Amendment vs bill Amendment 191 vs Reprint 1

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EXEMPT (Reprinted with amendments adopted on April 16, 2025) FIRST REPRINT A.B.
Session (83rd) A AB340 191 Amendment No.
340 ASSEMBLY B ILLN O.
191 Assembly Amendment to Assembly Bill No.
340–C OMMITTEE ON H EALTH AND H UMAN SERVICES (O N BEHALF OF THE JOINT NTERIM S TANDING COMMITTEE ON H EALTH AND H UMAN S ERVICES ) M ARCH 3, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Requires health insurance to cover certain screenings, assessments and diagnoses.
340 (BDR 57-351) Proposed by:
Assembly Committee on Commerce and Labor Amends:
Summary:
No Title:
No Preamble:
No Joint Sponsorship:
No Digest:
No Adoption of this amendment will MAINTAIN the unfunded mandate not requested by the affected local government to A.B.
340 (§ 13).
ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
JWC/EWR - Date:
4/13/2025 A.B.
No.
340—Requires health insurance to cover certain screenings, assessments and diagnoses.
(BDR 57-351) Page 1 of 13 *A_AB340_191* Assembly Amendment No.
191 to Assembly Bill No.
340 Page 3 ASSEMBLY B ILLNO.
340–COMMITTEE ON H EALTH ANDH UMAN S ERVICES (ON BEHALF OF THEJOINTINTERIM STANDING COMMITTEE ON H EALTH ANDH UMAN S ERVICE) M ARCH 3, 2025 _______________ Referred to Committee on Commerce and Labor SUMMARY—Requires health insurance to cover certain screenings, assessments and diagnoses.
(NOTROEQUESTED AFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
CONTAINS UNFUNDED MANDATE (§ 13) (NOTR EQUESTED BYAFFECTEDLOCAL GOVERNMENT ) ~ EXPLANATION – Matter in bolded italics is new;
requiring certain health insurance to include coverage for the screening, assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilitiesfor certain persons;
requiring certain health insurance to include coverage for the screening, assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for certain persons;
(NRS 287.010, 287.04335, 422.2717-422.27248, 689A.04033-689A.0465, 689B.0303-689B.0379, 689C.1652- 689C.169, 689C.194-689C.195, 689C.425, 695A.184-695A.1875, 695A.265, 695B.1901-695B.1948, 695C.050, 695C.1691-695C.176, 695G.162-695G.177) employees, including the coverage required of health insurers, if the employerre to provides health benefits for its employees.
(NRS 287.010, 287.04335, 422.2717-422.27248, 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 1, 3-9, 11 and 13-15 of this bill require certain public and private policies of health insurance and health care plans, including Medicaid, to include coverage for screening for and the assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol - *AB340_R1* – 2 – spectrum disorders, intellectual disabilities and specific learning disabilities for persons covered by the policy under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years.
(NRS 608.1555) Sections 1, 3-9, 11 and 13-15 of this bill require certain public and private policies of health insurance and health care plans, including Medicaid, to include coverage for screening for and the assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for persons covered by the policy under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years.
Section 2 of this bill authorizes domestic insurer to a person residing in another state to include such coverage.
Section 2 of this bill authorizes the Commissioner of Insurance to require certain policies of insurance issued by a domestic insurer to a person residing in another state to include such coverage.
a Section 10 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 8.
Section 10 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 8.
The Commissioner would also be authorized under existing law to take such action against other health insurers who fail to comply 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.
The Commissioner would also be authorized under existing law to take such action against other health insurers who fail to comply with the requirements of Assembly Amendment No.
191 to Assembly Bill No.
340 Page 4 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.
Nothing in this section shall be construed as requiring an insurer that issues a policy of health insurance to provide reimbursement to a school for services delivered through school services.
[An insurer that issues a policy of health insurance must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the insurer.
3.
3.] Nothing in this section shall be construed as requiring an insurer that issues a policy of health insurance to provide reimbursement to a school for services delivered through school services.
[4.] 3.
4.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a policy of health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are 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.
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(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
689A.330 If any policy is issued by a domestic insurer for delivery to a person residing in another state, and if the insurance commissioner or corresponding public officer of that other state has informed the Commissioner that the policy is not subject to approval - *AB340_R1* – 3 – or disapproval by that officer, the Commissioner may by ruling require that the policy meet the standards set forth in NRS 689A.030 to 689A.320, inclusive [.] , and section 1 of this act.
689A.330 If any policy is issued by a domestic insurer for delivery to a person residing in another state, and if the insurance commissioner or corresponding public officer of that other state has informed the Commissioner that the policy is not subject to approval or disapproval by that officer, the Commissioner may by ruling require that the policy meet the standards set forth in NRS 689A.030 to 689A.320, inclusive [.] , and section 1 of this act.
An insurer that issues a policy of group health insurance shall include in the policy coverage for screening for and the assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for insureds under the age of 18 years or, if enrolled in high school, until the insured reaches the age of 22 years.
An insurer that issues a policy of group health insurance shall include in the policy coverage for screening for and the assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for insureds under the Assembly Amendment No.
191 to Assembly Bill No.
340 Page 5 age of 18 years or, if enrolled in high school, until the insured reaches the age of 22 years.
Nothing in this section shall be construed as requiring an insurer that issues a policy of group health insurance to provide reimbursement to a school for services delivered through school services.
[An insurer that issues a policy of group health insurance must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the insurer.
3.
3.] Nothing in this section shall be construed as requiring an insurer that issues a policy of group health insurance to provide reimbursement to a school for services delivered through school services.
[4.] 3.
4.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a policy of group health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are 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.
(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
Nothing in this section shall be construed as requiring a carrier that issues a health benefit plan to provide reimbursement to a school for services delivered through school services.
[A carrier that issues a health benefit plan must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the carrier.
3.
3.] Nothing in this section shall be construed as requiring a carrier that issues a health benefit plan to provide reimbursement to a school for services delivered through school services.
A health benefit plan subject to the provisions of this chapter which is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the - *AB340_R1* – 4 – coverage required by this section, and any provision of the plan or renewal which is in conflict with this section is void.
[4.] 3.
4.
A health benefit plan subject to the provisions of this chapter which is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the plan or renewal which is in conflict with this section is void.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a health benefit plan offered by a carrier under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the carrier.
The term does not include an arrangement for the financing of premiums.
Assembly Amendment No.
191 to Assembly Bill No.
340 Page 6 (d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
Nothing in this section shall be construed as requiring a society that issues a benefit contract to provide reimbursement to a school for services delivered through school services.
[A society that issues a benefit contract must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the society.
3.
3.] Nothing in this section shall be construed as requiring a society that issues a benefit contract to provide reimbursement to a school for services delivered through school services.
[4.] 3.
4.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a benefit contract issued by a society under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the society.
The term does not include an arrangement for the financing of premiums.
(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
A hospital or medical services corporation that issues a policy of health insurance shall include in the policy of health insurance coverage for screening for and the assessment and - *AB340_R1* – 5 – diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for insureds under the age of 18 years or, if enrolled in high school, until the insured reaches the age of 22 years.
A hospital or medical services corporation that issues a policy of health insurance shall include in the policy of health insurance coverage for screening for and the assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol spectrum disorders, intellectual disabilities and specific learning disabilities for insureds under the age of 18 years or, if enrolled in high school, until the insured reaches the age of 22 years.
Nothing in this section shall be construed as requiring a hospital or medical services corporation that issues a policy of health insurance to provide reimbursement to a school for services delivered through school services.
[A hospital or medical services corporation that issues a policy of health insurance must ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the hospital or medical services corporation.
3.
3.] Nothing in this section shall be construed as requiring a hospital or medical services corporation that issues a policy of health insurance to provide reimbursement to a school for services delivered through school services.
Assembly Amendment No.
191 to Assembly Bill No.
340 Page 7 [4.] 3.
4.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“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, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the hospital or medical services corporation.
The term does not include an arrangement for the financing of premiums.
(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
Nothing in this section shall be construed as requiring a health maintenance organization that issues a health care plan to provide reimbursement to a school for services delivered through school services.
[A health maintenance organization that issues a health care plan must ensure that the benefits required by subsection 1 are made available to an enrollee through a provider of health care who participates in the network plan of the health maintenance organization.
3.
3.] Nothing in this section shall be construed as requiring a health maintenance organization that issues a health care plan to provide reimbursement to a school for services delivered through school services.
[4.] 3.
4.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a health care plan which is offered by a health maintenance organization under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the health maintenance organization.
- *AB340_R1* – 6 – Sec.
The term does not include an arrangement for the financing of premiums.
(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
Sec.
This provision does not apply to an insurer licensed and regulated pursuant to this title except with respect to its activities as a health maintenance organization authorized and regulated pursuant to this chapter.
This Assembly Amendment No.
191 to Assembly Bill No.
340 Page 8 provision does not apply to an insurer licensed and regulated pursuant to this title except with respect to its activities as a health maintenance organization authorized and regulated pursuant to this chapter.
(a) The officers and employees, and the dependents of officers and employees, of the governing body of any county, school district, - *AB340_R1* – 7 – municipal corporation, political subdivision, public corporation or other local governmental agency of this State;
(a) The officers and employees, and the dependents of officers and employees, of the governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of this State;
(c) The health care plan does not furnish comprehensive health care services as provided for in NRS 695C.060;
Assembly Amendment No.
191 to Assembly Bill No.
340 Page 9 (c) The health care plan does not furnish comprehensive health care services as provided for in NRS 695C.060;
- *AB340_R1* – 8 – (h) The health maintenance organization or any person on its behalf has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner;
(h) The health maintenance organization or any person on its behalf has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner;
Nothing in this section shall be construed as requiring a managed care organization that issues a health care plan to provide reimbursement to a school for services delivered through school services.
[A managed care organization that issues a health care plan must ensure that the benefits required by subsection 1 are made available to an insured Assembly Amendment No.
3.
191 to Assembly Bill No.
A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage - *AB340_R1* – 9 – required by this section, and any provision of the plan or renewal which is in conflict with this section is void.
340 Page 10 through a provider of health care who participates in the network plan of the managed care organization.
4.
3.] Nothing in this section shall be construed as requiring a managed care organization that issues a health care plan to provide reimbursement to a school for services delivered through school services.
[4.] 3.
A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the plan or renewal which is in conflict with this section is void.
[5.] 4.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Network plan” means a health care plan offered by a managed care organization under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the managed care organization.
The term does not include an arrangement for the financing of premiums.
(d) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(e)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
- *AB340_R1* – 10 – (1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(1) Identify and assess the plans and programs of the Department for the provision of human services, and any duplication of those services by federal, state and local agencies;
(3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
Assembly Amendment No.
191 to Assembly Bill No.
340 Page 11 (3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
(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 - *AB340_R1* – 11 – 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.
The provisions of NRS 439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs (b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, 689B.0375 to 689B.050, inclusive, 689B.0675, and section 3 of this act, NRS 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 439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs (b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, Assembly Amendment No.
(d) Defray part or all of the cost of maintenance of a self- insurance fund or of the premiums upon insurance.
191 to Assembly Bill No.
340 Page 12 689B.0375 to 689B.050, inclusive, 689B.0675, and section 3 of this act, NRS 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.
(d) Defray part or all of the cost of maintenance of a self-insurance fund or of the premiums upon insurance.
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 - *AB340_R1* – 12 – 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, 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.
287.04335 If the Board provides health insurance through a plan of self-insurance, it shall comply with the provisions of NRS 439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.409, 687B.692, 687B.723, 687B.725, 687B.805, 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.1712, inclusive, 695G.1714 to 695G.174, inclusive, and section 11 of this act, NRS 695G.176, 695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 695G.310, inclusive, 695G.405 and 695G.415, 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 439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.409, 687B.692, 687B.723, 687B.725, 687B.805, 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.1712, inclusive, 695G.1714 to 695G.174, inclusive, and section 11 of this act, NRS 695G.176, 695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 695G.310, inclusive, 695G.405 and 695G.415, in the same manner as an insurer that is licensed pursuant to title 57 of NRS is required to comply with those provisions.
- *AB340_R1* – 13 – Sec.
Assembly Amendment No.
191 to Assembly Bill No.
340 Page 13 Sec.
(c) “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
(c) [“Provider of health care” has the meaning ascribed to it in NRS 629.031.
(d)] “Specific learning disability” has the meaning ascribed to it in NRS 388.417.
H - *AB340_R1*