Nevada 2025 Regular Session Status: Enacted 8 D cosponsors

SB 246 — Revises provisions relating to health insurance coverage for gynecological or obstetrical services. (BDR 57-205)

Last action — Chapter 288.

  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 26, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 05, 2025.

Odds of enactment

High chance

Based 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

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 8 sponsors

    4 primary, 4 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (8 D).

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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

422 added · 453 removed

422 line(s) added, 453 removed.

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(Reprinted with amendments adopted on May 20, 2025) FIRST REPRINT S.B.
Senate Bill No.
246 S ENATE B ILLN O.
246–Senators Lange, Cruz-Crawford, Pazina, Taylor;
246–SENATORS LANGE , CRUZ -CRAWFORD , PAZINA , AYLOR ;
Daly, Flores, Nguyen and Scheible CHAPTER..........
DALY , LORES , NGUYEN AND S CHEIBLE FEBRUARY 26, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to health insurance coverage for gynecological or obstetrical services.
(BDR 57-205) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
Yes.
CONTAINS UNFUNDED MANDATE (§ 1.7 &NRS287.010) (NOTR EQUESTED AFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
(4) the Public Employees’ Benefits Program;
(4) require all public and private health insurance plans which are subject to this requirement to additionally authorize a woman covered by the plan to designate as her primary care physician an obstetrician or gynecologist who meets certain criteria.
and (5) Medicaid.
Section 7 of this bill makes a conforming change to require the Director of the in the same manner as other requirements governing Medicaid.isions of section EXPLANATION – Matter in bolded italics is new;
Sections 1.3-6, 8 and 9 require all public and private health insurance plans which are subject to this requirement to additionally authorize a woman covered by the plan to designate as criteria.ry care physician an obstetrician or gynecologist who meets certain - *SB246_R1* – 2 – Section 7 of this bill makes a conforming change to require the Director of the 9 in the same manner as other requirements governing Medicaid.isions of section THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS 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, 4 and 6 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.
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, - 83rd Session (2025) – 2 – 695G.170, 695G.1705, 695G.171, 695G.1714, 695G.1715, 695G.1719 and 695G.177, and sections 2, 4 and 6 of this act, any contract for group, blanket or individual health insurance or any contract by a nonprofit hospital, medical or dental service 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.
- *SB246_R1* – 3 – (2) Satisfies the criteria established by the insurer for designation as a primary care provider under the policy of health insurance;
designation as a primary care provider under the policy of health insurance;
(a) “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.
(a) “Network plan” means a policy of health insurance offered by an insurer under which the financing and delivery of medical - 83rd Session (2025) – 3 – 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.
(b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.
NRS 695G.060.ry care physician” has the meaning ascribed to it in Sec.
Sec.
3.] A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after [October] January 1, [1999,] 2026, has the legal effect of including the coverage required by this section, and any provision of the policy or the renewal which is in conflict with this section is void.
3.] A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after [October] January 1, [1999,] 2026, has the legal effect of including the coverage required by this section, and any provision of the policy or the[4.] 3.
[4.] 3.
As used in this section [, “primary] :n is void.
As used in this section [, “primary] :
(a) “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.
- *SB246_R1* – 4 – (a) “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.
(a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.
- 83rd Session (2025) – 4 – (a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.
(b) Designate as her primary care physician an obstetrician or gynecologist who:
(b) Designate as her primary care physician an obstetrician or gyneco(1) Participates in the network plan of the carrier;
(1) Participates in the network plan of the carrier;
1.
include in the contract a provision authorizing a woman covered by the plan to:
A society that offers or issues a benefit contract shall include in the contract a provision authorizing a woman covered by the plan to:
(a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.
- *SB246_R1* – 5 – (a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.
A benefit contract 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 benefit contract or renewal of the benefit contract which is in conflict with this section is void.
A benefit contract subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after - 83rd Session (2025) – 5 – January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the benefit contract or renewal of the benefit contract which is in conflict with this section is void.
3.
As used in this section:
(2) Satisfies the criteria established by the hospital or medical services corporation for designation as a primary care provider under the contract;
(2) Satisfies the criteria established by the hospital or medical services corporation for designation as a primary care provid(3) Agrees to abide by all terms and conditions imposed by the hospital or medical services corporation on other primary care physicians generally.
and (3) Agrees to abide by all terms and conditions imposed by the hospital or medical services corporation on other primary care physicians generally.
2.
- *SB246_R1* – 6 – 2.
(a) “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.
(a) “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 - 83rd Session (2025) – 6 – 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.
(b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.
NRS 695G.060.ry care physician” has the meaning ascribed to it in Sec.
Sec.
The provisions of NRS 695C.110, 695C.125, 695C.1691, 695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 695C.1712, inclusive, 695C.1717 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.1712, inclusive, 695C.1717 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 State Plan for Medicaid or insurance pursuant to the Children’she Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department of Health and Human Services.
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This subsection does not exempt a health - *SB246_R1* – 7 – maintenance organization from any provision of this chapter for services provided pursuant to any other contract.
This subsection does not exempt a health maintenance organization from any provision of this chapter for services provided pursuant to any other contract.
The provisions of NRS 695C.17095 do not apply to a health maintenance organization that provides health care services to members of the Public Employees’ Benefits Program.
The provisions of NRS 695C.17095 do not apply to a health maintenance organization that provides health care services to - 83rd Session (2025) – 7 – members of the Public Employees’ Benefits Program.
7.
maintenance organization that provides health care services to:
The provisions of NRS 695C.1735 do not apply to a health maintenance organization that provides health care services to:
(2) Satisfies the criteria established by the health maintenance organization for designation as a primary care provider under the health care plan;
(2) Satisfies the criteria established by the health maintenance organization for designation as a primary care provid(3) Agrees to abide by all terms and conditions imposed by the health maintenance organization on other primary care physicians generally.
and (3) Agrees to abide by all terms and conditions imposed by the health maintenance organization on other primary care physicians generally.
- *SB246_R1* – 8 – 3.] An evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after [October] January 1, [1999,] 2026, has the legal effect of including the coverage required by this section, and any provision of the evidence of coverage or the renewal which is in conflict with this section is void.
3.] An evidence of coverage subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after [October] January 1, [1999,] 2026, has the legal effect of including the coverage required by this section, and any provision of the evidence of coverage or the renewal which is in conflict with this section is void.
(a) “Network plan” means a health care plan 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.
(a) “Network plan” means a health care plan offered by a health maintenance organization under which the financing and - 83rd Session (2025) – 8 – 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.
The term does not include an arrangement for the financing of premiums.
The term does not include an arrangement for the fin(b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.
(b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.
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 of the plan which is in conflict with this section is void.
A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after required by this section, and any provision of the plan or renewal of the plan which is in conflict with this section is void.
As used in this section, “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 - *SB246_R1* – 9 – managed care organization.
As used in this section, “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.
(1) The Administrator of the Aging and Disability Services Division;
- 83rd Session (2025) – 9 – (1) The Administrator of the Aging and Disability Services Division;
(3) The Administrator of the Division of Child and Family Services;
Services;) The Administrator of the Division of Child and Family (4) The Administrator of the Division of Health Care Financing and Policy;
(4) The Administrator of the Division of Health Care Financing and Policy;
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social services, adopt a master plan for the provision of human services in this State.
(d) Shall, after considering advice from agencies of local governments and nonprofit organizations which provide social this State.
- *SB246_R1* – 10 – (4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
(4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
and (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of programs administered by the Department.
and - 83rd Session (2025) – 10 – (6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of federal money and any need for the modification of pro(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
(e) May, by regulation, require nonprofit organizations and state and local governmental agencies to provide information regarding the programs of those organizations and agencies, excluding detailed information relating to their budgets and payrolls, which the Director deems necessary for the performance of the duties imposed upon him or her pursuant to this section.
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 6 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.
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 6 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 Sec.
Sec.
9.witChapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:
9.
Chapter 422 of NRS is hereby amended by adding thereto a new section to read as follows:
and - *SB246_R1* – 11 – the Department on other primary care physicians generally.sed by 2.
and (2) Agrees to abide by all terms and conditions imposed by the Department on other primary care physicians generally.
2.
- 83rd Session (2025) – 11 – additional expenses of a local government that are related to the provisions of this act.
9.5.
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 - *SB246_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

1 amendment

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Action History

  1. Chapter 288.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. Assembly Amendment No. 564 concurred in. To enrollment.

  5. From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 27, Nays: 15.) To Senate. In Senate.

  6. Read second time. Amended. (Amend. No. 564.) To printer.

  7. From committee: Amend, and do pass as amended.

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

  9. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.

  10. Read second time.

  11. From committee: Do pass.

  12. From printer. To committee.

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

Sponsors

Sponsorship breakdown

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4 sponsors · 4 co-sponsors · 59 not signed on · 14 voted No

Sponsors (4)

Co-sponsors (4)

Not signed on (59)

59 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

Votes

Assembly (1st Reprint)

Passed 27 Yea · 15 Nay
Party YeaNayPresentNot Voting
Democratic 27000
Republican 01400
Unaffiliated 0100
Total 271500
% of votes cast 64%36%0%0%
How each member voted (42)
Member Party Vote
O’Neill, PK — Nay
Anderson, Natha C. Democratic Yea
Backus, Shea M. Democratic Yea
Brown-May, Tracy Democratic Yea
Carter, Max E., II Democratic Yea
Considine, Venicia Democratic Yea
D'Silva, Reuben Democratic Yea
Dalia, Joe Democratic Yea
Flanagan, Tanya P. Democratic Yea
González, Cecelia Democratic Yea
Goulding, Heather Democratic Yea
Hunt, Linda F. Democratic Yea
Jackson, Jovan A. Democratic Yea
Jauregui, Sandra Democratic Yea
Karris, Venise Democratic Yea
La Rue Hatch, Selena Democratic Yea
Marzola, Elaine H. Democratic Yea
Miller, Brittney M. Democratic Yea
Monroe-Moreno, Daniele Democratic Yea
Moore, Cinthia Zermeño Democratic Yea
Mosca, Erica Democratic Yea
Nadeem, Hanadi Democratic Yea
Nguyen, Duy Democratic Yea
Orentlicher, David Democratic Yea
Roth, Erica P. Democratic Yea
Torres-Fossett, Selena Democratic Yea
Watts, Howard Democratic Yea
Yeager, Steve Democratic Yea
Cole, Lisa K. Republican Nay
DeLong, Rich Republican Nay
Dickman, Jill Republican Nay
Edgeworth, Rebecca Republican Nay
Gallant, Danielle Republican Nay
Gray, Ken Republican Nay
Gurr, Bert K. Republican Nay
Hafen, Gregory T., II Republican Nay
Hansen, Alexis M. Republican Nay
Hardy, Melissa R.. Republican Nay
Hibbetts, Brian Republican Nay
Kasama, Heidi Republican Nay
Koenig, Gregory S. Republican Nay
Yurek, Toby Republican Nay

Official roll call →

Senate (As Introduced)

Passed 20 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 8000
Democratic 12001
Total 20001
% of votes cast 95%0%0%5%
How each member voted (21)
Member Party Vote
Cannizzaro, Nicole J. Democratic Yea
Cruz-Crawford, Michelee "Shelly" Democratic Yea
Daly, Skip Democratic Yea
Dondero Loop, Marilyn Democratic Yea
Doñate, Fabian Democratic Yea
Flores, Edgar Democratic Yea
Lange, Roberta Democratic Yea
Neal, Dina Democratic Not Voting
Nguyen, Rochelle T. Democratic Yea
Ohrenschall, James Democratic Yea
Pazina, Julie Democratic Yea
Scheible, Melanie Democratic Yea
Taylor, Angela D. Democratic Yea
Buck, Carrie Ann Republican Yea
Ellison, John Republican Yea
Hansen, Ira Republican Yea
Krasner, Lisa Republican Yea
Rogich, Lori Republican Yea
Steinbeck, John C. Republican Yea
Stone, Jeff Republican Yea
Titus, Robin L. Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 246?
SB 246 is sponsored by Scheible, Melanie (Democratic), Nguyen, Rochelle T. (Democratic), Flores, Edgar (Democratic), Daly, Skip (Democratic), Taylor, Angela D. (Democratic), Pazina, Julie (Democratic), Lange, Roberta (Democratic), and Cruz-Crawford, Michelee "Shelly" (Democratic).
What is the current status of SB 246?
This bill has been enacted into law. Introduced February 26, 2025. Enacted.
Where can I track SB 246?
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