Assembly Bill 202, introduced by Assemblymember Brown-May on February 3, 2025, aims to enhance the regulatory framework surrounding dental care claims in Nevada. The bill, currently under review by the Committee on Commerce and Labor, seeks to revise definitions related to health care services and establish clearer guidelines for managed care organizations regarding coverage authorizations.

Key provisions of the bill include the expansion of requirements for insurers that provide dental coverage, mandating them to implement procedures for resolving complaints from insured individuals. This includes allowing dentists to request an external review of adverse determinations made by health carriers, thereby giving dental professionals a more significant role in the appeals process. The bill also stipulates that independent review organizations must inform both the dentist and the health carrier of their findings and the rationale behind their decisions.

The introduction of AB 202 has sparked discussions among stakeholders in the dental and insurance industries. Proponents argue that the bill will improve patient access to necessary dental services and enhance accountability among insurers. Critics, however, express concerns about potential increases in administrative burdens for insurance companies and the possibility of higher premiums for consumers.

Economically, the bill is expected to have a fiscal impact on the state, although it is noted that there will be no effect on local governments. The implications of AB 202 could lead to improved patient outcomes in dental care, but the long-term effects on insurance costs and provider practices remain to be seen.

As the bill progresses through the legislative process, its potential to reshape the landscape of dental insurance in Nevada will be closely monitored by both advocates and opponents. The next steps will involve further discussions in committee, where amendments may be proposed before it moves to a vote in the Assembly.