Assembly Bill 522, introduced in the Nevada State Legislature on April 24, 2025, aims to enhance healthcare coverage for pregnant women and older adults by mandating specific screenings and counseling services. This legislation seeks to address critical health issues, particularly those affecting maternal and women's health, and aims to ensure equitable access to necessary medical care.

The bill outlines several key provisions, including mandatory screenings for the rhesus D antigen in pregnant women, behavioral counseling for tobacco cessation, and diabetes screening for postpartum women with a history of gestational diabetes. Additionally, it requires counseling on maintaining a healthy weight for women aged 40 to 60 with a higher body mass index, as well as osteoporosis screenings for women aged 65 and older or those at risk of fractures.

One of the significant aspects of AB522 is its protective measures for insured individuals. The bill prohibits health insurance providers from imposing higher deductibles, copayments, or waiting periods for the mandated benefits. It also prevents insurers from denying coverage based on the use of these benefits or penalizing healthcare providers who offer them. This approach aims to eliminate barriers to accessing essential health services, particularly for vulnerable populations.

The introduction of AB522 has sparked discussions among lawmakers and healthcare advocates. Supporters argue that the bill is a crucial step toward improving maternal health outcomes and addressing the needs of older women, who often face unique health challenges. Critics, however, have raised concerns about the potential financial implications for insurance providers and the healthcare system as a whole, fearing that increased mandates could lead to higher premiums for all insured individuals.

The implications of this bill extend beyond healthcare access; they touch on broader social and economic issues. By improving health outcomes for pregnant women and older adults, AB522 could lead to reduced healthcare costs in the long run, as preventive care often mitigates the need for more expensive treatments later. Furthermore, ensuring that women receive adequate support during and after pregnancy can contribute to healthier families and communities.

As the legislative process unfolds, AB522 stands as a pivotal piece of legislation that reflects Nevada's commitment to enhancing healthcare access and addressing the specific needs of its residents. The bill's progress will be closely monitored, as its outcomes could significantly impact the health and well-being of many Nevadans.