As used in NRS 439B.800 to 439B.875, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.805 to 439B.830, inclusive, have the meanings ascribed to them in those sections. (Added to NRS by 2021, 3050, effective January 1, 2022)
“All-payer claims database” means the all-payer claims database established pursuant to NRS 439B.835. (Added to NRS by 2021, 3050, effective January 1, 2022)
“Covered entity” has the meaning ascribed to it in 45 C.F.R. § 160.103. (Added to NRS by 2021, 3050, effective January 1, 2022)
“Direct patient identifier” means data that directly identifies a patient, including, without limitation, a name, telephone number, social security number, number associated with a medical record, health plan beneficiary number or electronic mail address. (Added to NRS by 2021, 3051, effective January 1, 2022)
“Proprietary financial information” means data that discloses or allows the determination of: 1. A specific term of a contract, discount or other agreement between any or all of a provider of health care, a health facility, a manufacturer of prescription drugs and an entity described in NRS 439B.840; or 2. An internal fee schedule or […]
“Provider of health care” has the meaning ascribed to it in NRS 629.031. (Added to NRS by 2021, 3051, effective January 1, 2022)
“Unique identifier” means an identifier that is guaranteed to be unique for a patient and can be used to track information relating to the patient but is not a direct patient identifier. (Added to NRS by 2021, 3051, effective January 1, 2022)
1. The Department shall, to the extent that federal money is available for this purpose, establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or pharmacy benefits provided in this State. 2. If the Department establishes an all-payer claims database pursuant to subsection 1, the Department shall: (a) […]
If an all-payer claims database is established pursuant to NRS 439B.835: 1. Except as otherwise provided in this section, each health carrier, governing body of a local governmental agency that provides health insurance through a self-insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to NRS 439B.875 to submit […]
1. Except as otherwise provided in subsection 3 and NRS 439B.855, data contained in the all-payer claims database, if established pursuant to NRS 439B.835, is confidential and is not a public record or subject to subpoena. 2. The Department shall comply with the provisions of the Health Insurance Portability and Accountability Act of 1996, Public […]
To obtain data pursuant to subsection 3 of NRS 439B.855 from the all-payer claims database, if established pursuant to NRS 439B.835, a person or entity must submit a request to the Department. The request must include, without limitation: 1. A description of the data the person or entity wishes to receive; 2. The purpose for […]
If the all-payer claims database is established pursuant to NRS 439B.835: 1. The Department or any Division thereof may access and use data from the all-payer claims database for any purpose. 2. The Department shall release data from the all-payer claims database to the Attorney General upon request for the purpose of enforcing the provisions […]
1. The Department shall, at least annually, publish a report concerning the quality, efficiency and cost of health care in this State based on the data in the all-payer claims database, if the all-payer claims database is established pursuant to NRS 439B.835. Such a report must be peer-reviewed by entities that submit data pursuant to […]
If the all-payer claims database is established pursuant to NRS 439B.835: 1. On or before December 31 of each even-numbered year, the Department shall submit to the Director of the Legislative Counsel Bureau for transmittal to the next regular session of the Legislature a report concerning the cost, performance and effectiveness of the all-payer claims […]
1. No person or entity providing information to the Department, including, without limitation, data submitted to the all-payer claims database, if established pursuant to NRS 439B.835, in accordance with NRS 439B.800 to 439B.875, inclusive, may be held liable in a civil or criminal action for disclosing confidential information unless the person or entity has done […]
If the all-payer claims database is established pursuant to NRS 439B.835: 1. The Department shall adopt regulations that prescribe: (a) The data that must be submitted to the all-payer claims database pursuant to NRS 439B.840, the format for submitting such data and the date by which such data must be submitted. Those regulations must align […]
