SB 344 — Requires certain health insurance to cover certain screenings for certain genetic disorders. (BDR 57-1104)

Any health maintenance organization authorized under this chapter shall not be deemed to be practicing medicine and is exempt fromfro4. the provisions of chapter 630 of NRS.

4.

The provisions of NRS 695C.17095 do not apply to a health maintenance organization that provides health care services to memberssubsection does not exempt a health maintenance organization from any provision of thethis Publicchapter Employees’for Benefitsservices Program.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.

(a) The officers and employees, and the dependents of officers and employees, of the governing body of any county, school district, - *SB344_R1* – 6 – municipal corporation, political subdivision, public corporation or other local governmental agency of this State;

- 83rd Session (2025) – 6 – Sec.

The Commissioner may suspend or revoke any certificate of authority issued to a health maintenance organization pursuant to the provisions of this chapter if the Commissioner finds tha(a) Thef thhealthowimaintenancens exorganization 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 ofother theinformation followingsubmitted conditionspursuant exist:to NRS 695C.060, 695C.070 and 695C.140, unless any amendments to those submissions have been filed with and approved by the Commissioner;

(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 to NRS 695C.060, 695C.070 and 695C.140, unless any amendments to those submissions have been filed with and approved by the Commissioner;

(e) The health maintenance organization is no longer financially responsible and may reasonably be expected to be unable to meet its obligationsobl(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees oran prospectiveopportunity enrollees;to participate in matters relating to the content of programs pursuant to NRS 695C.110;

(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees an opportunity to participate in matters relating to the content of programs pursuant to NRS 695C.110;

- *SB344_R1* – 7 – (h) The health maintenance organization or any person on its behalf has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner;

- 83rd Session (2025) – 7 – (i) The continued operation of the health maintenance organization would be hazardous to its enrollees or creditors or to the general public;

(j) The health maintenance organization fails to provide the coveragecov(k) requiredThe byhealth NRSmaintenance 695C.1691;organization has otherwise failed to comply substantially with the provisions of this chapter.

or (k) The health maintenance organization has otherwise failed to comply substantially with the provisions of this chapter.

1.health care plan or a plan that provides health care servicesroup through managed care to recipients of Medicaid under the State Plan for Medicaid shall include in the plan coverage for noninvasive prenatal screening at any time during pregnancy.

A managed care organization that offers or issues a group health care plan or a plan that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid shall include in the plan coverage for noninvasive prenatal screening at any time during pregnancy.

As used in this section, “noninvasive prenatal screening” means drawing blood from a person who is pregnant to perform laboratory analysis on the deoxyribonucleic acid circulating in the - *SB344_R1* – 8 – maternal blood stream for the purpose of detecting chromosomal abnormalities in the fetus.

- 83rd Session (2025) – 8 – Sec.

(a) Shall appoint, with the consent of the Governor, administrators of the divisions of the Department, who are respectivelyrespec(1) designatedThe asAdministrator follows:of the Aging and Disability Services Division;

(1) The Administrator of the Aging and Disability Services Division;

(c) Shall administer any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of the 2000, 42 U.S.C.

- *SB344_R1*83rd Session (2025) – 9 – (4) Identify the sources of funding for services provided by the Department and the allocation of that funding;

(5) Set forth sufficient information to assist the Department in providing those services and in the planning and budgeting for the future provision(6) Contain any other information necessary for the Department to communicate effectively with the Federal Government concerning demographic trends, formulas for the distribution of thosefederal services;money and any need for the modification of programs administered by the Department.

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.

(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.

(c) Provide group life, accident or health coverage through a self-insurance reserve fund and, where necessary, deduct contributions to the maintenance of the fund from the compensation - 83rd Session (2025) – 10 – of officers and employees and pay the deductions into the fund.

The money accumulated for this purpose through deductions from the - *SB344_R1* – 10 – compensation of officers and employees and contributions of the governing body must be maintained as an internal service fund as definednational bybank NRSor 354.543.credit union authorized to transact business in the State of Nevada.

The money must be deposited in a state or national bank or credit union authorized to transact business in the State of Nevada.

The money for contributions must be budgeted for in accordance with the laws governing the county, school district, municipal corporation, politicalagency subdivision,of publicthe corporationState of Nevada.corporation or other local governmental agency2. of the State of Nevada.

2.

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 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 - 83rd Session (2025) – 11 – provided pursuant to this section to the officers and employees, and the dependents of the officers and employees, of the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency.

-officers *SB344_R1*and –employees 11of –the 4.legal services organization:n 3, the (a) Shall be deemed, solely for the purposes of this section, to be officers and employees of the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency with which the legal services organization has contracted;

If a contract is entered into pursuant to subsection 3, the officers and employees of the legal services organization:

(a) Shall be deemed, solely for the purposes of this section, to be officers and employees of the county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency with which the legal services organization has contracted;

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.

- 83rd Session (2025) – 12 – Sec.

To the extent that federal financial participation is available, the Director shall include under Medicaid coverage for noninvasivenon2.vaMedicaid prenatalmust screeningnot atrequire anya timerecipient duringof pregnancy.Medicaidncy.

2.to obtain prior authorization for the benefits described in subsection 1.

Medicaid must not require a recipient of Medicaid to obtain prior authorization for the benefits described in subsection 1.

- *SB344_R1* – 12 – (a) Apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Department to receive federal funding to provide the coverage described in subsection 1.

For the Fiscal Year 2025-2026..................................$160,069 For the Fiscal Year 2026-2027..................................$325,848 2.

- 83rd Session (2025) – 13 – additional expenses of a local government that are related to the provisions of this act.

17.

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.

and - *SB344_R1* – 13 – (b) On January 1, 2026, for all other purposes.

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