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Missouri and Nevada: health record laws compared
Missouri and Nevada, side by side on the seven questions, with the laws read October 3, 2026. They give different answers on health data outside HIPAA, getting a copy, health information exchange, breach notice and AI in care, and the same answer on everything else.
The seven questions, side by side
"Differs" marks a question where the answers are not the same; "same" marks one where they are. "Can't compare" means at least one answer was not checked; a not-checked answer is not a no. Where a question has a map, the small square shows the color each column has on it. Each citation opens that state's page, with the law quoted, dated and linked. There is no total and no rank: the questions are on different scales, and some have no best answer.
| Question | Missouri | Nevada |
|---|---|---|
| Health data outside HIPAADo apps and wearables need your OK before sharing health data?differs | No law foundWe searched the official code and found none.How we searched | Opt-in, written OK to sellYes. A consumer health data law requires your OK before a business collects or shares health data, and your signed permission before it sells it.NRS 603A.500 (2023 Nev. Stat. ch. 525, SB 370); NRS 603A.535 (2023 Nev. Stat. ch. 525, SB 370) |
| Getting a copyDo you get a copy faster or free in some cases?differs | NeitherNo. A law is in force, but it adds nothing to HIPAA's terms.RSMo 191.227 | Free copy in some casesIn one way: a free copy in at least one case.NRS 629.061(5); NRS 629.061(4) |
| Health information exchangeCan you say no to sharing through a health information exchange (a network that passes records between doctors)?differs | No general choiceNo general choice. Sharing through the exchange follows HIPAA's rules, and no state rule or exchange policy offers a general choice.RSMo 191.237.2 | Opt-inOpt-in. Your records go through the exchange only after you agree.NRS 439.591(1) (as amended by 2025 Nev. Stat. ch. 514, SB 494, sec. 160); NRS 439.597(2) (as amended by 2011 Nev. Stat. ch. 313, SB 43) |
| Are some sensitive records, like mental health or HIV, given extra rules? These answers record whether a rule exists and what it says. They say nothing about whether any care is legal or available. | ||
| Reproductive health recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.RSMo 188.070 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.NRS 232.0088 (2023 Nev. Stat. ch. 82, SB 131) |
| Mental health recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.RSMo 630.140 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.NRS 433A.360 (as amended by 2021 Nev. Stat. ch. 481, SB 70) |
| HIV recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.RSMo 191.656 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.NRS 441A.220 (as amended by 2025 Nev. Stat. ch. 514, SB 494, sec. 205) |
| Genetic recordssame | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.RSMo 375.1309 | Has a ruleYes. A law in force has a specific rule on keeping these records confidential or on who may see them.NRS 629.171 (as amended by 2023 Nev. Stat. ch. 386, SB 283) |
| Right to sueCan you sue if your records are misused?same | Narrow case onlyOnly in a narrow case, such as a data breach or one kind of record. The laws below say which.RSMo 191.656(6); RSMo 407.1500(4) | Narrow case onlyOnly in a narrow case, such as a data breach or one kind of record. The laws below say which.NRS 629.201 (1997 Nev. Stat. ch. 412, AB 549); NRS 603A.550(2)(a) |
| Breach noticeMust you be told if health data leaks in a breach?differs | Medical and insurance dataYes. The breach notice law covers both medical information and health insurance information.RSMo 407.1500(1)(6), (1)(9)(e); RSMo 407.1500(1)(5), (1)(9)(f) | One of the twoPartly. The breach notice law covers one of the two: medical information or health insurance information.NRS 603A.040(1)(d) (as amended by 2015 Nev. Stat. ch. 55, AB 179); NRS 603A.220 (as amended by 2023 Nev. Stat. ch. 527, SB 355, sec. 17) |
| AI in careAre there rules for AI used in your care?differs | No law foundWe searched the official code and found none.How we searched | 1 of 3 rulesOne of the three rules is in force. A licensed clinician decides, not AI alone.NRS 629.610(4) (2025 Nev. Stat., AB 406, sec. 8); NRS 433.567 (2025 Nev. Stat., AB 406, sec. 7) |
Not legal advice. This records what each law said on the date we read it. Laws and court orders change. State laws add to the federal floor. The United States score in the world index rates only federal law and national systems, so these state profiles do not change it.
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Health Record Rights Index by SuperTruth. Research tool, not legal advice. Text CC BY 4.0.