NAC439B.330. Determination of reasonableness of arrangement for payment; hospital to provide written notice of terms of arrangement and respective rights and obligations to patient; adjustment of monthly payments.

     1. Except as otherwise provided in subsection 2, to be deemed reasonable, the arrangement for payment required pursuant to paragraph (c) of subsection 1 of NRS 439B.260 must include at least a monthly payment which is the greater of:

     (a) Twenty-five dollars; or

     (b) Five percent of the monthly gross income of the patient’s household, exclusive of income which is not paid in cash, or 25 percent of the monthly gross income of the patient’s household which exceeds 200 percent of the federal poverty level, whichever is less.

     2. An arrangement for payment which is different than the arrangement set forth in subsection 1 will be deemed reasonable if it is mutually agreed upon by the hospital and the patient.

     3. At the time an arrangement for payment is made, the hospital shall provide written notice to the patient disclosing the terms of the arrangement and the respective rights and obligations of the patient and the hospital. The notice must provide a space for the patient’s signature. The hospital shall require the patient to sign in the provided space as acknowledgment that he understands and agrees to the arrangement for payment. If the hospital is not able to obtain the signature of the patient, it must maintain a record of its good faith effort to obtain his signature.

     4. A major hospital may review the financial situation of a patient and adjust his monthly payments not more than one time per year.

     (Added to NAC by Dep’t of Human Resources, eff. 8-1-94)