SB 5 — Makes revisions relating to health care. (BDR 40-32)

Sec.

The Director of the Authority shall deposit such gifts, grants and donationsdonSec. into the Account.

Sec.

and (b) Compile a report of the results of the assessment and submit the report to the Governor and the Director of the - *SB5_R1* – 5 – Legislative Counsel Bureau for transmittal to the Joint Interim Standing Committee on Health and Human Services and the next regular session of the Legislature.

(1) A determination of the total number of providers of health care in this State and the total number of providers of - 36th Special Session (2025) – 5 – different specialties within those professions;t professions and (2) A determination of the total number of providers of health care who practice in different geographic areas of this State and the total number of providers of health care who practice different professions and different specialties within those professions;geographic areas;

(2) A determination of the total number of providers of health care who practice in different geographic areas of this State and the total number of providers of health care who practice different professions and different specialties within those geographic areas;

(1) Essential health care professions and specialties and essential clinical services or expertise currently experiencing shortages;shorta(2) Geographic areas of this State that are experiencing the most critical shortages of providers of health care or clinical services or expertise;

and (2) Geographic areas of this State that are experiencing the most critical shortages of providers of health care or clinical services or expertise;

and (2) A description of shortages of providers of health care and the shortages of clinical services or expertise by geographic region,reg(b) includingA ruralprioritized list of recommendations for allocating funding pursuant to sections 2 to 18, inclusive, of this act in a manner that addresses the critical shortages and urbanunmet areas;needs identified in the assessment conducted pursuant to paragraph (a) of subsection 1;

(b) A prioritized list of recommendations for allocating funding pursuant to sections 2 to 18, inclusive, of this act in a - *SB5_R1* – 6 – manner that addresses the critical shortages and unmet needs identified in the assessment conducted pursuant to paragraph (a) of subsection 1;

and (d)- An36th analysisSpecial ofSession the(2025) effects– of6 projects– funded pursuant to sections 2 to 18, inclusive, of this act on the health care workforce and health needs of this State.

The Authority shall, in accordance with sections 2 to 18, inclusive, of this act, establish and administer the Statewide Health Care Access and Recruitment Grant Program as a competitive program to award grants of money from the Account to entities described in subsection 2 seeking to address shortages of providers of health care or clinical services or expertise and difficulties in accessing health care identified in the assessment conducted pursuant to section 9 of this act.

(4) Accredited institutions of higher education that offer programs to train providers of health care, including, withoutwithouter limitation, residency and fellowship programs for providers of health care;

- *SB5_R1* – 7 – (6) Facilities for the treatment of alcohol or other substance use disorders, as defined in NRS 449.00455;

- 36th Special Session (2025) – 7 – (8) Substance use disorder prevention coalitions certified pursuant to NRS 458.033;

(I) Offer programs for transplantation and cellular therapy;

(I) Offer programs for transplantation and cellular (II) Provide or facilitate the provision of clinical trials;

(d)of Exceptthe forOne projectsBig proposedBeautiful byBill entitiesAct describedof in2025, sectionPublic 71113Law No.ction 119-21, secure from the Federal Government or any other source, or receive from the Federal Government or any other source a commitment to provide, an amount of matching funds and in-kind contributions for which the Onetotal Bigvalue Beautifulis Billat Actleast equal to the amount of 2025,the Publicgrant Lawfor No.which the applicant is applying.

119-21, secure from the Federal Government or any other source, or receive from the Federal Government or any other source a commitment to provide, an amount of matching funds and in-kind contributions for which the total value is at least equal to the amount of the grant for which the applicant is applying.

- *SB5_R1* – 8 – (3) The provision of free health care;

(4)- Charitable36th contributionsSpecial afterSession the(2025) completion– of8 the– project;

andandharitable contributions after the completion of the (5) Unfunded research.

not be used to supplant money previously budgeted for a proposed project.

2.and sources of funding for the proposed project and the manner inosts which that funding will be used to pay those projected costs.

A detailed budget that clearly sets forth the projected costs and sources of funding for the proposed project and the manner in which that funding will be used to pay those projected costs.

If applicable, evidence of approval or commitment from the persons and entities that will provide the matching funds or in- kind contributions described in paragraph (d) of subsection 3 of - 36th Special Session (2025) – 9 – section 10 of this act or otherwise contribute to or collaborate on the project.

- *SB5_R1* – 9 – (a) A demonstrated ability to produce measurable, long-term improvements in rates of survival, quality of life and thetheterm experience of patients;

Any additional information required by regulation of the AuthorityAut(a) for:Assessing the feasibility, impact and sustainability of projects and the alignment of projects with the objectives set forth in subsection 3 of section 10 of this act;

(a) Assessing the feasibility, impact and sustainability of projects and the alignment of projects with the objectives set forth in subsection 3 of section 10 of this act;

(c)- Give36th tertiarySpecial Session (2025) – 10 – will be located in:y priority for recommendation to projects that will(1) beAreas locateddesignated in:by the Health Resources and Services Administration of the United States Department of Health and Human Services as having a shortage of providers of health care, including, without limitation:

(1)(I) Areas designated byas themedically Healthunderserved Resourcesareas andor Serviceshealth Administrationprofessional of the United States Department of Health and Human Services as having a shortage ofareas providerswith ofhigh healthscores; care, including, without limitation:

- *SB5_R1* – 10 – (I) Areas designated as medically underserved areas or health professional shortage areas with high scores;

(d) Give quaternary priority for recommendation to projects that demonstrate a commitment to ensuring that at least 10 percent of patients who receive care through the project are recipients of Medicaid;

3.Money awa3.edThe Authority shall consider the following criteria when.

The Authority shall consider the following criteria when reviewing applications pursuant to subsection 1:

(b) The potential of the proposed project to produce measurable, long-term improvements in rates of survival, quality of life and the experience of patients, including, without limitation,- by36th Special Session (2025) – 11 – populations;by causing high levels of improvement for underserved populations;(c) The potential of the proposed project to create lasting improvement in accessibility to health care and the availability of providers of health care in the community affected by the proposed project, including, without limitation, by meeting specific metrics for improvements to access to health care, health care outcomes and the capacity of the health care workforce;

(c)(d) The potentialextent of the proposed projectinvestment to create lasting improvement in accessibility to health care and theestablishment availability of providerscapital ofinfrastructure healthto careaddress incertified theareas communityof affectedneed byover the proposedlong project,term including,and withoutsupport limitation,sustainable by meeting specific metrics for improvements to access to health care, healthincluding, carewithout outcomeslimitation: and the capacity of the health care workforce;

(d) The extent of the proposed investment in and establishment of capital infrastructure to address certified areas of need over the - *SB5_R1* – 11 – long term and support sustainable access to health care, including, without limitation:

(3) The expansion of capabilities for delivering services through precision medicine, early-phase clinical trials and telehealth;

andon medicine, early-phase clinical trials and (4) The development of facilities for residencies or other training of providers of health care;

(g) The qualifications and organizational capacity of the applicant to effectively implement and sustain the proposed project, including, without limitation, a demonstrated ability to manage similar projects, meet projections concerning outcomes and maintain compliance with the requirements of sections 2 to 18, inclusive, of this act and any regulations adopted pursuant thereto;

- 36th Special Session (2025) – 12 – Sec.

After reviewing applications pursuant to section 12 of this act, the Authority shall submit to the Interim Finance Committee recommendations for the awarding of grants from the Account for the approval of the Committee.

2.the Authority:king recommendations pursuant to subsection 1, (a) Shall ensure that all applicants for grants from the Account meet the requirements of section 10 of this act;

When making recommendations pursuant to subsection 1, the Authority:

(a) Shall ensure that all applicants for grants from the Account meet the requirements of section 10 of this act;

and - *SB5_R1* – 12 – (d) May not recommend awarding a total amount of money during any funding period that exceeds the amount available in the Account for that funding period.

and (b) The schedule of disbursements and specific conditions that willwilSec. be included in the applicable funding agreement.

Sec.

1.1.ed iNot later than 30 days after the Interim Finance Committee approves a grantee to receive funding pursuant to section 13 of this act, the Authority shall enter into a funding agreement with the grantee.

Not later than 30 days after the Interim Finance Committee approves a grantee to receive funding pursuant to section 13 of this act, the Authority shall enter into a funding agreement with the grantee.

- 36th Special Session (2025) – 13 – (b) Require the grantee to submit documentation that the grantee has achieved the milestones, goals and indicators of performance prescribed in the agreement pursuant to paragraph (a) before money may be disbursed, including, without limitation:

(1)allocations Financialof reportsany detailingmatching funds;ing expenditures of money and allocations(2) Operational progress reports that demonstrate measurable achievements in recruiting providers of anyhealth matchingcare, funds;improving health care infrastructure or expanding the availability of health care or clinical services;

(2) Operational progress reports that demonstrate measurable achievements in recruiting providers of health care, improving health care infrastructure or expanding the availability of health care or clinical services;

(c) Require the grantee to submit to the Authority an annual report that includes, without limitation, details regarding the - *SB5_R1* – 13 – financial status of the project, efforts to recruit providers of health care and the impact of the project;

(a) Held in escrow by an independent third party before the disbursement of money from the Account;

third party before the (b) Secured through an irrevocable trust, letter of credit or surety bond;

- 36th Special Session (2025) – 14 – (2) Governance documents;

and (4) Documentation of cost basis or fair market value, as appropriate;app(c) Periodic reports concerning the valuation of in-kind contributions that are aligned with the disbursement schedule established pursuant to paragraph (a) of subsection 2;

(c) Periodic reports concerning the valuation of in-kind contributions that are aligned with the disbursement schedule established pursuant to paragraph (a) of subsection 2;

Upon receiving such notification, the Authority may, to ensure that - *SB5_R1* – 14 – money from the Account is used efficiently and effectively in a manner that complies with section 10 of this act, adjust the terms of the funding agreement, including, without limitation, the terms for disbursement and the amount of funding, or suspend or terminate the funding agreement.

and (b)3.) SubmitUpon receiving notice pursuant to subsection 2 of the Authorityearly atermination revisedor planinactivity forof a project, the project.Authority may:

3.

Upon receiving notice pursuant to subsection 2 of the early termination or inactivity of a project, the Authority may:

or (f)- Take36th anySpecial combinationSession of(2025) the– actions15 described– in paragraphs (a) to (e), inclusive.inclusive.e actions described in 4.

4.

2.pursuant to sections 2 to 18, inclusive, of this act to ensure that the grantee is using the money awarded pursuant to sections 2 to 18, inclusive, of this act in an effective and efficient manner that accords with state and federal law and the applicable funding agreement.

The Office of Finance may audit any project funded pursuant to sections 2 to 18, inclusive, of this act to ensure that the - *SB5_R1* – 15 – grantee is using the money awarded pursuant to sections 2 to 18, inclusive, of this act in an effective and efficient manner that accords with state and federal law and the applicable funding agreement.

(b)days;) Require the grantee to take corrective action within 60 days;(c) Require the grantee to repay money that was previously disbursed to the grantee;

(c) Require the grantee to repay money that was previously disbursed to the grantee;

(e) Take such other measures as are necessary to ensure compliance with the provisions of sections 2 to 18, inclusive, of - 36th Special Session (2025) – 16 – this act, the regulations adopted pursuant thereto, other state and federal law and the applicable funding agreement;

2.this act, any regulation adopted pursuant thereto or any otherve, of state or federal law, or has misused funds or submitted fraudulent information to the Authority, the Authority:

Comply with any provision of sections 2 to 18, inclusive, of this act, any regulation adopted pursuant thereto or any other state or federal law, or has misused funds or submitted fraudulent information to the Authority, the Authority:

A summary of the achievements of the project relative to the initial goals of the project, focusing on improvements in access - *SB5_R1* – 16 – to health care or clinical services and the capacity of the health care workforce in the area affected by the project;

3.community affected by the project, including, without limitation,e benefits realized, challenges encountered and lessons learned for future projects;

A narrative evaluation of the impact of the project on the community affected by the project, including, without limitation, benefits realized, challenges encountered and lessons learned for future projects;

- 36th Special Session (2025) – 17 – 2.

3.compile and submit to the Division a report on the privileging of providers of health care which includes, without limitation:

A hospital shall immediately notify the Division of:

(a) Any delay in privileging that exceeds the time period specified in subsection 1;

(b) Steps taken to ensure that the request that is subject to the delay is processed as quickly as possible;

and (c) An anticipated timeline to complete the processing of the request.

4.

On or before February 1 of each year, a hospital shall compile and submit to the Division a report on the privileging of providers of health care which includes, without limitation:

-4. *SB5_R1* – 17 – 5.

A hospital that fails to comply with the provisions of this section is not subject to any penalty imposed pursuant to this chapter for such failure to comply.

5.

449.029 As used in NRS 449.029 to 449.240, inclusive, and section 19 of this act, unless the context otherwise requires, “medical facility” has the meaning ascribed to it in NRS 449.0151 andandSec. includes a program of hospice care described in NRS 449.196.

Sec.

NRS 449.0301 is hereby amended to read as follows:follows:6.

Sec.- 36th Special Session (2025) – 18 – 449.160 1.RS 44Except as otherwise provided in NRS 449.1887 [,] and section 19 of this act, the Division may deny an application for a license or registration or may suspend or revoke any license or registration issued under the provisions of NRS 449.029 to 449.2428, inclusive, and section 19 of this act upon any of the following grounds:

22.

NRS 449.160 is hereby amended to read as follows:

449.160 1.

Except as otherwise provided in NRS 449.1887, the Division may deny an application for a license or registration or may suspend or revoke any license or registration issued under the provisions of NRS 449.029 to 449.2428, inclusive, and section 19 of this act upon any of the following grounds:

(c) Conduct inimical to the public health, morals, welfare and safety of the people of the State of Nevada in the maintenance and operationope(d) ofConduct or practice detrimental to the premiseshealth foror whichsafety aof licensethe isoccupants issued.or employees of the facility.

(d)(e) ConductFailure orof practicethe detrimentalapplicant to obtain written approval from the healthDirector of the Department of Human Services as required by NRS 439A.100 or safety439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and section of this act and 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the occupantsclosure or employeesconversion of any hospital in a county whose population is 100,000 or more that is owned by the facility.licensee without approval pursuant to NRS 439A.102.

(e) Failure of the applicant to obtain written approval from the Director of the Department of Human Services as required by - *SB5_R1* – 18 – NRS 439A.100 or 439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and section 19 of this act and 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the closure or conversion of any hospital in a county whose population is 100,000 or more that is owned by the licensee without approval pursuant to NRS 439A.102.

(h) Failure to comply with the provisions of NRS 449A.170 to 449A.192,449(i) inclusive,Violation andof anythe regulationprovisions adoptedof pursuantNRS 629.260.rsuant thereto.

(i) Violation of the provisions of NRS 629.260.

or (c)- Is36th orderedSpecial bySession the(2025) appropriate– governmental19 agency– to correct a violation of a building, safety or health code or regulation but fails to correct the violation.

On or before February 1 of each odd-numbered year, the Division shall submit to the Director of the Legislative Counsel Bureau a written report setting forth, for the previous biennium:

- *SB5_R1* – 19 – Sec.

Except as otherwise provided in NRS 449.1887,449.1887 [,] and section 19 of this act, in addition to the payment of the amount required by NRS 449.0308, if a medical facility, facility for the dependent or facility which is required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed violates any provision related to its licensure, including any provision of NRS 439B.410, 442.010 or 449.029 to 449.2428, inclusive, and section 19 of this act or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuantpur(a) toProhibit NRSthe 449.165,facility may:from admitting any patient until it determines that the facility has corrected the violation;

(a) Prohibit the facility from admitting any patient until it determines that the facility has corrected the violation;

(d)- Except36th whereSpecial aSession greater(2025) penalty– is20 authorized– by subsection 2, impose an administrative penalty of not more than $5,000 per daydayn 2, for each violation, together with interest thereon at a rate not to exceed 10 percent per annum;

If an off-campus location of a hospital fails to obtain a national provider identifier that is distinct from the national provider identifier used by the main campus and any other off-campus location of the hospital in violation of NRS 449.1818, the Division may impose against the hospital an administrative penalty of not more than $10,000 for each day of such failure, together with interest thereon at a rate not to exceed 10 percent per annum, in addition to any other action authorized by this chapter.

and - *SB5_R1* – 20 – (b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the administrative penalty.

Except as otherwise provided in NRS 449.1887,449.1887 [,] and section 19 of this act, the Division may require any facility that violates any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and section 19 of this act or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.

5.paragraph (d) of subsection 1 or subsection 2 must be accounted for separately and used to administer and carry out the provisions of NRS 449.001 to 449.430, inclusive, and section 19 of this act, 449.435 to 449.531, inclusive, and chapter 449A of NRS to protect the health, safety, well-being and property of the patients and residents of facilities in accordance with applicable state and federal standards or for any other purpose authorized by the Legislature.

Any- money36th collectedSpecial asSession administrative(2025) penalties– pursuant21 to– paragraphSec. (d) of subsection 1 or subsection 2 must be accounted for separately and used to administer and carry out the provisions of NRS 449.001 to 449.430, inclusive, and section 19 of this act, 449.435 to 449.531, inclusive, and chapter 449A of NRS to protect the health, safety, well-being and property of the patients and residents of facilities in accordance with applicable state and federal standards or for any other purpose authorized by the Legislature.

Sec.

449.240 Except as otherwise provided in NRS 449.1887,449.1887 [,] and section 19 of this act, the district attorney of the county in which the facility is located shall, upon application by the Division, institute and conduct the prosecution of any action for violation of any provisions of NRS 449.029 to 449.245, inclusive [.] , andandtion of section 19 of this act.

(1) Employed by a health care agency or health care facility that is authorized to provide emergency care, or to respond to thethey immediate needs of a patient, in the residence of the patient;

and - *SB5_R1* – 21 – (2) Acting under the direction of the medical director of that agency or facility who works in this State.

(1)- The36th StateSpecial BoardSession (2025) – 22 – is less than 100,000;Board of Health in a county whose population (2) A county board of health in a county whose population is less100,000 thanor 100,000;more;

(2) A county board of health in a county whose population is 100,000 or more;

(j) A medical student or student nurse in the course of his or her studies at an accredited college of medicine or approved school of professional or practical nursing, at the direction of a physician and:

(m) A holder of a license to engage in radiation therapy and radiologic imaging issued pursuant to chapter 653 of NRS, at the -established *SB5_R1*by –regulation 22of –the directionBoard.nce ofwith aany physicianconditions and(n) inA accordancechiropractic withphysician, anybut conditionsonly establishedif bythe regulationdrug ofor themedicine Board.is a topical drug used for cooling and stretching external tissue during therapeutic treatments.

(n) A chiropractic physician, but only if the drug or medicine is a topical drug used for cooling and stretching external tissue during therapeutic treatments.

- 36th Special Session (2025) – 23 – (I) Iontophoresis;

(p) In accordance with applicable regulations of the State Board of Health, an employee of a residential facility for groups, as defined in NRS 449.017, pursuant to a written agreement entered into by the ultimate user.

and (III) Any modifications to the standards and recommendations listed in sub-subparagraphs (I) and (II) or anyanyand additional standards or recommendations as the State Board of Health may prescribe pursuant to subsection 2.

- *SB5_R1* – 23 – (t) A person who is enrolled in a training program to become a physician assistant or anesthesiologist assistant licensed pursuant to chapter 630 or 633 of NRS, dental hygienist, advanced emergency medical technician, paramedic, respiratory therapist, dialysis technician, physical therapist or veterinary technician or to obtain a license to engage in radiation therapy and radiologic imaging pursuant to chapter 653 of NRS if the person possesses and administers the drug or medicine in the same manner and under the same conditions that apply, respectively, to a physician assistant or - 36th Special Session (2025) – 24 – anesthesiologist assistant licensed pursuant to chapter 630 or 633 of NRS, dental hygienist, advanced emergency medical technician, paramedic, respiratory therapist, dialysis technician, physical therapist, veterinary technician or person licensed to engage in radiation therapy and radiologic imaging who may possess and administer the drug or medicine, and under the direct supervision of a person licensed or registered to perform the respective medical art or a supervisor of such a person.

Except as otherwise provided in subsection 2, the Interim Finance Committee may exercise the powers conferred upon it by law only when the Legislature is not in a regular or spe2.alDuring a regular or special session.session, the Interim Finance Committee may also perform the duties imposed on it by NRS 228.1111, 232.49943, subsection 5 of NRS 284.115, NRS 285.070, subsection 2 of NRS 321.335, NRS 322.007, subsection 2 of NRS 323.020, NRS 323.050, subsection 1 of NRS 323.100, subsection 3 of NRS 341.126, NRS 341.142, paragraph (f) of subsection 1 of NRS 341.145, subsection 3 of NRS 349.073, NRS 353.220, 353.224, 353.2705 to 353.2771, inclusive, 353.288, 353.335, 353.3375, 353C.224, 353C.226, paragraph (b) of subsection 6 of NRS 407.0762, NRS 428.375, 433.732, 439.4905, 439.620, 439.630, 445B.830, subsection 1 of NRS 445C.320, NRS 538.650 and 580.250 [.] and sections 8 and 13 of this act.

2.In performing those duties, the Senate Standing Committee on Finance and the Assembly Standing Committee on Ways and Means may meet separately and transmit the results of their respective votes to the - 36th Special Session (2025) – 25 – Chair of the Interim Finance Committee to determine the action of the Interim Finance Committee as a whole.

During a regular or special session, the Interim Finance Committee may also perform the duties imposed on it by NRS 228.1111, 232.49943, subsection 5 of NRS 284.115, NRS 285.070, subsection 2 of NRS 321.335, NRS 322.007, subsection 2 of NRS 323.020, NRS 323.050, subsection 1 of NRS 323.100, subsection 3 of NRS 341.126, NRS 341.142, paragraph (f) of subsection 1 of NRS 341.145, subsection 3 of NRS 349.073, NRS 353.220, 353.224, 353.2705 to 353.2771, inclusive, 353.288, 353.335, - *SB5_R1* – 24 – 353.3375, 353C.224, 353C.226, paragraph (b) of subsection 6 of NRS 407.0762, NRS 428.375, 433.732, 439.4905, 439.620, 439.630, 445B.830, subsection 1 of NRS 445C.320, NRS 538.650 and 580.250 [.] and sections 8 and 13 of this act.

In performing those duties, the Senate Standing Committee on Finance and the Assembly Standing Committee on Ways and Means may meet separately and transmit the results of their respective votes to the Chair of the Interim Finance Committee to determine the action of the Interim Finance Committee as a whole.

The Chair of the Interim Finance Committee may appoint a subcommittee consisting of six members of the Committee to reviewtheieState andmaPublic makeWorksationDivision recommendations to the Committee on matters of thethetee StateonDepartmentf Public Works Division of the Department of Administration that require prior approval of the Interim Finance Committee pursuant to subsection 3 of NRS 341.126, NRS 341.142 and paragraph (f) of subsection 1 of NRS 341.145.

(a) The provisions of chapters 446, 449, 449A, 634B, 640D, 640E, 652, 695I and 695K of NRS and NRS 232.4996 to 232.49969, inclusive, 287.0402 to 287.049, inclusive, and 422.001 to 422.410, inclusive, and 422.580, 439.258, 439.271 to 439.2794, inclusive, 439.581 to 439.597, inclusive, 439.800 to 439.918, inclusive, 439A.200 to 439A.290, inclusive, 439B.600 to 439B.695, inclusive, 439B.800 to 439B.875, inclusive, and 444.003 to 444.430, inclusive, and sections 2 to 18, inclusive, of this act, and all other provisions of law relating to the functions of the divisions of the Authority;

and relating to the functions of the (b) Any state program for persons with developmental disabilities established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C.

- *SB5_R1* – 25 – (a) An agency rule, standard, directive or statement of general applicability which effectuates or interprets law or policy, or describes the organization, procedure or practice requirements of any agency;

and (d)- The36th generalSpecial applicationSession by(2025) an– agency26 of– a written policy, interpretation, process or procedure to determine whether a person is in compliance with a federal or state statute or regulation in order to assess a fine, monetary penalty or monetary interest.

(f) An advisory opinion issued by an agency that is not of generalgen(g) applicability;A published opinion of the Attorney General;

(g) A published opinion of the Attorney General;

(n) A regulation concerning the use of public roads or facilities which is indicated to the public by means of signs, signals and other traffic-control devices that conform with the manual and specifications for a uniform system of official traffic-control devices adopted pursuant to NRS 484A.430;

- *SB5_R1* – 26 – (o) The classification of wildlife or the designation of seasons for hunting, fishing or trapping by regulation of the Board of Wildlife Commissioners pursuant to the provisions of title 45 of NRS;

[or] - 36th Special Session (2025) – 27 – (p) A technical bulletin prepared pursuant to NRS 360.133 [.] ;

thereto the provisions set forth as sections 29 and 30 of this act.

28.

Chapter 630 of NRS is hereby amended by adding thereto the provisions set forth as sections 29 and 30 of this act.

Sec.

(a) Establish an electronic system to allow an entity that verifies the credentials of providers of health care or a hospital to access data in the possession of the Board for the purpose of privileging or credentialing a physician, physician assistant, anesthesiologist assistant, genetic counselor, perfusionist or practitioner of respiratory care who has authorized the Board to share such data pursuant to paragraph (b).

- *SB5_R1* – 27 – 2.

- 36th Special Session (2025) – 28 – (a) “Credentialing” means verifying the credentials of a provider of health care for the purpose of determining whether the provider of health care meets the requirements for participation in the network of a third party or participation in Medicaid or the Children’sChi(b) Health“Network”h InsuranceInshasncetheogrmeaning Programprovascribedsertoceit asin aNRS provider687B.640. of services.

(b) “Network” has the meaning ascribed to it in NRS 687B.640.

(b) Information reported to the Board during the previous biennium pursuant to NRS 630.3067, 630.3068, subsections 3 and 6 of (c) Information reported to the Board during the previous biennium pursuant to NRS 630.307630.30665, including, without limitation, the number and NRStypes 690B.250;of surgeries performed by each holder of a license to practice medicine and the occurrence of sentinel events arising from such surgeries, if any [.] ;

[and] (c) Information reported to the Board during the previous biennium pursuant to NRS 630.30665, including, without limitation, the number and types of surgeries performed by each holder of a license to practice medicine and the occurrence of sentinel events arising from such surgeries, if any [.] ;

and (3)- Recommendations36th Special Session (2025) – 29 – licensing physicians.ions for improvements to the process for licensing physicians.The report must include only aggregate information for statistical purposes and exclude any identifying information related to a particular person.

- *SB5_R1* – 28 –  The report must include only aggregate information for statistical purposes and exclude any identifying information related to a particular person.

(a) Serving geographic areas and populations of this State where the shortage of providers of health care is most critical, as identified by the assessment conducted pursuant to section 9 of this act;

Sec.

34.

1.

The Board shall:

(b) Allow an applicant for the issuance or renewal of a license as an osteopathic physician, physician assistant or anesthesiologist - 36th Special Session (2025) – 30 – assistant to indicate whether he or she wishes to allow electronic access to his or her data pursuant to paragraph (a).

(a) “Credentialing” means verifying the credentials of a provider of health care for the purpose of determining whether the - *SB5_R1* – 29 – provider of health care meets the requirements for participation in the network of a third party or participation in Medicaid or the Children’s Health Insurance Program as a provider of services.

[and] (c) Information reported to the Board during the previous biennium pursuant to NRS 633.524, including, without limitation, the number and types of surgeries performed by each holder of a license to practice osteopathic medicine and the occurrence of sentinel events arising from such surgeries, if any [.] ;

2.- 36th Special Session (2025) – 31 – statistical purposes and exclude any identifying information related to a particular person.

The report must include only aggregate information for statistical purposes and exclude any identifying information related to a particular person.

There is hereby appropriated from the State General Fund to the Statewide Health Care Access and Recruitment Program Account created in the State General Fund by section 8 of this act - *SB5_R1* – 30 – the sum of $60,000,000 for the purposes described in subsections 3 and 4 of section 8 of this act.

There is hereby appropriated from the State General Fund to the State Board of Osteopathic Medicine for the purpose of carrying out the provisions of sections 33 and 34 of this act and paragraph (d) of subsection 1 of NRS 633.286, as amended by section 35 of thisthisph (d) act, the following sums:

Any balance of the sums appropriated by subsections 1 and 2 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2026, and September 17, 2027, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before SeptemberSepSec. 18, 2026, and September 17, 2027, respectively.

Sec.

(a) Create the summary described in paragraph (a) of subsection 3 of section 9 of this act;

and - 36th Special Session (2025) – 32 – (b) Make the recommendations described in paragraphs (b) and (c) of subsection 3 of section 9 of this act.

The provisions of subsection 1 of NRS 218D.380 do not apply to any provision of this act which adds or revises a requirementreqSec. to submit a report to the Legislature.

Sec.

- *SB5_R1* – 31 – Sec.

This section, sections 1 to 18, inclusive, 24.5 to 27, inclusive, and 37 to 41, inclusive, of this act become effective upo2.paSectionsupon 19passage to 24, inclusive, and 28approval. to 36, inclusive, of this act become effective on July 1, 2026.

H2. - *SB5_R1*

Sections 19 to 24, inclusive, and 28 to 36, inclusive, of this act become effective on July 1, 2026.

~~~~~ 25 - 36th Special Session (2025)