Nevada 2025 Regular Session Status: Enacted 1 D cosponsors

AB 555 — Establishes provisions relating to the coverage of prescription insulin drugs under certain policies of health insurance. (BDR 57-1167)

Last action — Chapter 265.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced May 08, 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

Advancing 52% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

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

475 added · 504 removed

Plain-language change summary

The recent changes to Assembly Bill No. 555 focus on limiting the amount that health insurers can charge for a 30-day supply of prescription insulin drugs. Specifically, the bill now prohibits insurers from imposing any deductibles or co-pays greater than $35. This matters because it aims to make insulin more affordable for people with diabetes, removing financial barriers to accessing necessary medication. Additionally, the bill outlines conditions under which different cost-sharing may apply and establishes the authority for health officials to enforce compliance among insurers.

→
Previous
Latest
A.B.
EMERGENCY REQUEST of Speaker of the Assembly Assembly Bill No.
555 EMERGENCY REQUEST OF S PEAKER OF THE A SSEMBLY A SSEMBLY B ILLN O.
555–Assemblymember Yeager CHAPTER..........
555–A SSEMBLYMEMBER Y EAGER M AY 8, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Establishes provisions relating to the coverage of prescription insulin drugs under certain policies of health insurance.
(BDR 57-1167) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law requires that such coverage be subject to the same deductible, copayment, coinsurance and other conditions as are required under the policy for other types of health care.
Existing law requires that such conditions as are required under the policy for other types of health care.
(NRS 689A.0427, 689B.0357, 695B.1927, 695C.1727) Sections 1, 4, 6-9, 11, 15 and 16 copayment, coinsurance or other cost-sharing obligation greater than $35 for a 30- day supply of a prescription insulin drug.
(NRS 689A.0427, 689B.0357, 695B.1927, 695C.1727) Sections 1, 4, 6-9, 11, 15 and 16 of this bill prohibit certain private health insurers from imposing a deductible, copayment, coinsurance or other cost-sharing obligation greater than $35 for a 30- day supply of a prescription insulin drug.
Sections 2, 5, 10 and 13 clarify that an insurer may be required by sections 1, 4, 9 or 11 to impose a different deductible, copayment or coinsurance for a 30-day supply of a prescription insulin drug than would otherwise be required by the relevant policy of health insurance for other types of health care.
Sections 2, 5, 10 and 13 clarify that an insurer may be required by sections 1, 4, 9 or 11 to impose a different deductible, copayment or coinsurance for a 30-day supply of a prescription insulin drug than types of health care.
Section 3 of this bill authorizes the Commissioner of Insurance to require certain policies of insurance issued by a domestic insurer to a circumstances.
Section 3 of this bill authorizes the Commissioner ofother Insurance to require certain policies of insurance issued by a domestic insurer to a person who resides in another state to meet the requirements of section 1 in certain circumstances.
Sections 12 and 17 of this bill indicate that the requirements oftain sections 11 and 16, respectively, are inapplicable to coverage provided by a health maintenance organization or managed care organization to:
Sections 12 and 17 of this bill indicate that the requirements of sections 11 and 16, respectively, are inapplicable to coverage provided by a health maintenance organization or managed care organization to:
and (2) government employees and their dependents.
and (2) Commissioner to suspend or revoke the certificate of authority issued to a health maintenance organization that fails to comply with the requirements of section 11.
Section 14 of this bill authorizes the Commissioner to suspend or revoke the certificate of authority issued to a health The Commissioner would also be authorized to take such action against otherion 11.
The Commissioner would also be authorized to take such action against other insurers that fail to comply with the requirements of sections 1, 4, 6-9, 15 and 16.
- *AB555* – 2 – insurers that fail to comply with the requirements of sections 1, 4, 6-9, 15 and 16.
(NRS 680A.200) EXPLANATION – Matter in bolded italics is new;
(NRS 680A.200) 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:
An insurer that offers or issues a policy of health insurance which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the insured and covered by the insurer, regardless of the amount or type of prescription insulin drug prescribed.
An insurer that offers or issues a policy of health insurance which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is - 83rd Session (2025) – 2 – prescribed to the insured and covered by the insurer, regardless of the amount or type of prescription insulin drug prescribed.
(b) “Prescription insulin drug” means a prescription drug that contains insulin and is used to control blood glucose levels for the purpose of treating diabetes.
contains insulin and is used to control blood glucose levels for the purpose of treating diabetes.
A policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 1998, has the legal effect of including the coverage required by this section, and any provision of the policy that conflicts with this section is void.
A policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 1998, has the legal effect of including the coverage required by this section, and any provision of the policy that con4.ictAs used in this section:oid.
4.
(a) “Coverage for the management and treatment of diabetes” includes coverage for medication, equipment, supplies and appliances that are medically necessary for the treatment of diabetes.
As used in this section:
(a) “Coverage for the management and treatment of diabetes” includes coverage for medication, equipment, supplies and - *AB555* – 3 – appliances that are medically necessary for the treatment of diabetes.
(2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the insured person and which requires modification of the insured person’s program of self- management of diabetes;
(2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the insured person and which - 83rd Session (2025) – 3 – requires modification of the insured person’s program of self- management of diabetes;
and (3) Training and education which is medically necessary because of the development of new techniques and treatment for diabetes.
and (3) Training and education which is medically necessary because of the development of new techniques and treatment for dia(c) “Diabetes” includes type I, type II and gestational diabetes.
(c) “Diabetes” includes type I, type II and gestational diabetes.
(b) “Prescription insulin drug” means a prescription drug that contains insulin and is used to control blood glucose levels for the purpose of treating diabetes.
(b) “Prescription insulin drug” means a prescription drug that contains insulin and is used to control blood glucose levels for the purSec.
Sec.
NRS 689B.0357 is hereby amended to read as follows:
trNRS 689B.0357 is hereby amended to read as follows:
No group policy of health insurance that provides coverage for hospital, medical or surgical expenses may be delivered or issued for delivery in this state unless the policy includes coverage for the management and treatment of diabetes, - *AB555* – 4 – including, without limitation, coverage for the self-management of diabetes.
No group policy of health insurance that provides coverage for hospital, medical or surgical expenses may be delivered or issued for delivery in this state unless the policy includes coverage for the management and treatment of diabetes, including, without limitation, coverage for the self-management of diabetes.
(b) [Shall] Except as provided in section 4 of this act, shall provide the coverage required by this section subject to the same deductible, copayment, coinsurance and other such conditions for coverage that are required under the policy.
(b) [Shall] Except as provided in section 4 of this act, shall provide the coverage required by this section subject to the same - 83rd Session (2025) – 4 – deductible, copayment, coinsurance and other such conditions for coverage that are required under the policy.
A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 1998, has the legal effect of including the coverage required by this section, and any provision of the policy that conflicts with this section is void.
A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, section, and any provision of the policy that conflicts with thisthis section is void.
(c) “Diabetes” includes type I, type II and gestational diabetes.
6.
6.abeChapter 689C of NRS is hereby amended by addingiabetes.
Chapter 689C of NRS is hereby amended by adding thereto a new section to read as follows:
thereto a new section to read as follows:
A carrier that offers or issues a health benefit plan which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the - *AB555* – 5 – insured and covered by the carrier, regardless of the amount or type of prescription insulin drug prescribed.
A carrier that offers or issues a health benefit plan which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the insured and covered by the carrier, regardless of the amount or type of prescription insulin drug prescribed.
Sec.
- 83rd Session (2025) – 5 – Sec.
Show all 77 changed rows (37 more)
Previous
Latest
689C.425 A voluntary purchasing group and any contract issued to such a group pursuant to NRS 689C.360 to 689C.600, inclusive, are subject to the provisions of NRS 689C.015 to 689C.355, inclusive, and section 6 of this act, to the extent applicable and not in conflict with the express provisions of NRS 687B.408 and 689C.360 to 689C.600, inclusive.
689C.425 A voluntary purchasing group and any contract issued to such a group pursuant to NRS 689C.360 to 689C.600, inclusive, are subject to the provisions of NRS 689C.015 to applicable and not in conflict with the express provisions of NRS 687B.408 and 689C.360 to 689C.600, inclusive.
A hospital or medical services corporation that offers or issues a policy of health insurance which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the insured and covered by the hospital or medical services corporation, regardless of the amount or type of prescription insulin drug prescribed.
A hospital or medical services corporation that offers or issues a policy of health insurance which provides coverage for prescription insulin drugs shall not impose against an insured a deductible, copayment, coinsurance or other cost-sharing prescription insulin drug which is prescribed to the insured and covered by the hospital or medical services corporation, regardless of the amount or type of prescription insulin drug prescribed.
- *AB555* – 6 – Sec.
Sec.
No contract for hospital or medical service that provides coverage for hospital, medical or surgical expenses may be delivered or issued for delivery in this state unless the contract includes coverage for the management and treatment of diabetes, including, without limitation, coverage for the self-management of diabetes.
No contract for hospital or medical service that provides coverage for hospital, medical or surgical expenses may be delivered or issued for delivery in this state unless the contract includes coverage for the management and treatment of diabetes, - 83rd Session (2025) – 6 – including, without limitation, coverage for the self-management of diabetes.
(a) Shall include in any disclosure of the coverage provided by the contract notice to each policyholder or subscriber covered under the contract of the availability of the benefits required by this section.
the contract notice to each policyholder or subscriber covered under the contract of the availability of the benefits required by this section.
(1) The training and education provided to a person covered under the contract after the person is initially diagnosed with diabetes which is medically necessary for the care and management of diabetes, including, without limitation, counseling in nutrition and the proper use of equipment and supplies for the treatment of diabetes;
(1) The training and education provided to a person covered under the contract after the person is initially diagnosed with diabetes which is medically necessary for the care and management of diabetes, including, without limitation, counseling in nutrition diabetes;roper use of equipment and supplies for the treatment of (2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the person covered under the contract and which requires modification of the person’s program of self-management of diabetes;
(2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the person covered under the contract and which requires modification of the person’s program of self-management of diabetes;
- *AB555* – 7 – Sec.
Sec.
A health maintenance organization that offers or issues a health care plan which provides coverage for prescription insulin drugs shall not impose against an enrollee a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the enrollee and covered by the health maintenance organization, regardless of the amount or type of prescription insulin drug prescribed.
A health maintenance organization that offers or issues a health care plan which provides coverage for prescription insulin drugs shall not impose against an enrollee a deductible, - 83rd Session (2025) – 7 – copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the enrollee and covered by the health maintenance organization, regardless of the amount or type of pre2.riAs used in this section:ribed.
2.
As used in this section:
The provisions of NRS 695C.110, 695C.125, 695C.1691, 695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 695C.173, inclusive, and section 11 of this act, 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.17335, 695C.1734, 695C.1751, 695C.1755, 695C.1759,733, 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.16932 to 695C.1699, inclusive, 695C.1701, 695C.1708, 695C.1728, 695C.1731, - *AB555* – 8 – 695C.17333, 695C.17345, 695C.17347, 695C.1736 to 695C.1745, inclusive, 695C.1757 and 695C.204 apply to a health maintenance organization that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid.
The provisions of NRS 695C.16932 to 695C.1699, inclusive, 695C.1701, 695C.1708, 695C.1728, 695C.1731, 695C.17333, 695C.17345, 695C.17347, 695C.1736 to 695C.1745, inclusive, 695C.1757 and 695C.204 apply to a health maintenance - 83rd Session (2025) – 8 – organization that provides health care services through managed care to recipients of Medicaid under the State Plan for Medicaid.
The provisions of NRS 695C.17095 and section 11 of this act 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 and section 11 of this act do not apply to a health maintenance organization that provides Program.
This subsection does not exempt a health maintenance organization from any provision of this chapter for services provided pursuant to any other contract.
This subsection does not exempt a health maintenancefits organization from any provision of this chapter for services provided pursuant to any other contract.
2.
an insurer who delivers or issues for delivery an evidence ofs act, coverage specified in subsection 1 shall provide the coverage required by this section subject to the same deductible, copayment, coinsurance and other such conditions for the evidence of coverage that are required under the evidence of coverage.
[An] Except as otherwise provided in section 11 of this act, an insurer who delivers or issues for delivery an evidence of coverage specified in subsection 1 shall provide the coverage required by this section subject to the same deductible, copayment, coinsurance and other such conditions for the evidence of coverage that are required under the evidence of coverage.
- *AB555* – 9 – (b) “Coverage for the self-management of diabetes” includes:
- 83rd Session (2025) – 9 – (b) “Coverage for the self-management of diabetes” includes:
(1) The training and education provided to the enrollee after the enrollee is initially diagnosed with diabetes which is medically necessary for the care and management of diabetes, including, without limitation, counseling in nutrition and the proper use of equipment and supplies for the treatment of diabetes;
(1) The training and education provided to the enrollee after the enrollee is initially diagnosed with diabetes which is medically necessary for the care and management of diabetes, including, equipment and supplies for the treatment of diabetes;roper use of (2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the enrollee and which requires modification of the enrollee’s program of self-management of diabetes;
(2) Training and education which is medically necessary as a result of a subsequent diagnosis that indicates a significant change in the symptoms or condition of the enrollee and which requires modification of the enrollee’s program of self-management of diabetes;
(b) The health maintenance organization issues evidence of coverage or uses a schedule of charges for health care services which do not comply with the requirements of NRS 695C.1691 to 695C.200, inclusive, and section 11 of this act or 695C.204 or 695C.207;
coverage or uses a schedule of charges for health care services which do not comply with the requirements of NRS 695C.1691 to 695C.200, inclusive, and section 11 of this act or 695C.204 or 695C.207;
(f) The health maintenance organization has failed to put into effect a mechanism affording the enrollees an opportunity to - *AB555* – 10 – participate in matters relating to the content of programs pursuant to NRS 695C.110;
- 83rd Session (2025) – 10 – (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;
(g) The health maintenance organization has failed to put into effect the system required by NRS 695C.260 for:
effect the system required by NRS 695C.260 for:failed to put into (1) Resolving complaints in a manner reasonably to dispose of valid complaints;
(1) Resolving complaints in a manner reasonably to dispose of valid complaints;
If the certificate of authority of a health maintenance organization is suspended, the health maintenance organization shall not, during the period of that suspension, enroll any additional groups or new individual contracts, unless those groups or persons were contracted for before the date of suspension.
If the certificate of authority of a health maintenance organization is suspended, the health maintenance organization shall not, during the period of that suspension, enroll any additional groups or new individual contracts, unless those groups or persons wer4.conIf the certificate of authority of a health maintenance organization is revoked, the organization shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the organization.
4.
If the certificate of authority of a health maintenance organization is revoked, the organization shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the organization.
A prepaid limited health service organization that offers or issues evidence of coverage which provides coverage for prescription insulin drugs shall not impose against an enrollee a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the enrollee and - *AB555* – 11 – covered by the prepaid limited health service organization, regardless of the amount or type of prescription insulin drug prescribed.
A prepaid limited health service organization that offers or issues evidence of coverage which provides coverage for - 83rd Session (2025) – 11 – prescription insulin drugs shall not impose against an enrollee a deductible, copayment, coinsurance or other cost-sharing obligation that is greater than $35 for a 30-day supply of a prescription insulin drug which is prescribed to the enrollee and regardless of the amount or type of prescription insulin drug prescribed.
Sec.
695G.090 NRS 1.
17.
NRS 695G.090 is hereby amended to read as follows:
695G.090 1.
The provisions of NRS 695G.127, 695G.1639, 695G.164, 695G.1645, 695G.167 and 695G.200 to 695G.230, inclusive, and section 16 of this act do not apply to a managed care organization that provides health care services 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 695G.127, 695G.1639, 695G.164, 695G.1645, 695G.167 and 695G.200 to 695G.230, inclusive, and - 83rd Session (2025) – 12 – section 16 of this act do not apply to a managed care organization that provides health care services 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 and Human Services.ncing and Policy of the Department of Health 4.
- *AB555* – 12 – 4.
managed care organization that provides health care services to a officers and employees, and the dependents of officers and employees, of the governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of this State.
5.
The provisions of section 16 of this act do not apply to a managed care organization that provides health care services to officers and employees, and the dependents of officers and employees, of the governing body of any county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency of this State.
H - *AB555*
~~~~~ 25 - 83rd Session (2025)
⬇ Download PDF
View plain text versions (2)

Action History

  1. Chapter 265.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. In Assembly. To enrollment.

  5. Read third time. Passed. Title approved. (Yeas: 18, Nays: 2, Excused: 1.) To Assembly.

  6. From committee: Do pass. Placed on Second Reading File. Read second time.

  7. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate. In Senate. Read first time. Referred to Committee on Commerce and Labor. To committee.

  8. From committee: Do pass. Placed on Second Reading File. Read second time.

  9. From printer. To committee.

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

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 66 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (66)

66 members have not signed on to this bill.

Show all 66 →

"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

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors AB 555?
AB 555 is sponsored by Yeager, Steve (Democratic).
What is the current status of AB 555?
This bill has been enacted into law. Introduced May 08, 2025. Enacted.
Where can I track AB 555?
Track AB 555 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on AB 555

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of AB 555

Last checked for changes 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →