The Nevada Division of Insurance is seeking public input on potential changes to the state's essential health benefits (EHB) plan. The EHB benchmark plan determines the healthcare services that individual and small group health insurance plans must cover in Nevada. Since 2017, the benchmark has been the Health Plan of Nevada's HPN Solutions HMO Platinum small group plan.
In 2020, the Centers for Medicare and Medicaid Services (CMS) provided states with three options for defining their EHB benchmark plan: selecting another state's entire EHB benchmark, replacing a category of benefits with those from another state’s plan, or creating a new set of benefits for Nevada. Nevada is considering Option 3 to better reflect changes in the insurance market.
Proposed revisions include adding all FDA-approved drugs for treating opioid use disorder, HIV, and hepatitis B and C. "Ensuring that Nevada’s essential health benefits align with the evolving needs of consumers is a top priority," said Insurance Commissioner Scott Kipper. "Public participation in this process is crucial, and we encourage all stakeholders to share their insights so we can make informed decisions that promote access to necessary healthcare services."
Public comments have historically been significant in refining health benefit requirements in Nevada. The Division encourages consumers, healthcare providers, insurers, and other stakeholders to participate in shaping the future of Nevada's health insurance landscape.
To facilitate feedback, the Division will host public meetings both in-person and virtually on Wednesday, February 26. These sessions will allow stakeholders to engage with officials and discuss key issues related to insurance.
Meeting locations are at 3300 W. Sahara Ave., Suite 275 in Las Vegas and 1818 E. College Pkwy., Suite 103 in Carson City. Virtual participation details are available through Webex or by phone.
Comments can be submitted online via the Division's website or sent directly by mail, fax, or email to Adam Plain at aplain@doi.nv.gov by March 19 at 5 p.m.
The mission of the Nevada Division of Insurance includes protecting consumer rights within the insurance industry while ensuring insurer solvency.