NV AB290

Reduces prior authorization response times from 20 days to 7 days for non-urgent care and 48 hours for urgent care, applying to health insurers, Medicaid, and CHIP programs

Prohibits insurers from requiring prior authorization for covered emergency services and bars denial of coverage for medically necessary emergency care

Requires insurers using AI or automated decision tools for prior authorization to disclose this practice publicly and mandates independent physician/dentist review before any adverse determination or coverage modification

Extends validity of approved prior authorizations to 12 months for chronic/long-term conditions and 6 months for other care, and requires new insurers to honor prior approvals from previous insurers for 90 days

Mandates annual public reporting of prior authorization data including approval rates, denial reasons, and processing times, with the Commissioner of Insurance compiling biennial reports to the Legislature