NV AB295

Reduces prior authorization response deadlines from 20 days to 5 days for non-urgent care and 48 hours for urgent care, applying to private insurers, Medicaid, and the Children's Health Insurance Program

Prohibits insurers from using artificial intelligence or automated decision tools to deny, reduce, or terminate coverage unless the decision is independently reviewed by a board-certified physician or dentist with relevant expertise

Requires insurers using AI for prior authorization to notify insureds in writing about the AI system, how it works, and what data it uses to generate decisions

Mandates annual reporting by insurers and the Department of Health and Human Services on prior authorization statistics, including approval rates, denial rates, appeals, and reversal rates, to be published online by April 1 each year

Establishes civil penalties equal to 5% of quarterly gross income for insurers that violate prior authorization timelines or reporting requirements, with funds deposited into the Fund for Hospital Care to Indigent Persons