  9. From committee: Do pass. Placed on Second Reading File. Read second time.

  10. In Assembly. Read first time. Referred to Committee on Commerce and Labor. To committee.

  11. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To Assembly.

  12. Taken from General File. Placed on General File for next legislative day.

  13. Taken from General File. Placed on General File for next legislative day.

  14. From committee: Do pass as amended.

  15. From printer. To engrossment. Engrossed. First reprint. To committee.

  16. From committee: Amend, and do pass as amended. Placed on Second Reading File. Notice of eligibility for exemption. Read second time. Amended. (Amend. No. 104.) Taken from General File. Re-referred to Committee on Finance. Exemption effective. To printer.

  17. From printer. To committee.

  18. Read first time. Referred to Committee on Commerce and Labor. To printer.

Sponsors

Sponsorship breakdown

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2 sponsors · 10 co-sponsors · 55 not signed on

Sponsors (2)

Co-sponsors (10)

Not signed on (55)

55 members have not signed on to this bill.

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"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

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

Who sponsors SB 167?
SB 167 is sponsored by Dondero Loop, Marilyn (Democratic), Cannizzaro, Nicole J. (Democratic), Daly, Skip (Democratic), Krasner, Lisa (Republican), Neal, Dina (Democratic), Nguyen, Rochelle T. (Democratic), Ohrenschall, James (Democratic), Pazina, Julie (Democratic), Scheible, Melanie (Democratic), Clara Thomas, Harris, Dallas, and Pat Spearman.
What is the current status of SB 167?
This bill has been enacted into law. Introduced February 16, 2023. Enacted.
Where can I track SB 167?
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