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June 16, 2025

Nevada Enacts Formulary and Changes for Provider Panels

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Nevada Senate Bill 317 – which introduces major changes to the state’s workers’ compensation system – has been signed into law by Governor Joe Lombardo.

Originally aimed at expanding provider choice, the bill now mandates a closed drug formulary, strengthens oversight of provider panels, and eases in-state office requirements for insurers and third-party administrators (TPAs).

The bill requires the Division of Industrial Relations (DIR) to adopt the ODG Drug Formulary by January 1, 2027. Coverage for non-formulary drugs is allowed through January 1, 2028.

As for provider panels, insurers must verify providers are accepting patients, update treating provider list within 60 days of changes, and submit updates annually. TPAs may file on behalf of multiple insurers.

Furthermore, insurers and TPAs can meet the in-state office requirement by designating a legal representative with an office in Nevada.

The implementation of a workers’ comp formulary in Nevada will allow for greater cost containment while also promoting evidence-based care.

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