MedicaidAdministrativeHigh impact
H.R.1 Section 71113: Prohibited Entities
Nevada Medicaid·NV · OB-GYN, Family Medicine·Provider Announcement
Effective date
Sep 11, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid implements H.R.1 Section 71113 which prohibits federal payments to certain family planning entities that provide abortions (except in cases of rape, incest, or maternal life endangerment) and received over $800,000 in Medicaid payments in 2023. Affected providers must hold claims for services rendered on/after September 11, 2025, except for medically necessary abortions.
Action Required
Immediately: Family planning clinics (PT 17-166) and gynecology providers (PT 20-117) must determine if they meet the 'prohibited entity' definition based on their October 1, 2025 status. Prohibited entities that had preliminary injunction relief must hold and not submit claims for services rendered September 11, 2025 or later (except medically necessary abortions). Prohibited entities without injunction relief must hold claims for services July 4, 2025 or later (except medically necessary abortions). Prepare for potential annual attestation requirements and claim recoupments if payments were made improperly.