S.B. 387
- *SB387*
SENATE BILL NO. 387–SENATOR LANGE
MARCH 17, 2025
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to the prevention and
early detection of lung cancer. (BDR 57-68)
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 health care; requiring certain health insurance
to include coverage for certain screening for lung cancer;
requiring the Governor to annually proclaim November to
be “Lung Cancer Awareness Month” and a certain day in
November to be “Lung Cancer Screening Day”; requiring
the Department of Health and Human Services to conduct
a study on access to screening for lung cancer; and
providing other matters properly relating thereto.
Legislative Counsel’s Digest:
Existing law requires public and private policies of insurance regulated under 1
Nevada law to include certain coverage. (NRS 287.010, 287.04335, 422.27172-2
422.272428, 689A.04033-689A.0465, 689B.0303-689B.0379, 689C.1652-3
689C.169, 689C.194, 689C.1945, 689C.195, 689C.425, 695A.184-695A.1875, 4
695A.265, 695B.1901-695B.1948, 695C.050, 695C.1691-695C.176, 695G.162-5
695G.177) Existing law also requires employers to provide certain benefits for 6
health care to employees, including the coverage required of health insurers, if the 7
employer provides health benefits for its employee. (NRS 608.1555) 8
Sections 1, 3-9, 11 and 14-16 of this bill require certain public and private 9
policies of health insurance and health plans, including Medicaid, to cover, without 10
requiring a deductible, copayment or coinsurance: (1) an annual screening for lung 11
cancer for persons at least 50 years of age but not more than 80 years of age who 12
have a certain history of smoking; and (2) certain follow-up testing. Section 2 of 13
this bill authorizes the Commissioner of Insurance to require certain policies of 14
health insurance issued by a domestic insurer to a person who resides in another 15
state to include the coverage required by section 1. Section 10 of this bill 16
authorizes the Commissioner to suspend or revoke the certificate of authority issued 17
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to a health maintenance organization that fails to comply with the requirements of 18
section 8. The Commissioner would also be authorized to take such action against 19
other health insurers who fail to comply with the requirements of sections 1, 3-8 20
and 11. (NRS 680A.200) Section 12 of this bill makes a conforming change to 21
require the Director of the Department of Health and Human Services to administer 22
the provisions of section 16 in the same manner as other provisions relating to 23
Medicaid. 24
Existing law sets forth various days, weeks or months of observance in this 25
State. (NRS 236.018-236.095) Section 13 of this bill requires the Governor to 26
annually proclaim the month of November to be “Lung Cancer Awareness Month” 27
and the second Saturday of November to be “Lung Cancer Screening Day” to bring 28
to the attention of the residents of this State factual information on lung cancer. 29
Section 17 of this bill requires the Department to: (1) conduct a study to 30
determine if the criteria adopted by the United States Preventive Services Task 31
Force relating to screening for lung cancer creates inequities in access to screening 32
for lung cancer based on sex or gender identity or expression; and (2) submit a 33
report on its conclusions to the Director of the Legislative Counsel Bureau for 34
transmittal to the Joint Interim Standing Committee on Health and Human Services. 35
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 a policy of health insurance shall 3
include in the policy coverage for: 4
(a) One annual screening for lung cancer using low-dose 5
computed tomography for an insured who: 6
(1) Is at least 50 years of age but not more than 80 years of 7
age, regularly smokes cigarettes or has stopped smoking within the 8
immediately preceding 15 years, has a smoking history of at least 9
20 pack-years and does not suffer from a health problem that 10
substantially limits the life expectancy of the insured or the 11
willingness of the insured to undergo curative surgery; or 12
(2) Meets any additional criteria under which the United 13
States Preventive Services Task Force recommends screening for 14
lung cancer; and 15
(b) Additional screening or diagnostic services for lung cancer 16
recommended by a qualified provider of health care based on the 17
results of the screening performed pursuant to paragraph (a). 18
2. An insurer that offers or issues a policy of health 19
insurance shall not require an insured to pay any deductible, 20
copayment or coinsurance to obtain any benefit provided in the 21
policy of health insurance pursuant to subsection 1. 22
3. A policy of health insurance subject to the provisions of 23
this chapter that is delivered, issued for delivery or renewed on or 24
after January 1, 2026, has the legal effect of including the 25
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coverage required by this section, and any provision of the policy 1
that conflicts with the provisions of this section is void. 2
4. As used in this section: 3
(a) “Computed tomography” means the process of producing 4
sectional and three-dimensional images using external ionizing 5
radiation. 6
(b) “Pack-year” means the product of the number of packs of 7
cigarettes smoked per day and the number of years that the person 8
has smoked. 9
(c) “Provider of health care” has the meaning ascribed to it in 10
NRS 629.031. 11
Sec. 2. NRS 689A.330 is hereby amended to read as follows: 12
689A.330 If any policy is issued by a domestic insurer for 13
delivery to a person residing in another state, and if the insurance 14
commissioner or corresponding public officer of that other state has 15
informed the Commissioner that the policy is not subject to approval 16
or disapproval by that officer, the Commissioner may by ruling 17
require that the policy meet the standards set forth in NRS 689A.030 18
to 689A.320, inclusive [.] , and section 1 of this act. 19
Sec. 3. Chapter 689B of NRS is hereby amended by adding 20
thereto a new section to read as follows: 21
1. An insurer that offers a policy of group health insurance 22
shall include in the policy coverage for: 23
(a) One annual screening for lung cancer using low-dose 24
computed tomography for an insured who: 25
(1) Is at least 50 years of age but not more than 80 years of 26
age, regularly smokes cigarettes or has stopped smoking within the 27
immediately preceding 15 years, has a smoking history of at least 28
20 pack-years and does not suffer from a health problem that 29
substantially limits the life expectancy of the insured or the 30
willingness of the insured to undergo curative surgery; or 31
(2) Meets any additional criteria under which the United 32
States Preventive Services Task Force recommends screening for 33
lung cancer; and 34
(b) Additional screening or diagnostic services for lung cancer 35
recommended by a qualified provider of health care based on the 36
results of the screening performed pursuant to paragraph (a). 37
2. An insurer that offers or issues a policy of group health 38
insurance shall not require an insured to pay any deductible, 39
copayment or coinsurance to obtain any benefit provided in the 40
policy of group health insurance pursuant to subsection 1. 41
3. A policy of group health insurance subject to the 42
provisions of this chapter that is delivered, issued for delivery or 43
renewed on or after January 1, 2026, has the legal effect of 44
including the coverage required by this section, and any provision 45
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of the policy that conflicts with the provisions of this section is 1
void. 2
4. As used in this section: 3
(a) “Computed tomography” means the process of producing 4
sectional and three-dimensional images using external ionizing 5
radiation. 6
(b) “Pack-year” means the product of the number of packs of 7
cigarettes smoked per day and the number of years that the person 8
has smoked. 9
(c) “Provider of health care” has the meaning ascribed to it in 10
NRS 629.031. 11
Sec. 4. Chapter 689C of NRS is hereby amended by adding 12
thereto a new section to read as follows: 13
1. A carrier that offers a health benefit plan shall include in 14
the plan coverage for: 15
(a) One annual screening for lung cancer using low-dose 16
computed tomography for an insured who: 17
(1) Is at least 50 years of age but not more than 80 years of 18
age, regularly smokes cigarettes or has stopped smoking within the 19
immediately preceding 15 years, has a smoking history of at least 20
20 pack-years and does not suffer from a health problem that 21
substantially limits the life expectancy of the insured or the 22
willingness of the insured to undergo curative surgery; or 23
(2) Meets any additional criteria under which the United 24
States Preventive Services Task Force recommends screening for 25
lung cancer; and 26
(b) Additional screening or diagnostic services for lung cancer 27
recommended by a qualified provider of health care based on the 28
results of the screening performed pursuant to paragraph (a). 29
2. A carrier that offers or issues a health benefit plan shall 30
not require an insured to pay any deductible, copayment or 31
coinsurance to obtain any benefit provided in the health benefit 32
plan pursuant to subsection 1. 33
3. A health benefit plan subject to the provisions of this 34
chapter that is delivered, issued for delivery or renewed on or after 35
January 1, 2026, has the legal effect of including the coverage 36
required by this section, and any provision of the plan that 37
conflicts with the provisions of this section is void. 38
4. As used in this section: 39
(a) “Computed tomography” means the process of producing 40
sectional and three-dimensional images using external ionizing 41
radiation. 42
(b) “Pack-year” means the product of the number of packs of 43
cigarettes smoked per day and the number of years that the person 44
has smoked. 45
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(c) “Provider of health care” has the meaning ascribed to it in 1
NRS 629.031. 2
Sec. 5. NRS 689C.425 is hereby amended to read as follows: 3
689C.425 A voluntary purchasing group and any contract 4
issued to such a group pursuant to NRS 689C.360 to 689C.600, 5
inclusive, are subject to the provisions of NRS 689C.015 to 6
689C.355, inclusive, and section 4 of this act to the extent 7
applicable and not in conflict with the express provisions of NRS 8
687B.408 and 689C.360 to 689C.600, inclusive. 9
Sec. 6. Chapter 695A of NRS is hereby amended by adding 10
thereto a new section to read as follows: 11
1. A society that offers a benefit contract shall include in the 12
contract coverage for: 13
(a) One annual screening for lung cancer using low-dose 14
computed tomography for an insured who: 15
(1) Is at least 50 years of age but not more than 80 years of 16
age, regularly smokes cigarettes or has stopped smoking within the 17
immediately preceding 15 years, has a smoking history of at least 18
20 pack-years and does not suffer from a health problem that 19
substantially limits the life expectancy of the insured or the 20
willingness of the insured to undergo curative surgery; or 21
(2) Meets any additional criteria under which the United 22
States Preventive Services Task Force recommends screening for 23
lung cancer; and 24
(b) Additional screening or diagnostic services for lung cancer 25
recommended by a qualified provider of health care based on the 26
results of the screening performed pursuant to paragraph (a). 27
2. A society that offers or issues a benefit contract shall not 28
require an insured to pay any deductible, copayment or 29
coinsurance to obtain any benefit provided in the benefit contract 30
pursuant to subsection 1. 31
3. A benefit contract subject to the provisions of this chapter 32
that is delivered, issued for delivery or renewed on or after 33
January 1, 2026, has the legal effect of including the coverage 34
required by this section, and any provision of the contract that 35
conflicts with the provisions of this section is void. 36
4. As used in this section: 37
(a) “Computed tomography” means the process of producing 38
sectional and three-dimensional images using external ionizing 39
radiation. 40
(b) “Pack-year” means the product of the number of packs of 41
cigarettes smoked per day and the number of years that the person 42
has smoked. 43
(c) “Provider of health care” has the meaning ascribed to it in 44
NRS 629.031. 45
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Sec. 7. Chapter 695B of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. A hospital or medical services corporation that offers a 3
policy of health insurance shall include in the policy coverage for: 4
(a) One annual screening for lung cancer using low-dose 5
computed tomography for an insured who: 6
(1) Is at least 50 years of age but not more than 80 years of 7
age, regularly smokes cigarettes or has stopped smoking within the 8
immediately preceding 15 years, has a smoking history of at least 9
20 pack-years and does not suffer from a health problem that 10
substantially limits the life expectancy of the insured or the 11
willingness of the insured to undergo curative surgery; or 12
(2) Meets any additional criteria under which the United 13
States Preventive Services Task Force recommends screening for 14
lung cancer; and 15
(b) Additional screening or diagnostic services for lung cancer 16
recommended by a qualified provider of health care based on the 17
results of the screening performed pursuant to paragraph (a). 18
2. A hospital or medical services corporation that offers or 19
issues a policy of health insurance shall not require an insured to 20
pay any deductible, copayment or coinsurance to obtain any 21
benefit provided in the policy of health insurance pursuant to 22
subsection 1. 23
3. A policy of health insurance subject to the provisions of 24
this chapter that is delivered, issued for delivery or renewed on or 25
after January 1, 2026, has the legal effect of including the 26
coverage required by this section, and any provision of the policy 27
that conflicts with the provisions of this section is void. 28
4. As used in this section: 29
(a) “Computed tomography” means the process of producing 30
sectional and three-dimensional images using external ionizing 31
radiation. 32
(b) “Pack-year” means the product of the number of packs of 33
cigarettes smoked per day and the number of years that the person 34
has smoked. 35
(c) “Provider of health care” has the meaning ascribed to it in 36
NRS 629.031. 37
Sec. 8. Chapter 695C of NRS is hereby amended by adding 38
thereto a new section to read as follows: 39
1. A health maintenance organization that offers a health 40
care plan shall include in the plan coverage for: 41
(a) One annual screening for lung cancer using low-dose 42
computed tomography for an enrollee who: 43
(1) Is at least 50 years of age but not more than 80 years of 44
age, regularly smokes cigarettes or has stopped smoking within the 45
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immediately preceding 15 years, has a smoking history of at least 1
20 pack-years and does not suffer from a health problem that 2
substantially limits the life expectancy of the enrollee or the 3
willingness of the enrollee to undergo curative surgery; or 4
(2) Meets any additional criteria under which the United 5
States Preventive Services Task Force recommends screening for 6
lung cancer; and 7
(b) Additional screening or diagnostic services for lung cancer 8
recommended by a qualified provider of health care based on the 9
results of the screening performed pursuant to paragraph (a). 10
2. A health maintenance organization that offers or issues a 11
health care plan shall not require an enrollee to pay any 12
deductible, copayment or coinsurance to obtain any benefit 13
provided in the health care plan pursuant to subsection 1. 14
3. A health care plan subject to the provisions of this chapter 15
that is delivered, issued for delivery or renewed on or after 16
January 1, 2026, has the legal effect of including the coverage 17
required by this section, and any provision of the plan that 18
conflicts with the provisions of this section is void. 19
4. As used in this section: 20
(a) “Computed tomography” means the process of producing 21
sectional and three-dimensional images using external ionizing 22
radiation. 23
(b) “Pack-year” means the product of the number of packs of 24
cigarettes smoked per day and the number of years that the person 25
has smoked. 26
(c) “Provider of health care” has the meaning ascribed to it in 27
NRS 629.031. 28
Sec. 9. NRS 695C.050 is hereby amended to read as follows: 29
695C.050 1. Except as otherwise provided in this chapter or 30
in specific provisions of this title, the provisions of this title are not 31
applicable to any health maintenance organization granted a 32
certificate of authority under this chapter. This provision does not 33
apply to an insurer licensed and regulated pursuant to this title 34
except with respect to its activities as a health maintenance 35
organization authorized and regulated pursuant to this chapter. 36
2. Solicitation of enrollees by a health maintenance 37
organization granted a certificate of authority, or its representatives, 38
must not be construed to violate any provision of law relating to 39
solicitation or advertising by practitioners of a healing art. 40
3. Any health maintenance organization authorized under this 41
chapter shall not be deemed to be practicing medicine and is exempt 42
from the provisions of chapter 630 of NRS. 43
4. The provisions of NRS 695C.110, 695C.125, 695C.1691, 44
695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 45
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695C.173, inclusive, 695C.1733, 695C.17335, 695C.1734, 1
695C.1751, 695C.1755, 695C.1759, 695C.176 to 695C.200, 2
inclusive, and 695C.265 do not apply to a health maintenance 3
organization that provides health care services through managed 4
care to recipients of Medicaid under the State Plan for Medicaid or 5
insurance pursuant to the Children’s Health Insurance Program 6
pursuant to a contract with the Division of Health Care Financing 7
and Policy of the Department of Health and Human Services. This 8
subsection does not exempt a health maintenance organization from 9
any provision of this chapter for services provided pursuant to any 10
other contract. 11
5. The provisions of NRS 695C.16932 to 695C.1699, 12
inclusive, 695C.1701, 695C.1708, 695C.1728, 695C.1731, 13
695C.17333, 695C.17345, 695C.17347, 695C.1736 to 695C.1745, 14
inclusive, 695C.1757 and 695C.204 and section 8 of this act apply 15
to a health maintenance organization that provides health care 16
services through managed care to recipients of Medicaid under the 17
State Plan for Medicaid. 18
6. The provisions of NRS 695C.17095 do not apply to a health 19
maintenance organization that provides health care services to 20
members of the Public Employees’ Benefits Program. This 21
subsection does not exempt a health maintenance organization from 22
any provision of this chapter for services provided pursuant to any 23
other contract. 24
7. The provisions of NRS 695C.1735 do not apply to a health 25
maintenance organization that provides health care services to: 26
(a) The officers and employees, and the dependents of officers 27
and employees, of the governing body of any county, school district, 28
municipal corporation, political subdivision, public corporation or 29
other local governmental agency of this State; or 30
(b) Members of the Public Employees’ Benefits Program. 31
This subsection does not exempt a health maintenance 32
organization from any provision of this chapter for services 33
provided pursuant to any other contract. 34
Sec. 10. NRS 695C.330 is hereby amended to read as follows: 35
695C.330 1. The Commissioner may suspend or revoke any 36
certificate of authority issued to a health maintenance organization 37
pursuant to the provisions of this chapter if the Commissioner finds 38
that any of the following conditions exist: 39
(a) The health maintenance organization is operating 40
significantly in contravention of its basic organizational document, 41
its health care plan or in a manner contrary to that described in and 42
reasonably inferred from any other information submitted pursuant 43
to NRS 695C.060, 695C.070 and 695C.140, unless any amendments 44
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to those submissions have been filed with and approved by the 1
Commissioner; 2
(b) The health maintenance organization issues evidence of 3
coverage or uses a schedule of charges for health care services 4
which do not comply with the requirements of NRS 695C.1691 to 5
695C.200, inclusive, and section 8 of this act, 695C.204 or 6
695C.207; 7
(c) The health care plan does not furnish comprehensive health 8
care services as provided for in NRS 695C.060; 9
(d) The Commissioner certifies that the health maintenance 10
organization: 11
(1) Does not meet the requirements of subsection 1 of NRS 12
695C.080; or 13
(2) Is unable to fulfill its obligations to furnish health care 14
services as required under its health care plan; 15
(e) The health maintenance organization is no longer financially 16
responsible and may reasonably be expected to be unable to meet its 17
obligations to enrollees or prospective enrollees; 18
(f) The health maintenance organization has failed to put into 19
effect a mechanism affording the enrollees an opportunity to 20
participate in matters relating to the content of programs pursuant to 21
NRS 695C.110; 22
(g) The health maintenance organization has failed to put into 23
effect the system required by NRS 695C.260 for: 24
(1) Resolving complaints in a manner reasonably to dispose 25
of valid complaints; and 26
(2) Conducting external reviews of adverse determinations 27
that comply with the provisions of NRS 695G.241 to 695G.310, 28
inclusive; 29
(h) The health maintenance organization or any person on its 30
behalf has advertised or merchandised its services in an untrue, 31
misrepresentative, misleading, deceptive or unfair manner; 32
(i) The continued operation of the health maintenance 33
organization would be hazardous to its enrollees or creditors or to 34
the general public; 35
(j) The health maintenance organization fails to provide the 36
coverage required by NRS 695C.1691; or 37
(k) The health maintenance organization has otherwise failed to 38
comply substantially with the provisions of this chapter. 39
2. A certificate of authority must be suspended or revoked only 40
after compliance with the requirements of NRS 695C.340. 41
3. If the certificate of authority of a health maintenance 42
organization is suspended, the health maintenance organization shall 43
not, during the period of that suspension, enroll any additional 44
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groups or new individual contracts, unless those groups or persons 1
were contracted for before the date of suspension. 2
4. If the certificate of authority of a health maintenance 3
organization is revoked, the organization shall proceed, immediately 4
following the effective date of the order of revocation, to wind up its 5
affairs and shall conduct no further business except as may be 6
essential to the orderly conclusion of the affairs of the organization. 7
It shall engage in no further advertising or solicitation of any kind. 8
The Commissioner may, by written order, permit such further 9
operation of the organization as the Commissioner may find to be in 10
the best interest of enrollees to the end that enrollees are afforded 11
the greatest practical opportunity to obtain continuing coverage for 12
health care. 13
Sec. 11. Chapter 695G of NRS is hereby amended by adding 14
thereto a new section to read as follows: 15
1. A managed care organization that offers a health care plan 16
shall include in the plan coverage for: 17
(a) One annual screening for lung cancer using low-dose 18
computed tomography for an insured who: 19
(1) Is at least 50 years of age but not more than 80 years of 20
age, regularly smokes cigarettes or has stopped smoking within the 21
immediately preceding 15 years, has a smoking history of at least 22
20 pack-years and does not suffer from a health problem that 23
substantially limits the life expectancy of the insured or the 24
willingness of the insured to undergo curative surgery; or 25
(2) Meets any additional criteria under which the United 26
States Preventive Services Task Force recommends screening for 27
lung cancer; and 28
(b) Additional screening or diagnostic services for lung cancer 29
recommended by a qualified provider of health care based on the 30
results of the screening performed pursuant to paragraph (a). 31
2. A managed care organization that offers or issues a health 32
care plan shall not require an insured to pay any deductible, 33
copayment or coinsurance to obtain any benefit provided in the 34
health care plan pursuant to subsection 1. 35
3. A health care plan subject to the provisions of this chapter 36
that is delivered, issued for delivery or renewed on or after 37
January 1, 2026, has the legal effect of including the coverage 38
required by this section, and any provision of the plan that 39
conflicts with the provisions of this section is void. 40
4. As used in this section: 41
(a) “Computed tomography” means the process of producing 42
sectional and three-dimensional images using external ionizing 43
radiation. 44
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(b) “Pack-year” means the product of the number of packs of 1
cigarettes smoked per day and the number of years that the person 2
has smoked. 3
(c) “Provider of health care” has the meaning ascribed to it in 4
NRS 629.031. 5
Sec. 12. NRS 232.320 is hereby amended to read as follows: 6
232.320 1. The Director: 7
(a) Shall appoint, with the consent of the Governor, 8
administrators of the divisions of the Department, who are 9
respectively designated as follows: 10
(1) The Administrator of the Aging and Disability Services 11
Division; 12
(2) The Administrator of the Division of Welfare and 13
Supportive Services; 14
(3) The Administrator of the Division of Child and Family 15
Services; 16
(4) The Administrator of the Division of Health Care 17
Financing and Policy; and 18
(5) The Administrator of the Division of Public and 19
Behavioral Health. 20
(b) Shall administer, through the divisions of the Department, 21
the provisions of chapters 63, 424, 425, 427A, 432A to 442, 22
inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 23
127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 24
section 16 of this act, 422.580, 432.010 to 432.133, inclusive, 25
432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 26
and 445A.010 to 445A.055, inclusive, and all other provisions of 27
law relating to the functions of the divisions of the Department, but 28
is not responsible for the clinical activities of the Division of Public 29
and Behavioral Health or the professional line activities of the other 30
divisions. 31
(c) Shall administer any state program for persons with 32
developmental disabilities established pursuant to the 33
Developmental Disabilities Assistance and Bill of Rights Act of 34
2000, 42 U.S.C. §§ 15001 et seq. 35
(d) Shall, after considering advice from agencies of local 36
governments and nonprofit organizations which provide social 37
services, adopt a master plan for the provision of human services in 38
this State. The Director shall revise the plan biennially and deliver a 39
copy of the plan to the Governor and the Legislature at the 40
beginning of each regular session. The plan must: 41
(1) Identify and assess the plans and programs of the 42
Department for the provision of human services, and any 43
duplication of those services by federal, state and local agencies; 44
(2) Set forth priorities for the provision of those services; 45
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(3) Provide for communication and the coordination of those 1
services among nonprofit organizations, agencies of local 2
government, the State and the Federal Government; 3
(4) Identify the sources of funding for services provided by 4
the Department and the allocation of that funding; 5
(5) Set forth sufficient information to assist the Department 6
in providing those services and in the planning and budgeting for the 7
future provision of those services; and 8
(6) Contain any other information necessary for the 9
Department to communicate effectively with the Federal 10
Government concerning demographic trends, formulas for the 11
distribution of federal money and any need for the modification of 12
programs administered by the Department. 13
(e) May, by regulation, require nonprofit organizations and state 14
and local governmental agencies to provide information regarding 15
the programs of those organizations and agencies, excluding 16
detailed information relating to their budgets and payrolls, which the 17
Director deems necessary for the performance of the duties imposed 18
upon him or her pursuant to this section. 19
(f) Has such other powers and duties as are provided by law. 20
2. Notwithstanding any other provision of law, the Director, or 21
the Director’s designee, is responsible for appointing and removing 22
subordinate officers and employees of the Department. 23
Sec. 13. Chapter 236 of NRS is hereby amended by adding 24
thereto a new section to read as follows: 25
1. The Governor shall annually proclaim the: 26
(a) Month of November to be “Lung Cancer Awareness 27
Month”; and 28
(b) Second Saturday of November to be “Lung Cancer 29
Screening Day.” 30
2. The proclamation must call upon the news media, 31
educators, health care providers and appropriate governmental 32
officers to bring to the attention of the residents of Nevada factual 33
information regarding lung cancer, including, without limitation: 34
(a) The mitigation of risk factors and health disparities for 35
lung cancer; 36
(b) Screening for early diagnosis for people at high risk of 37
lung cancer and other groups of people who will benefit the most 38
from early diagnosis; and 39
(c) Treatment for lung cancer to improve the likelihood of 40
surviving lung cancer. 41
Sec. 14. NRS 287.010 is hereby amended to read as follows: 42
287.010 1. The governing body of any county, school 43
district, municipal corporation, political subdivision, public 44
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corporation or other local governmental agency of the State of 1
Nevada may: 2
(a) Adopt and carry into effect a system of group life, accident 3
or health insurance, or any combination thereof, for the benefit of its 4
officers and employees, and the dependents of officers and 5
employees who elect to accept the insurance and who, where 6
necessary, have authorized the governing body to make deductions 7
from their compensation for the payment of premiums on the 8
insurance. 9
(b) Purchase group policies of life, accident or health insurance, 10
or any combination thereof, for the benefit of such officers and 11
employees, and the dependents of such officers and employees, as 12
have authorized the purchase, from insurance companies authorized 13
to transact the business of such insurance in the State of Nevada, 14
and, where necessary, deduct from the compensation of officers and 15
employees the premiums upon insurance and pay the deductions 16
upon the premiums. 17
(c) Provide group life, accident or health coverage through a 18
self-insurance reserve fund and, where necessary, deduct 19
contributions to the maintenance of the fund from the compensation 20
of officers and employees and pay the deductions into the fund. The 21
money accumulated for this purpose through deductions from the 22
compensation of officers and employees and contributions of the 23
governing body must be maintained as an internal service fund as 24
defined by NRS 354.543. The money must be deposited in a state or 25
national bank or credit union authorized to transact business in the 26
State of Nevada. Any independent administrator of a fund created 27
under this section is subject to the licensing requirements of chapter 28
683A of NRS, and must be a resident of this State. Any contract 29
with an independent administrator must be approved by the 30
Commissioner of Insurance as to the reasonableness of 31
administrative charges in relation to contributions collected and 32
benefits provided. The provisions of NRS 439.581 to 439.597, 33
inclusive, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 34
687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs 35
(b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 36
and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, and 37
section 3 of this act, 689B.0375 to 689B.050, inclusive, 689B.0675, 38
689B.265, 689B.287 and 689B.500 apply to coverage provided 39
pursuant to this paragraph, except that the provisions of NRS 40
689B.0378, 689B.03785 and 689B.500 only apply to coverage for 41
active officers and employees of the governing body, or the 42
dependents of such officers and employees. 43
(d) Defray part or all of the cost of maintenance of a self-44
insurance fund or of the premiums upon insurance. The money for 45
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contributions must be budgeted for in accordance with the laws 1
governing the county, school district, municipal corporation, 2
political subdivision, public corporation or other local governmental 3
agency of the State of Nevada. 4
2. If a school district offers group insurance to its officers and 5
employees pursuant to this section, members of the board of trustees 6
of the school district must not be excluded from participating in the 7
group insurance. If the amount of the deductions from compensation 8
required to pay for the group insurance exceeds the compensation to 9
which a trustee is entitled, the difference must be paid by the trustee. 10
3. In any county in which a legal services organization exists, 11
the governing body of the county, or of any school district, 12
municipal corporation, political subdivision, public corporation or 13
other local governmental agency of the State of Nevada in the 14
county, may enter into a contract with the legal services 15
organization pursuant to which the officers and employees of the 16
legal services organization, and the dependents of those officers and 17
employees, are eligible for any life, accident or health insurance 18
provided pursuant to this section to the officers and employees, and 19
the dependents of the officers and employees, of the county, school 20
district, municipal corporation, political subdivision, public 21
corporation or other local governmental agency. 22
4. If a contract is entered into pursuant to subsection 3, the 23
officers and employees of the legal services organization: 24
(a) Shall be deemed, solely for the purposes of this section, to be 25
officers and employees of the county, school district, municipal 26
corporation, political subdivision, public corporation or other local 27
governmental agency with which the legal services organization has 28
contracted; and 29
(b) Must be required by the contract to pay the premiums or 30
contributions for all insurance which they elect to accept or of which 31
they authorize the purchase. 32
5. A contract that is entered into pursuant to subsection 3: 33
(a) Must be submitted to the Commissioner of Insurance for 34
approval not less than 30 days before the date on which the contract 35
is to become effective. 36
(b) Does not become effective unless approved by the 37
Commissioner. 38
(c) Shall be deemed to be approved if not disapproved by the 39
Commissioner within 30 days after its submission. 40
6. As used in this section, “legal services organization” means 41
an organization that operates a program for legal aid and receives 42
money pursuant to NRS 19.031. 43
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Sec. 15. NRS 287.04335 is hereby amended to read as 1
follows: 2
287.04335 If the Board provides health insurance through a 3
plan of self-insurance, it shall comply with the provisions of NRS 4
439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.409, 5
687B.692, 687B.723, 687B.725, 687B.805, 689B.0353, 689B.255, 6
695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 7
695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 8
695G.1675, 695G.170 to 695G.1712, inclusive, 695G.1714 to 9
695G.174, inclusive, and section 11 of this act, 695G.176, 10
695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 11
695G.310, inclusive, 695G.405 and 695G.415, in the same manner 12
as an insurer that is licensed pursuant to title 57 of NRS is required 13
to comply with those provisions. 14
Sec. 16. Chapter 422 of NRS is hereby amended by adding 15
thereto a new section to read as follows: 16
1. To the extent that financial participation is available, the 17
Director shall include under Medicaid coverage for: 18
(a) One annual screening for lung cancer using low-dose 19
computed tomography for a person who: 20
(1) Is at least 50 years of age but not more than 80 years of 21
age, regularly smokes cigarettes or has stopped smoking within the 22
immediately preceding 15 years, has a smoking history of at least 23
20 pack-years and does not suffer from a health problem that 24
substantially limits the life expectancy of the person or the 25
willingness of the person to undergo curative surgery; or 26
(2) Meets any additional criteria under which the United 27
States Preventive Services Task Force recommends screening for 28
lung cancer; and 29
(b) Additional screening or diagnostic services for lung cancer 30
recommended by a qualified provider of health care based on the 31
results of the screening performed pursuant to paragraph (a). 32
2. The Department shall not require a person to pay any 33
deductible, copayment or coinsurance to obtain any benefit 34
provided by Medicaid pursuant to subsection 1. 35
3. The Department shall: 36
(a) Apply to the Secretary of Health and Human Services for 37
any waiver of federal law or apply for any amendment of the State 38
Plan for Medicaid that is necessary for the Department to receive 39
federal funding to provide the coverage described in subsection 1. 40
(b) Fully cooperate in good faith with the Federal Government 41
during the application process to satisfy the requirements of the 42
Federal Government for obtaining a waiver or amendment 43
pursuant to paragraph (a). 44
4. As used in this section: 45
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(a) “Computed tomography” means the process of producing 1
sectional and three-dimensional images using external ionizing 2
radiation. 3
(b) “Pack-year” means the product of the number of packs of 4
cigarettes smoked per day and the number of years that the person 5
has smoked. 6
(c) “Provider of health care” has the meaning ascribed to it in 7
NRS 629.031. 8
Sec. 17. On or before July 1, 2026, the Department of Health 9
and Human Services shall: 10
1. Conduct a study, which must include, without limitation, a 11
review of scientific publications, to determine if the criteria adopted 12
by the United States Preventive Services Task Force relating to 13
screening for lung cancer results in inequity in access to such 14
screening based on sex or gender identity or expression. 15
2. Submit to the Director of the Legislative Counsel Bureau for 16
transmittal to the Joint Interim Standing Committee on Health and 17
Human Services a report of the conclusions of the study conducted 18
pursuant to subsection 1 and any recommendations for expanded 19
criteria to increase access to screening for lung cancer. 20
Sec. 18. The provisions of NRS 354.599 do not apply to any 21
additional expenses of a local government that are related to the 22
provisions of this act. 23
Sec. 19. 1. This section and sections 13, 17 and 18 of this act 24
become effective upon passage and approval. 25
2. Sections 1 to 12, inclusive, 14, 15 and 16 of this act become 26
effective: 27
(a) Upon passage and approval for the purpose of adopting any 28
regulations and performing any other preparatory administrative 29
tasks that are necessary to carry out the provisions of this act; and 30
(b) On January 1, 2026, for all other purposes. 31
H