Section 695C.205 - Health maintenance organization prohibited from denying coverage solely because applicant or insured was intoxicated or under the influence of controlled substance; exceptions1. Except as otherwise provided in subsection 2, a health maintenance organization shall not:(a) Deny a claim under a health care plan solely because the claim involves an injury sustained by an enrollee as a consequence of being intoxicated or under the influence of a controlled substance.(b) Cancel participation under a health care plan solely because an enrollee has made a claim involving an injury sustained by the enrollee as a consequence of being intoxicated or under the influence of a controlled substance.(c) Refuse participation under a health care plan to an eligible applicant solely because the applicant has made a claim involving an injury sustained by the applicant as a consequence of being intoxicated or under the influence of a controlled substance.2. The provisions of subsection 1 do not prohibit a health maintenance organization from enforcing a provision included in a health care plan to:(a) Deny a claim which involves an injury to which a contributing cause was the insured's commission of or attempt to commit a felony;(b) Cancel participation under a health care plan solely because of such a claim; or(c) Refuse participation under a health care plan to an eligible applicant solely because of such a claim.3. The provisions of this section do not apply to a health maintenance organization under a health care plan that provides coverage for long-term care or disability income.Added to NRS by 2005, 2345; A 2007, 86Added to NRS by 2005, 2345; A 2007, 86