SB 97 — Makes revisions to the Silver State Health Insurance Exchange. (BDR 57-346)

(ReprintedSenate withBill amendmentsNo. adopted on April 15, 2025) FIRST REPRINT S.B.

9797–Committee SENATEon BILLCommerce NOand .Labor CHAPTER..........

97–COMMITTEE ON C OMMERCE AND L ABOR (O N BEHALF OF THE JOINT INTERIM STANDING C OMMITTEE ON H EALTH AND H UMAN SERVICES ) P REFILED JANUARY 14, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Makes revisions to the Silver State Health Insurance Exchange.

(BDR 57-346) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Contains Appropriation not included in Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

theExisting purchaselaw ofestablishes subsidizedthe healthSilver plansState byHealth certainInsurance smallExchange employersto andfacilitate naturallitatethe personspurchase who are citizens of thesubsidized Unitedhealth Statesplans orby otherwisecertain lawfullysmall presentemployers inand thenatural United States.

(Chapter 695I of NRS)NRS)ed States or otherwise lawfully present in the Existing law creates the Board of Directors of the Exchange which consists of:

(3) one voting member appointed (NRS 695I.300) This bill requires that one member appointed by the GovernorSpeaker be a member of anthe IndianAssembly; tribe located in this State with expertise in health care administration for an Indian tribe.

and (4) three ex officio, nonvoting members.

member of an Indian tribe located in this State with expertise in health caree a administration for an Indian tribe.

EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

SectionSections 1.1 and 2.

2.

(Deleted by amendment.) - *SB97_R1* – 2 – Sec.

- 83rd Session (2025) – 2 – (b) Expertise in health care administration, health care financing, health information technology or health insurance;

(d) Experience as a consumer who would benefit from services provided by the Exchange;

orormer who would benefit from services (e) Experience as a consumer advocate, including, without limitation, experience in consumer outreach and education for those who would benefit from services provided by the Exchange.

The voting member described in subparagraph (2) of paragraph (a) of subsection 2 does not represent an area of - *SB97_R1* – 3 – expertise or experience described in paragraph (a), (b), (c), (d) or (e) of subsection 3 for the purposes of this section.section.b), (c), (d) or 6.

6.

(Deleted by amendment.) - 83rd Session (2025) – 3 – Sec.

The Governor shall appoint the voting member of the Board of Directors of the Silver State Health Insurance Exchange described in subparagraph (2) of paragraph (a) of subsection 2 of NRS 695I.300, as amended by section 3 of this act, to replace the member2025.r appointed by the Governor whose term expires on June 30, 2025.Sec.

Sec.

(a) Upon passage and approval for the purpose of conducting the actuarial analysis required by paragraph (a) of subsection 2 of section 1 of this act, preparing and submitting the application for the federal waiver described in paragraph (b) of subsection 2 of section 1 of this act and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;

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