Nevada · Statutes
Chapter 695C
127 sections
127 sections
- Nev. Rev. Stat. § 695C.010Short title.
- Nev. Rev. Stat. § 695C.020Legislative declaration.
- Nev. Rev. Stat. § 695C.030Definitions.
- Nev. Rev. Stat. § 695C.050Applicability of certain provisions.
- Nev. Rev. Stat. § 695C.055Applicability of certain other provisions.
- Nev. Rev. Stat. § 695C.057Applicability of certain provisions concerning portability and availability of health insurance.
- Nev. Rev. Stat. § 695C.060Establishment of health maintenance organization.
- Nev. Rev. Stat. § 695C.070Certificate of authority: Application.
- Nev. Rev. Stat. § 695C.080Certificate of authority: Evaluation of application.
- Nev. Rev. Stat. § 695C.090Certificate of authority: Issuance.
- Nev. Rev. Stat. § 695C.100Certificate of authority: Denial.
- Nev. Rev. Stat. § 695C.110Governing body: Composition; participation by enrollees.
- Nev. Rev. Stat. § 695C.120Powers of health maintenance organization.
- Nev. Rev. Stat. § 695C.123Contracts with certain federally qualified health centers.
- Nev. Rev. Stat. § 695C.125Contract between health maintenance organization and provider of health care: Organization required to use form to obtain information on provider of health care; modification; submission by organization of schedule of payments to provider.
- Nev. Rev. Stat. § 695C.128Contracts to provide services pursuant to certain state programs: Payment of interest on claims.Repealed
- Nev. Rev. Stat. § 695C.130Notice and approval required for exercise of powers; rules or regulations.
- Nev. Rev. Stat. § 695C.140Notice and approval required for modification of operations; regulations.
- Nev. Rev. Stat. § 695C.145Accounting principles required for certain reports and transactions; health maintenance organization subject to requirements for certain insurers.
- Nev. Rev. Stat. § 695C.150Fiduciary responsibilities.
- Nev. Rev. Stat. § 695C.160Investments.
- Nev. Rev. Stat. § 695C.161Definitions.
- Nev. Rev. Stat. § 695C.163Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- Nev. Rev. Stat. § 695C.165Health maintenance organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is enrolled in health care plan.
- Nev. Rev. Stat. § 695C.167Certain accommodations required to be made when child is covered under health care plan of noncustodial parent.
- Nev. Rev. Stat. § 695C.169Health maintenance organization required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
- Nev. Rev. Stat. § 695C.170Evidence of coverage: Issuance; form and contents.
- Nev. Rev. Stat. § 695C.171Required provision in plan covering mastectomies concerning coverage relating to mastectomy; prohibited acts.
- Nev. Rev. Stat. § 695C.172Evidence of coverage containing exclusion, reduction or limitation of coverage relating to complications of pregnancy; prohibited acts; exception.
- Nev. Rev. Stat. § 695C.173Plan covering family member of enrollee required to include certain coverage for enrollee’s newly born and adopted children and children placed with enrollee for adoption.
- Nev. Rev. Stat. § 695C.176Required provision concerning coverage for hospice care.
- Nev. Rev. Stat. § 695C.177Reimbursement for treatments by licensed psychologist.
- Nev. Rev. Stat. § 695C.178Reimbursement for treatment by chiropractic physician.
- Nev. Rev. Stat. § 695C.179Reimbursement for services provided by certain nurses.
- Nev. Rev. Stat. § 695C.185Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply.Repealed
- Nev. Rev. Stat. § 695C.187Schedule for payment of claims: Mandatory inclusion in arrangements for provision of health care.
- Nev. Rev. Stat. § 695C.190Commissioner authorized to require submission of information necessary to determine approval or disapproval of filing.
- Nev. Rev. Stat. § 695C.194Provision of health care services to recipients of Medicaid or enrollees in Children’s Health Insurance Program: Requirement to contract with hospital with certain endorsement for inclusion in network of providers.
- Nev. Rev. Stat. § 695C.200Approval of forms and schedules.
- Nev. Rev. Stat. § 695C.201Offering policy of health insurance for purposes of establishing health savings account.
- Nev. Rev. Stat. § 695C.202Provision of health care services to recipients of Medicaid: Notice to recipients if Nevada Health Authority obtains waiver to provide dental care to persons with diabetes; coordination to ensure receipt of such care.
- Nev. Rev. Stat. § 695C.203Health maintenance organization prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.
- Nev. Rev. Stat. § 695C.204Health maintenance organization prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.
- Nev. Rev. Stat. § 695C.205Health maintenance organization prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions.
- Nev. Rev. Stat. § 695C.207Health maintenance organization prohibited from requiring or using information concerning genetic testing.
- Nev. Rev. Stat. § 695C.210Annual report of financial condition and financial statement; quarterly statement; administrative penalty for failure to file timely report or statement; extension of time.
- Nev. Rev. Stat. § 695C.215Financial statement required to include report of net worth.
- Nev. Rev. Stat. § 695C.220Applications, filings and reports open to public inspection; exception.
- Nev. Rev. Stat. § 695C.230Fees; forwarding of premium tax.
- Nev. Rev. Stat. § 695C.240Information required to be available for inspection.
- Nev. Rev. Stat. § 695C.260Establishment of system for resolving complaints and system for conducting external review of adverse determinations required.
- Nev. Rev. Stat. § 695C.265Required procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.
- Nev. Rev. Stat. § 695C.267Provision requiring binding arbitration authorized; procedures for arbitration; declaratory relief.
- Nev. Rev. Stat. § 695C.270Surety bond or deposit required; waiver.
- Nev. Rev. Stat. § 695C.275Commissioner required to adopt regulations for licensing of provider-sponsored organizations to extent authorized by federal law.
- Nev. Rev. Stat. § 695C.280Commissioner authorized to adopt regulations for licensing of agents or brokers.
- Nev. Rev. Stat. § 695C.290Insurance company authorized to establish or contract with health maintenance organization.
- Nev. Rev. Stat. § 695C.300Prohibited practices.
- Nev. Rev. Stat. § 695C.310Examinations by Commissioner: Affairs of and compliance program used by health maintenance organization; submission of books and records; assessment of expenses; exception.
- Nev. Rev. Stat. § 695C.311Examinations by Commissioner: Financial condition of health maintenance organization; application for initial certificate of authority; exception.
- Nev. Rev. Stat. § 695C.313Financial examination: Procedure; appointment of examiner; maintenance and use of records; penalty for obstruction or interference.
- Nev. Rev. Stat. § 695C.315Financial examination: Payment of expense.
- Nev. Rev. Stat. § 695C.317Procedures required for examination and hearing.
- Nev. Rev. Stat. § 695C.318Insolvency; determination of financial condition; actions by Commissioner; review; regulations.
- Nev. Rev. Stat. § 695C.319Power of Commissioner to order corrective action for hazardous operation or violation of law; regulations.
- Nev. Rev. Stat. § 695C.320Rehabilitation, liquidation or conservation: Conduct.
- Nev. Rev. Stat. § 695C.325Offering health care plan to certain small employers for purposes of establishing medical savings accounts.
- Nev. Rev. Stat. § 695C.326Health maintenance organization required to provide data relating to claims and costs to person responsible for overseeing health care plan upon request; annual report; format.
- Nev. Rev. Stat. § 695C.328Disclosure of data relating to claims and costs prohibited; exceptions; penalties for unauthorized disclosure.
- Nev. Rev. Stat. § 695C.329Penalty for failure of health maintenance organization to comply with certain requirements for electronic maintenance, transmittal and exchange of health information.
- Nev. Rev. Stat. § 695C.330Disciplinary proceedings: Grounds; effect of suspension or revocation.
- Nev. Rev. Stat. § 695C.340Disciplinary proceedings: Notice; hearing; judicial review.
- Nev. Rev. Stat. § 695C.350Violations: Remedies; penalties.
- Nev. Rev. Stat. § 695C.1691Required provision in certain plans concerning coverage for continued medical treatment; exceptions; regulations.
- Nev. Rev. Stat. § 695C.1693Required provision concerning coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of health maintenance organization to require certain information; immunity from liability.
- Nev. Rev. Stat. § 695C.1694Required provision in plan covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception.
- Nev. Rev. Stat. § 695C.1695Required provision in plan covering outpatient care concerning coverage of health care services related to hormone replacement therapy; prohibited acts.
- Nev. Rev. Stat. § 695C.1696Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions.
- Nev. Rev. Stat. § 695C.1698Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts.
- Nev. Rev. Stat. § 695C.1699Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts.
- Nev. Rev. Stat. § 695C.1701Health maintenance organization required to offer and issue plan regardless of health status of persons; prohibited acts; authority to include wellness program in plan that offers discounts based on health status under certain circumstances.
- Nev. Rev. Stat. § 695C.1703Evidence of coverage covering prescription drugs: Provision of notice and information regarding use of formulary.
- Nev. Rev. Stat. § 695C.1705Group health care plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.
- Nev. Rev. Stat. § 695C.1708Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amount as though provided in person or by other means; prohibited acts; requirements for certain health maintenance organizations concerning teledentistry.
- Nev. Rev. Stat. § 695C.1709Required provision in group insurance policy concerning continuing coverage for enrollee on leave without pay as result of total disability.
- Nev. Rev. Stat. § 695C.1712Health care plan covering maternity care: Prohibited acts by organization if enrollee is acting as gestational carrier; child deemed child of intended parent for purposes of plan.
- Nev. Rev. Stat. § 695C.1713Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician.
- Nev. Rev. Stat. § 695C.1715Required provision concerning coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering for certain persons; prohibited acts.
- Nev. Rev. Stat. § 695C.1717Required provision concerning coverage for autism spectrum disorders for certain persons; prohibited acts.
- Nev. Rev. Stat. § 695C.1721Required provision for coverage for procedure or service for preservation of fertility in certain circumstances; exemption. [Effective January 1, 2027.]
- Nev. Rev. Stat. § 695C.1723Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- Nev. Rev. Stat. § 695C.1727Required provision in evidence of coverage covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes.
- Nev. Rev. Stat. § 695C.1728Required provision concerning coverage for management and treatment of sickle cell disease and its variants; plan covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disease and its variants.
- Nev. Rev. Stat. § 695C.1731Required provision in plan covering treatment of colorectal cancer concerning coverage for colorectal cancer screening.
- Nev. Rev. Stat. § 695C.1733Required provision in certain evidences of coverage concerning coverage for certain drugs and related services for treatment of cancer.
- Nev. Rev. Stat. § 695C.1734Evidence of coverage covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of enrollee; exceptions.
- Nev. Rev. Stat. § 695C.1735Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts.
- Nev. Rev. Stat. § 695C.1736Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds.
- Nev. Rev. Stat. § 695C.1737Required provision concerning coverage for examination of person who is pregnant for certain diseases.
- Nev. Rev. Stat. § 695C.1743Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts.