Limited Time Offer. Become a Founder Member Now!

Health Maintenance Organizations mandated to cover BRCA gene testing and counseling

April 24, 2025 | House Bills - Introduced, House Bills, 2025 House and Senate Bills, Nevada Legislation Bills, Nevada


This article was created by AI summarizing key points discussed. AI makes mistakes, so for full details and context, please refer to the video of the full meeting. Please report any errors so we can fix them. Report an error »

Health Maintenance Organizations mandated to cover BRCA gene testing and counseling
Nevada's Assembly Bill 522, introduced on April 24, 2025, aims to enhance healthcare access and protections for enrollees in health maintenance organizations (HMOs). The bill seeks to eliminate barriers that could prevent individuals from receiving essential health benefits, particularly in relation to genetic testing and counseling for BRCA gene mutations.

Key provisions of AB522 prohibit HMOs from imposing higher deductibles, copayments, or longer waiting periods for benefits related to genetic screening and counseling. Additionally, the bill forbids HMOs from refusing coverage or canceling plans based solely on an individual's use of these benefits. It also restricts financial incentives that could discourage enrollees from seeking necessary care or penalize healthcare providers for offering these services.

The introduction of AB522 has sparked notable discussions among lawmakers and healthcare advocates. Proponents argue that the bill addresses critical gaps in healthcare access, particularly for women at risk of hereditary cancers. They emphasize the importance of early detection and preventive measures, which can significantly reduce healthcare costs in the long run. However, some opponents express concerns about the potential financial implications for HMOs, fearing that the mandated coverage could lead to increased premiums for all enrollees.

The bill's implications extend beyond individual health outcomes; it reflects a growing recognition of the need for comprehensive genetic healthcare in Nevada. Experts suggest that if passed, AB522 could set a precedent for similar legislation in other states, potentially reshaping how genetic testing is integrated into standard healthcare practices.

As the legislative session progresses, stakeholders are closely monitoring AB522's journey through the Nevada State Legislature. The outcome could significantly impact healthcare accessibility and affordability for many residents, particularly those at risk for genetic conditions.

View Bill

This article is based on a bill currently being presented in the state government—explore the full text of the bill for a deeper understanding and compare it to the constitution

View Bill