[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6529395,"mediaKeyId","3802101-71520a1af29ff4821ce66285981139fc","parentId",3802101,"title","Senate committee hears bill to require fertility-preservation coverage for some cancer patients","audioSeconds",743,"startMs",57000,"endMs",800000,"viewUrl","/Search/View?dp=1&key=3802101-71520a1af29ff4821ce66285981139fc&start=57&end=800","thumbnailUrl","https://assets.pipeline.soar.com/3802101-71520a1af29ff4821ce66285981139fc/thumbnail_57000.jpg","articleUrl","/articles/6529395/Nevada/Senate-committee-hears-bill-to-require-fertility-preservation-coverage-for-some-cancer-patients","mediaUrl","https://secure.pipeline.soar.com/6529395-0eaa3bf3e5f8e35e62b05d337c9960f4/orig.mp4?Expires=1771023989&Signature=V-Ra49Z7j0BJOhfQQY~LclBFNL46E8CSEB-v-clQa83wSdXeHdFVRg-IpQP6Iv14~pUeN8yd-bh773mf~U71EASjAy1AcTTsmSQzi~gofpoV4pSb9aVH8wpD1U7p~eAYIyhMa9IYs~a4kEMD2r0cYbXS6r8gnaMZ9n-6rAUJ0UZ569mAALz8vkL5ZN1cydjpNXwWhwHpkLWr9zxpE6JZ5sfTDk7qJKR7PmDOpMnm1IFuO6Znx1aC5kVmUnLgi1D~x9DF~MWnCcCocLj60HoXhMsPNPXjviQT7E-pTqFtnw-YneYimlPnCsaOQHty3G8nmeP2fFV6nc3UYFFB0Zn5-A__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada State Legislature","date","2025-06-02T13:40:51.347Z","article","The Nevada Senate Committee on Commerce and Labor on Monday heard Assembly Bill 428, which would require many public and private health plans — including Medicaid and insurance for state and local government employees — to cover medically necessary fertility-preservation procedures for insured people diagnosed with breast or ovarian cancer.

Assemblymember Tanya Flanagan, D-7, who sponsored the bill, told the committee she brought the proposal after her own cancer diagnoses and after speaking with other patients. “I am a three-time breast cancer survivor myself,” Flanagan said. She told the committee an urgent practical problem: patients often face treatment decisions within a short window and may lack coverage to preserve eggs or embryos prior to chemotherapy or radiation.

The bill text presented to the committee states that insurers must cover procedures or services deemed medically necessary to preserve fertility when the insured has been diagnosed with breast or ovarian cancer and the cancer or its expected treatment could directly or indirectly cause infertility. The draft also includes a religious exemption: an insurer affiliated with a religious organization may opt out if it provides written notice that it does not provide the coverage.

Flanagan cited national cost estimates for fertility preservation, saying the National Institutes of Health reports embryo preservation costs of about $10,000 to $15,000, with additional storage fees. She also summarized nationwide uptake: “There are about 18 states and the District of Columbia that have passed legislation” requiring some insurer coverage for fertility preservation in similar circumstances, and she said roughly 268,000 women are diagnosed with invasive breast cancer annually in the U.S., about 12 percent of whom are under age 45 — the sponsor used those figures to estimate the likely Nevada population affected as small but meaningful.

Senators on the committee asked how prescriptive the bill is about benefit design. Sen. Grama noted the bill references guidance from the American Society for Reproductive Medicine and the American Society of Clinical Oncology and asked whether the bill should specify the number of retrievals, the length of storage, or similar limits. Flanagan said the bill is intentionally flexible to allow plans and providers to structure benefits responsibly; she described discussions with the Department of Education (PED) and cost-conscious approaches such as limiting coverage to one opportunity per plan year or two opportunities within a 12-month period as examples committee staff and stakeholders could consider when drafting benefit rules.

A single witness, identified as Leo Penovias from the University of Nevada, Las Vegas, testified in support of AB 428. The committee reported no callers in opposition and no callers in neutral during the hearing. The committee closed the public hearing on AB 428 and noted that a work session on the measure would be held later \"behind the bar\" on the floor.

Supporters said the bill would fill a coverage gap for people who face immediate cancer treatment decisions; senators questioned how benefit limits and storage rules would be implemented and flagged the role of clinical guidelines in shaping coverage details.

A work session on the bill was announced to take place later in the legislative day.","mediaType","Video","parentTitle","6/1/2025 - Senate Committee on Commerce and Labor","oneSentenceSummary","The Nevada Senate Committee on Commerce and Labor on Monday heard Assembly Bill 428, which would require many public and private health plans to cover medically necessary fertility-preservation procedures for insured people diagnosed with breast or ovarian cancer.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":46,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6529390,"Senate committee hears compromise bill to clarify taproom rules and allow limited direct-to-consumer beer shipping",1573,2373000,"/Search/View?dp=1&key=3802101-71520a1af29ff4821ce66285981139fc&start=800&end=2373","https://assets.pipeline.soar.com/3802101-71520a1af29ff4821ce66285981139fc/thumbnail_800000.jpg","/articles/6529390/Nevada/Senate-committee-hears-compromise-bill-to-clarify-taproom-rules-and-allow-limited-direct-to-consumer-beer-shipping","https://secure.pipeline.soar.com/6529390-a683f6fc0604beddd13127ad96502c18/orig.mp4?Expires=1771023989&Signature=Kaj8wh0R2o4moklMnwxABE5aNNHL3eGnESFQjFpfBjA~3Ao5iz7HLmyvEVozclsv9EiNF82rHVi6dqqq3eHbzmaa6BvkeMHoC9-of-jQJVC-JV2WgpDmFGVwLyb1WiEp1KFnDCk2cmv~vJiduwrWL~UhsWCh8G~S80iELWeZIE12QHECXXMLyLQFOASigkvymjgj3kz2ubf1uMGrn7IlkSml4qntHQAvbf7345uRtUOwa8FKibvbmFeOZo-bTWWbfVpcIxFjBxH~auYPdDskJPSoCaemMbK8aA8pWN4zR-eidsZN3lIs5DvXoLjWFWieuiTgKgTL4U5g10cCvc2CrA__&Key-Pair-Id=KUT5TJCACFTXG","The Nevada Senate Committee on Commerce and Labor heard Assembly Bill 404 on Monday, a stakeholder-driven bill sponsored by Assemblymember Howard Watts (D-15) intended to update state law for craft breweries, clarify taproom operations, and permit limited direct-to-consumer shipping of beer outside Nevada.

Watts told the committee the bill codifies common practice around taprooms and allows small producers to open a limited number of additional retail locations to sell the beer they produce at off-site taprooms so long as the product moves through a licensed wholesaler. “What this is clarifying is that, yes, our local small businesses can open a taproom,” Watts said. The bill limits new taproom locations to two; locations that already have more than two would be grandfathered in under the current draft.

The bill also states that taprooms may sell other alcoholic beverages so long as those products are purchased through a wholesaler, and it makes explicit that the Department of Taxation and local licensing authorities retain enforcement power. One provision discussed at length would require electronic funds transfer, credit card, or another non-cash method for wholesalers when delivering alcoholic beverages to retailers; supporters said that provision addresses safety and tax-collection concerns.

Multiple Nevada brewers and industry groups testified in support. Sam DeWitt, state government affairs director for the Brewers Association, described the bill as a compromise that retains the three-tier system (producer, wholesaler, retailer) while providing clarity and growth opportunities: “Nevada has great, and I mean great craft beer … the industry here lags behind all of its neighbors in production,” DeWitt said, urging legislative modernization.

Local brewers highlighted economic opportunities the bill could unlock. Paul Young of Shoe Tree Brewing and Robert Snyder of Las Vegas Big Dog Brewing said direct-to-consumer shipping would create a new revenue stream and help breweries respond to consumer requests from outside Nevada. Wendy Forrest, co-owner of Craft House Brewery and former president of the Nevada Craft Brewers Association, told the committee Nevada produces only 2 percent of the beer sold in-state and ranks 40th nationally in beer production per capita while Clark County ranks among the top three nationally for alcohol consumption per capita.

Wholesalers and beverage-distribution interests testified as neutral. Alex Canito of Womble Bond Dickinson spoke for Southern Glazer Wine & Spirits and the Nevada Beer Wholesalers Association as neutral, calling the measure a hard-fought compromise. Brett Scolari of Breakthru Beverage described moving enthusiastically to neutral after stakeholder negotiations and noted the wholesalers’ workforce that would be affected by redistribution of routes and volumes.

Committee members asked procedural questions about the producer-to-taproom flow and tax collection; Watts and witnesses reiterated that the three-tier transaction would continue — producer sells to wholesaler, wholesaler sells to retailer, and the retailer sells at the taproom — and that tax collection would remain tied to those steps. The committee closed public testimony and said a \"behind the bar\" work session would be held later on the Senate floor to consider amendments and move the bill forward.

Supporters said AB 404 would help small, Nevada-based producers compete with out-of-state producers, promote Nevada-made products, and create jobs; wholesalers emphasized enforcement, tax compliance, and driver-safety concerns and took a neutral stance after negotiations produced compromise language.","Assembly Bill 404 seeks to modernize Nevada craft-beverage rules by clarifying taproom sales, preserving the three-tier distribution loop, requiring electronic payment for wholesaler deliveries and restoring limited direct-to-consumer shipping; broad support from breweries and neutral positions from wholesalers were recorded.","actionData","errors"]

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Senate committee hears bill to require fertility-preservation coverage for some cancer patients

Senate committee hears compromise bill to clarify taproom rules and allow limited direct-to-consumer beer shipping