Bill > SB118

This bill revises Medicaid requirements to expand and standardize coverage for services provided by pharmacists. Specifically, the bill requires the Nevada Department of Health and Human Services to include coverage for pharmacist services that are within the pharmacist's authorized scope of practice and are already covered when performed by other healthcare providers. The bill mandates that Medicaid reimburse pharmacists at the same rate as physicians, physician assistants, or advanced practice registered nurses for similar services, and prohibits limiting the number of covered pharmacist service occasions. Additionally, the bill prevents Medicaid and managed care organizations from requiring prior authorization for pharmacist services if such authorization is not required when the same service is provided by another healthcare provider. The legislation aims to remove existing barriers and ensure pharmacists are treated equivalently to other healthcare providers in Medicaid coverage, with the new provisions set to take effect on January 1, 2026. This change could potentially improve healthcare access and efficiency by allowing patients to receive certain services directly from pharmacists without additional administrative hurdles.

Budget and Finance, Health and Social Services

https://www.leg.state.nv.us/App/NELIS/REL/83rd2025/Bill/12031/Overview