mprehensive health care services. 4. The health maintenance organization is financially responsible and may reasonably be expected to meet its obligations to enrollees and prospective enrollees. In making this determination, the Commissioner may consider: (a) The financial soundness of the health care plan’s arrangements for health care services and the schedule of charges used in connection therewith; (b) The adequacy of working capital; (c) Any agreement with an insurer, a government, or any other organization for insuring the payment of the cost of health care services; (d) Any agreement with providers for the provision of health care services; and (e) Any surety bond or deposit of cash or securities submitted in accordance with NRS 695C.270 as a guarantee that the obligations will be duly performed. 5. The enrollees will be afforded an opportunity to participate in matters of program content pursuant to NRS 695C.110. 6. Nothing in the proposed method of operation, as shown by the information submitted pursuant to NRS 695C.060, 695C.070 and 695C.140, or by independent investigation is contrary to the public interest. (Added to NRS by 1973, 1249; A 1987, 469; 1993, 2400) NRS 695C.100 Certificate of authority: Denial. A certificate of authority shall be denied only after compliance with the requirements of NRS 695C.340. (Added to NRS by 1973, 1250) NRS 695C.110 Governing body: Composition; participation by enrollees. 1. The governing body of any health maintenance organization may include providers, other individuals or both. 2. Such governing body shall establish a mechanism to afford the enrollees an opportunity to participate in matters of program content through the establishment of advisory panels, by the use of advisory referenda on major policy decisions or through the use of other mechanisms. In addition there shall be a provider advisory board to advise the health plan in the matter of quality of care. There shall be a joint board of consumers and providers to advise on consumer satisfaction. (Added to NRS by 1973, 1250) NRS 695C.120 Powers of organization. The powers of a health maintenance organization include, but are not limited to, the following: 1. The purchase, lease, construction, renovation, operation or maintenance of hospitals, medical facilities, or both, and their ancillary equipment, and such property as may reasonably be required for its principal office or for such other purposes as may be necessary in the transaction of the business of the organization; 2. The making of loans to a medical group under contract with it in furtherance of its program or the making of loans to a corporation under its control for the purpose of acquiring or constructing medical facilities and hospitals or in furtherance of a program providing health care services to enrollees; 3. The furnishing of health care service through providers which are under contract with or employed by the health maintenance organization; 4. The contracting with any person for the performance on its behalf of certain functions such as marketing, enrollment and administration; and 5. The contracting with an insurance company licensed in this state or authorized to do business in this state for the provision of such insurance, indemnity, or reimbursement against the cost of health care services provided by the health maintenance organization. (Added to NRS by 1973, 1250; A 1995, 2166; 1999, 1834) NRS 695C.123 Contracts with certain federally qualified health centers. 1. Except as otherwise provided in NRS 422.273, a health maintenance organization that furnishes health care services through providers which are under contract with the organization shall use its best efforts to contract with at least one health center in each geographic area served by the organization to provide such services to enrollees if the health center: (a) Meets all conditions imposed by the organization on similarly situated providers of health care that are under contract with the organization, including, without limitation: (1) Certification for participation in the Medicaid or Medicare program; and (2) Requirements relating to the appropriate credentials for providers of health care; and (b) Agrees to reasonable reimbursement rates that are generally consistent with those offered by the organization to similarly situated providers of health care that are under contract with the organization. 2. As used in this section, “health center” has the meaning ascribed to it in 42 U.S.C. § 254b. (Added to NRS by 2001, 1924) NRS 695C.125 Contract between health maintenance organization and provider of health care: Form to obtain information on provider of health care; modification; provision of schedule of fees. 1. A health maintenance organization shall not contract with a provider of health care to provide health care to an insured unless the health maintenance organization uses the form prescribed by the Commissioner pursuant to NRS 629.095 to obtain any information related to the credentials of the provider of health care. 2. A contract between a health maintenance organization and a provider of health care may be modified: (a) At any time pursuant to a written agreement executed by both parties. (b) Except as otherwise provided in this paragraph, by the health maintenance organization upon giving to the provider 30 days’ written notice of the modification. If the provider fails to object in writing to the modification within the 30-day period, the modification becomes effective at the end of that period. If the provider objects in writing to the modification within the 30-day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a). 3. If a health maintenance organization contracts with a provider of health care to provide health care to an enrollee, the health maintenance organization shall: (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care; or (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments specified in paragraph (a) within 7 days after receiving the request. 4. As used in this section, “provider of health care” means a provider of health care who is licensed pursuant to chapter 630, 631, 632 or 633 of NRS. (Added to NRS by 1999, 1651; A 2001, 2735; 2003, 3367) NRS 695C.128 Contracts to provide services pursuant to certain state programs: Payment of interest on claims. Any contract or other agreement entered into or renewed by a health maintenance organization on or after October 1, 2001: 1. To provide health care services through managed care to recipients of Medicaid under the state plan for Medicaid; or 2. With the Division of Health Care Financing and Policy of the Department of Health and Human Services to provide insurance pursuant to the Children’s Health Insurance Program, must require the health maintenance organization to pay interest to a provider of health care services on a claim that is not paid within the time provided in the contract or agreement at a rate of interest equal to the prime rate at the largest bank in Nevada, as ascertained by the Commissioner of Financial Institutions, on January 1 or July 1, as the case may be, immediately preceding the date on which the payment was due, plus 6 percent. The interest must be calculated from 30 days after the date on which the claim is approved until the date on which the claim is paid. (Added to NRS by 2001, 2734) NRS 695C.130 Notice and approval required for exercise of powers; rules or regulations.

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