1. A violation of this subsection constitutes a contract in restraint of trade. A provider of health care shall not willfully enter into, willfully offer to enter into or willfully solicit a contract with a third party that directly or indirectly:
(a) Restricts the third party from offering incentives to a covered person to use specific providers of health care or otherwise steering a covered person to a specific provider of health care;
(b) Restricts the third party from assigning providers of health care into tiers for the purpose of encouraging the use of certain providers of health care;
(c) Requires the third party to place all providers of health care affiliated with a business entity in the same tier;
(d) Requires the third party to contract with a business entity affiliated with a provider of health care as a condition of entering into a contract with the provider of health care; or
(e) Prohibits the third party from contracting with a provider of health care that is not a party to the contract or penalizes the third party for entering into such a contract.
2. A contract between a provider of health care and a third party may include any provisions not expressly prohibited by subsection 1 or otherwise prohibited by law.
3. The provisions of this section do not authorize a third party to subcontract for the performance of obligations under a contract with a provider of health care or delegate such obligations in a manner that is inconsistent with the terms of the contract.
4. Any provision of a contract that is described in paragraphs (a) to (e), inclusive, of subsection 1 is void and severable from the contract.
5. Any person who conspires to, or does, violate any of the provisions of this section is guilty of a misdemeanor.
6. As used in this section:
(a) "Affiliated" means any entity or person who directly, or indirectly through one or more intermediaries, controls or is controlled by or is under common control with a specified entity or person.
(b) "Covered person" means a policyholder, subscriber, enrollee or other person covered by a third party.
(c) "Provider of health care" means:
(1) A physician or other health care practitioner who is licensed or otherwise authorized in this State to furnish any health care service; or
(2) An institution providing health care services or other setting in which health care services are provided, including, without limitation, a hospital, surgical center for ambulatory patients, facility for skilled nursing, residential facility for groups, laboratory and any other such licensed facility.
(d) "Third party" means any insurer, governmental entity or other organization providing health coverage or benefits in accordance with state or federal law.
(Added to NRS by 2021, 3552)
Structure Nevada Revised Statutes
Chapter 598A - Unfair Trade Practices
NRS 598A.030 - Legislative declaration.
NRS 598A.040 - Applicability of chapter.
NRS 598A.050 - Construction of chapter.
NRS 598A.060 - Prohibited acts.
NRS 598A.070 - Duties of Attorney General and district attorneys.
NRS 598A.080 - Cooperation with Federal Government and other states.
NRS 598A.090 - Jurisdiction of district courts.
NRS 598A.110 - Investigative demands: Confidentiality.
NRS 598A.120 - Investigative demands: Order requiring compliance; penalty for failure to obey.
NRS 598A.130 - Investigative demands: Immunity from criminal prosecution.
NRS 598A.180 - Suit by Attorney General against domestic corporation or association.
NRS 598A.190 - Suit by Attorney General against foreign corporation or association.
NRS 598A.220 - Limitation of actions.
NRS 598A.240 - Judgments and decrees as prima facie evidence.
NRS 598A.250 - Remedies cumulative.
NRS 598A.280 - Criminal penalty.
NRS 598A.300 - "Affiliation" defined.
NRS 598A.310 - "Control" defined.
NRS 598A.320 - "Group practice" defined.
NRS 598A.330 - "Health care service" defined.
NRS 598A.340 - "Health carrier" defined.
NRS 598A.350 - "Health carrier service" defined.
NRS 598A.360 - "Practitioner" defined.
NRS 598A.370 - "Reportable health care or health carrier transaction" defined.
NRS 598A.380 - "Specialty" defined.
NRS 598A.410 - Authority of Attorney General to issue investigative demand.
NRS 598A.420 - Confidentiality of information received by Attorney General.
NRS 598A.430 - Civil penalty for violation; no private right of action.