On April 24, 2025, the Nevada State Legislature introduced Assembly Bill 522, a significant piece of legislation aimed at enhancing healthcare coverage for women, particularly in relation to maternity care and reproductive health. The bill seeks to amend existing statutes to ensure that managed care organizations provide comprehensive support for women acting as gestational carriers and to expand coverage for essential health services.

One of the key provisions of AB 522 prohibits managed care organizations from denying or limiting maternity care coverage based on the insured's role as a gestational carrier. This provision aims to clarify that children born through gestational carriers are considered children of the intended parents for healthcare purposes, thereby ensuring that families utilizing this reproductive option receive necessary medical support without facing discrimination.

Additionally, the bill mandates that health care plans include coverage for a range of services critical to women's health. These services encompass counseling and supplies for breastfeeding, annual screening and counseling for interpersonal and domestic violence, behavioral counseling for sexually transmitted diseases, hormone replacement therapy, and prenatal screenings as recommended by the American College of Obstetricians and Gynecologists.

The introduction of AB 522 has sparked discussions among lawmakers and advocacy groups. Proponents argue that the bill addresses significant gaps in healthcare coverage for women, particularly those who are pregnant or considering gestational surrogacy. They emphasize the importance of comprehensive support during the antenatal, perinatal, and postpartum periods, which can have lasting impacts on maternal and child health.

Opposition to the bill has emerged from some sectors concerned about the potential financial implications for managed care organizations. Critics argue that expanding coverage could lead to increased premiums for consumers. However, supporters counter that the long-term benefits of improved maternal health outcomes and reduced healthcare costs associated with complications outweigh these concerns.

As AB 522 progresses through the legislative process, its implications could resonate beyond Nevada, potentially influencing similar legislative efforts in other states. Experts suggest that if passed, the bill could set a precedent for enhanced reproductive health rights and access to care, reflecting a growing recognition of the importance of comprehensive healthcare for women.

The bill is currently under review, with further discussions anticipated in the coming weeks. Stakeholders are closely monitoring its developments, as the outcome could significantly shape the landscape of women's health care in Nevada and beyond.