NRS 439B.845 – Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings. [Effective January 1, 2022.]
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 […]
NRS 439B.850 – Data requests. [Effective January 1, 2022.]
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 […]
NRS 439B.805 – “All-payer claims database” defined. [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)
NRS 439B.810 – “Covered entity” defined. [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)
NRS 439B.815 – “Direct patient identifier” defined. [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)
NRS 439B.736 – “Third party” defined. [Effective through December 31, 2025.] “Third party” defined. [Effective January 1, 2026.]
1. “Third party” includes, without limitation: (a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services; (b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043; and (c) Any other entity or organization that elects pursuant to NRS 439B.757 for […]
NRS 439B.739 – “To stabilize” and “stabilized” defined.
“To stabilize” and “stabilized” have the meanings ascribed to them in 42 U.S.C. § 1395dd(e)(3). (Added to NRS by 2019, 321)
NRS 439B.742 – Inapplicability of provisions to certain hospitals, persons and health care services.
The provisions of NRS 439B.745 and 439B.748 do not apply to: 1. A hospital which has been certified as a critical access hospital by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 1395i-4(e) or any medically necessary emergency services provided at such a hospital; 2. A person who is covered by […]
NRS 439B.745 – Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services.
1. An out-of-network provider shall not collect from a covered person for medically necessary emergency services, and a covered person is not responsible for paying, an amount that exceeds the copayment, coinsurance or deductible required for such services provided by an in-network provider by the coverage for that person. 2. An out-of-network emergency facility that […]
NRS 439B.748 – Payment to out-of-network emergency facility by third party.
1. If an out-of-network emergency facility had a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person, the third party that provides coverage for the covered person shall pay to the out-of-network emergency facility for those […]