(Reprinted with amendments adopted on April 15, 2025)
FIRST REPRINT S.B. 97
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SENATE BILL NO. 97–COMMITTEE ON COMMERCE AND LABOR
(ON BEHALF OF THE JOINT INTERIM STANDING COMMITTEE
ON HEALTH AND HUMAN SERVICES)
PREFILED JANUARY 14, 2025
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Referred to Committee on Commerce and Labor
SUMMARY—Makes revisions to the Silver State Health Insurance
Exchange. (BDR 57-346)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Contains Appropriation not included
in Executive Budget.
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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to health insurance; revising the membership of
the Board of Directors of the Silver State Health
Insurance Exchange; and providing other matters properly
relating thereto.
Legislative Counsel’s Digest:
Existing law establishes the Silver State Health Insurance Exchange to facilitate 1
the purchase of subsidized health plans by certain small employers and natural 2
persons who are citizens of the United States or otherwise lawfully present in the 3
United States. (Chapter 695I of NRS) 4
Existing law creates the Board of Directors of the Exchange which consists of: 5
(1) five voting members appointed by the Governor; (2) one voting member 6
appointed by the Majority Leader of the Senate; (3) one voting member appointed 7
by the Speaker of the Assembly; and (4) three ex officio, nonvoting members. 8
(NRS 695I.300) This bill requires that one member appointed by the Governor be a 9
member of an Indian tribe located in this State with expertise in health care 10
administration for an Indian tribe. 11
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. (Deleted by amendment.) 1
Sec. 2. (Deleted by amendment.) 2
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Sec. 3. NRS 695I.300 is hereby amended to read as follows: 1
695I.300 1. The governing authority of the Exchange is the 2
Board, consisting of seven voting members and three ex officio 3
nonvoting members. 4
2. Subject to the provisions of subsections 3 to 6, inclusive: 5
(a) The Governor shall appoint [five] : 6
(1) Four voting members of the Board [;] who have 7
expertise in an area described in subsection 3; and 8
(2) One voting member of the Board who is a member of an 9
Indian tribe which is located in this State who has expertise in 10
health care administration for an Indian tribe. 11
(b) The Senate Majority Leader shall appoint one voting 12
member of the Board; and 13
(c) The Speaker of the Assembly shall appoint one voting 14
member of the Board. 15
3. Each voting member of the Board must have: 16
(a) Expertise in the sale or marketing of individual or small 17
employer health insurance; 18
(b) Expertise in health care administration, health care 19
financing, health information technology or health insurance; 20
(c) Expertise in the administration of health care delivery 21
systems; 22
(d) Experience as a consumer who would benefit from services 23
provided by the Exchange; or 24
(e) Experience as a consumer advocate, including, without 25
limitation, experience in consumer outreach and education for those 26
who would benefit from services provided by the Exchange. 27
4. When making an appointment pursuant to subsection 2, the 28
Governor, the Majority Leader and the Speaker of the Assembly 29
shall consider the collective expertise and experience of the voting 30
members of the Board and shall attempt to make each appointment 31
so that: 32
(a) The areas of expertise and experience described in 33
subsection 3 are collectively represented by the voting members of 34
the Board; and 35
(b) The voting members of the Board represent a range and 36
diversity of skills, knowledge, experience and geographic and 37
stakeholder perspectives. 38
5. When making an appointment pursuant to subsection 2, the 39
Governor, the Majority Leader and the Speaker of the Assembly 40
shall, as vacancies on the Board occur, ensure that not more than 41
two voting members of the Board represent any particular area of 42
expertise or experience described in paragraph (a), (b), (c), (d) or (e) 43
of subsection 3. The voting member described in subparagraph (2) 44
of paragraph (a) of subsection 2 does not represent an area of 45
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expertise or experience described in paragraph (a), (b), (c), (d) or 1
(e) of subsection 3 for the purposes of this section. 2
6. A voting member of the Board may not be a Legislator or 3
hold any elective office in State Government. 4
7. The following are ex officio nonvoting members of the 5
Board who shall assist the voting members of the Board by 6
providing advice and expertise: 7
(a) The Director of the Department of Health and Human 8
Services, or his or her designee; 9
(b) The Director of the Department of Business and Industry, or 10
his or her designee; and 11
(c) The Director of the Office of Finance, or his or her designee. 12
8. As used in this section, “Indian tribe” means a federally 13
recognized American Indian tribe pursuant to 25 C.F.R. §§ 83.1 to 14
83.12, inclusive. 15
Sec. 4. (Deleted by amendment.) 16
Sec. 5. The Governor shall appoint the voting member of the 17
Board of Directors of the Silver State Health Insurance Exchange 18
described in subparagraph (2) of paragraph (a) of subsection 2 of 19
NRS 695I.300, as amended by section 3 of this act, to replace the 20
member appointed by the Governor whose term expires on June 30, 21
2025. 22
Sec. 6. 1. This section and sections 4 and 5 of this act 23
become effective upon passage and approval. 24
2. Section 3 of this act becomes effective on July 1, 2025. 25
3. Sections 1 and 2 of this act become effective: 26
(a) Upon passage and approval for the purpose of conducting the 27
actuarial analysis required by paragraph (a) of subsection 2 of 28
section 1 of this act, preparing and submitting the application for the 29
federal waiver described in paragraph (b) of subsection 2 of section 30
1 of this act and performing any other preparatory administrative 31
tasks that are necessary to carry out the provisions of this act; and 32
(b) On January 1, 2028, for all other purposes. 33
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