Nevada Code § 287.0271

Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus required to be provided by local governmental agency that provides health insurance through plan of self-insurance; reimbursement of pharmacist for certain services
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1. The governing body of any county,
school district, municipal corporation, political subdivision, public
corporation or other local governmental agency of the State of Nevada that
provides health insurance through a plan of self-insurance shall provide
coverage for:
(a) Drugs approved by the United States Food and
Drug Administration for preventing the acquisition of human immunodeficiency
virus;
(b) Laboratory testing that is necessary for
therapy that uses such a drug; and
(c) The services described in NRS 639.28085 , when provided by a
pharmacist who participates in the network plan of the governing body.
2. The governing body of any county,
school district, municipal corporation, political subdivision, public
corporation or other local governmental agency of the State of Nevada that
provides health insurance through a plan of self-insurance shall reimburse a
pharmacist who participates in the network plan of the governing body for the
services described in NRS 639.28085 at
a rate equal to the rate of reimbursement provided to a physician, physician
assistant or advanced practice registered nurse for similar services.
3. The governing body of any county,
school district, municipal corporation, political subdivision, public
corporation or other local governmental agency of the State of Nevada that
provides health insurance through a plan of self-insurance may subject the
benefits required by subsection 1 to reasonable medical management techniques.
4. The governing body of any county,
school district, municipal corporation, political subdivision, public
corporation or other local governmental agency of the State of Nevada that
provides health insurance through a plan of self-insurance shall ensure that
the benefits required by subsection 1 are made available to an insured through
a provider of health care who participates in the network plan of the governing
body.
5. A plan of self-insurance described in
subsection 1 that is delivered, issued for delivery or renewed on or after
January 1, 2024, has the legal effect of including the coverage required by
subsection 1, and any provision of the plan that conflicts with the provisions
of this section is void.
6. As used in this section:
(a) Medical management technique means a
practice which is used to control the cost or use of health care services or
prescription drugs. The term includes, without limitation, the use of step
therapy, prior authorization and categorizing drugs and devices based on cost,
type or method of administration.
(b) Network plan means a plan of self-insurance
provided by the governing body of a local governmental agency under which the financing
and delivery of medical care, including items and services paid for as medical
care, are provided, in whole or in part, through a defined set of providers
under contract with the governing body. The term does not include an
arrangement for the financing of premiums.
(c) Provider of health care has the meaning
ascribed to it in NRS 629.031 .

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