1. 1. The Board of the Exchange is hereby created within the Division. The Board consists of seven voting members and one ex officio nonvoting member.

2. 2. Subject to the provisions of subsections 3 to 6, inclusive:

   1. (a) The Governor shall appoint two voting members of the Board, one of whom is a member of an Indian tribe which is located in this State who has expertise in health care administration for an Indian tribe;
   2. (b) The Senate Majority Leader shall appoint one voting member of the Board;
   3. (c) The Speaker of the Assembly shall appoint one voting member of the Board;
   4. (d) The Administrator of the Medicaid Division of the Authority or his or her designee shall serve as a voting member;
   5. (e) The Director of the Department of Human Services or his or her designee shall serve as a voting member; and
   6. (f) The Commissioner of Insurance or his or her designee shall serve as a voting member.

3. 3. Each appointed or designated voting member of the Board must have:

   1. (a) Expertise in the sale or marketing of individual or small employer health insurance;
   2. (b) Expertise in health care administration, health care financing, health information technology or health insurance;
   3. (c) Expertise in the administration of health care delivery systems;
   4. (d) Experience as a consumer who would benefit from services provided by the Exchange; or
   5. (e) Experience as a consumer advocate, including, without limitation, experience in consumer outreach and education for those who would benefit from services provided by the Exchange.

4. 4. When making an appointment pursuant to subsection 2, the Governor, the Majority Leader and the Speaker of the Assembly shall consider the collective expertise and experience of the voting members of the Board and shall attempt to make each appointment so that:

   1. (a) The areas of expertise and experience described in subsection 3 are collectively represented by the voting members of the Board; and
   2. (b) The voting members of the Board represent a range and diversity of skills, knowledge, experience and geographic and stakeholder perspectives.
5. 5. When making an appointment pursuant to subsection 2, the Governor, the Majority Leader and the Speaker of the Assembly shall, as vacancies on the Board occur, ensure that not more than two voting members of the Board represent any particular area of expertise or experience described in paragraph (a), (b), (c), (d) or (e) of subsection 3. The voting member who is a member of an Indian tribe described in paragraph (a) of subsection 2 does not represent an area of expertise or experience described in paragraph (a), (b), (c), (d) or (e) of subsection 3 for the purposes of this section.
6. 6. A voting member of the Board may not be a Legislator or hold any elective office in State Government.
7. 7. The Director of the Office of Finance or his or her designee shall serve as a nonvoting member of the Board to assist the voting members of the Board by providing advice and expertise.
8. 8. As used in this section, “Indian tribe” means a federally recognized American Indian tribe pursuant to 25 C.F.R. §§ 83.1 to 83.12, inclusive.

(Added to NRS by 2011, 2646; A 2015, 555; 2025, 427, 3769)