SB 352 — Revises provisions relating to health care. (BDR 57-712)

and grounds to deny, cancel or limit [4.] (d) Denying, cancelling or limiting participation or coverage on the basis of an actual or perceived [gender identity or expression,] protected characteristic, including, without limitation, by limiting or denying coverage for health care services that are:

A hospital or medical services corporation that issues a policy of health insurance shall not discriminate against any person with respect to participation or coverage under the policy on the basis of an actual or perceived [gender identity or expression.] protected characteristic.

[2.][2. (b) [Imposing] Except as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived [gender identity or expression] protected characteristic of an insured or a family member of the insured;

[3.]Imposing] (c)(b) DesignatingExcept as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived [gender identity or expression] protected characteristic of aan personinsured or a family member of the personinsured; as grounds to deny, cancel or limit participation or coverage;

and[3.] [4.](c) (d)Designating Denying,[the] cancellingan actual or limitingperceived participation[gender identity or coverageexpression] onprotected thecharacteristic basis of ana actualperson or perceiveda [gender- identity83rd orSession expression,](2025) protected– characteristic,6 including,– withoutfamily limitation,member byof limitingthe orperson denyingas coveragegrounds forto healthdeny, carecancel servicesor thatlimit are:participation or coverage;

-and *SB352_R1*[4.] –(d) 6Denying, –cancelling or limiting participation or coverage on the basis of an actual or perceived [gender identity or by limiting or denying coverage for health care services that are:on, [(a)] (1) Related to gender transition, provided that there is coverage under the policy for the services when the services are not related to gender transition;

[1.] (a) Denying, cancelling, limiting or refusing to issue or renew a health care plan on the basis of [the] an actual or perceived [gender identity or expression] protected characteristic of a person or a family member of the person;

[2.][2. (b) [Imposing] Except as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived [gender identity or expression] protected characteristic of an enrollee or a family member of the enrollee;

Imposing] (b) Except as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived [gender identity or expression] protected characteristic of an enrollee or a family member of the enrollee;

and [4.] (d) Denying, cancelling or limiting participation or coverage on the basis of an actual or perceived [gender identity or - 83rd Session (2025) – 7 – expression,] protected characteristic, including, without limitation, by limiting or denying coverage for health care services that are:

[(a)] (1) Related to gender transition, provided that there is coverage under the plan for the services when the services are not relatedrel[(b)] (2) Ordinarily or exclusively available to genderpersons transition;of any sex.

or [(b)] (2) Ordinarily or exclusively available to persons of any sex.

The provisions of this section do not prohibit a health maintenance organization from taking the age of an enrollee into - *SB352_R1* – 7 – account in a manner that is otherwise authorized by state or federal law when determining the applicable premium rate.

[2.] (b) [Imposing] Except as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived [gender identity or expression] protected characteristic of an insured or a family member of the insured;

or - 83rd Session (2025) – 8 – [(b)] (2) Ordinarily or exclusively available to persons of any sex.

The provisions of this section do not prohibit a managed care organization from taking the age of an insured into account inwhen adetermining mannerthe thatapplicable ispremium otherwiserate.tate authorized by state or federal law when4. determining the applicable premium rate.

4.

- *SB352_R1* – 8 – Sec.

[3.] (c) Designating [the] an actual or perceived [gender identity or expression] protected characteristic of a person or a family member of the person as grounds to deny, cancel or limit par[4.] (d) Denying, cancelling or limiting participation or coverage;coverage on the basis of an actual or perceived [gender identity or expression,] protected characteristic, including, without limitation, by limiting or denying payment or coverage for health care services that are:

and [4.] (d) Denying, cancelling or limiting participation or coverage on the basis of an actual or perceived [gender identity or expression,] protected characteristic, including, without limitation, by limiting or denying payment or coverage for health care services that are:

The provisions of this section do not prohibit the Department from determining the eligibility of a person for participation or coverage under Medicaid in a manner that is otherwise authorized by state or federal law.

4.

- 83rd Session (2025) – 9 – (a) Race, color, national origin, age, physical or mental disability, sexual orientation or gender identity or expression;

Sec.thereto a new section to read as follows:

9.amended by adding 1.

Chapter 629 of NRS is hereby amended by adding thereto a new section to read as follows:

1.

or (b) Sex, including, without limitation, sex characteristics, intersex traits and pregnancy or related conditions of the person, a - *SB352_R1* – 9 – family member of the person or a person with whom the person associates.

(a)taking any action in violation of reasonable medical standards;m (b) Require a provider of health care to takeengage orin refrainany fromdiagnosis, takingtreatment anyor actionother inconduct violationwhich the provider of reasonablehealth medicalcare standards;is not qualified to perform;

(b) Require a provider of health care to engage in any diagnosis, treatment or other conduct which the provider of health care is not qualified to perform;

- 83rd Session (2025) – 10 – additional expenses of a local government that are related to the provisions of this act.

10.

The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.

Sec.

H~~~~~ 25 - *SB352_R1*83rd Session (2025)