AB 169 — Revises provisions relating to health insurance. (BDR 57-735)
Last action — Chapter 462.
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✓Introduced
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✓In Committee
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✓Passed Assembly
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 31, 2025. Enacted.
Signed by Governor Joe Lombardo (Republican) on June 10, 2025.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
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
694 added · 718 removed694 line(s) added, 718 removed.
EXEMPTAssembly (ReprintedBill withNo. amendments adopted on April 21, 2025) FIRST REPRINT A.B.
169169–Assemblymember AYeager SSEMBLYCHAPTER.......... B ILLN O.
169–A SSEMBLYMEMBER Y EAGER P REFILED JANUARY 31, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to health insurance.
(BDR 57-735) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
CONTAINS UNFUNDED MANDATE (§ 14) (NOTREQUESTED BAFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Sections 2.7, 4.7-10, 1212, 12.5, 14 and 14-1616 of this bill require that certain public and private policies of health insurance and health plans, including Medicaid,Medicaid includebut coverageexcluding forthe habilitativePublic andEmployees’ rehabilitativeBenefits speech-languageProgram, pathologyinclude ascoverage a treatment for stuttering for persons who are less than 26 years of age.
Sections 1, 2.7, 4.7-10, 1212, and 14-1616 of this bill additionally prohibit an insurer from imposing - *AB169_R1* – 2 – a maximum annual limit on the coverage, limiting coverage based on the cause of the stuttering or imposing medical management techniques on those benefits.
Section 13 of this bill makes a conforming change to require the Director of the Department of Health and Human Services to administer the provisions of sectionesection 16 in the same manner as other provisions relating to Medicaid.
Section 3 of this bill authorizes the Commissioner of Insurance to require that certain policies of health insurance issued by a domestic insurer to a person who resides in another state include the coverage required by sections 2.3 and 2.7.
Section 11 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 9.
(NRS 680A.200) THE- PEOPLE83rd OFSession THE(2025) STATE– OF2 NEVADA,– REPRESENTEDEXPLANATION IN– SENATEMatter ANDin ASSEMBLY,bolded DOitalics ENACTis ASnew; FOLLOWS:
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:
Except as otherwise provided in NRS 689A.0405, 689A.0412, 689A.0413, 689A.0418, 689A.0437, 689A.044, 689A.0445, 689A.0459, 689B.031, 689B.0312, 689B.0313, 689B.0315, 689B.0317, 689B.0319, 689B.0374, 689B.0378, 689C.1665, 689C.1671, 689C.1675, 689C.1676, 695A.1843, 695A.1856, 695A.1865, 695A.1874, 695B.1912, 695B.1913, 695B.1914, 695B.1919, 695B.19197, 695B.1924, 695B.1925, 695B.1942, 695C.1696, 695C.1699, 695C.1713, 695C.1735, 695C.1737, 695C.1743, 695C.1745, 695C.1751, 695G.170, 695G.1705, 695G.171, 695G.1714, 695G.1715, 695G.1719 , [and] 695G.177, and sections 2.7, 4.7, 5, 7, 8, 9 and 12 of this act, any contract for group, blanket or individual health insurance or any contract by a nonprofit hospital, medical or dental service corporation or organization for dental care which provides for payment of a certain part of medical or dental care may require the insured or member to obtain prior authorization for that care from the insurer or organization.
-thereto *AB169_R1*the –provisions 3set –forth Sec.as sections 2.3 and 2.7 of this act.
2.
Chapter 689A of NRS is hereby amended by adding thereto the provisions set forth as sections 2.3 and 2.7 of this act.
The Division shall not interpret the term “policy of health insurance,” for the purposes of NRS 689A.04033 to 689A.0465, - 83rd Session (2025) – 3 – inclusive, and section 2.7 of this act, in a manner contrary to the provisions of subsection 1.
An insurer that offers or issues a policy of health insurance shall include in the policy coverage for habilitative speech-language pathology and rehabilitative speech- language pathology as a treatment for stuttering for insureds who are less than 26 years of age.
(b) “Medical management technique” means a practice which is used to control the cost or use of health care services or prescriptionof drugs.step therapy, prior authorization and categorizing drugs anduse devices based on cost, type or method of administration.
The term includes, without limitation, the use of step therapy, prior authorization and categorizing drugs and devices based on cost, type or method of administration.
- *AB169_R1* – 4 – Sec.
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 - 83rd Session (2025) – 4 – require that the policy meet the standards set forth in NRS 689A.030 to 689A.320, inclusive [.] , and sections 2.3 and 2.7 of this act.
Sec.689B.0379, inclusive, and section 4.7 of this act must not be to construed to require a policy that provides coverage only for a specified disease or illness or other limited benefit to provide the coverage set forth in those sections.
4.3.
1.
The provisions of NRS 689B.0303 to 689B.0379, inclusive, and section 4.7 of this act must not be construed to require a policy that provides coverage only for a specified disease or illness or other limited benefit to provide the coverage set forth in those sections.
A policy of group health insurance 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 ofofivery or including the coverage required by subsection 1, and any provision of the policy that conflicts with the provisions of this section is void.
(b) “Medical management technique” means a practice which is used to control the cost or use of health care services or - *AB169_R1* – 5 – prescription drugs.
- 83rd Session (2025) – 5 – (c) “Practice of speech-language pathology” has the meaning ascribed to it in NRS 637B.060.
(d) “Rehabilitative speech-language pathology” means services that constitute the practice of speech-language pathology which help a person restore or improve skills and functioning for daily living that have been lost or impaired.
and functioning for Sec.
(a) “Habilitative speech-language pathology” means services that constitute the practice of speech-language pathology which help a person keep, learn or improve skills and functioning for daily living.
- *AB169_R1*83rd Session (2025) – 6 – Sec.
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 5 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.
Show all 111 changed lines (71 more)
4.
As used in this section:
- *AB169_R1*83rd Session (2025) – 7 – Sec.
A hospital or medical services corporation that offers or issues a policy of health insurance shall include in the policy coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as a treatment forfory and stuttering for insureds who are less than 26 years of age.
(b) “Medical management technique” means a practice which is used to control the cost or use of health care services or prescriptionof drugs.step therapy, prior authorization and categorizing drugs anduse devices based on cost, type or method of administration.
The term includes, without limitation, the use of step therapy, prior authorization and categorizing drugs and devices based on cost, type or method of administration.
- 83rd Session (2025) – 8 – 2.
- *AB169_R1* – 8 – (a) Set a maximum annual limit on the benefits described in subsection 1, including, without limitation, a limit on the number of annual visits to a speech-language pathologist;
(b) Limit the benefits described in subsection 1 based on the cause of the stuttering;
ororescribed in subsection 1 based on the (c) Subject the benefits described in subsection 1 to medical management techniques.
(d) “Rehabilitative speech-language pathology” means services that constitute the practice of speech-language pathology which help a person restore or improve skills and functioning for daily living that have been lost or impaired.
and functioning for Sec.
- 83rd Session (2025) – 9 – 3.
The provisions of NRS 695C.110, 695C.125, 695C.1691, 695C.1693,695C.173,, 695C.170,69inclusive,5C695C.1733,C.17695C.17335,09 695C.1703,to695C.1734, 695C.1705, 695C.1709 to - *AB169_R1* – 9 – 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.17095 and section 9 of this act do not apply to a health maintenance organization that provides health care services to members of the Public Employees’ Benefits Program.
This subsection does not exempt a health maintenance organization from any provision of this chapter for services provided pursuant to any other contract.contract.chapter for services 7.
7.
The Commissioner may suspend or revoke any certificate of authority issued to a health maintenance organization - 83rd Session (2025) – 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 and to NRS 695C.060, 695C.070 and 695C.140, unless any amendments - *AB169_R1* – 10 – to those submissions have been filed with and approved by the Commissioner;
(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees an opportunity to participateNRS in695C.110;n matters relating to the content of programs pursuant to (g) The health maintenance organization has failed to put into effect the system required by NRS 695C.110;695C.260 for:
(g) The health maintenance organization has failed to put into effect the system required by NRS 695C.260 for:
- 83rd Session (2025) – 11 – (j) The health maintenance organization fails to provide the coverage required by NRS 695C.1691;
2.after compliance with the requirements of NRS 695C.340.
A certificate of authority must be suspended or revoked only after3. compliance with the requirements of NRS 695C.340.
3.If the certificate of authority of a health maintenance organization is suspended, the health maintenance organization shall not, during the period of that suspension, enroll any additional groups or new individual contracts, unless those groups or persons were contracted for before the date of suspension.
If the certificate of authority of a health maintenance organization is suspended, the health maintenance organization shall not, during the period of that suspension, enroll any additional - *AB169_R1* – 11 – groups or new individual contracts, unless those groups or persons were contracted for before the date of suspension.
A managed care organization that offers or issues a health care plan shall include in the plan coverage for habilitative speech-language pathology and rehabilitative speech-language pathologythan as26 ayears treatmentof age.ent for stuttering for insureds who are less than2. 26 years of age.
2.
- 83rd Session (2025) – 12 – (a) “Habilitative speech-language pathology” means services that constitute the practice of speech-language pathology which help a person keep, learn or improve skills and functioning for daily living.
(b) “Medical management technique” means a practice which is used to control the cost or use of health care services or prescription drugs.
- *AB169_R1* – 12 – (d) “Rehabilitative speech-language pathology” means services that constitute the practice of speech language pathology which help a person restore or improve skills and functioning for daily living that have been lost or impaired.
12.5.
NRS 695G.090 is hereby amended to read as follows:
695G.090 1.
Except as otherwise provided in subsection 3, the provisions of this chapter apply to each organization and insurer that operates as a managed care organization and may include, without limitation, an insurer that issues a policy of health insurance, an insurer that issues a policy of individual or group health insurance, a carrier serving small employers, a fraternal benefit society, a hospital or medical service corporation and a health maintenance organization.
2.
In addition to the provisions of this chapter, each managed care organization shall comply with:
obligations and remedies set forth therein;
andncluding all (b) Any other applicable provision of this title.
3.
The provisions of NRS 695G.127, 695G.1639, 695G.164, 695G.1645, 695G.167 and 695G.200 to 695G.230, inclusive, do not apply to a managed care organization that provides health care services 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.
4.
The provisions of NRS 695C.1735 and 695G.1639 and section 12 of this act do not apply to a managed care organization that provides health care services to members of the Public Employees’ Benefits Program.
- 83rd Session (2025) – 13 – 5.
Subsections 3 and 4 do not exempt a managed care organization from any provision of this chapter for services provided pursuant to any other contract.
Sec.
232.320(a) 1.Shall.
TheTappoint,towith Director:the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectively designated as follows:
(b) Shall administer, through the divisions of the Department, the provisions of chapters 63, 424, 425, 427A, 432A to 442, inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and section 16 of this act, 422.580, 432.010 to 432.133, inclusive, 432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, and 445A.010 to 445A.055, inclusive, and all other provisions of law relating to the functions of the divisions of the Department, but is not responsible for the clinical activities of the Division of Public anddivisions.oral Behavioral Health or the professional line activities of the other divisions.(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.
(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.
- *AB169_R1*83rd Session (2025) – 1314 – (3) Provide for communication and the coordination of those services among nonprofit organizations, agencies of local government, the State and the Federal Government;
(4) Identify the sources of funding for services provided by the Dep(5) Set forth sufficient information to assist the Department in providing those services and in the allocationplanning and budgeting for the future provision of thatthose funding;services;
(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision of those services;
The governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of NevadaNev(a) may: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.
(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.
- 83rd Session (2025) – 15 – (c) Provide group life, accident or health coverage through a self-insurance reserve fund and, where necessary, deduct - *AB169_R1* – 14 – contributions to the maintenance of the fund from the compensation of officers and employees and pay the deductions into the fund.
The money accumulated for this purpose through deductions from the compensation of officers and employees and contributions of the governing body must be maintained as an internal service fund as defined by NRS 354.543.
(d) Defray part or all of the cost of maintenance of a self- insurancecontributions fundmust be budgeted for in accordance with the lawsr governing the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the premiumsState uponof insurance.Nevada.
The money for contributions must be budgeted for in accordance with the laws governing the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of the State of Nevada.
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 - 83rd Session (2025) – 16 – 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 - *AB169_R1* – 15 – provided pursuant to this section to the officers and employees, and the dependents of the officers and employees, of the county, schoolschoold district, municipal corporation, political subdivision, public corporation or other local governmental agency.
As used in this section, “legal services organization” means an organization that operates a program for legal aid and receives money pursuant to NRS 19.031.
a program for legal aid and receives Sec.
NRS(Deleted 287.04335by isamendment.) herebySec. amended to read as follows:
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 12 of this act, 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.
Sec.
To the extent federal financial participation is available, the Director shall include under Medicaid coverage for habilitative speech-language pathology and rehabilitative speech- - *AB169_R1* – 16 – language pathology as a treatment for stuttering for persons who are less than 26 years of age.
- 83rd Session (2025) – 17 – (b) Limit the benefits described in subsection 1 based on the cause of the stuttering;
(b) Fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendmentamendmentents of the pursuant to paragraph (a).
-(a) *AB169_R1*Upon –passage 17and –approval for the purpose of adopting any regulations and performing any other preparatory administrativeyadministrative tasks that are necessary to carry out the provisions of this act;
H~~~~~ 25 - *AB169_R1*83rd Session (2025)
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- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Reprint 2 View text pdf
- Introduced As Introduced pdf
Amendments
2 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Chapter 462.
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Approved by the Governor.
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Enrolled and delivered to Governor.
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In Assembly. To enrollment.
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Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.
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From committee: Do pass. Placed on Second Reading File. Read second time.
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In Senate. Read first time. Referred to Committee on Finance. To committee.
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From printer. To reengrossment. Reengrossed. Second reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.
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From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 897.) To printer.
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From printer. To engrossment. Engrossed. First reprint. To committee.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 83.) Taken from General File. Rereferred to Committee on Ways and Means. Exemption effective. To printer.
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Notice of eligibility for exemption.
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Read first time. To committee.
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From printer.
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Prefiled. Referred to Committee on Commerce and Labor. To printer.
Sponsors
- Steve Yeager · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 66 not signed on
Sponsors (1)
- Yeager, Steve Democratic
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.
Subjects
Frequently asked questions
- Who sponsors AB 169?
- AB 169 is sponsored by Yeager, Steve (Democratic).
- What is the current status of AB 169?
- This bill has been enacted into law. Introduced January 31, 2025. Enacted.
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