Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
StateNevadaIntroduced
AB 428: Requires certain health plans to include coverage for fertility preservation services. (BDR 57-915)
Tanya Flanagan
AB 428 status: Introduced — Chapter 473 (updated Jun 11, 2025).
Source
OpenStates
Confidence
Low
Analysis basis
OpenStates summary
01
What this bill does
Official summary alongside an AI-generated read on where it stands and why.
Overall Score
73OUT OF 100
Score:73/100 civic fit
Risk:Low Risk
Impact:Moderate Impact 60/100
Constitutionality100%
Bipartisan70%
Public opinion80%
Bill summary
What changes
Health insurance providers are now required to provide coverage for fertility preservation services, such as egg or sperm freezing.
Who is affected
Nevada health insurance policyholders and insurance carriers operating within the state.
Requirements and enforcement
Insurers must include specified fertility preservation services within their coverage plans.
Costs and funding
Direct costs to insurance companies for covered procedures; potential indirect costs to policyholders through premium adjustments.
When it takes effect
The bill is enacted as Chapter 473.
Potential benefits
Increased accessibility to fertility preservation, reduced financial barriers to family planning, and better support for those with medical conditions impacting fertility.
Risks and tradeoffs
Potential for premium increases and ambiguity regarding the scope or caps of the mandated coverage.
What is still unknown
Specifics on which exact types of plans are excluded, the full definition of covered services, and the impact on insurance premiums.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
60%
Benefits
- Reduces high out-of-pocket costs for families
- Stimulates demand for fertility preservation services
- Standardizes coverage requirements across plans
Risks
- Potential increase in insurance premiums
- Increased compliance costs for insurance providers
- Administrative burden of updating policy documents
Society
Positive outlook
80%
Benefits
- Expands access to family planning options
- Enhances reproductive autonomy for individuals
- Mitigates financial stress for patients
Risks
- Access limited to those with qualifying insurance
- Potential for disparate coverage levels across plans
- Dependent on definitions of medical necessity
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Civic Accountability
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Public Health & Safety
Positive outlook
80%
Benefits
- Increases availability of fertility preservation
- Supports patients with cancer-related fertility loss
- Standardizes access to reproductive medical care
Risks
- Access dependent on specific plan coverage
- Potential for clinical waitlist growth
- Uncertainty in provider network availability
03
How trustworthy & consequential it is
Sourcing already shown above, this is what the analysis found worth flagging.
Source
OpenStates
Official bill text or data from OpenStates.
Confidence
Low
Information is limited or incomplete.
Analysis basis
OpenStates summary
Source used for this bill's analysis.
Source note
LegiScan returned a PDF-only document. PDF extraction is not enabled in this build, so the pipeline used a safer fallback.
Analysis scope
Source provided is limited to an OpenStates summary.
04
Where it stands
Official record- IntroducedCurrent
- CommitteeUpcoming
- Chamber votesUpcoming
- Final agreementUpcoming
- GovernorUpcoming
- EnactedUpcoming
05
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06
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