GENERAL PROVISIONS

NRS 695C.010. Short title.

NRS 695C.020. Legislative declaration.

NRS 695C.030. Definitions.

NRS 695C.050. Applicability of certain provisions. [Effective through December 31, 2013.]

NRS 695C.050. Applicability of certain provisions. [Effective January 1, 2014.]

NRS 695C.055. Applicability of certain other provisions. [Effective through December 31, 2013.]

NRS 695C.055. Applicability of certain other provisions. [Effective January 1, 2014.]

NRS 695C.057. Applicability of certain provisions concerning portability and availability of health insurance. [Effective through December 31, 2013.]

NRS 695C.057. Applicability of certain provisions concerning portability and availability of health insurance. [Effective January 1, 2014.]

NRS 695C.060. Establishment of organization.

NRS 695C.070. Certificate of authority: Application.

NRS 695C.080. Certificate of authority: Evaluation of application. [Effective through December 31, 2013.]

NRS 695C.080. Certificate of authority: Evaluation of application. [Effective January 1, 2014.]

NRS 695C.090. Certificate of authority: Issuance. [Effective through December 31, 2013.]

NRS 695C.090. Certificate of authority: Issuance. [Effective January 1, 2014.]

NRS 695C.100. Certificate of authority: Denial.

NRS 695C.110. Governing body: Composition; participation by enrollees.

NRS 695C.120. Powers of organization.

NRS 695C.123. Contracts with certain federally qualified health centers.

NRS 695C.125. Contract between health maintenance organization and provider of health care: Form to obtain information on provider of health care; modification; provision of schedule of fees.

NRS 695C.128. Contracts to provide services pursuant to certain state programs: Payment of interest on claims.

NRS 695C.130. Notice and approval required for exercise of powers; rules or regulations.

NRS 695C.140. Notice and approval required for modification of operations; regulations. [Effective through December 31, 2013.]

NRS 695C.140. Notice and approval required for modification of operations; regulations. [Effective January 1, 2014.]

NRS 695C.145. Accounting principles required for certain reports and transactions; health maintenance organization subject to requirements for certain insurers.

NRS 695C.150. Fiduciary responsibilities.

NRS 695C.160. Investments.

ELIGIBILITY FOR COVERAGE

NRS 695C.161. Eligibility for coverage: Definitions.

NRS 695C.163. Eligibility for coverage: Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.

NRS 695C.165. Eligibility for coverage: Organization prohibited from asserting certain grounds to deny enrollment of child pursuant to order if parent is enrolled in health care plan.

NRS 695C.167. Eligibility for coverage: Certain accommodations to be made when child is covered under health care plan of noncustodial parent.

NRS 695C.169. Eligibility for coverage: Organization to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.

COVERAGE GENERALLY

NRS 695C.1691. Required provision concerning coverage for continued medical care.

NRS 695C.1693. Required provision concerning coverage for treatment received as part of clinical trial or study. [Effective through December 31, 2013.]

NRS 695C.1693. Required provision concerning coverage for treatment received as part of clinical trial or study. [Effective January 1, 2014.]

NRS 695C.1694. Required provision concerning coverage of drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by health maintenance organization; exceptions.

NRS 695C.1695. Required provision concerning coverage of health care services related to contraceptives and hormone replacement therapy in certain circumstances; prohibited actions by health maintenance organization; exceptions.

NRS 695C.170. Evidence of coverage: Issuance; form and contents.

NRS 695C.1703. Coverage for prescription drugs: Provision of notice and information regarding use of formulary.

NRS 695C.1705. Group health care plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. [Effective through December 31, 2013.]

NRS 695C.1705. Group health care plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer. [Effective January 1, 2014.]

NRS 695C.1707. Required provision for continuation of coverage. [Effective through December 31, 2013.]

NRS 695C.1709. Required provision concerning coverage for enrollee on leave without pay as result of total disability.

NRS 695C.171. Required provision concerning coverage relating to mastectomy.

NRS 695C.1713. Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician.

NRS 695C.1717. Required provision concerning coverage for autism spectrum disorders.

NRS 695C.172. Required provision concerning coverage relating to complications of pregnancy. [Effective through December 31, 2013.]

NRS 695C.172. Required provision concerning coverage relating to complications of pregnancy. [Effective January 1, 2014.]

NRS 695C.1723. Required provision concerning coverage for treatment of certain inherited metabolic diseases.

NRS 695C.1727. Required provision concerning coverage for management and treatment of diabetes. [Effective through December 31, 2013.]

NRS 695C.1727. Required provision concerning coverage for management and treatment of diabetes. [Effective January 1, 2014.]

NRS 695C.173. Required provision concerning coverage for newly born and adopted children and children placed for adoption.

NRS 695C.1731. Required provision concerning coverage for screening for colorectal cancer.

NRS 695C.1733. Required provision concerning coverage for certain drugs for treatment of cancer.

NRS 695C.17335. Required provision concerning coverage for orally administered chemotherapy.

NRS 695C.1734. Required provision concerning coverage for prescription drug previously approved for medical condition of enrollee.

NRS 695C.1735. Required provision concerning coverage for cytologic screening tests and mammograms for certain women.

NRS 695C.1745. Required provision concerning coverage for human papillomavirus vaccine. [Effective through December 31, 2013.]

NRS 695C.1745. Required provision concerning coverage for human papillomavirus vaccine. [Effective January 1, 2014.]

NRS 695C.1751. Required provision concerning coverage for prostate cancer screening.

NRS 695C.1755. Required provision concerning coverage for treatment of temporomandibular joint.

NRS 695C.176. Required provision concerning coverage for hospice care.

REIMBURSEMENT

NRS 695C.1765. Reimbursement for acupuncture.

NRS 695C.177. Reimbursement for treatments by licensed psychologist.

NRS 695C.1773. Reimbursement for treatment by licensed marriage and family therapist or licensed clinical professional counselor.

NRS 695C.1775. Reimbursement for treatment by licensed associate in social work, social worker, independent social worker or clinical social worker.

NRS 695C.178. Reimbursement for treatment by chiropractor.

NRS 695C.1783. Reimbursement for treatment by podiatrist.

NRS 695C.1789. Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.

NRS 695C.179. Reimbursement for services provided by certain nurses; prohibited limitations; exceptions.

NRS 695C.1795. Reimbursement to provider of medical transportation.

MISCELLANEOUS PROVISIONS

NRS 695C.180. Schedule of charges. [Effective through December 31, 2013.]

NRS 695C.185. Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements.

NRS 695C.187. Schedule for payment of claims: Mandatory inclusion in arrangements for provision of health care.

NRS 695C.190. Commissioner may require submission of information.

NRS 695C.193. Summary of coverage: Contents of disclosure; approval by Commissioner; regulations. [Effective through December 31, 2013.]

NRS 695C.195. Summary of coverage: Copy to be provided before policy issued; policy not to be offered unless summary approved by Commissioner. [Effective through December 31, 2013.]

NRS 695C.200. Approval of forms and schedules. [Effective through December 31, 2013.]

NRS 695C.200. Approval of forms and schedules. [Effective January 1, 2014.]

NRS 695C.201. Offering policy of health insurance for purposes of establishing health savings account.

NRS 695C.203. Denying coverage solely because person was victim of domestic violence prohibited.

NRS 695C.205. Denying coverage solely because insured was intoxicated or under the influence of controlled substance prohibited; exceptions.

NRS 695C.207. Requiring or using information concerning genetic testing.

NRS 695C.210. Annual report and financial statement required; administrative penalty for failure to file report or statement. [Effective through December 31, 2013.]

NRS 695C.210. Annual report and financial statement required; administrative penalty for failure to file report or statement. [Effective January 1, 2014.]

NRS 695C.220. Applications, filings and reports open to public inspection.

NRS 695C.230. Fees.

NRS 695C.240. Information required to be available for inspection.

NRS 695C.250. Open enrollment. [Effective through December 31, 2013.]

NRS 695C.260. Complaint system.

NRS 695C.265. Required procedure for arbitration of disputes concerning independent medical evaluations.

NRS 695C.267. Provision requiring binding arbitration authorized; procedures for arbitration; declaratory relief.

NRS 695C.270. Bond required; waiver.

NRS 695C.275. Commissioner to adopt regulations for licensing of provider-sponsored organizations.

NRS 695C.280. Commissioner authorized to adopt regulations for licensing of agents or brokers.

NRS 695C.290. Insurance company may establish or contract with health maintenance organization.

NRS 695C.300. Prohibited practices.

NRS 695C.310. Examinations. [Effective through December 31, 2013.]

NRS 695C.310. Examinations. [Effective January 1, 2014.]

NRS 695C.311. Periodic examination by Commissioner to determine financial condition of health maintenance organization.

NRS 695C.313. Financial examination: Procedure; appointment of examiner; maintenance and use of records; penalty for obstruction or interference.

NRS 695C.315. Financial examination: Payment of expense.

NRS 695C.317. Statutory procedures required for examination and hearing.

NRS 695C.320. Rehabilitation, liquidation or conservation.

NRS 695C.325. Authorization to offer health care plan to small employer for purpose of establishing medical savings accounts.

NRS 695C.330. Disciplinary proceedings: Grounds; effect of suspension or revocation. [Effective through December 31, 2013.]

NRS 695C.330. Disciplinary proceedings: Grounds; effect of suspension or revocation. [Effective January 1, 2014.]

NRS 695C.340. Disciplinary proceedings: Notice; hearing; judicial review. [Effective through December 31, 2013.]

NRS 695C.340. Disciplinary proceedings: Notice; hearing; judicial review. [Effective January 1, 2014.]

NRS 695C.350. Violations: Remedies; penalties. [Effective through December 31, 2013.]

NRS 695C.350. Violations: Remedies; penalties. [Effective January 1, 2014.]