Vice Chair Assemblymember Bacchus presented AB463, which addresses prior‑authorization requirements across public and private payers. Bacchus told the committee the bill had been revised repeatedly with stakeholder input and circulated a late amendment (03:45 PM) that she said cut many of the original provisions while aligning some language with SB495 (the governor's healthcare bill).

Stacy Weeks of Nevada Medicaid testified that, based on the current intent of the amendment, "we do believe that we can remove our fiscal note and absorb any, costs that might be minimal to the division." Multiple employers and local governments (Clark County, Washoe County, City of Henderson) confirmed their fiscal notes were removed after the sponsor agreed to delete section 30 so the measure would not apply to self‑funded local plans. Industry groups including AHIP, Delta Dental and the Nevada Association of Health Plans said they moved from opposition to neutral after continued negotiations and revisions. Professional Firefighters, the Nevada State Medical Association and other stakeholders supported the revised bill, citing patient access improvements for items such as diabetes test strips and substance‑use disorder medications.

The sponsor asked for follow‑up with Nevada Public Employees' Benefits (PEB) to confirm their position; the hearing ended with the sponsor noting continued work with stakeholders and no committee vote recorded.