Nevada Code § 232.459

Duties of Advocate; authority of Advocate to adopt regulations
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1. The Advocate shall:
(a) Respond to written and telephonic inquiries
received from consumers and injured employees regarding concerns and problems
related to health care and workers compensation;
(b) Assist consumers and injured employees in
understanding their rights and responsibilities under health care plans,
including, without limitation, the Public Employees Benefits Program and the
Public Option, and policies of industrial insurance;
(c) Identify and investigate complaints of
consumers and injured employees regarding their health care plans, including,
without limitation, the Public Employees Benefits Program and the Public
Option, and policies of industrial insurance and assist those consumers and
injured employees to resolve their complaints, including, without limitation:
(1) Referring consumers and injured
employees to the appropriate agency, department or other entity that is
responsible for addressing the specific complaint of the consumer or injured
employee; and
(2) Providing counseling and assistance to
consumers and injured employees concerning health care plans, including,
without limitation, the Public Employees Benefits Program and the Public
Option, and policies of industrial insurance;
(d) Provide information to consumers and injured
employees concerning health care plans, including, without limitation, the
Public Employees Benefits Program and the Public Option, and policies of
industrial insurance in this State;
(e) Establish and maintain a system to collect
and maintain information pertaining to the written and telephonic inquiries
received by the Office for Consumer Health Assistance;
(f) Take such actions as are necessary to ensure
public awareness of the existence and purpose of the services provided by the
Advocate pursuant to this section;
(g) In appropriate cases and pursuant to the
direction of the Advocate, refer a complaint or the results of an investigation
to the Attorney General for further action;
(h) Provide information to and applications for
prescription drug programs for consumers without insurance coverage for
prescription drugs or pharmaceutical services;
(i) Establish and maintain an Internet website
which includes:
(1) Information concerning purchasing
prescription drugs from Canadian pharmacies that have been recommended by the
State Board of Pharmacy for inclusion on the Internet website pursuant to
subsection 4 of NRS 639.2328 ;
(2) Links to websites of Canadian
pharmacies which have been recommended by the State Board of Pharmacy for
inclusion on the Internet website pursuant to subsection 4 of NRS 639.2328 ; and
(3) A link to the website established and
maintained pursuant to NRS 439A.270 which provides information to the general public concerning the charges imposed
and the quality of the services provided by the hospitals and surgical centers
for ambulatory patients in this State;
(j) Assist consumers with accessing a navigator,
case manager or facilitator to help the consumer obtain health care services;
(k) Assist consumers with scheduling an
appointment with a provider of health care who is in the network of providers
under contract to provide services to participants in the health care plan
under which the consumer is covered;
(l) Assist consumers with filing complaints
against health care facilities and health care professionals;
(m) Assist consumers with filing claims with the
Bureau of Consumer Protection in the Office of the Attorney General pursuant to NRS 439B.2831 and 439B.2841 ;
(n) Assist consumers with filing complaints with
the Commissioner of Insurance against issuers of health care plans; and
(o) On or before January 31 of each year, compile
a report of aggregated information submitted to the Office for Consumer Health
Assistance pursuant to NRS 687B.675 ,
aggregated for each type of provider of health care for which such information
is provided and submit the report to the Director of the Legislative Counsel
Bureau for transmittal to:
(1) In even-numbered years, the Joint
Interim Standing Committee on Health and Human Services; and
(2) In odd-numbered years, the next
regular session of the Legislature.
2. The Advocate may adopt regulations to
carry out the provisions of this section and NRS
232.461 and 232.462 .
3. As used in this section:
(a) Health care facility has the meaning
ascribed to it in NRS 162A.740 .
(b) Navigator, case manager or facilitator has
the meaning ascribed to it in NRS 687B.675 .
(c) Public Option means the Public Option
established pursuant to NRS 695K.200 .

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