S.B. 268
- *SB268*
SENATE BILL NO. 268–SENATOR FLORES
MARCH 4, 2025
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to insurance coverage for
certain dental services. (BDR 57-329)
FISCAL NOTE: Effect on Local Government: May have Fiscal Impact.
Effect on the State: Yes.
CONTAINS UNFUNDED MANDATE (§ 14)
(NOT REQUESTED BY AFFECTED LOCAL GOVERNMENT)
~
EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to insurance; requiring certain health insurance to
include coverage for certain dental services when
provided by certain dental hygienists without the
supervision of a dentist to the same extent as if provided
by a dental hygienist under the supervision of a dentist;
and providing other matters properly relating thereto.
Legislative Counsel’s Digest:
Existing law authorizes the Board of Dental Examiners of Nevada to issue to a 1
licensed dental hygienist who meets certain qualifications prescribed by the Board a 2
special endorsement that allows the dental hygienist to practice public health dental 3
hygiene. Under existing law, a dental hygienist who holds such a special 4
endorsement is authorized to provide services specified by the Board by regulation 5
without the authorization or supervision of a dentist. (NRS 631.287) 6
Sections 1, 3-9, 11, 12 and 14-16 of this bill require certain public and private 7
policies of health insurance and health plans, including Medicaid, who provide 8
coverage for a dental service that a dental hygienist who has obtained a special 9
endorsement is authorized to provide without the supervision of a dentist to provide 10
coverage for that service when provided by such a dental hygienist without the 11
supervision of a dentist to the same extent as if provided by a dental hygienist under 12
the supervision of a dentist. 13
Section 13 of this bill makes a conforming change to require the Director of the 14
Department of Health and Human Services to administer the provisions of section 15
16 in the same manner as other provisions relating to Medicaid. Section 2 of this 16
bill authorizes the Commissioner of Insurance to require that certain policies of 17
health insurance issued by a domestic insurer to a person who resides in another 18
state include the coverage required by section 1. 19
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Section 10 of this bill authorizes the Commissioner to suspend or revoke the 20
certificate of authority of a health maintenance organization that fails to comply 21
with the requirements of section 8. The Commissioner would also be authorized to 22
take such action against other private health insurers and organizations for dental 23
care that fail to comply with the requirements of sections 1, 3, 4, 6, 7, 11 and 12. 24
(NRS 680A.200, 695D.300) 25
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 689A of NRS is hereby amended by 1
adding thereto a new section to read as follows: 2
1. An insurer that offers or issues a policy of health 3
insurance which includes coverage for a dental service that a 4
dental hygienist who holds a special endorsement issued by the 5
Board of Dental Examiners of Nevada pursuant to NRS 631.287 is 6
authorized to provide without the supervision of a dentist shall 7
provide coverage for that service when provided by such a dental 8
hygienist without the supervision of a dentist to the same extent as 9
if provided by a dental hygienist under the supervision of a dentist. 10
2. A policy of health insurance subject to the provisions of 11
this chapter which provides coverage for a dental service described 12
in subsection 1 and that is delivered, issued for delivery or 13
renewed on or after October 1, 2025, has the legal effect of 14
including the coverage required by this section, and any provision 15
of the policy that conflicts with the provisions of this section is 16
void. 17
Sec. 2. NRS 689A.330 is hereby amended to read as follows: 18
689A.330 If any policy is issued by a domestic insurer for 19
delivery to a person residing in another state, and if the insurance 20
commissioner or corresponding public officer of that other state has 21
informed the Commissioner that the policy is not subject to approval 22
or disapproval by that officer, the Commissioner may by ruling 23
require that the policy meet the standards set forth in NRS 689A.030 24
to 689A.320, inclusive [.] , and section 1 of this act. 25
Sec. 3. Chapter 689B of NRS is hereby amended by adding 26
thereto a new section to read as follows: 27
1. An insurer that offers or issues a policy of group health 28
insurance which includes coverage for a dental service that a 29
dental hygienist who holds a special endorsement issued by the 30
Board of Dental Examiners of Nevada pursuant to NRS 631.287 is 31
authorized to provide without the supervision of a dentist shall 32
provide coverage for that service when provided by such a dental 33
hygienist without the supervision of a dentist to the same extent as 34
if provided by a dental hygienist under the supervision of a dentist. 35
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2. A policy of group health insurance subject to the 1
provisions of this chapter which provides coverage for a dental 2
service described in subsection 1 and that is delivered, issued for 3
delivery or renewed on or after October 1, 2025, has the legal 4
effect of including the coverage required by this section, and any 5
provision of the policy that conflicts with the provisions of this 6
section is void. 7
Sec. 4. Chapter 689C of NRS is hereby amended by adding 8
thereto a new section to read as follows: 9
1. A carrier that offers or issues a health benefit plan which 10
includes coverage for a dental service that a dental hygienist who 11
holds a special endorsement issued by the Board of Dental 12
Examiners of Nevada pursuant to NRS 631.287 is authorized to 13
provide without the supervision of a dentist shall provide coverage 14
for that service when provided by such a dental hygienist without 15
the supervision of a dentist to the same extent as if provided by a 16
dental hygienist under the supervision of a dentist. 17
2. A health benefit plan subject to the provisions of this 18
chapter which provides coverage for a dental service described in 19
subsection 1 and that is delivered, issued for delivery or renewed 20
on or after October 1, 2025, has the legal effect of including the 21
coverage required by this section, and any provision of the plan 22
that conflicts with the provisions of this section is void. 23
Sec. 5. NRS 689C.425 is hereby amended to read as follows: 24
689C.425 A voluntary purchasing group and any contract 25
issued to such a group pursuant to NRS 689C.360 to 689C.600, 26
inclusive, are subject to the provisions of NRS 689C.015 to 27
689C.355, inclusive, and section 4 of this act to the extent 28
applicable and not in conflict with the express provisions of NRS 29
687B.408 and 689C.360 to 689C.600, inclusive. 30
Sec. 6. Chapter 695A of NRS is hereby amended by adding 31
thereto a new section to read as follows: 32
1. A society that offers or issues a benefit contract which 33
includes coverage for a dental service that a dental hygienist who 34
holds a special endorsement issued by the Board of Dental 35
Examiners of Nevada pursuant to NRS 631.287 is authorized to 36
provide without the supervision of a dentist shall provide coverage 37
for that service when provided by such a dental hygienist without 38
the supervision of a dentist to the same extent as if provided by a 39
dental hygienist under the supervision of a dentist. 40
2. A benefit contract subject to the provisions of this chapter 41
which provides coverage for a dental service described in 42
subsection 1 and that is delivered, issued for delivery or renewed 43
on or after October 1, 2025, has the legal effect of including the 44
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coverage required by this section, and any provision of the 1
contract that conflicts with the provisions of this section is void. 2
Sec. 7. Chapter 695B of NRS is hereby amended by adding 3
thereto a new section to read as follows: 4
1. An insurer that offers or issues a contract for dental 5
services which includes coverage for a dental service that a dental 6
hygienist who holds a special endorsement issued by the Board of 7
Dental Examiners of Nevada pursuant to NRS 631.287 is 8
authorized to provide without the supervision of a dentist shall 9
provide coverage for that service when provided by such a dental 10
hygienist without the supervision of a dentist to the same extent as 11
if provided by a dental hygienist under the supervision of a dentist. 12
2. A contract for dental services subject to the provisions of 13
this chapter which provides coverage for a dental service described 14
in subsection 1 and that is delivered, issued for delivery or 15
renewed on or after October 1, 2025, has the legal effect of 16
including the coverage required by this section, and any provision 17
of the contract that conflicts with the provisions of this section is 18
void. 19
Sec. 8. Chapter 695C of NRS is hereby amended by adding 20
thereto a new section to read as follows: 21
1. A health maintenance organization that offers or issues a 22
health care plan which includes coverage for a dental service that 23
a dental hygienist who holds a special endorsement issued by the 24
Board of Dental Examiners of Nevada pursuant to NRS 631.287 is 25
authorized to provide without the supervision of a dentist shall 26
provide coverage for that service when provided by such a dental 27
hygienist without the supervision of a dentist to the same extent as 28
if provided by a dental hygienist under the supervision of a dentist. 29
2. A health care plan subject to the provisions of this chapter 30
which provides coverage for a dental service described in 31
subsection 1 and that is delivered, issued for delivery or renewed 32
on or after October 1, 2025, has the legal effect of including the 33
coverage required by this section, and any provision of the plan 34
that conflicts with the provisions of this section is void. 35
Sec. 9. NRS 695C.050 is hereby amended to read as follows: 36
695C.050 1. Except as otherwise provided in this chapter or 37
in specific provisions of this title, the provisions of this title are not 38
applicable to any health maintenance organization granted a 39
certificate of authority under this chapter. This provision does not 40
apply to an insurer licensed and regulated pursuant to this title 41
except with respect to its activities as a health maintenance 42
organization authorized and regulated pursuant to this chapter. 43
2. Solicitation of enrollees by a health maintenance 44
organization granted a certificate of authority, or its representatives, 45
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must not be construed to violate any provision of law relating to 1
solicitation or advertising by practitioners of a healing art. 2
3. Any health maintenance organization authorized under this 3
chapter shall not be deemed to be practicing medicine and is exempt 4
from the provisions of chapter 630 of NRS. 5
4. The provisions of NRS 695C.110, 695C.125, 695C.1691, 6
695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 7
695C.173, inclusive, 695C.1733, 695C.17335, 695C.1734, 8
695C.1751, 695C.1755, 695C.1759, 695C.176 to 695C.200, 9
inclusive, and 695C.265 do not apply to a health maintenance 10
organization that provides health care services through managed 11
care to recipients of Medicaid under the State Plan for Medicaid or 12
insurance pursuant to the Children’s Health Insurance Program 13
pursuant to a contract with the Division of Health Care Financing 14
and Policy of the Department of Health and Human Services. This 15
subsection does not exempt a health maintenance organization from 16
any provision of this chapter for services provided pursuant to any 17
other contract. 18
5. The provisions of NRS 695C.16932 to 695C.1699, 19
inclusive, 695C.1701, 695C.1708, 695C.1728, 695C.1731, 20
695C.17333, 695C.17345, 695C.17347, 695C.1736 to 695C.1745, 21
inclusive, 695C.1757 and 695C.204 and section 8 of this act apply 22
to a health maintenance organization that provides health care 23
services through managed care to recipients of Medicaid under the 24
State Plan for Medicaid. 25
6. The provisions of NRS 695C.17095 do not apply to a health 26
maintenance organization that provides health care services to 27
members of the Public Employees’ Benefits Program. This 28
subsection does not exempt a health maintenance organization from 29
any provision of this chapter for services provided pursuant to any 30
other contract. 31
7. The provisions of NRS 695C.1735 do not apply to a health 32
maintenance organization that provides health care services to: 33
(a) The officers and employees, and the dependents of officers 34
and employees, of the governing body of any county, school district, 35
municipal corporation, political subdivision, public corporation or 36
other local governmental agency of this State; or 37
(b) Members of the Public Employees’ Benefits Program. 38
This subsection does not exempt a health maintenance 39
organization from any provision of this chapter for services 40
provided pursuant to any other contract. 41
Sec. 10. NRS 695C.330 is hereby amended to read as follows: 42
695C.330 1. The Commissioner may suspend or revoke any 43
certificate of authority issued to a health maintenance organization 44
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pursuant to the provisions of this chapter if the Commissioner finds 1
that any of the following conditions exist: 2
(a) The health maintenance organization is operating 3
significantly in contravention of its basic organizational document, 4
its health care plan or in a manner contrary to that described in and 5
reasonably inferred from any other information submitted pursuant 6
to NRS 695C.060, 695C.070 and 695C.140, unless any amendments 7
to those submissions have been filed with and approved by the 8
Commissioner; 9
(b) The health maintenance organization issues evidence of 10
coverage or uses a schedule of charges for health care services 11
which do not comply with the requirements of NRS 695C.1691 to 12
695C.200, inclusive, and section 8 of this act, 695C.204 or 13
695C.207; 14
(c) The health care plan does not furnish comprehensive health 15
care services as provided for in NRS 695C.060; 16
(d) The Commissioner certifies that the health maintenance 17
organization: 18
(1) Does not meet the requirements of subsection 1 of NRS 19
695C.080; or 20
(2) Is unable to fulfill its obligations to furnish health care 21
services as required under its health care plan; 22
(e) The health maintenance organization is no longer financially 23
responsible and may reasonably be expected to be unable to meet its 24
obligations to enrollees or prospective enrollees; 25
(f) The health maintenance organization has failed to put into 26
effect a mechanism affording the enrollees an opportunity to 27
participate in matters relating to the content of programs pursuant to 28
NRS 695C.110; 29
(g) The health maintenance organization has failed to put into 30
effect the system required by NRS 695C.260 for: 31
(1) Resolving complaints in a manner reasonably to dispose 32
of valid complaints; and 33
(2) Conducting external reviews of adverse determinations 34
that comply with the provisions of NRS 695G.241 to 695G.310, 35
inclusive; 36
(h) The health maintenance organization or any person on its 37
behalf has advertised or merchandised its services in an untrue, 38
misrepresentative, misleading, deceptive or unfair manner; 39
(i) The continued operation of the health maintenance 40
organization would be hazardous to its enrollees or creditors or to 41
the general public; 42
(j) The health maintenance organization fails to provide the 43
coverage required by NRS 695C.1691; or 44
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(k) The health maintenance organization has otherwise failed to 1
comply substantially with the provisions of this chapter. 2
2. A certificate of authority must be suspended or revoked only 3
after compliance with the requirements of NRS 695C.340. 4
3. If the certificate of authority of a health maintenance 5
organization is suspended, the health maintenance organization shall 6
not, during the period of that suspension, enroll any additional 7
groups or new individual contracts, unless those groups or persons 8
were contracted for before the date of suspension. 9
4. If the certificate of authority of a health maintenance 10
organization is revoked, the organization shall proceed, immediately 11
following the effective date of the order of revocation, to wind up its 12
affairs and shall conduct no further business except as may be 13
essential to the orderly conclusion of the affairs of the organization. 14
It shall engage in no further advertising or solicitation of any kind. 15
The Commissioner may, by written order, permit such further 16
operation of the organization as the Commissioner may find to be in 17
the best interest of enrollees to the end that enrollees are afforded 18
the greatest practical opportunity to obtain continuing coverage for 19
health care. 20
Sec. 11. Chapter 695D of NRS is hereby amended by adding 21
thereto a new section to read as follows: 22
1. An organization for dental care that offers or issues a plan 23
for dental care which includes coverage for a dental service that a 24
dental hygienist who holds a special endorsement issued by the 25
Board of Dental Examiners of Nevada pursuant to NRS 631.287 is 26
authorized to provide without the supervision of a dentist shall 27
provide coverage for that service when provided by such a dental 28
hygienist without the supervision of a dentist to the same extent as 29
if provided by a dental hygienist under the supervision of a dentist. 30
2. A plan for dental care subject to the provisions of this 31
chapter which provides coverage for a dental service described in 32
subsection 1 and that is delivered, issued for delivery or renewed 33
on or after October 1, 2025, has the legal effect of including the 34
coverage required by this section, and any provision of the plan 35
that conflicts with the provisions of this section is void. 36
Sec. 12. Chapter 695G of NRS is hereby amended by adding 37
thereto a new section to read as follows: 38
1. A managed care organization that offers or issues a health 39
care plan which includes coverage for a dental service that a 40
dental hygienist who holds a special endorsement issued by the 41
Board of Dental Examiners of Nevada pursuant to NRS 631.287 is 42
authorized to provide without the supervision of a dentist shall 43
provide coverage for that service when provided by such a dental 44
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hygienist without the supervision of a dentist to the same extent as 1
if provided by a dental hygienist under the supervision of a dentist. 2
2. A health care plan subject to the provisions of this chapter 3
which provides coverage for a dental service described in 4
subsection 1 and that is delivered, issued for delivery or renewed 5
on or after October 1, 2025, has the legal effect of including the 6
coverage required by this section, and any provision of the plan 7
that conflicts with the provisions of this section is void. 8
Sec. 13. NRS 232.320 is hereby amended to read as follows: 9
232.320 1. The Director: 10
(a) Shall appoint, with the consent of the Governor, 11
administrators of the divisions of the Department, who are 12
respectively designated as follows: 13
(1) The Administrator of the Aging and Disability Services 14
Division; 15
(2) The Administrator of the Division of Welfare and 16
Supportive Services; 17
(3) The Administrator of the Division of Child and Family 18
Services; 19
(4) The Administrator of the Division of Health Care 20
Financing and Policy; and 21
(5) The Administrator of the Division of Public and 22
Behavioral Health. 23
(b) Shall administer, through the divisions of the Department, 24
the provisions of chapters 63, 424, 425, 427A, 432A to 442, 25
inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 26
127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 27
section 16 of this act, 422.580, 432.010 to 432.133, inclusive, 28
432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 29
and 445A.010 to 445A.055, inclusive, and all other provisions of 30
law relating to the functions of the divisions of the Department, but 31
is not responsible for the clinical activities of the Division of Public 32
and Behavioral Health or the professional line activities of the other 33
divisions. 34
(c) Shall administer any state program for persons with 35
developmental disabilities established pursuant to the 36
Developmental Disabilities Assistance and Bill of Rights Act of 37
2000, 42 U.S.C. §§ 15001 et seq. 38
(d) Shall, after considering advice from agencies of local 39
governments and nonprofit organizations which provide social 40
services, adopt a master plan for the provision of human services in 41
this State. The Director shall revise the plan biennially and deliver a 42
copy of the plan to the Governor and the Legislature at the 43
beginning of each regular session. The plan must: 44
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(1) Identify and assess the plans and programs of the 1
Department for the provision of human services, and any 2
duplication of those services by federal, state and local agencies; 3
(2) Set forth priorities for the provision of those services; 4
(3) Provide for communication and the coordination of those 5
services among nonprofit organizations, agencies of local 6
government, the State and the Federal Government; 7
(4) Identify the sources of funding for services provided by 8
the Department and the allocation of that funding; 9
(5) Set forth sufficient information to assist the Department 10
in providing those services and in the planning and budgeting for the 11
future provision of those services; and 12
(6) Contain any other information necessary for the 13
Department to communicate effectively with the Federal 14
Government concerning demographic trends, formulas for the 15
distribution of federal money and any need for the modification of 16
programs administered by the Department. 17
(e) May, by regulation, require nonprofit organizations and state 18
and local governmental agencies to provide information regarding 19
the programs of those organizations and agencies, excluding 20
detailed information relating to their budgets and payrolls, which the 21
Director deems necessary for the performance of the duties imposed 22
upon him or her pursuant to this section. 23
(f) Has such other powers and duties as are provided by law. 24
2. Notwithstanding any other provision of law, the Director, or 25
the Director’s designee, is responsible for appointing and removing 26
subordinate officers and employees of the Department. 27
Sec. 14. NRS 287.010 is hereby amended to read as follows: 28
287.010 1. The governing body of any county, school 29
district, municipal corporation, political subdivision, public 30
corporation or other local governmental agency of the State of 31
Nevada may: 32
(a) Adopt and carry into effect a system of group life, accident 33
or health insurance, or any combination thereof, for the benefit of its 34
officers and employees, and the dependents of officers and 35
employees who elect to accept the insurance and who, where 36
necessary, have authorized the governing body to make deductions 37
from their compensation for the payment of premiums on the 38
insurance. 39
(b) Purchase group policies of life, accident or health insurance, 40
or any combination thereof, for the benefit of such officers and 41
employees, and the dependents of such officers and employees, as 42
have authorized the purchase, from insurance companies authorized 43
to transact the business of such insurance in the State of Nevada, 44
and, where necessary, deduct from the compensation of officers and 45
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employees the premiums upon insurance and pay the deductions 1
upon the premiums. 2
(c) Provide group life, accident or health coverage through a 3
self-insurance reserve fund and, where necessary, deduct 4
contributions to the maintenance of the fund from the compensation 5
of officers and employees and pay the deductions into the fund. The 6
money accumulated for this purpose through deductions from the 7
compensation of officers and employees and contributions of the 8
governing body must be maintained as an internal service fund as 9
defined by NRS 354.543. The money must be deposited in a state or 10
national bank or credit union authorized to transact business in the 11
State of Nevada. Any independent administrator of a fund created 12
under this section is subject to the licensing requirements of chapter 13
683A of NRS, and must be a resident of this State. Any contract 14
with an independent administrator must be approved by the 15
Commissioner of Insurance as to the reasonableness of 16
administrative charges in relation to contributions collected and 17
benefits provided. The provisions of NRS 439.581 to 439.597, 18
inclusive, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 19
687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs 20
(b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 21
and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, 22
689B.0375 to 689B.050, inclusive, 689B.0675, 689B.265, 689B.287 23
and 689B.500 and section 3 of this act apply to coverage provided 24
pursuant to this paragraph, except that the provisions of NRS 25
689B.0378, 689B.03785 and 689B.500 only apply to coverage for 26
active officers and employees of the governing body, or the 27
dependents of such officers and employees. 28
(d) Defray part or all of the cost of maintenance of a self-29
insurance fund or of the premiums upon insurance. The money for 30
contributions must be budgeted for in accordance with the laws 31
governing the county, school district, municipal corporation, 32
political subdivision, public corporation or other local governmental 33
agency of the State of Nevada. 34
2. If a school district offers group insurance to its officers and 35
employees pursuant to this section, members of the board of trustees 36
of the school district must not be excluded from participating in the 37
group insurance. If the amount of the deductions from compensation 38
required to pay for the group insurance exceeds the compensation to 39
which a trustee is entitled, the difference must be paid by the trustee. 40
3. In any county in which a legal services organization exists, 41
the governing body of the county, or of any school district, 42
municipal corporation, political subdivision, public corporation or 43
other local governmental agency of the State of Nevada in the 44
county, may enter into a contract with the legal services 45
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organization pursuant to which the officers and employees of the 1
legal services organization, and the dependents of those officers and 2
employees, are eligible for any life, accident or health insurance 3
provided pursuant to this section to the officers and employees, and 4
the dependents of the officers and employees, of the county, school 5
district, municipal corporation, political subdivision, public 6
corporation or other local governmental agency. 7
4. If a contract is entered into pursuant to subsection 3, the 8
officers and employees of the legal services organization: 9
(a) Shall be deemed, solely for the purposes of this section, to be 10
officers and employees of the county, school district, municipal 11
corporation, political subdivision, public corporation or other local 12
governmental agency with which the legal services organization has 13
contracted; and 14
(b) Must be required by the contract to pay the premiums or 15
contributions for all insurance which they elect to accept or of which 16
they authorize the purchase. 17
5. A contract that is entered into pursuant to subsection 3: 18
(a) Must be submitted to the Commissioner of Insurance for 19
approval not less than 30 days before the date on which the contract 20
is to become effective. 21
(b) Does not become effective unless approved by the 22
Commissioner. 23
(c) Shall be deemed to be approved if not disapproved by the 24
Commissioner within 30 days after its submission. 25
6. As used in this section, “legal services organization” means 26
an organization that operates a program for legal aid and receives 27
money pursuant to NRS 19.031. 28
Sec. 15. NRS 287.04335 is hereby amended to read as 29
follows: 30
287.04335 If the Board provides health insurance through a 31
plan of self-insurance, it shall comply with the provisions of NRS 32
439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.409, 33
687B.692, 687B.723, 687B.725, 687B.805, 689B.0353, 689B.255, 34
695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 35
695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 36
695G.1675, 695G.170 to 695G.1712, inclusive, 695G.1714 to 37
695G.174, inclusive, 695G.176, 695G.177, 695G.200 to 695G.230, 38
inclusive, 695G.241 to 695G.310, inclusive, 695G.405 and 39
695G.415, and section 12 of this act, in the same manner as an 40
insurer that is licensed pursuant to title 57 of NRS is required to 41
comply with those provisions. 42
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Sec. 16. Chapter 422 of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. To the extent that federal financial participation is 3
available, the Director shall include under Medicaid a 4
requirement that the State must provide reimbursement for any 5
dental service covered by Medicaid that a dental hygienist who 6
holds a special endorsement issued by the Board of Dental 7
Examiners of Nevada pursuant to NRS 631.287 is authorized to 8
provide without the supervision of a dentist when provided by such 9
a dental hygienist without the supervision of a dentist to the same 10
extent as if the service was provided by a dental hygienist under 11
the supervision of a dentist. 12
2. The Department shall: 13
(a) Apply to the Secretary of Health and Human Services for 14
any waiver of federal law or apply for any amendment of the State 15
Plan for Medicaid that is necessary for the Department to receive 16
federal funding to provide the reimbursement described in 17
subsection 1. 18
(b) Fully cooperate in good faith with the Federal Government 19
during the application process to satisfy the requirements for 20
obtaining a waiver or amendment pursuant to paragraph (a). 21
Sec. 17. The provisions of NRS 354.599 do not apply to any 22
additional expenses of a local government that are related to the 23
provisions of this act. 24
H