reglab/housing_qa huggingface dataset:
NV Rev Stat § 695G.325 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.325 - Provision of health care services to recipients of Medicaid: Notice to recipients if Department of Health and Human Services obtains waiver to provide dental care to persons with diabetes; coordination to ensure receipt of such care.

If the Department of Health and Human Services obtains a waiver to provide the dental care described in NRS 422.27247, a managed care organization that provides health care services through managed care to recipients of Medicaid must:  1. Provide written notice to each such recipient who is diagnosed with diabetes and is eligible to receive dental care pursuant to NRS 422.27247 of his or her eligibility to receive such care; and  2. Coordinate with any entity necessary to ensure that eligible recipients of Medicaid receive the benefits prescribed by that section.  (Added to NRS by 2019, 2419)
NV Rev Stat § 695G.400 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.400 - Managed care organization prohibited from interfering in or restricting certain communications.

A managed care organization shall not restrict or interfere with any communication between a provider of health care and a patient of the provider of health care regarding any information that the provider of health care determines is relevant to the health care of the patient.  (Added to NRS by 1997, 304)
NV Rev Stat § 695G.405 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.405 - Managed care organization prohibited from denying coverage solely because insured was intoxicated or under the influence of controlled substance; exceptions.

  1. Except as otherwise provided in subsection 2, a managed care organization shall not:  (a) Deny a claim under a health care plan solely because the claim involves an injury sustained by an insured as a consequence of being intoxicated or under the influence of a controlled substance.  (b) Cancel participation under a health care plan solely because an insured has made a claim involving an injury sustained by the insured as a consequence of being intoxicated or under the influence of a controlled substance.  (c) Refuse participation under a health care plan to an eligible applicant solely because the applicant has made a claim involving an injury sustained by the applicant as a consequence of being intoxicated or under the influence of a controlled substance.  2. The provisions of subsection 1 do not prohibit a managed care organization from enforcing a provision included in a health care plan to:  (a) Deny a claim which involves an injury to which a contributing cause was the insured’s commission of or attempt to commit a felony;  (b) Cancel participation under a health care plan solely because of such a claim; or  (c) Refuse participation under a health care plan to an eligible applicant solely because of such a claim.  3. The provisions of this section do not apply to a managed care organization under a health care plan that provides coverage for long-term care or disability income.  (Added to NRS by 2005, 2347; A 2007, 87)
NV Rev Stat § 695G.410 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.410 - Certain actions taken against provider solely because provider advocates on behalf of patient, assists patient or reports violation of law prohibited.

A managed care organization shall not terminate a contract with, demote, refuse to contract with or refuse to compensate a provider of health care solely because the provider, in good faith:  1. Advocates in private or in public on behalf of a patient;  2. Assists a patient in seeking reconsideration of a decision by the managed care organization to deny coverage for a health care service; or  3. Reports a violation of law to an appropriate authority.  (Added to NRS by 1997, 304)
NV Rev Stat § 695G.420 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.420 - Offering or paying financial incentive to provider to deny, reduce, withhold, limit or delay medically necessary services prohibited.

  1. A managed care organization shall not offer or pay any type of material inducement, bonus or other financial incentive to a provider of health care to deny, reduce, withhold, limit or delay specific medically necessary health care services to an insured.  2. Nothing in this section prohibits an arrangement for payment between a managed care organization and a provider of health care that uses capitation or other financial incentives, if the arrangement is designed to provide an incentive to the provider of health care to use health care services effectively and consistently in the best interest of the health care of the insured.  (Added to NRS by 1997, 304)
NV Rev Stat § 695G.430 (2021)
2021 Nevada Revised Statutes|Chapter 695G - Managed Care|NRS 695G.430 - Contracts between managed care organization and provider of health care: Form for obtaining information on provider of health care; modification; schedule of fees.

  1. A managed care organization shall not contract with a provider of health care to provide health care to an insured unless the managed care organization uses the form prescribed by the Commissioner pursuant to NRS 629.095 to obtain any information related to the credentials of the provider of health care.  2. A contract between a managed care organization and a provider of health care may be modified:  (a) At any time pursuant to a written agreement executed by both parties.  (b) Except as otherwise provided in this paragraph, by the managed care organization upon giving to the provider 45 days’ written notice of the modification of the managed care organization’s schedule of payments, including any changes to the fee schedule applicable to the provider’s practice. If the provider fails to object in writing to the modification within the 45-day period, the modification becomes effective at the end of that period. If the provider objects in writing to the modification within the 45-day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).  3. If a managed care organization contracts with a provider of health care to provide health care services pursuant to chapter 689A, 689B, 689C, 695A, 695B or 695C of NRS, the managed care organization shall:  (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or  (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments, including any changes to the fee schedule applicable to the provider’s practice, specified in paragraph (a) within 7 days after receiving the request.  4. As used in this section, "provider of health care" means a provider of health care who is licensed pursuant to chapter 630, 631, 632 or 633 of NRS.  (Added to NRS by 2001, 2736; A 2003, 3371; 2011, 2536)
NV Rev Stat § 695H.010 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.010 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695H.020 to 695H.060, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.020 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.020 - "Administrator" defined.

Administrator means a person authorized pursuant to NRS 683A.0805 to 683A.0893, inclusive, to conduct business in this State as an administrator.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.030 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.030 - "Affiliate of an insurer" defined.

Affiliate of an insurer means a person who directly, or indirectly through one or more intermediaries, controls, is controlled by or is under common control with an insurer.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.040 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.040 - "Insurer" defined.

Insurer means any insurer, fraternal benefit society, nonprofit corporation for hospital, medical and dental services, organization for dental care, health maintenance organization or prepaid limited health service organization authorized pursuant to this title to conduct business in this State.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.050 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.050 - "Medical discount plan" defined.

Medical discount plan means a business arrangement or program evidenced by a membership agreement, contract, card, certificate, device or mechanism in which a person, in exchange for fees, dues, charges or any other form of consideration, offers to provide or provides health care or medical services at a discount from providers of health care who are participating in the business arrangement or program or whom the person advertises as or claims to be participating in the business arrangement or program.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.060 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.060 - "Provider of health care" defined.

Provider of health care has the meaning ascribed to it in NRS 629.031.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.070 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.070 - Medical discount plans under exclusive jurisdiction of Commissioner.

Notwithstanding any other provision of law, the Commissioner has exclusive jurisdiction to regulate medical discount plans in this State.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.080 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.080 - Registration of medical discount plan required; exceptions.

  1. Except as otherwise provided in this section, it is unlawful for any person to offer, market, sell or engage in business as a medical discount plan in this State without first registering the medical discount plan pursuant to the provisions of this chapter.  2. An insurer is not required to register any medical discount plan pursuant to the provisions of this chapter unless the insurer offers, markets or sells the medical discount plan in this State for separate consideration.  3. If an affiliate of an insurer offers, markets, sells or engages in business as a medical discount plan in this State, the affiliate is required to register the medical discount plan pursuant to the provisions of this chapter.  4. The provisions of this chapter do not apply to any medical discount plan that offers or provides discounts only on prescriptions.  (Added to NRS by 2005, 2101)
NV Rev Stat § 695H.090 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.090 - Application for registration; forms; fees; contents; renewal of registration; regulations.

  1. An application for registration to engage in business as a medical discount plan must be submitted on a form prescribed by the Commissioner. The form must be signed by an officer or an authorized representative of the applicant. Except as otherwise provided in this section, the application must be accompanied by:  (a) A registration fee of $500 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110.  (b) A copy of the organizational documents of the applicant, if any.  (c) A list of names, addresses, positions of employment and biographical information of each person who is responsible for conducting the business activities of the medical discount plan of the applicant, including, but not limited to, all members of the board of directors, board of trustees, officers and managers. The list must set forth the extent and nature of any contracts or other agreements between any person who is responsible for conducting the business activities of the applicant and the medical discount plan, including disclosure of any possible conflicts of interest.  (d) A complete biographical statement, on a form prescribed by the Commissioner, describing the facilities, employees and services that will be offered by the applicant.  (e) A copy of all forms used for contracts between the applicant and networks of providers of health care regarding the provision of health care or medical services to members.  (f) A copy of the most recent financial statements of the applicant, audited by an independent certified public accountant.  (g) A description of the method of marketing proposed by the applicant.  (h) A description of the procedures for making a complaint to be established and maintained by the applicant.  (i) Any other information required by the Commissioner.  2. Each person who registers a medical discount plan must renew the registration on or before March 1 of each year. Except as otherwise provided in this section, an application to renew the registration must include:  (a) An annual renewal fee of $500 and, in addition to any other fee or charge, all applicable fees required pursuant to NRS 680C.110; and  (b) Any information set forth in subsection 1 that the Commissioner requires to be included in the application.  3. An administrator or insurer that registers a medical discount plan is not required to pay the fees for registering or renewing the registration of the medical discount plan pursuant to this section.  4. The Commissioner shall, by regulation, designate the provisions of subsection 1 that shall be deemed satisfied by an administrator, insurer or affiliate of an insurer that has complied with substantially similar requirements pursuant to other provisions of this title.  (Added to NRS by 2005, 2101; A 2009, 1821; 2011, 3416)
NV Rev Stat § 695H.100 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.100 - Person responsible for conducting business activities of medical discount plan prohibited from engaging in certain acts.

A person who is responsible for conducting the business activities of a medical discount plan may not:  1. Use the word "insurance" or "enrollment" in any advertising or marketing material, brochures or discount cards for the medical discount plan unless approved by the Commissioner;  2. Use in any advertising or marketing material, brochures or discount cards for the medical discount plan the terms "coverage," "copay," "preexisting conditions," "guaranteed issue," "PPO," "preferred provider organization" or any other term that could reasonably mislead a person into believing the medical discount plan is a policy of health insurance;  3. Pay a provider of health care any fee for providing any health care or medical services; or  4. Collect or accept money from a member of the medical discount plan for payment to a provider of health care for specific health care or medical services that the provider has provided or will provide to the member unless the registration for the medical discount plan is held by an administrator or insurer.  (Added to NRS by 2005, 2102)
NV Rev Stat § 695H.105 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.105 - Contracts with dentists.

  1. A medical discount plan that contracts directly with a dentist:  (a) Shall notify the dentist in the contract if the contract may be assigned to a third party;  (b) May assign the contract with the dentist to a third party only if the contract expressly authorizes the medical discount plan to assign the contract; and  (c) Shall maintain a toll-free telephone number for the dentist to obtain information regarding the medical discount plan.  2. A medical discount plan to which a contract with a dentist is assigned shall issue a written notice of inclusion in the medical discount plan to the dentist within 30 days after the assignment of the contract. Such a notice must include:  (a) The approximate number of members in the medical discount plan;  (b) The corporate name of the person offering the medical discount plan;  (c) The location and address of each office for the medical discount plan; and  (d) The telephone number where the dentist may obtain information regarding the medical discount plan.  3. A medical discount plan which fails to provide the notice required by subsection 2 to a dentist may not hold the dentist responsible for performance pursuant to the assigned contract.  (Added to NRS by 2015, 2438)
NV Rev Stat § 695H.110 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.110 - Required disclosures.

  1. The following disclosures must be made in writing to any prospective member of a medical discount plan and must be in clear language and prominently displayed in any advertisements, marketing materials and brochures relating to a medical discount plan:  (a) That the medical discount plan is not a policy of health insurance;  (b) That the medical discount plan provides discounts from providers of health care who provide health care or medical services to members;  (c) That the medical discount plan does not make payments directly to the providers of health care;  (d) That the member will be required to pay for all health care or medical services but will receive a discount from those providers of health care who have contracted with the medical discount plan;  (e) The corporate name of the person offering the medical discount plan and the location and address of each office for the medical discount plan; and  (f) A telephone number where the member may obtain information and answers to questions or complaints.  2. The disclosures required pursuant to this section may be provided orally or electronically if written disclosures are provided not later than the earlier of:  (a) Ten business days after the prospective member elects to accept the medical discount plan; or  (b) The date on which any other written material is provided by the medical discount plan to the member.  (Added to NRS by 2005, 2103)
NV Rev Stat § 695H.120 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.120 - Type size for disclosures.

The disclosures required by this chapter must be printed in type that is not smaller than 12-point type.  (Added to NRS by 2005, 2103)
NV Rev Stat § 695H.130 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.130 - Net worth.

  1. Each medical discount plan must at all times maintain a net worth of $100,000.  2. The Commissioner shall not issue a registration or renewal of a registration for a medical discount plan unless the person registering or renewing the registration certifies that the medical discount plan has a net worth of at least $100,000.  (Added to NRS by 2005, 2103)
NV Rev Stat § 695H.140 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.140 - Examinations; inspection of accounts, books and records by Commissioner.

  1. Except as otherwise provided in this subsection, the Commissioner may conduct examinations to enforce the provisions of this chapter pursuant to the provisions of NRS 679B.230 to 679B.300, inclusive, at such times as the Commissioner deems necessary. For the purposes of this chapter, the Commissioner is not required to comply with the requirement in NRS 679B.230 that insurers be examined not less frequently than every 5 years.  2. A person who is responsible for conducting the business activities of a medical discount plan shall, upon the request of the Commissioner, make available to the Commissioner for inspection any accounts, books and records concerning the medical discount plan which are reasonably necessary to enable the Commissioner to determine whether the medical discount plan is in compliance with the provisions of this chapter.  (Added to NRS by 2005, 2104)
NV Rev Stat § 695H.150 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.150 - Records.

  1. A medical discount plan must maintain records of the transactions governed by this chapter. The records must include:  (a) A copy of each type of contract that the medical discount plan issues, sells or offers for sale;  (b) The name and address of each member of the medical discount plan;  (c) A copy of each contract that the medical discount plan enters into with providers of health care for purposes of providing members with health care or medical services at a discount; and  (d) A copy of the annual certification of net worth and supporting documentation.  2. Except as otherwise provided in this subsection, each medical discount plan must retain all records for at least 7 years. A medical discount plan which intends to discontinue doing business in this State must provide the Commissioner with satisfactory proof that it has discharged its duties to the members in this State and must not destroy its records without the prior approval of the Commissioner.  3. The records required to be maintained pursuant to this section may be stored on a computer disc or other storage device for a computer from which the records may be readily printed.  (Added to NRS by 2005, 2104)
NV Rev Stat § 695H.160 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.160 - Regulations.

The Commissioner may adopt regulations to carry out the provisions of this chapter.  (Added to NRS by 2005, 2105)
NV Rev Stat § 695H.170 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.170 - Administrative penalty for commission of certain acts.

A person is subject to the imposition of an administrative penalty pursuant to this chapter if, in the course of the business of the person, the person:  1. Solicits, markets, advertises, promotes or sells to a person in this State a medical discount plan or a membership in connection with a medical discount plan unless the medical discount plan is registered pursuant to this chapter.  2. Fails to provide any disclosure required pursuant to NRS 695H.110.  3. Fails to make available to an applicant for membership or to a member, through a toll-free telephone number, upon the request of the applicant or member, a complete and accurate list of all participating providers of health care who have contracted with the medical discount plan and who are located in the applicant’s or member’s local area, or within a radius of 50 miles, and a list of the health care or medical services for which the discounts are applicable. The list must be made available, upon the request of the applicant, at the time the applicant purchases a membership and must be updated not less than once every 6 months.  4. Violates subsection 1 or 2 of NRS 695H.100 or otherwise uses advertising or marketing material, brochures or discount cards that are misleading, deceptive or fraudulent.  5. Offers discounted products or services to the applicant or member that are not authorized by a contract with each provider of health care listed in conjunction with the medical discount plan.  6. Fails to allow the applicant or member to cancel the membership in the medical discount plan.  7. If appropriate, fails to refund any required portion of membership fees paid to the medical discount plan by the applicant or member within 30 days after the applicant or member provides timely notification of the cancellation of the membership to the person administering the medical discount plan.  (Added to NRS by 2005, 2103)
NV Rev Stat § 695H.180 (2021)
2021 Nevada Revised Statutes|Chapter 695H - Medical Discount Plans|NRS 695H.180 - Penalties.

A person who violates any provision of this chapter or an order or regulation of the Commissioner issued or adopted pursuant thereto may be assessed an administrative penalty by the Commissioner of not more than $2,000 for each act or violation.  (Added to NRS by 2005, 2104; A 2011, 3416)
NV Rev Stat § 695I.010 (2021)
2021 Nevada Revised Statutes|Chapter 695I - Silver State Health Insurance Exchange|NRS 695I.010 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695I.020 to 695I.110, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 2011, 2644)