NV AB349

Maximum reimbursement rates for in-network facilities serving Public Employees' Benefits Program patients capped at the lesser of: billed charges, 2024 contract rates, or 175% of Medicare rates; out-of-network facilities capped at 160% of Medicare rates

Applies to hospitals (excluding critical access hospitals), independent emergency medical care centers, and ambulatory surgical centers; local governments may opt in to the rate caps by notifying the Division of Health Care Financing and Policy

Division of Health Care Financing and Policy may increase rate caps with Interim Finance Committee approval if facilities experience financial hardship due to decreased Medicaid reimbursement rates

Hospitals required to comply with federal price transparency regulations (45 C.F.R. §§ 180.40-180.60) and submit current pricing lists to the Department by February 1 annually

Violations subject to civil penalties, license suspension or revocation, injunctive relief by the Division or Attorney General, and private lawsuits for damages and attorney's fees; effective January 1, 2026