1. An insurer that offers or issues a policy of health insurance shall include in the policy coverage for:
(a) Drugs approved by the United States Food and Drug Administration for preventing the acquisition of human immunodeficiency virus;
(b) Laboratory testing that is necessary for therapy that uses such a drug; and
(c) The services described in NRS 639.28085, when provided by a pharmacist who participates in the network plan of the insurer.
2. An insurer that offers or issues a policy of health insurance shall reimburse a pharmacist who participates in the network plan of the insurer for the services described in NRS 639.28085 at a rate equal to the rate of reimbursement provided to a physician, physician assistant or advanced practice registered nurse for similar services.
3. An insurer may subject the benefits required by subsection 1 to reasonable medical management techniques.
4. An insurer shall ensure that the benefits required by subsection 1 are made available to an insured through a provider of health care who participates in the network plan of the insurer.
5. A policy of health insurance subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 2021, has the legal effect of including the coverage required by subsection 1, and any provision of the policy that conflicts with the provisions of this section is void.
6. As used in this section:
(a) "Medical management technique" means a practice which is used to control the cost or use of health care services or prescription drugs. The term includes, without limitation, the use of step therapy, prior authorization and categorizing drugs and devices based on cost, type or method of administration.
(b) "Network plan" means a policy of health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the insurer. The term does not include an arrangement for the financing of premiums.
(c) "Provider of health care" has the meaning ascribed to it in NRS 629.031.
(Added to NRS by 2021, 3206)
Structure Nevada Revised Statutes
Chapter 689A - Individual Health Insurance
NRS 689A.030 - General requirements.
NRS 689A.0405 - Coverage for mammograms for certain women required; prohibited acts.
NRS 689A.0412 - Coverage for examination of person who is pregnant for certain diseases required.
NRS 689A.0423 - Coverage for treatment of certain inherited metabolic diseases required.
NRS 689A.0445 - Coverage for prostate cancer screening.
NRS 689A.0455 - Coverage for treatment of conditions relating to severe mental illness required.
NRS 689A.046 - Benefits for treatment of alcohol or substance use disorder required.
NRS 689A.048 - Treatment by licensed psychologist.
NRS 689A.0487 - Treatment by licensed podiatrist.
NRS 689A.0493 - Treatment by licensed clinical alcohol and drug counselor.
NRS 689A.0495 - Services provided by certain registered nurses.
NRS 689A.0497 - Provider of medical transportation.
NRS 689A.050 - Entire contract; changes.
NRS 689A.060 - Time limit on certain defenses.
NRS 689A.075 - Cancellation and rescission of short-term limited duration medical plan.
NRS 689A.090 - Notice of claim.
NRS 689A.100 - Claim forms: Required provision.
NRS 689A.105 - Claim forms: Uniform billing and claims forms.
NRS 689A.110 - Claim forms: Proofs of loss.
NRS 689A.120 - Time of payment of claims.
NRS 689A.130 - Payment of claims.
NRS 689A.135 - Assignment of benefits by insured to provider of health care.
NRS 689A.140 - Physical examination and autopsy.
NRS 689A.160 - Change of beneficiary.
NRS 689A.170 - Right to examine and return policy.
NRS 689A.180 - Optional provisions: Requirements; substitution of provisions; captions.
NRS 689A.190 - Extended disability benefit.
NRS 689A.200 - Change of occupation.
NRS 689A.210 - Misstatement of age.
NRS 689A.220 - Coordination of benefits: Same insurer.
NRS 689A.230 - Coordination of benefits: All coverages.
NRS 689A.240 - Relation of earnings to insurance.
NRS 689A.250 - Unpaid premiums.
NRS 689A.260 - Conformity with state statutes.
NRS 689A.270 - Illegal occupation.
NRS 689A.300 - Order of certain provisions.
NRS 689A.310 - Ownership of policy by person other than insured.
NRS 689A.320 - Requirements of other jurisdictions.
NRS 689A.330 - Policies issued for delivery in another state.
NRS 689A.380 - Definitions of terms used in policies.
NRS 689A.475 - "Affiliated" defined.
NRS 689A.485 - "Bona fide association" defined.
NRS 689A.490 - "Church plan" defined.
NRS 689A.495 - "Control" defined.
NRS 689A.505 - "Creditable coverage" defined.
NRS 689A.510 - "Dependent" defined.
NRS 689A.523 - "Exclusion for a preexisting condition" defined.
NRS 689A.525 - "Geographic rating area" defined.
NRS 689A.527 - "Geographic service area" defined.
NRS 689A.530 - "Governmental plan" defined.
NRS 689A.535 - "Group health plan" defined.
NRS 689A.540 - "Health benefit plan" defined.
NRS 689A.550 - "Individual carrier" defined.
NRS 689A.555 - "Individual health benefit plan" defined.
NRS 689A.570 - "Plan for coverage of a bona fide association" defined.
NRS 689A.580 - "Plan sponsor" defined.
NRS 689A.585 - "Preexisting condition" defined.
NRS 689A.590 - "Producer" defined.
NRS 689A.600 - "Provision for a restricted network" defined.
NRS 689A.700 - Regulations regarding rates.
NRS 689A.705 - Regulations concerning reissuance of health benefit plan.
NRS 689A.725 - Requirements for plan for coverage.
NRS 689A.745 - Establishment; approval; requirements; examination; exception.