Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers

If an all-payer claims database is established pursuant to NRS 439B.835: 1. Except as otherwise provided in this section, each health carrier, governing body of a local governmental agency that provides health insurance through a self-insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to NRS 439B.875 to submit data to the database and the Public Employees’ Benefits Program shall submit to the all-payer claims database the data prescribed by the Office pursuant to NRS 439B.875 in the format prescribed by the Office pursuant to that section. The provisions of this subsection do not apply to: (a) An issuer of insurance that only provides limited-scope dental or vision benefits or coverage that is only for a specified disease or illness, with respect to such coverage; (b) An issuer of a Medicare supplemental policy, with respect to such a policy; or (c) Any health carrier or other entity that provides health coverage to a total of less than 1,000 residents of this State. 2. A provider of health coverage for federal employees, a provider of health coverage that is subject to the Employee Retirement Income Security Act of 1974 or the administrator of a Taft-Hartley trust formed pursuant to 29 U.S.C. § 186(c)(5) are not required but may submit to the all-payer claims database the data prescribed by the Office pursuant to NRS 439B.875. 3. Before submitting data to the all-payer claims database pursuant to subsection 1 or 2, an entity described in either of those subsections shall: (a) Remove all direct patient identifiers from the data; and (b) Assign a unique identifier to all data concerning a specific patient. 4. As used in this section: (a) “Health carrier” means an entity subject to the insurance laws and regulations of this State, or subject to the jurisdiction of the Commissioner of Insurance, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including, without limitation, a sickness and accident health insurance company, a health maintenance organization, a nonprofit hospital and health service corporation or any other entity providing a plan of health insurance, health benefits or health care services. (b) “Medicare supplemental policy” has the meaning ascribed to it in 42 C.F.R. § 403.205 and additionally includes policies offered by public entities that otherwise meet the requirements of that section.