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NRS 689C.16715

Coverage for certain gynecological or obstetrical services required without prior authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician

(Added to NRS by 2025, 1918)

1. A carrier that offers or issues a health benefit plan shall include in the plan a provision authorizing a woman covered by the plan to:

(a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.

(b) Designate as her primary care physician an obstetrician or gynecologist who:

(1) Participates in the network plan of the carrier;

(2) Satisfies the criteria established by the carrier for designation as a primary care provider under the health benefit plan; and

(3) Agrees to abide by all terms and conditions imposed by the carrier on other primary care physicians generally.

2. A health benefit plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the plan or renewal of the plan which is in conflict with this section is void.

3. As used in this section, “primary care physician” has the meaning ascribed to it in NRS 695G.060.

Official source: Nevada Legislature. Reproduced from public-domain Nevada statutes; confirm against the official source for the current text. Not legal advice.