The Nevada Division of Insurance (NVDOI) is inviting public feedback on proposed revisions to the state's essential health benefits (EHB) plan. The EHB plan sets the standard for healthcare services required in individual and small group health insurance plans in Nevada. Since 2017, the Health Plan of Nevada's HPN Solutions HMO Platinum small group plan has served as the benchmark.
The Centers for Medicare and Medicaid Services (CMS) have provided states with three options to redefine their EHB benchmark plans:
1. Select another state’s entire EHB benchmark.
2. Replace a category of benefits in the current benchmark with the same category from another state's EHB plan.
3. Choose a set of benefits to become Nevada’s new EHB plan.
States that opt for changes must conduct an actuarial analysis, seek public comments on proposed modifications, and apply to CMS for approval, as mandated by federal law.
Nevada is considering updating its EHB benchmark under Option 3 to incorporate legislatively mandated changes in the insurance market. The NVDOI seeks input on potential coverage revisions such as adding all FDA-approved drugs for treating opioid use disorder, human immunodeficiency virus, and hepatitis B and C.
Public comments can be submitted through NVDOI’s website or sent directly to the Commissioner of Insurance via mail, fax, or email by April 12, 2024, at 5:00 p.m.