Assembly Bill 522, introduced in the Nevada State Legislature on April 24, 2025, aims to enhance health care coverage for various demographics, particularly focusing on preventive care and protections against discrimination in health insurance practices. The bill, which has undergone amendments and is currently under review by the Committee on Health and Human Services, seeks to align state law with existing federal mandates while expanding coverage provisions.

One of the key provisions of Assembly Bill 522 is the requirement for health insurers to allow covered adult children to remain on their parents' health insurance plans until they reach the age of 26. This provision mirrors federal law and aims to provide continued access to health care for young adults during a critical transitional period in their lives. Additionally, the bill mandates that insurers cover preventive health care services for children, pregnant individuals, women, and adults without imposing higher costs, such as deductibles or copayments. This includes essential screenings for colorectal cancer and comprehensive maternity and newborn care.

The bill also addresses discriminatory practices within the health care system by prohibiting insurers and health care providers from engaging in actions that could disadvantage certain groups. This aspect of the legislation is particularly significant in the context of ongoing discussions about equity in health care access and treatment.

While the bill has garnered support for its comprehensive approach to health care coverage, it has not been without controversy. Some lawmakers have raised concerns about the potential fiscal impact on local governments, as the bill contains unfunded mandates that may require additional resources for implementation. Critics argue that without adequate funding, the bill could strain local health care systems and budgets.

The implications of Assembly Bill 522 are substantial, as it seeks to improve health outcomes for vulnerable populations while addressing systemic inequities in health care access. Experts suggest that by expanding coverage and eliminating discriminatory practices, the bill could lead to better health outcomes and reduced long-term costs for the state. However, the financial concerns raised by opponents highlight the need for careful consideration of funding mechanisms to support these initiatives.

As the legislative process continues, stakeholders will be closely monitoring the discussions surrounding Assembly Bill 522. The outcome could set a precedent for future health care legislation in Nevada, influencing how health care is accessed and delivered across the state. The next steps will involve further debates and potential amendments as lawmakers work to balance the goals of improved health care access with fiscal responsibility.