AB 463

This bill revises Nevada’s rules regarding prior authorization for medical and dental care. It requires private insurers and those covering Medicaid and Children’s Health Insurance Program recipients to respond to prior authorization requests within 2 business days, unless nationally recognized operating rules allow for a longer timeframe. The bill also prohibits insurers from requiring prior authorization for certain preventive care services, hospice care for pediatric patients, neonatal abstinence syndrome treatment, and specific outpatient substance use disorder services. It makes conforming changes and establishes definitions related to the prior authorization process, and includes provisions for hospitals and self-insured employers to comply with the new requirements.