Struck = removed from the bill ·
added = the amendment's new text.
AssemblySession Bill(80th) A AB129 R2 710 Amendment No.
129–Assemblywomen710 Munk;Senate Amendment to Assembly Bill No.
Benitez-Thompson129 andSecond Monroe-MorenoReprint CHAPTER..........(BDR 40-157) Proposed by:
Senate Committee on Health and Human Services Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes ASSEMBLY ACTION Initial and Da|e SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
EWR/RBL - Date:
5/14/2019 A.B.
No.
129—Requires certain first responders to receive certain training concerning persons with developmental disabilities.
(BDR 40-157) Page 1 of 9 *A_AB129_R2_710* Senate Amendment No.
710 to Assembly Bill No.
129 Second Reprint Page 3 A SSEMBLY B ILLN O.
129–A SSEMBLYWOMEN M UNK ;
BENITEZ-T HOMPSON AND M ONROE -M ORENO FEBRUARY 12, 2019 _______________ Referred to Committee on Health and Human Services SUMMARY—Requires certain first responders to receive certain training concerning persons with developmental disabilities.
(BDR 40-157) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
providing [certain immunity from civil liability to a person who is required to complete such training and the State or any political subdivision of the State that employs such a person;] that receiving such training does not change the standard of care for which such first responders are responsible;
(NRS 289.550, 450B.160, or450B.180) certificationSections to2, complete4 trainingand 11 of concerning persons with developmental licensure disabilities before initial licensure or certification, as applicable.
Sections 1, 3, 5-10 and 12 ofthisbillof this bill make conforming changes.
Section 13ofthis13 of this bill requires apersona person who, on October 1, 2019, is licensed as an ambulance attendant or firefighter or certified as an emergency medical technician, advanced emergency medical technician, paramedic or peace officer to submit proof on or before October 1, 2020, that he or she has completed the additional training concerning persons with1,with 2020, developmental disabilities required by section 2, 4 or 11.
Section 10.5 of this bill provides [immunity from civil liability to] that a person who is required to complete training concerning persons with developmental disabilities [for any death, bodily injury or damage to property that occurs as a result of his or her failure to receive such training or act in a manner consistent with the training, unless the failure results subdivision of the State that employs such a person is immune from civil liability for anyitical death, bodily injury or damage to property that occurs as a result of the failure of the person to receive the required training or act in a manner consistent with the training.] shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respect to the identification, diagnosis or treatment of a developmental disability.
EXPLANATIONSenate –Amendment MatterNo. in bolded italics is new;
matter710 between brackets [omitted material] is material to beAssembly omitted.Bill No.
129 Second Reprint Page 4 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
- 80th Session (2019) – 2 – 2.
(a) A current, valid certificate evidencing the applicant’s successful completion of a program of training as an emergency medical technician, advanced emergency medical technician or paramedic, if the applicant is applying for a license as an attendant, or, if a volunteer attendant,atattendant, at a level of skill determined by the board.
(b) A current valid certificate evidencing the applicant’s successful completion of a program of training as an emergency medical technician, advanced emergency medical technician or paramedic, if the applicant is applying for a license as a firefighter with a fire-fighting agency.
(d) Proof that the applicant has completed the training required by subsectionsubs(e) 4.Such other certificates for training and such other items as the board may specify.
(e) Such other certificates for training and such other items as the board may specify.
The board shall adopt such regulations as it determines are necessary for the issuance, suspension, revocation and renewal of lic[5.]licenses. 6.
[5.] 6.
A registered nurse who performs emergency care in an ambulance or air ambulance shall perform the care in accordance withtheregulationswith the regulations of the State Board of Nursing.
A licensed physician assistant who performs emergency care in an ambulanceorairambulanceshallperformthecareinaccordancewithambulance or air ambulance shall perform the care in accordance with the regulations of the Board of Medical Examiners.
- 80th Session (2019) – 3 – [7.] 8.
ExaminersSenate forAmendment aNo. physician or licensed physician assistant or by the State Board of Nursing for a registered nurse.
710 to Assembly Bill No.
129 Second Reprint Page 5 The certification must be issued by the Board of Medical Examiners for a physician or licensed physician assistant or by the State Board of Nursing for a registered nurse.
450B.171 Except as otherwise provided in this chapter, unlicensed relatives of a sickorsick or injured patient and other persons may ride in an ambulance if there are two attendants in the ambulance, each of whom is licensed pursuant to this chapter or exempt from licensing pursuant to subsection [6] 7 of NRS 450B.160.empt450B.160. from Sec.
Sec.
A certificate is valid for a period not exceeding 2 years and may be renewed if the holder of the certificate complies with the - 80th Session (2019) – 4 – provisions of this chapter and meets the qualifications set forth in the regulations and standards established by the board pursuant to this chapter.
[(a)] (1) An overview of acts of terrorism and weapons of mass destruction;
An overview of acts of terrorism and weapons of mass [(b)] (2) Personal protective equipment required for acts of terrorism;
and [(e)] (5) Anoverviewoftheinformationavailableon,andtheuseAn overview of the information available on, and the use of, the Health Alert Network.
findsSenate thatAmendment theNo. holder of the certificate no longer meets the prescribed qualifications.
710 to Assembly Bill No.
129 Second Reprint Page 6 4.
The health authority may suspend or revoke a certificate if it finds that the holder of the certificate no longer meets the prescribed qualifications.
AcertificateissuedpursuanttothissectionisvalidthroughoutA certificate issued pursuant to this section is valid throughout the State, whether issued by the Division or a district board of health.
- 80th Session (2019) – 5 – 8.
NRS(d) 435.007.lopmental“Developmental disability” has the meaning ascribed to it in (e) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.435.007.
(e) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.
The board may adopt regulations which prescribe other requirements of training for certification as an emergency medical tec4.icAntechnician. owner of an ambulance shall not offer emergency medical care to a patient in urgent need of medical care or observation unless the attendant has successfully completed a program of training for certification as an emergency medical technician or is exempt, pursuant to subsection [6] 7 of NRS 450B.160, from the requirement to obtain that training.
4.
An owner of an ambulance shall not offer emergency medical care to a patient in urgent need of medical care or observation unless the attendant has successfully completed a program of training for certification as an emergency medical technician or is exempt, pursuant to subsection [6] 7 of NRS 450B.160, from the requirement to obtain that training.
or - 80th Session (2019) – 6 – (b) At least equivalent to any curriculumorcurriculum or educational standards prepared by the Department of Transportation as a national standard for emergency medical technicians.
A program of training for certification as an advanced emergency medical technician must include an approved curriculum lungs.Onlyacertifiedemergencymedicaltechnicianwithexperienceirin tointravenous thetherapy asand established by the boardSenate isAmendment eligibleNo. for this training.
710 to Assembly Bill No.
129 Second Reprint Page 7 management of a passage for air to the lungs.
Only a certified emergency medical technician with experience as established by the board is eligible for this training.
an6. attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as an advanced emergency medical technician without fulfilling the requirements established by the board.
Except as authorized by subsection [6] 7 of NRS 450B.160, an attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as an advanced emergency medical technician without fulfilling the requirements established by the board.
A programofprogram trainingforof training for certification as a paramedic must be supervised by a licensed physician and approved by the health authority.
- 80th Session (2019) – 7 – (a) Comply with the requirements established by the board for continuing medical education;
paramedic5. unless the person has on file with the health authority a currently valid certificate evidencing the person’s successful completion of the program of training required by this section.
A person shall not represent himself or herself to be a paramedic unless the person has on file with the health authority a currently valid certificate evidencing the person’s successful completion of the program of training required by this section.
Except as otherwise provided in this section, the public or private owner of an ambulance or air ambulance or a fire-fire-fighting fighting agency which owns a vehicle used in providing medical care to sick or injured persons at the scene of an emergency or while transporting those persons to a medical facility shall not permit its operation and use by any person not licensed under this chapter.
An ambulance carrying a sick or injured patient must be occupied by a driver and an attendant, each of whomiswhom is licensed as an attendant pursuant to this chapter or exempt from licensing pursuant to subsection [6] 7 of NRS 450B.160, except as otherwise provided thein boardsubsection and5 foror whichtheboardin mayprescribegeographic lesserareas qualifications.which may be Senate Amendment No.
710 to Assembly Bill No.
129 Second Reprint Page 8 designated by the board and for which the board may prescribe lesser qualifications.
A person who operates or uses a vehicle owned by a fire-fire-fighting fighting agency is not required to be licensed under this chapter, except that such a vehicle may not be used to provide the level of medical care provided by an advanced emergency medical technician or paramedic to sick or injured persons:
- 80th Session (2019) – 8 – (a) At the scene of an emergency unless at least one person in the vehicle is licensed to provide the care;
hospital1. but, upon delivering the patient, immediately returns to thea site of the special event;
Is capable of transporting a patient from a special event to a hospital but, upon delivering the patient, immediately returns to the site of the special event;
thereto a new section to read as follows:eby amended by adding An attendant, firefighter employed by or serving as a volunteer with a fire-fighting agency, an emergency medical technician, advanced emergency medical technician, paramedic or a peace officer who has received the training required pursuant to NRS 450B.160 or 450B.180 or section 11 of this act shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respect to the identification, diagnosis or treatment of a developmental disability.
10.5.
Chapter 41 of NRS is hereby amended by adding thereto a new section to read as follows:
[1.] An attendant, firefighter employed by or serving as a volunteer with a fire-fighting agency, an emergency medical technician, advanced emergency medical technician, paramedic or a peace officer who [, while acting in the course of his or her employment, is immune from civil liability for any death, bodily injury or damage to property that occurs as a result of his or her failure to receive] has received the training required pursuant to NRS 450B.160 or 450B.180 or section 11 of this act [, or his or her failure to identify or interact with any person with a developmental disability in a manner consistent with the training received pursuant to NRS 450B.160 or 450B.180 or section 11 of this act, unless the failure results from willful misconduct or bad faith.
2.
The State or any political subdivision of the State that employs a person described in subsection 1 is immune from civil liability for any death, bodily injury or damage to property that occurs as a result of the failure of the person to Senate Amendment No.
710 to Assembly Bill No.
129 Second Reprint Page 9 receive the training required pursuant to NRS 450B.160 or 450B.180 or section 11 of this act, or the failure of the person to identify or interact with any person with a developmental disability in a manner consistent with the training received pursuant to NRS 450B.160 or 450B.180 or section 11 of this act.] shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respect to the identification, diagnosis or treatment of a developmental disability.
Sec.
The Peace Officers’ Standards and Training Commission shall require, as a condition of the certification of each peace - 80th Session (2019) – 9 – officer, the completion of training concerning identifying and interacting with persons with developmental disabilities.
TrainingcompletedpursuanttothissectionalsosatisfiestheTraining completed pursuant to this section also satisfies the requirement for such training prescribed by NRS 450B.160 or 450B.180, if applicable.
289.450 As used in NRS 289.450 to 289.650, inclusive, and section11ofthisact,unlessthecontextotherwiserequires,thewordssection 11 of this act, unless the context otherwise requires, the words and terms defined in NRS 289.460 to 289.490, inclusive, have the meanings ascribed to them in those sections.
Certified as a peace officer pursuant to chapter 289 of NRS, must submit on or before October 1, 2020, proof that he or she has completed the training required, as applicable, by subsection 4 ofasof NRS 450B.160, as amended by section 2 of this act, paragraph (b) of subsection 3 of NRS 450B.180, as amended by section 4 of this act, or section 11 of this act.
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