In a significant move aimed at enhancing patient rights and access to healthcare, the Nevada State Legislature has introduced Assembly Bill 202 on April 21, 2025. This bill seeks to reform the external review process for health care services, particularly focusing on situations where standard treatments have proven ineffective or inappropriate for patients.

The primary purpose of Assembly Bill 202 is to establish clearer guidelines for patients seeking external reviews of denied health care services. Under the proposed legislation, patients can request an external review if their treating physician or dentist certifies that a recommended treatment is likely to be more beneficial than any standard options available. This provision aims to empower healthcare providers and patients alike, ensuring that individuals receive the most effective care tailored to their specific needs.

Key provisions of the bill include requirements for health carriers to notify patients within one business day after a preliminary review of their request. This notification must clarify whether the request is complete, eligible for external review, or if additional information is needed. Furthermore, the bill mandates that patients exhaust the internal grievance process of their health carrier before seeking an external review, although exceptions are noted.

The introduction of Assembly Bill 202 has sparked notable discussions among lawmakers, healthcare professionals, and patient advocacy groups. Proponents argue that the bill addresses critical gaps in patient care, particularly for those with complex medical conditions who may not respond to standard treatments. They emphasize that the bill could lead to better health outcomes and increased patient satisfaction.

However, some opposition has emerged, primarily from health insurance providers concerned about the potential increase in costs associated with expanded treatment options. Critics argue that the bill could lead to a surge in requests for external reviews, potentially straining resources and increasing premiums for consumers.

The implications of Assembly Bill 202 extend beyond immediate healthcare access. Economically, the bill could influence healthcare costs and insurance premiums, while socially, it may enhance patient autonomy in treatment decisions. Politically, the bill reflects a growing trend towards patient-centered care in legislative agendas across the country.

As the Nevada State Legislature continues to deliberate on Assembly Bill 202, its potential to reshape the healthcare landscape remains a focal point of discussion. Stakeholders are closely monitoring the bill's progress, anticipating amendments and further debates that could refine its provisions. The outcome of this legislation could set a precedent for similar reforms in other states, highlighting the ongoing evolution of healthcare policy in response to patient needs.