Section 10 imposesauthorizes certain entities involved in the provision of health care, governmental entities and certain nonprofit organizations to apply for a grant of money from additional requirements for a project to be eligible to receive such funding, including aaertain requirement that certain applicants securehave secured matching financial or in-kind contributions valued at an amount at least equal to the amount of the grant being sought.

(2) the amount of money available for a months;funded project changes;

(3) a funded project becomes inactive for at least 12 months;

Section 15 authorizes the the Authority and the Office of Finance to provide certain oversight of a funded project.horizes Section 17 of this bill authorizes the Authority to suspend or terminate a grant or take certain other actions inif responseit determines that the grantee fails to suchcomply notice.with a funding agreement.

Section 16 of this bill authorizes the Authority and the Office of Finance to provide certain oversight of a funded project.

Section 17 of this bill authorizes the Authority to suspend or terminate a grant or take certain other actions if it determines that the grantee fails to comply with a funding agreement.

(ChaptersExaminers 630 and 633the ofState NRS)Board Sectionsof 29 Osteopathic Medicine, respectively, to establish bybyedical regulation a procedure for of prioritizing applications for licensure as a physician or osteopathic physician of applicants who plan to:

Sections 31 and 35 of this bill require certain reports submitted by those Boards to the Governor and Legislature to include information relating to the efficiency of the process for licensing -Senate 36thAmendment SpecialNo. Session (2025) – 3 – physicians or osteopathic physicians, as applicable.

Section2 37 of this bill appropriates money to thoseSenate BoardsBill toNo. carry out the provisions of sections 29-31 and 33-35.

Section5 19Page of5 thisphysicians billor requiresosteopathic aphysicians, hospitalas toapplicable. process at least 95 percent of complete requests from providers of health care for privileges to perform services to complete such a request.

SectionsSection 20-2437 of this bill makeappropriates conformingmoney changesto tossarytSection indicate19 theof applicabilitythis of,bill andrequires providea forhospital theto administrationprocess of,at theleast requirements95 percent of sectioncomplete 19requests infrom theproviders sameof mannerhealth ascare otherfor requirementsprivileges governingto hospitals,perform exceptservices thatat sectionsthe 19hospital andnot 22-24later providethan that60 adays hospitalafter isreceiving notall subjectof tothe penaltiesinformation fornecessary failure to complycomplete withsuch sectiona 19.request.

ExistingSections law20-24 authorizesof athis registeredbill pharmacistmake conforming changes to possessindicate the applicability of, and administerprovide afor Pharmacythe ifenforcement of, the pharmacist:provisions of section 19.

Existing law authorizes a registered pharmacist to possess and administer a dangerous drug in accordance with the applicable regulations of the State Board of Pharmacy if the pharmacist:

and (3) administers immunizations in compliance with certain standards recommended and approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and insteadPrevention. providing that the registered pharmacist must administer immunizations in by compliance with certain federal standards and recommendations in effect on January 1, 2025, and any modifications to those standards and recommendations or additional standards and recommendations as the State Board of Health may prescribe by regulation.

EXPLANATION(NRS –454.213) MatterSection 24.5 of this bill revises the third requirement by instead providing that the registered pharmacist must administer immunizations in boldedcompliance italicswith iscertain new;federal standards and recommendations in effect on January 1, 2025, and any modifications to those standards and recommendations or additional standards and recommendations as the State Board of Health may prescribe by regulation.

matter between brackets [omitted material] is material to be omitted.

- 36th Special Session (2025) – 4 – Sec.

“Medical facility” has the meaning ascribed to it in NRSSec.NRS 449.0151.

Sec.

The Authority may use not more than [2] 3.5 percent of the money in the Account to pay the administrative costs necessary to carry out those provisions.

4.Senate Amendment No.

2 to Senate Bill No.

5 Page 6 4.

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

Sec.

(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 geographicprofessions; 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 shorta(2)shortages; 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 reg(b)region, Aincluding prioritizedrural 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 unmeturban needsareas; identified in the assessment conducted pursuant to paragraph (a) of subsection 1;

(c)(b) RecommendationsA prioritized list of recommendations for legislationallocating andfunding regulatorypursuant changesto sections 2 to improve18, inclusive, of this act in a manner that addresses the recruitmentcritical shortages and retentionunmet ofneeds providersidentified in the assessment conducted pursuant to paragraph (a) of healthsubsection care;1;

andSenate -Amendment 36thNo. Special Session (2025) – 6 – sections 2 to 18, inclusive, of this act on the health care workforce and health needs of this State.

2 to Senate Bill No.

5 Page 7 (c) Recommendations for legislation and regulatory changes to improve the recruitment and retention of providers of health care;

and (d) An analysis of the effects of 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, withouterwithout limitation, residency and fellowship programs for providers of health care;

- 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;

(c)Senate IncludeAmendment specific,No. measurable outcomes to demonstrate an increase in the number of providers of health care, improved access to health care and the enhanced capacity of the health care workforce in a manner that addresses the certified areas of need identified in paragraph (b).

of2 theto OneSenate Big Beautiful Bill ActNo. of 2025, Public Law 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 total value is at least equal to the amount of the grant for which the applicant is applying.

5 Page 8 (c) Include specific, measurable outcomes to demonstrate an increase in the number of providers of health care, improved access to health care and the enhanced capacity of the health care workforce in a manner that addresses the certified areas of need identified in paragraph (b).

(d) Except for projects proposed by entities described in section 71113 of the One Big Beautiful Bill Act of 2025, Public Law No.

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.

-(4) 36thCharitable Specialcontributions Sessionafter (2025)the –completion 8of –the project;

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

and (2) An impact assessment concerning the potential long-long-term term effects of the project on survival, quality of life and the experience of patients.

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

and2. 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-in-kind 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.

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

and (b)Senate TheAmendment experienceNo. and organizational capacity necessary to implement and sustain the project successfully.

2 to Senate Bill No.

5 Page 9 (b) The experience and organizational capacity necessary to implement and sustain the project successfully.

Any additional information required by regulation of the Aut(a)Authority Assessingfor: 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) 36thGive Specialtertiary Session (2025) – 10 – will be located in:y priority for recommendation to projects that (1)will Areasbe designatedlocated byin: 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) Areas designated 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:

(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;

(f)Senate MakeAmendment recommendationsNo. to fund projects in a manner that balances the differing health care needs of this State and takes into account other sources of funding, including, without limitation, federal grant programs, that may be available to applicants in order to use state money efficiently and avoid duplicative funding for the same or similar projects;

2 to Senate Bill No.

5 Page 10 (f) Make recommendations to fund projects in a manner that balances the differing health care needs of this State and takes into account other sources of funding, including, without limitation, federal grant programs, that may be available to applicants in order to use state money efficiently and avoid duplicative funding for the same or similar projects;

Money3. 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, 36thby Special Session (2025) – 11 – populations;by causing high levels of improvement for underserved (c)populations; 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) 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;

(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.

the2. 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:

Senate Amendment No.

2 to Senate Bill No.

5 Page 11 (a) Shall ensure that all applicants for grants from the Account meet the requirements of section 10 of this act;

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

Sec.

1.ed1. 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:

allocations(1) ofFinancial anyreports matchingdetailing funds;ing expenditures of money and (2)allocations Operational progress reports that demonstrate measurable achievements in recruiting providers of healthany care,matching improvingfunds; 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;

3.Senate Amendment No.

2 to Senate Bill No.

5 Page 12 3.

(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 app(c)appropriate; 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;

and 3.)(b) UponSubmit receiving notice pursuant to subsection 2 of the earlyAuthority terminationa orrevised inactivityplan offor a project, the Authorityproject. may:

3.

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

or -(f) 36thTake Specialany Sessioncombination (2025)of –the 15actions –described in paragraphs (a) to (e), inclusive.einclusive. actions described in 4.

Senate Amendment No.

2 to Senate Bill No.

5 Page 13 4.

pursuant2. 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 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.

days;)(b) Require the grantee to take corrective action within 60 (c)days; 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;

this2. 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:

1.Senate Amendment No.

2 to Senate Bill No.

5 Page 14 1.

community3. 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.

compile3. 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.

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.

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 andSec.and includes a program of hospice care described in NRS 449.196.

Sec.

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

1.Senate Amendment No.

2 to Senate Bill No.

5 Page 15 1.

-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 ope(d)operation Conduct or practice detrimental to the health or safety of the occupantspremises orfor employeeswhich ofa thelicense facility.is issued.

(e)(d) FailureConduct ofor thepractice applicantdetrimental to obtain written approval from the Directorhealth of the Department of Human Services as required by NRS 439A.100 or 439A.102safety 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 closureoccupants or conversionemployees of any hospital in a county whose population is 100,000 or more that is owned by the licenseefacility. 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 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 449(i)449A.192, Violationinclusive, ofand theany provisionsregulation ofadopted NRSpursuant 629.260.rsuant thereto.

(i) Violation of the provisions of NRS 629.260.

or -(c) 36thIs Specialordered Sessionby (2025)the –appropriate 19governmental –agency to correct a violation of a building, safety or health code or regulation but fails to correct the violation.

(a)Senate AAmendment summaryNo. of a complaint against the facility if the investigation of the complaint by the Division either substantiates the complaint or is inconclusive;

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5 Page 16 (a) A summary of a complaint against the facility if the investigation of the complaint by the Division either substantiates the complaint or is inconclusive;

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:

Except as otherwise provided in NRS 449.1887449.1887, [,] 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 pur(a)pursuant Prohibitto theNRS facility449.165, frommay: 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) 36thExcept Specialwhere Sessiona (2025)greater –penalty 20is –authorized by subsection 2, impose an administrative penalty of not more than $5,000 per daynday 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.

Except as otherwise provided in NRS 449.1887449.1887, [,] 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,Senate andAmendment sectionNo. 19 of this act or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.

paragraph (d) of subsection 1 or subsection 2 must be accounted for separately and used to administerSenate andBill carryNo. 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.

-5 36thPage Special17 Sessioninclusive, (2025)and –section 2119 –of Sec.this act or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.

5.

Any money collected as administrative penalties pursuant to 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.

Sec.

449.240 Except as otherwise provided in NRS 449.1887449.1887, [,] 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 [.] , andtionand 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 theythe immediate needs of a patient, in the residence of the patient;

-(1) 36thThe SpecialState SessionBoard (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 100,000less orthan more;100,000;

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

(h)Senate AAmendment respiratoryNo. therapist employed in a health care facility.

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5 Page 18 (h) A respiratory therapist employed in a health care facility.

(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 establisheddirection byof regulationa ofphysician theand Board.ncein accordance with any conditions (n)established Aby chiropracticregulation physician,of but only if the drugBoard. or medicine 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 recommendationsSenate listedAmendment inNo. sub-subparagraphs (I) and (II) or anyand additional standards or recommendations as the State Board of Health may prescribe pursuant to subsection 2.

2 to Senate Bill No.

5 Page 19 (III) Any modifications to the standards and recommendations listed in sub-subparagraphs (I) and (II) or any additional standards or recommendations as the State Board of Health may prescribe pursuant to subsection 2.

(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.

In2. 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, 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 theieStatereview maPublicand WorksationDivisionmake ofrecommendations theteeto onDepartmentf of Administration that require prior approval of the Interim Finance Committee pursuanton tomatters subsection 3 of NRSthe 341.126,State NRSPublic 341.142Works andDivision paragraph (f) of subsectionthe 1Department ofSenate NRSAmendment 341.145.No.

2 to Senate Bill No.

5 Page 20 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.

and -(d) 36thThe Specialgeneral Sessionapplication (2025)by –an 26agency –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 gen(g)general Aapplicability; published opinion of the Attorney General;

(g) A published opinion of the Attorney General;

(l)Senate AnAmendment emergencyNo. action taken by an agency that is necessary to protect public health and safety;

2 to Senate Bill No.

5 Page 21 (l) An emergency action taken by an agency that is necessary to protect public health and safety;

(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;

[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).

- 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 requirementsSenate forAmendment participationNo. in the network of a third party or participation in Medicaid or the Chi(b) “Network”h Inshasncetheogrmeaning provascribedsertoceit in NRS 687B.640.

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5 Page 22 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.

(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 630.30665,630.307 including, without limitation, the number and typesNRS of690B.250; 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) 36thRecommendations Special Session (2025) – 29 – licensing physicians.ions for improvements to the process for licensing Thephysicians. report must include only aggregate information for 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.

(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;

(a)Senate EstablishAmendment metricsNo. to monitor the processing times of applications described in subsection 1 to ensure compliance with the requirements of that subsection;

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5 Page 23 (a) Establish metrics to monitor the processing times of applications described in subsection 1 to ensure compliance with the requirements of that subsection;

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 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 [.] ;

and (3)Senate RecommendationsAmendment forNo. improvements to the process for licensing osteopathic physicians.

-2 36th Special Session (2025) – 31 – statistical purposes and exclude any identifying information related to aSenate particularBill person.No.

5 Page 24 (3) Recommendations for improvements to the process for licensing osteopathic physicians.

2.

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

For the Fiscal Year 2025-2026..................................$250,0002025-2026........................................................$250,000 For the Fiscal Year 2026-2027..................................$250,0002026-2027........................................................$250,000 2.

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 thisphthis (d) act, the following sums:

For the Fiscal Year 2025-2026..................................$250,0002025-2026........................................................$250,000 For the Fiscal Year 2026-2027..................................$250,0002026-2027........................................................$250,000 3.

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 SepSec.September 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 reqSec.requirement to submit a report to the Legislature.

Sec.

This section, sections 1 to 18, inclusive, [25, 26,] 24.5 to 27,27 , inclusive, and 37 to 41, inclusive, of this act become effective upon passage and approval.

2.Senate Amendment No.

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5 Page 25 2.

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