Nevada Revised Statutes
Chapter 439B - Restraining Costs of Health Care
NRS 439B.220 - Powers.

The Committee may:
1. Review and evaluate the quality and effectiveness of programs for the prevention of illness.
2. Review and compare the costs of medical care among communities in Nevada with similar communities in other states.
3. Analyze the overall system of medical care in the State to determine ways to coordinate the providing of services to all members of society, avoid the duplication of services and achieve the most efficient use of all available resources.
4. Examine the business of providing insurance, including the development of cooperation with health maintenance organizations and organizations which restrict the performance of medical services to certain physicians and hospitals, and procedures to contain the costs of these services.
5. Examine hospitals to:
(a) Increase cooperation among hospitals;
(b) Increase the use of regional medical centers; and
(c) Encourage hospitals to use medical procedures which do not require the patient to be admitted to the hospital and to use the resulting extra space in alternative ways.
6. Examine medical malpractice.
7. Examine the system of education to coordinate:
(a) Programs in health education, including those for the prevention of illness and those which teach the best use of available medical services; and
(b) The education of those who provide medical care.
8. Review competitive mechanisms to aid in the reduction of the costs of medical care.
9. Examine the problem of providing and paying for medical care for indigent and medically indigent persons, including medical care provided by physicians.
10. Examine the effectiveness of any legislation enacted to accomplish the purpose of restraining the costs of health care while ensuring the quality of services, and its effect on the subjects listed in subsections 1 to 9, inclusive.
11. Determine whether regulation by the State will be necessary in the future by examining hospitals for evidence of:
(a) Degradation or discontinuation of services previously offered, including without limitation, neonatal care, pulmonary services and pathology services; or
(b) A change in the policy of the hospital concerning contracts,
as a result of any legislation enacted to accomplish the purpose of restraining the costs of health care while ensuring the quality of services.
12. Study the effect of the acuity of the care provided by a hospital upon the revenues of the hospital and upon limitations upon that revenue.
13. Review the actions of the Director in administering the provisions of NRS 439B.160 to 439B.500, inclusive, and adopting regulations pursuant to those provisions. The Director shall report to the Committee concerning any regulations proposed or adopted pursuant to NRS 439B.160 to 439B.500, inclusive.
14. Identify and evaluate, with the assistance of an advisory group, the alternatives to institutionalization for providing long-term care, including, without limitation:
(a) An analysis of the costs of the alternatives to institutionalization and the costs of institutionalization for persons receiving long-term care in this State;
(b) A determination of the effects of the various methods of providing long-term care services on the quality of life of persons receiving those services in this State;
(c) A determination of the personnel required for each method of providing long-term care services in this State; and
(d) A determination of the methods for funding the long-term care services provided to all persons who are receiving or who are eligible to receive those services in this State.
15. Evaluate, with the assistance of an advisory group, the feasibility of obtaining a waiver from the Federal Government to integrate and coordinate acute care services provided through Medicare and long-term care services provided through Medicaid in this State.
16. Evaluate, with the assistance of an advisory group, the feasibility of obtaining a waiver from the Federal Government to eliminate the requirement that elderly persons in this State impoverish themselves as a condition of receiving assistance for long-term care.
17. If a data dashboard is established pursuant to NRS 439.245, use the data dashboard to review access by different groups and populations in this State to services provided through telehealth, as defined in NRS 629.515, and evaluate policies to make such access more equitable.
18. Conduct investigations and hold hearings in connection with its review and analysis and exercise any of the investigative powers set forth in NRS 218E.105 to 218E.140, inclusive.
19. Apply for any available grants and accept any gifts, grants or donations to aid the Committee in carrying out its duties pursuant to NRS 439B.160 to 439B.500, inclusive.
20. Direct the Legislative Counsel Bureau to assist in its research, investigations, review and analysis.
21. Recommend to the Legislature as a result of its review any appropriate legislation.
(Added to NRS by 1987, 864; A 2001, 2376; 2007, 2382; 2009, 58; 2013, 3757; 2015, 2337; 2021, 3006)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 439B - Restraining Costs of Health Care

NRS 439B.010 - Definitions.

NRS 439B.030 - "Billed charge" defined.

NRS 439B.035 - "Children’s Health Insurance Program" defined.

NRS 439B.040 - "Committee" defined.

NRS 439B.050 - "Department" defined.

NRS 439B.060 - "Director" defined.

NRS 439B.070 - "Discharge form" defined.

NRS 439B.090 - "Fiscal year" defined.

NRS 439B.100 - "Health facility" defined.

NRS 439B.110 - "Hospital" defined.

NRS 439B.115 - "Major hospital" defined.

NRS 439B.120 - "Medicaid" defined.

NRS 439B.130 - "Medicare" defined.

NRS 439B.140 - "Net revenue" defined.

NRS 439B.150 - "Practitioner" defined.

NRS 439B.160 - Purposes of chapter.

NRS 439B.200 - Creation; appointment of and restrictions on members; officers; terms of members; vacancies; annual reports.

NRS 439B.210 - Meetings; quorum; compensation.

NRS 439B.220 - Powers.

NRS 439B.225 - Committee to review certain regulations proposed or adopted by licensing boards; recommendations to Legislature.

NRS 439B.227 - Committee to review certain new provisions of law; recommendations to Legislature concerning mandated reporters.

NRS 439B.260 - Reduction of billed charges for certain patients and services; notice; resolution of disputes. [Effective through December 31, 2025.] Reduction of billed charges for certain patients and services; notice; resolution of disputes. [Effec...

NRS 439B.265 - Collection of deductible or copayment from indigent patient covered by Medicare prohibited. [Effective upon confirmation by the Federal Government that the deductibles and copayments which a hospital is prohibited from collecting from...

NRS 439B.270 - Foundation for hospital nursing practice: Establishment; governing body.

NRS 439B.275 - Program for provision of technical assistance to rural hospitals.

NRS 439B.280 - Educational program to promote wellness, physical fitness and prevention of disease, accidents and motor vehicle crashes.

NRS 439B.300 - Legislative findings and declarations; applicability.

NRS 439B.310 - "Indigent" defined.

NRS 439B.320 - Hospital required to provide care for proportionate share of indigent patients; duties of Department and board of county commissioners; reimbursement for care.

NRS 439B.330 - Eligibility of indigent for assistance; payment of hospital for serving disproportionately large share of patients; discharge forms; appeal from determination of county regarding indigent status.

NRS 439B.340 - Report on indigent patients treated; verification by Director; compensation for treatment provided in excess of obligation; assessment for failure to fulfill minimum obligation.

NRS 439B.350 - Department to establish; purpose.

NRS 439B.360 - Evaluation: Recommendations; report to Interim Finance Committee.

NRS 439B.370 - Director authorized to contract for certain services.

NRS 439B.400 - Hospital must maintain and use uniform list of billed charges; exception.

NRS 439B.410 - Hospital required to provide emergency services and care; unlawful acts of hospital or physician working in hospital emergency room; treating hospital may recover penalty from transferring hospital; exceptions; administrative investiga...

NRS 439B.420 - Prohibited acts of hospitals and related entities; exceptions; submission of contracts to Director; civil penalty.

NRS 439B.425 - Prohibited referral of patients; exceptions; penalty.

NRS 439B.430 - Prohibited acts of hospitals; examination by Director; administrative fine; injunctive relief.

NRS 439B.440 - Director may require hospitals, health facilities and providers of health services to submit information; independent audit; examinations; penalty.

NRS 439B.450 - Powers and duties of Director.

NRS 439B.460 - Director authorized to delegate powers and duties.

NRS 439B.500 - Penalty for violation of provisions.

NRS 439B.600 - Definitions.

NRS 439B.605 - "Manufacturer" defined.

NRS 439B.607 - "National Drug Code" defined.

NRS 439B.610 - "Pharmacy" defined.

NRS 439B.615 - "Pharmacy benefit manager" defined.

NRS 439B.616 - "Rebate" defined.

NRS 439B.618 - "Third party" defined.

NRS 439B.619 - "Unit" defined.

NRS 439B.620 - "Wholesale acquisition cost" defined.

NRS 439B.622 - "Wholesaler" defined.

NRS 439B.625 - Organization representing interests of retail merchants to prepare and update list of most commonly prescribed drugs or generic equivalents.

NRS 439B.630 - Department to annually compile lists of certain prescription drugs.

NRS 439B.635 - Manufacturer of certain prescription drugs to prepare, submit and affirm accuracy of annual report; contents of report.

NRS 439B.640 - Manufacturer of drug that has undergone significant price increase to submit report describing reasons for increase; affirmation of accuracy of report; contents of report.

NRS 439B.642 - Wholesaler of certain prescription drugs to prepare, submit and affirm accuracy of annual report; contents of report.

NRS 439B.645 - Pharmacy benefit manager to submit and affirm accuracy of annual report concerning certain drugs; contents of report.

NRS 439B.650 - Department to compile annual report concerning price of certain drugs; contents of report; presentation of report at public hearing.

NRS 439B.655 - Pharmacies to provide to Department contact information, electronic mail address and address of Internet website; exceptions.

NRS 439B.660 - Manufacturer required to provide list of its pharmaceutical sales representatives; electronic access to list; prohibition against unlisted person marketing prescription drugs; reports.

NRS 439B.665 - Report by certain nonprofit organizations that receive items of value from manufacturer. [Effective through December 31, 2025.] Report by certain nonprofit organizations that receive items of value from manufacturer. [Effective January...

NRS 439B.670 - Department to place on Internet website certain information concerning pharmacies, nonprofit organizations and prescription drugs and certain reports by Department; additional or alternative procedures for obtaining information concern...

NRS 439B.675 - Manner of presentation of information.

NRS 439B.680 - Immunity from civil and criminal liability.

NRS 439B.685 - Regulations.

NRS 439B.690 - Suspension of components of program or duties of Department if sufficient money not available; acceptance of gifts and grants.

NRS 439B.695 - Administrative penalty for failure to provide information to Department; use of money collected by Department.

NRS 439B.700 - Definitions.

NRS 439B.703 - "Covered person" defined.

NRS 439B.706 - "Independent center for emergency medical care" defined.

NRS 439B.709 - "In-network emergency facility" defined.

NRS 439B.712 - "In-network provider" defined.

NRS 439B.715 - "Medically necessary emergency services" defined.

NRS 439B.718 - "Out-of-network emergency facility" defined.

NRS 439B.721 - "Out-of-network provider" defined.

NRS 439B.724 - "Provider contract" defined.

NRS 439B.727 - "Provider of health care" defined.

NRS 439B.730 - "Prudent person" defined.

NRS 439B.733 - "Screen" defined.

NRS 439B.736 - "Third party" defined. [Effective through December 31, 2025.] "Third party" defined. [Effective January 1, 2026.]

NRS 439B.739 - "To stabilize" and "stabilized" defined.

NRS 439B.742 - Inapplicability of provisions to certain hospitals, persons and health care services.

NRS 439B.745 - Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services.

NRS 439B.748 - Payment to out-of-network emergency facility by third party.

NRS 439B.751 - Payment to out-of-network provider, other than emergency facility, by third party.

NRS 439B.754 - Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration.

NRS 439B.757 - Election by certain entities and organizations not otherwise covered to submit to provisions; regulations.

NRS 439B.760 - Reports; confidentiality of information.

NRS 439B.800 - Definitions. [Effective January 1, 2022.]

NRS 439B.805 - "All-payer claims database" defined. [Effective January 1, 2022.]

NRS 439B.810 - "Covered entity" defined. [Effective January 1, 2022.]

NRS 439B.815 - "Direct patient identifier" defined. [Effective January 1, 2022.]

NRS 439B.820 - "Proprietary financial information" defined. [Effective January 1, 2022.]

NRS 439B.825 - "Provider of health care" defined. [Effective January 1, 2022.]

NRS 439B.830 - "Unique identifier" defined. [Effective January 1, 2022.]

NRS 439B.835 - Establishment of database; duties of Department; advisory committees. [Effective January 1, 2022.]

NRS 439B.840 - Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers. [Effective January 1, 2022.]

NRS 439B.845 - Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings. [Effective January 1, 2022.]

NRS 439B.850 - Data requests. [Effective January 1, 2022.]

NRS 439B.855 - Access to and use of data; prohibition on release of data to certain entities; duties of recipient of data; requirement to include certain information in report which contains or uses data. [Effective January 1, 2022.]

NRS 439B.860 - Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Department intends to publish in next calendar year. [Effective January 1, 2022.]

NRS 439B.865 - Reports concerning cost, performance and effectiveness of database and information concerning grants. [Effective January 1, 2022.]

NRS 439B.870 - Immunity from certain civil or criminal liability. [Effective January 1, 2022.]

NRS 439B.875 - Regulations; administrative penalties; contracts and agreements; gifts, grants and donations; accounting and use of administrative penalties by Department. [Effective January 1, 2022.]