Nevada program
Medical-debt rules
Nevada medical-debt rules give families billing and collection protections.
What it is
Nevada medical-debt rules give families billing and collection protections.
A collection letter and a hospital bill can involve different protections. The financial counselor can check the account, notices and assistance options. A complaint does not automatically cancel a debt or stop a court deadline.
Eligibility rules
- NRS 649.366–649.375 governs medical-debt collection agencies. Hospital-specific billing and price-transparency remedies need a separate review of the account and service dates.
- The hospital and appropriate regulator confirm any itemized-bill, collection-hold or cancellation remedy for your account. A complaint alone does not establish that a debt is canceled.
What you get
- A check of the collection notice and any improper fees.
- Advance notice from a collection agency.
- A complaint route for covered violations.
What the help includes
- The collection agency must provide the required 60-day notice and cannot report the debt during that period. The 5% ceiling applies to collection or attorney fees, not interest.
- For a nonprofit hospital covered by federal section 501(r), a timely complete financial-assistance application suspends extraordinary collection actions while the hospital decides it. This does not promise a general appeal-stage hold or suspend a court-response deadline.
If you decide to apply
- Ask hospital billing for an itemized statement and an assistance review if you want the bill checked.
- Bring bills and collection letters to the social worker to identify the right complaint office.
Hospital billing; Nevada Commissioner of Financial Institutions for collection-agency complaints · Official page ↗
After you ask
- The Commissioner of Financial Institutions handles collection-agency compliance complaints. A hospital-specific complaint may belong with another office. The social worker can identify the regulator and discuss an account hold with billing.
Good to know
The 5% limit concerns collection or attorney fees. It is not an interest-rate cap.
Other details
- A conditional hospital collection pause does not remove a court-response deadline.
Official sources
- Assembly Bill 343 (2025), medical debt
- NRS Chapter 428, Indigent Persons
- Official guidance for Medical-debt credit reporting, interest and assistance holds (reviewed September 21, 2026)
- Official guidance for Medical-debt credit reporting, interest and assistance holds (reviewed September 21, 2026)
- Official guidance for Medical-debt credit reporting, interest and assistance holds (reviewed September 21, 2026)
“Could you help check whether these bills and collection letters follow Nevada’s rules? What could a complaint change, and how does it fit with financial assistance?”
Why I’m asking: I want to know what I actually owe and what protections apply to the collection process.
More background and detailed requirements
Additional program information and published rules
Who does what
The three parts, side by side. The agency decides; nobody on this page does.
You
Ask for the itemised statement in writing and keep every letter.
Your social worker
The hospital financial counsellor can put the account on hold while assistance is checked.
The care team
Records and letters when the application asks for them.
- Who decides
- The Bureau of Consumer Protection investigates and decides complaints.
- Ask the billing office
- “Please send the itemised statement with billing codes before any collection action, and hold the account while financial assistance is checked.”
How to apply
First step: Write to the billing office asking for the itemised statement with billing codes, and keep every letter.
- Ask in writing for the itemised statement with billing codes.
- Keep the collection letters; the agency must give 60 days notice.
- If the hospital is chasing the debt, complain to the Bureau of Consumer Protection.
Official application / program page ↗
Where it starts: Ask for the itemised statement in writing first, then file a complaint with the Bureau of Consumer Protection.
What to gather
The diagnosis letter, the child’s insurance card, and the last two pay stubs cover most applications. The official page lists the rest.
How long: A collection agency must give 60 days notice before acting.
What a yes looks like
An itemised statement, and a hold while the complaint is looked at.
What a no looks like, and the next move
Collection carrying on regardless. File with the Bureau of Consumer Protection, which can order cancellation and refunds.
Watch out
- The collection pause depends on the hospital failing its transparency duties; it is not a blanket ban.
- The 5% cap is on the collection or attorney fee, not on interest.
The numbers and the rules
The arcane layer, kept on purpose. Checked September 11, 2026.
What it is worth
Collection paused while a hospital is failing its price-transparency duties, 60 days notice from an agency, and a 5% fee cap.
- $60 — Days of advance notice a collection agency must give
- $5 — Cap on a collection or attorney fee
Legal protection: No collection action while the hospital's price-transparency duties are unmet · An itemised statement, with billing codes, before collection of debt incurred from January 1, 2026 · The Bureau of Consumer Protection can order the debt cancelled and amounts refunded
What it costs the family: None.
The eligibility facts, as published
- Debt
- medical debt; the collection pause reaches debt incurred before, on or after January 1, 2026
- Itemisation
- applies to debt incurred on or after January 1, 2026
The trap: The collection pause depends on the hospital failing its price-transparency duties, and the Bureau of Consumer Protection is the body that investigates and decides. It is not a blanket ban on collecting medical debt.
Where I read this
- Assembly Bill 343 (2025), medical debt — Nevada Legislature, read September 10, 2026
- NRS Chapter 428, Indigent Persons — Nevada Legislature, read September 10, 2026
