[{"_1":2,"_112":-5,"_113":-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",[32,76,88,100],{"_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",6613127,"mediaKeyId","2877901-58867c42eff099df703b08c67e0696f5","parentId",2877901,"title","Senate committee hears bill to limit sole use of AI for prior authorization, add stem‑cell consent rules","audioSeconds",1709,"startMs",1118000,"endMs",2827000,"viewUrl","/Search/View?dp=1&key=2877901-58867c42eff099df703b08c67e0696f5&start=1118&end=2827","thumbnailUrl","https://assets.pipeline.soar.com/2877901-58867c42eff099df703b08c67e0696f5/thumbnail_1118000.jpg","articleUrl","/articles/6613127/Nevada/Senate-committee-hears-bill-to-limit-sole-use-of-AI-for-prior-authorization-add-stemcell-consent-rules","mediaUrl","https://secure.pipeline.soar.com/6613127-db03c203c49da7fcbddf71c7c2742cd4/orig.mp4?Expires=1771143065&Signature=AsLYA9DrgivWUA-2Tq0ZsiyTps3BOqz060urPvhrZN-M1wIwR0abpoimgMX2djK0~M3PYmFgj-~uwKhsF3FNnsi4HVO8KWCrI1pkUN2bPdsH7SvUIxcEWLjZ2AtBJeMYGNfZKydGu48cNltqn-DO0HdwNK~9uUtJnnDm00YwP35N3LNL6effWh54JNBrc-4AsTP9S8cvQ9vMnx0zYX0hoQ7usLKALLx-mVX4d~tMavNqqG4xKBRgRAy4jAZVDjAsqvSKBq2vY3g0i~1sL8lBU2DdPjDOSGzhfXm0-IEiS8XP6jeRbS922gVym~mUDzydH1qLsevvgVgF57NKKfJ8kw__&Key-Pair-Id=KUT5TJCACFTXG","author","Nevada State Legislature","date","2025-04-04T17:42:05.533Z","article","The Nevada Senate Commerce and Labor Committee on March 28 heard testimony on Senate Bill 128, a bill that would restrict the use of artificial intelligence in insurer prior‑authorization decisions and require clinicians to provide specific informed‑consent information to patients considered for stem‑cell therapies.

The measure’s sponsor, Senator Roberta Lang, said the bill addresses two separate concerns: protecting patients from automated denials of medically necessary care and ensuring patients receive accurate, up‑to‑date information about stem‑cell treatment and donation options. “The rule requires decisions to be reviewed by a physician or other appropriate health care professionals,” Lang said while summarizing federal guidance and state policy options.

Supporters, including labor and nursing representatives, told the committee automated denials are already affecting patients. Kent Ervin of the Nevada Faculty Alliance said he hears frequent complaints about prior‑authorization denials and the difficulty of appeal. Renee Ruiz of National Nurses United told the committee the nurses’ group “very much appreciates” the proposal and supports the bill.

Opponents raised technical concerns about definitions and possible gaps that could allow insurers to continue using algorithms to make adverse determinations. Lisonbee Brazier of the Nevada Justice Association said the association has “a very light opposition to this bill as currently written,” noting that existing statute already requires certain adverse determinations be made by physicians and asking that SB 128’s language be reconciled with NRS 695.015 and related provisions.

The Nevada Division of Insurance testified neutral. Adam Plain said the division’s February bulletin on insurer use of AI (bulletin 24‑001) aligns with the bill’s goals and that the division sees no conflict between that guidance and the measure as drafted.

On the bill’s stem‑cell provisions, National Conference of State Legislatures (NCSL) presenters described state trends requiring patient notification when unapproved regenerative medicine is used and summarized donation routes — peripheral blood stem cell collection, bone marrow donation and umbilical cord donation — that lawmakers may wish to consider when drafting informed‑consent language.

No formal committee vote was taken; the hearing concluded with the sponsor and staff saying they would continue discussions with interested stakeholders about definition and drafting concerns.","mediaType","Video","parentTitle","4/4/2025 - Senate Committee on Commerce and Labor","oneSentenceSummary","The Nevada Senate Commerce and Labor Committee on March 28 heard testimony on Senate Bill 128, a bill that would restrict the use of artificial intelligence in insurer prior‑authorization decisions and require clinicians to provide specific informed‑consent information to patients considered for stem‑cell therapies.","taxTitle","2025 Legislature NV, Nevada","taxId",78440,"location","Nevada","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613112,"Senate committee hears omnibus environment bill addressing plastics, PFAS, cutting boards and heat mitigation",3417,6034000,9451000,"/Search/View?dp=1&key=2877901-58867c42eff099df703b08c67e0696f5&start=6034&end=9451","https://assets.pipeline.soar.com/2877901-58867c42eff099df703b08c67e0696f5/thumbnail_6034000.jpg","/articles/6613112/Nevada/Senate-committee-hears-omnibus-environment-bill-addressing-plastics-PFAS-cutting-boards-and-heat-mitigation","https://secure.pipeline.soar.com/6613112-6052eb8905097bab771893e6fc14228e/orig.mp4?Expires=1771143065&Signature=ZPCGpe~G2QDY8mYO5gSxq1cwNF1fTOQngWgMlIZ7McqVb5X6NBKBhM37WJkp77NwuyJMGwGl9Klqpf5-mHRcO~SWcQIL3Sq8jf~kUX5rved26Dh1m71OC9Dy7VkiVsmHSpzQArwkLD2NgBJhOhNNQPFjYsijH71p-2snyzAz03e0CuE5IsEzL77FJZR2wsySMpJARB15eqlh9q5HV-JpAuUqVt9~vc6j4cHgV4kgy7ht8WeJMk7EPmjqgVGGG6oY8-a10ODZa7Dl7odz1NrgVy3gMplCSModizEsCKFpCRWWu-xoXupuop9YYj8zHMQtcl5rCaiK~OrEwi4MiV28zw__&Key-Pair-Id=KUT5TJCACFTXG","The Nevada Senate Commerce and Labor Committee on March 28 heard Senate Bill 173, an omnibus bill addressing microplastics, PFAS (“forever chemicals”), synthetic hair and formaldehyde in hair‑smoothing products, a proposed ban on plastic cutting boards in commercial kitchens, and local heat‑mitigation provisions for redevelopment districts.

Sponsor Senator Carrie‑Ann Neal (presenting remotely) said the bill’s aims include reducing microplastic exposure in food and the environment, limiting PFAS in consumer products such as cookware and nonstick coatings, prohibiting formaldehyde in hair‑smoothing products, and setting programs to mitigate urban heat‑island effects. Neal said sections 5–26 address PFAS and explained the measures attempt to “manage and regulate the products that are harmful to human beings in the state of Nevada.” She also introduced a provision to require testing or limits on braiding‑hair products and said she would incorporate a conceptual amendment for that purpose.

Desert Research Institute Associate Research Professor Monica Arienzo summarized research the committee relied upon: plastics are ubiquitous, food‑container litter is common in Lake Tahoe, and microplastics (particles the size of bacteria or smaller) have been detected in the Truckee River, Las Vegas Wash and Lake Mead. “Everywhere we have looked for them, we have found them,” she told the committee.

Medical‑student and consumer‑health advocate Joshua Corsandi urged banning plastic cutting boards in commercial kitchens and a two‑year phased transition to wooden, bamboo, stainless steel or glass alternatives. He cited recent studies showing routine use of plastic cutting boards can release millions of microplastic particles per square centimeter and argued microplastics have appeared in human tissues and are associated in some studies with reproductive and other health harms.

Supporters — environmental justice and conservation organizations, water authorities and public‑health groups — urged passage and noted Nevada’s rapid warming cities and vulnerabilities to heat‑related mortality.

Industry groups, however, opposed parts of the bill. The American Chemistry Council, the beverage industry and trade groups objected to a proposed ban on PET and HDPE beverage bottles (section 4) and warned of supply, cost and emergency‑response implications; the International Bottled Water Association cited bottled water’s role in disaster response. Manufacturers and trade associations argued the bill’s PFAS misdemeanor penalty language (section 26) and the short effective date would impose impractical compliance burdens. The Water Fairness Coalition and local governments raised concerns that state grants and conversion to artificial turf — a grantee activity — were not addressed despite turf’s potential to contain targeted chemicals and to increase heat.

Senator Neal said she plans to remove the beverage‑bottle ban from the bill and defended the redevelopment‑district tree‑planting provision as a modest 1 percent set‑aside of tax‑increment revenue, intended to fund proven heat‑mitigation activities and coordinated data tracking. She closed the hearing with supporters and opponents agreeing to continue negotiations on specific sections; no committee vote was recorded at the hearing.","Senate Bill 173, an omnibus measure addressing microplastics, PFAS, formaldehyde in hair products, plastic cutting boards and urban heat mitigation, was heard March 28 by the Nevada Senate Commerce and Labor Committee.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613117,"Amendment to Senate Bill 97 would add tribal health administrator seat to Nevada’s insurance exchange board",956,5098000,6054000,"/Search/View?dp=1&key=2877901-58867c42eff099df703b08c67e0696f5&start=5098&end=6054","https://assets.pipeline.soar.com/2877901-58867c42eff099df703b08c67e0696f5/thumbnail_5098000.jpg","/articles/6613117/Nevada/Amendment-to-Senate-Bill-97-would-add-tribal-health-administrator-seat-to-Nevadas-insurance-exchange-board","https://secure.pipeline.soar.com/6613117-423f98b2c61566c6834206ff6edb6466/orig.mp4?Expires=1771143065&Signature=hBNDjk4i~9xObBJnhULMbrcgrdDBEuo73Ue3eLbCeZnfQOs94NmZas6H~~Cc12mW3qNx92MF6kYbwTWHs4DGyDECsEfzf0NM~WZDGULsezX0G9ppppXKsSIRt8q8XL~9ZKnyNu17KwqZWX2CVjjLjOfILEH0psaooCmEBoVgRQYbrXRoObD03mo7MyPPm2ZVwmQdwJgpKQQXEr-baAfihzRbOL8GDuMMfbil15QsZmaazSi83HLuUQaujfxRP0b1JWN3SrnWOUt2TjjQYv1kqQtYmE-T65YCPgKVq5uPrciHoCtx1iUq9xehfC5L20gNNnAGmfpmgJIPVMRJ8KYNdA__&Key-Pair-Id=KUT5TJCACFTXG","Committee members on March 28 considered an amendment to Senate Bill 97 that would change the composition of the Silver State Health Insurance Exchange board to require one gubernatorial appointment be a member of a Nevada tribe with experience in tribal health‑care administration.

Brett Scolari, representing the Reno‑Sparks Indian Colony, described the amendment as a focused change to NRS that would add tribal expertise to the Exchange board. Angie Wilson, executive director of the Reno‑Sparks Tribal Health Center, told the committee that tribal health care is governed by a complex federal framework — including the Indian Health Care Improvement Act and special Affordable Care Act provisions for American Indians and Alaska Natives — and that tribal sponsorship of premiums and continuous enrollment privileges make tribal input valuable to Exchange decisions.

Wilson said tribes have worked with Nevada Health Link and the Exchange staff to develop tribal enrollment procedures, but that formal board representation would reduce future friction and help coordinate sponsors, aggregate billing and referrals. “The Indian health service delivery system is complex,” she said. “When the exchange came up…and the Affordable Care Act has been enacted for over a decade now, it should not have taken a decade for tribes to be able to get to the point where we can do tribal sponsorship.”

Supporters included the National Nurses United, a Panhandle‑based nonprofit, and local tribal representatives. No callers or witnesses testified in opposition at the hearing; no formal committee vote was recorded.","An amendment to Senate Bill 97 would require one of the governor’s five appointments to the Silver State Health Insurance Exchange board be a member of a Nevada tribe with tribal‑health administrative experience. Tribal leaders and health directors said inclusion would help tribal navigation of the exchange and tribal sponsorship of premiums.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6613122,"Committee hears modernization bill for state‑chartered credit unions; bankers push amendment to bar bank purchases",2098,2863000,4961000,"/Search/View?dp=1&key=2877901-58867c42eff099df703b08c67e0696f5&start=2863&end=4961","https://assets.pipeline.soar.com/2877901-58867c42eff099df703b08c67e0696f5/thumbnail_2863000.jpg","/articles/6613122/Nevada/Committee-hears-modernization-bill-for-statechartered-credit-unions-bankers-push-amendment-to-bar-bank-purchases","https://secure.pipeline.soar.com/6613122-2b4cd7f6beae8fbb042374e4e366b04d/orig.mp4?Expires=1771143065&Signature=NdmxCJdY4x3wwDxGYCe9OKEOBkZNquhteDWLGMbgwX7UKYWN7Y9Q74O5zqieplL23oOdoPYe-SHADH0TNtx11k-IJG5~Av6U4NQHRON20Ya6aMvTahGicF0oM7mkwksW3unqVy5or7VOUL2WGe9ZON966bduLZ0LpMDqKGFyEH5ptnmtdrGPXMaihcSEN1j5uZ-4eUKT-9mql96xhE118FAgLOMPb7E0Z9cxoZt8NP06DQLTwfhPe6Tyztfwu87aHCZv1zKWSZXtgAGN96Zi6OqbKf3AYrKcFZ1-tali1aYWMLrDS4rCKfAuUebPJaToT9lxjf-Ds5p8jim~rjbSng__&Key-Pair-Id=KUT5TJCACFTXG","The Nevada Senate Commerce and Labor Committee on March 28 heard Senate Bill 375, a state‑charter modernization bill for credit unions that would update board meeting rules, ease branch and membership approval processes, and align certain reserve and investment provisions with federal standards.

Vice Chair Julie Pizzina presented the bill, saying Nevada law had not kept pace with modern operations and that state‑chartered credit unions need regulatory flexibility to serve members. Robert Wilson, senior vice president for state government affairs at Nevada’s Credit Unions, summarized key provisions: confirmation of virtual board meetings, flexibility in board meeting frequency, streamlined branch approvals and delegation of membership approvals to staff, and lowering the par‑value requirement for membership from $5 to $1.

Proponents said the changes would allow credit unions to reach unbanked and underbanked populations, improve governance for volunteer directors, and provide a mechanism for temporary regulatory relief during emergencies. Brian Reeder and other presenters said they drafted the bill in consultation with the Financial Institutions Division (FID).

Opponents, principally the Nevada Bankers Association, raised a separate policy concern: an amendment proposed by bankers would explicitly prohibit a credit union from purchasing a bank. Phyllis Gurgevich, president and CEO of the Nevada Bankers Association, said credit‑union purchases of community banks have occurred nationally and that those deals can remove taxable institutions and the protections of the Community Reinvestment Act (CRA). She urged the committee to adopt a narrowly tailored amendment to prevent bank acquisitions by credit unions.

Credit‑union advocates said acquisitions are not contemplated in the bill, would face regulatory scrutiny and hurdles, and are not made easier by the modernization measure. Robert Wilson and Brian Reeder said the amendment introduced by bankers addresses a separate policy area that they believe should be addressed in distinct legislation. Legal staff explained that a drafting provision related to emergency orders was intended as a narrow mechanism to allow the commissioner to act more quickly in declared emergencies.

Several local credit‑union board members and officials testified in support; no final committee vote was recorded at the hearing.","Senate Bill 375 would modernize Nevada’s state credit‑union statute — updating virtual‑meeting rules, branch and membership processes, and reserve standards. Credit unions and regulators backed the measure; banking groups pressed an amendment to bar credit unions from acquiring community banks.","actionData","errors"]

Article not found

Senate committee hears bill to limit sole use of AI for prior authorization, add stem‑cell consent rules

Senate committee hears omnibus environment bill addressing plastics, PFAS, cutting boards and heat mitigation

Amendment to Senate Bill 97 would add tribal health administrator seat to Nevada’s insurance exchange board

Committee hears modernization bill for state‑chartered credit unions; bankers push amendment to bar bank purchases