This bill revises health insurance provisions, focusing on prior authorization and the use of AI by insurers, including reporting and penalties for violations.
If you are a health insurer using AI for prior authorization, you must comply with new reporting requirements or face penalties.
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What This Means
AB295 introduces significant changes to health insurance regulations in Nevada, particularly concerning prior authorization processes and the integration of artificial intelligence. Health insurers will be required to adhere to new standards for AI use, including reporting obligations and penalties for non-compliance. This bill aims to enhance transparency and accountability in health insurance practices.
Key Provisions
- Imposes requirements for prior authorization processes.
- Prescribes standards for the use of artificial intelligence by health insurers.
- Mandates the compilation and publication of reports on prior authorization.
- Establishes investigation and adjudication procedures for violations.
- Outlines civil and administrative penalties for non-compliance.
- Addresses other related matters concerning health insurance.
Latest Legislative Action
(Pursuant to Joint Standing Rule No. 14.3.1, no further action allowed.)
Bill Sponsors
| Name | Role | District |
|---|---|---|
| Rebecca Edgeworth R | Sponsor | HD-035 |
| Thaddeus Yurek R | Sponsor | HD-019 |
| Tracy Brown-May D | Sponsor | HD-042 |
Compliance Checklist
Who: Health insurers
Penalty: Civil and administrative penalties for violations.
Who: Health insurers
Penalty: Penalties for failure to comply with reporting requirements.
Full Legal Analysis
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