Struck = removed from the bill ·
added = the amendment's new text.
SenateSession Bill(83rd) CA SB352 R2 CA1 Amendment No.
352–SenatorsCA1 Scheible,Conference Cruz-Crawford;Committee Amendment to (BDR 57-712) Senate Bill No.
Cannizzaro,352 Daly,Second Doñate,Reprint DonderoProposed Loop,by: Flores, Lange, Nguyen, Ohrenschall and Pazina Joint Sponsors:
AssemblymembersConference Roth,Committee GonzálezAmends: and Dalia CHAPTER..........
Summary:
No Title:
No Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will MAINTAIN the unfunded mandate not requested by the affected local government to S.B.
352 R2 (§ 2 & NRS 287.010).
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.
SJQ/BAW - Date:
6/2/2025 S.B.
No.
352—Revises provisions relating to health care.
(BDR 57-712) Page 1 of 10 *CA_SB352_R2_CA1* Conference Committee Amendment No.
CA1 to Senate Bill No.
352 Second Reprint Page 3 S ENATEB ILLNO .
352–ENATORS SCHEIBLE, CRUZ-CRAWFORD ;
CANNIZZARO , ALY, DOÑATE , DONDERO L OOP, LORES , ANGE , GUYEN , OHRENSCHALL AND PAZINA M ARCH 13,2025 _______________ JOINTS PONSORS:
ASSEMBLYMEMBERS ROTH , GONZÁLEZ AND D ALIA _______________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to health care.
(BDR 57-712) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
CO(NOTRSEQUESTED BYAFFECTEDLOCALNGOVERNMENT ) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
LegExistingLegislative federalCounsel’s lawDigest: prohibits certain health care entities from discriminating on the basis of race, color, national origin, sex, age or disability.
Existing federal law prohibits certain health care entities from discriminating on the basis of race, color, national origin, sex, age or disability.
§§ 92.101, 92.206, 92.208, 92.209) Existing law prohibits certain public and private policies of health insurance from discriminating against any person with respect to participation or coverage under the policy on the basis of actual or perceived gender 689B.0675,identity 689C.1975, 689C.425, 695A.198, 695B.3167, 695C.050, 695C.204,A.033, 695G.415) Sections 1-8 of this bill additionally prohibit certain public and private policies of health insurance, including Medicaid, from discriminating against any person on the basis of actual or perceivedexpression. race, color, national origin, sex, age, sexual orientation or disability.
Section(NRS 9287.010, 287.04335, 422.2701, 608.1555, 689A.033, 689B.0675, 689C.1975, 689C.425, 695A.198, 695B.3167, 695C.050, 695C.204, 695G.415) Sections 1-8 of this bill similarlyadditionally prohibitsprohibit acertain providerpublic characteristics,and asprivate wellpolicies asof genderhealth identityinsurance, including Medicaid, from discriminating against any person on the basis of actual or expression.perceived race, color, national origin, sex, age, sexual orientation or disability.
Section 9 of this bill similarly prohibits a provider of health care from discriminating against a person on the basis of those same characteristics, as well as gender identity or expression.
EXPLANATIONConference –Committee MatterAmendment inNo. bolded italics is new;
matterCA1 between brackets [omitted material] is material to beSenate omitted.Bill No.
352 Second Reprint Page 4 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
[1.] (a) Denying, cancelling, limiting or refusing to issue or renew a policy of health insurance on the basis of [the] an actual or - 83rd Session (2025) – 2 – perceived [gender identity or expression] protected characteristic of a person or a family member of the person;
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 anedan insured or a family member of the insured;
The Division shall not interpret the term “policy of health insurance” for the purposes of this section in a manner contrary to the provisions of this subsection.subs5.tiAs used in this section, “protected characteristic” means:
5.
As used in this section, “protected characteristic” means:
[1.] (a) Denying, cancelling, limiting or refusing to issue or renew a policy of group health insurance on the basis of [the] an - 83rd Session (2025) – 3 – actual or perceived [gender identity or expression] protected characteristic of a person or a family member of the person;
Imposing] (b)Conference ExceptCommittee asAmendment otherwiseNo. provided by subsection 3, imposing a [gender identity or expression] protected characteristic of aned insured or a family member of the insured;
CA1 to Senate Bill No.
352 Second Reprint Page 5 (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 insured or a family member of the insured;
The Division shall not interpret the term “policy of group health insurance” for the purposes of this section in a manner contrary to the provisions of thissthis of subsection.
[1.] (a) Denying, cancelling, limiting or refusing to issue or renew a health benefit plan on the basis of [the] an actual or - 83rd Session (2025) – 4 – perceived [gender identity or expression] protected characteristic of a person or a family member of the person;
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 anedan insured or a family member of the insured;
3.Conference Committee Amendment No.
CA1 to Senate Bill No.
352 Second Reprint Page 6 3.
or (b) Sex, including, without limitation, sex characteristics, intersex traits and pregnancy or related conditions.cteristics,conditions. Sec.
Sec.
Imposing] (b) Except as otherwise provided by subsection 3, imposing a payment or premium that is based on [the] an actual or perceived - 83rd Session (2025) – 5 – [gender identity or expression] protected characteristic of an insured or a family member of the insured;
[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 participation or coverage;
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.
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]Conference protectedCommittee characteristicAmendment ofNo. an insured or a family member of the insured;
[3.]CA1 (c) Designating [the] an actual or perceived [gender identity or expression] protected characteristic of a person or a - 83rd Session (2025) – 6 – family member of the person as grounds to deny,Senate cancelBill orNo. limit participation or coverage;
and352 [4.]Second (d)Reprint Denying,Page cancelling7 orexpression] limitingprotected participationcharacteristic or coverage on the basis of an actualinsured or perceiveda [genderfamily identitymember orof 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 policyinsured; for the services when the services are not related to gender transition;
[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 participation or coverage;
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 coverage for health care services that are:
[(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;
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 rel[(b)]related (2) Ordinarily or exclusively available to personsgender oftransition; any sex.
or [(b)] (2) Ordinarily or exclusively available to persons of any sex.
or (b)Conference Sex,Committee including,Amendment withoutNo. limitation, sex characteristics, intersex traits and pregnancy or related conditions.
CA1 to Senate Bill No.
352 Second Reprint Page 8 (b) Sex, including, without limitation, sex characteristics, intersex traits and pregnancy or related conditions.
(b)[2. 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;
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 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 whenin determininga themanner applicablethat premiumis rate.tateotherwise authorized by state or federal law 4.when determining the applicable premium rate.
4.
[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 coveragecoverage; 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, Conference Committee Amendment No.
CA1 to Senate Bill No.
352 Second Reprint Page 9 including, without limitation, by limiting or denying payment or coverage for health care services that are:
- 83rd Session (2025) – 9 – (a) Race, color, national origin, age, physical or mental disability, sexual orientation or gender identity or expression;
theretoSec. a new section to read as follows:
amended9. by adding 1.
Chapter 629 of NRS is hereby amended by adding thereto a new section to read as follows:
1.
taking(a) any action in violation of reasonable medical standards;m (b) Require a provider of health care to engagetake inor anyrefrain diagnosis,from treatmenttaking orany otheraction conductin whichviolation the provider of healthreasonable caremedical isstandards; 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.
(a)Conference UponCommittee passageAmendment andNo. approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
CA1 to Senate Bill No.
352 Second Reprint Page 10 (a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
~~~~~ 25 - 83rd Session (2025)