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Nevada Chapter 439B — Restraining Costs of Health Care

127 sections hosted, reproduced from the official public-domain source.

  • NRS 439B.010— Definitions
  • NRS 439B.015— “Authority” defined
  • 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.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
  • 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 a patient pursuant to this section are deemed uncollectible for the purposes of federal law.]
  • 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 investigations and sanctions
  • 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— Authority 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— Authority 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 Authority 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
  • NRS 439B.670— Authority to place on Internet website certain information concerning pharmacies, nonprofit organizations and prescription drugs and certain reports by Authority; additional or alternative procedures for obtaining information concerning pharmacies, nonprofit organizations and prescription drugs
  • 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 Authority if sufficient money not available; acceptance of gifts and grants
  • NRS 439B.695— Administrative penalty for failure to provide information to Authority; use of money collected by Authority
  • 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
  • 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
  • NRS 439B.805— “All-payer claims database” defined
  • NRS 439B.810— “Covered entity” defined
  • NRS 439B.815— “Direct patient identifier” defined
  • NRS 439B.817— “Office” defined
  • NRS 439B.820— “Proprietary financial information” defined
  • NRS 439B.825— “Provider of health care” defined
  • NRS 439B.830— “Unique identifier” defined
  • NRS 439B.835— Establishment of database; duties of Office; advisory committees
  • NRS 439B.840— Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers
  • NRS 439B.845— Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings
  • NRS 439B.850— Data requests
  • 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
  • NRS 439B.860— Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Office intends to publish in next calendar year
  • NRS 439B.865— Reports concerning cost, performance and effectiveness of database and information concerning grants
  • NRS 439B.870— Immunity from certain civil or criminal liability
  • NRS 439B.875— Regulations; administrative penalties; contracts and agreements; gifts, grants and donations; accounting and use of administrative penalties by Office
  • NRS 439B.2801— Definitions
  • NRS 439B.2803— “Diagnosis-related group” defined
  • NRS 439B.2805— “Healing art” defined
  • NRS 439B.2807— “Health benefit plan” defined
  • NRS 439B.2809— “Health care entity” defined
  • NRS 439B.2811— “Medical debt” defined
  • NRS 439B.2813— “Medical debtor” defined
  • NRS 439B.2815— “National Drug Code” defined
  • NRS 439B.2817— “Practitioner group practice” defined
  • NRS 439B.2819— “Small practitioner group practice” defined
  • NRS 439B.2821— “Third party” defined
  • NRS 439B.2823— Publication by hospital of list of items and services with standard charge; exempt information
  • NRS 439B.2825— Publication by hospital of lists of shoppable services; exempt information and hospitals
  • NRS 439B.2827— Manner of publication of lists
  • NRS 439B.2829— Submission by hospital of report relating to facility fees; publication of report
  • NRS 439B.2831— Noncompliant hospital prohibited from taking certain actions relating to medical debt; investigation of violations; cancellation and refund of certain medical debt
  • NRS 439B.2833— Complaints regarding noncompliance; monitoring of compliance; regulations
  • NRS 439B.2835— Notice of violation; plan of correction
  • NRS 439B.2837— Administrative penalty
  • NRS 439B.2839— Internet website to inform public concerning violations; confidentiality of certain documents and information; certain documents deemed public records
  • NRS 439B.2841— Information to be provided by health care entity before collection of medical debt; itemized receipt upon payment of medical debt; investigation of violations; deceptive trade practice; exemption