NV AB463

Reduces the required response time for prior authorization requests from 20 days to 2 business days, with a maximum of 7 calendar days if nationally recognized operating rules allow additional time.

Prohibits insurers from requiring prior authorization for preventive care services graded "A" or "B" by the U.S. Preventive Services Task Force, preventive care for women, pediatric hospice care, neonatal abstinence syndrome treatment, and blood glucose test strips for diabetics.

Prohibits private insurers (excluding Medicaid/CHIP) from requiring prior authorization for outpatient substance use disorder treatment services.

Establishes that if an insurer violates prior authorization requirements, the request is automatically deemed approved.

Applies to private health insurers, Medicaid managed care entities, the Children's Health Insurance Program, nonprofit hospital and medical/dental service corporations, and self-insured employer plans, with provisions taking effect January 1, 2026.