Nevada 2019 Regular Session Status: Enacted Bipartisan · 3 R · 1 D cosponsors

AB 147 — Authorizes a physician assistant or advanced practice registered nurse to perform certain services. (BDR 40-85)

Last action — Approved by the Governor. Chapter 26.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 15, 2019. Enacted.

Prognosis

Likely to advance 78% · moderate confidence

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High

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  • Enacted

    Current position in the legislative process.

  • 21 sponsors

    21 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 R · 1 D) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

AN ACT relating to providers of health care; authorizing a physician assistant or advanced practice registered nurse to perform certain services; and providing other matters properly relating thereto.

Bill Text

What changed in the latest version

835 added · 882 removed

835 line(s) added, 882 removed.

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(Reprinted with amendments adopted on May 1, 2019) FIRST REPRINT A.B.
Assembly Bill No.
147 A SSEMBLY B ILLN O.
147–Assemblymen Titus, Carlton, Neal, Kramer, Krasner;
147–A SSEMBLYMEN T ITUS, CARLTON , NEAL , K RAMER , KRASNER ;
Assefa, Benitez-Thompson, Edwards, Ellison, Gorelow, Hafen, Hansen, Hardy, Leavitt, Miller, Munk, Roberts, Spiegel, Tolles and Wheeler Joint Sponsor:
A SSEFA , B ENITEZ-T HOMPSON , EDWARDS , ELLISON , GORELOW , HAFEN, HANSEN , ARDY , LEAVITT , MILLER, M UNK , OBERTS , SPIEGEL, TOLLES AND W HEELER FEBRUARY 15, 2019 ____________ JOINT SPONSOR :
Senator Woodhouse CHAPTER..........
ENATOR W OODHOUSE ____________ Referred to Committee on Commerce and Labor SUMMARY—Authorizes a physician assistant or advanced practice registered nurse to perform certain services.
(BDR 40-85) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law requires a child who sustains or is suspected of sustaining an injury to the head while participating in a competitive sport or interscholastic child may return to the sport, event or activity if his or her parent or legal guardian provides a signed statement of a physician, physical therapist, athletic trainer or, for a competitive sport governed by an organization for youth sports other than the Nevada Interscholastic Activities Association, an advanced practice registered nurse indicating that the child is medically cleared for participation in the sport, activity or event.
Existing law requires a child who sustains or is suspected of sustaining an injury to the head while participating in a competitive sport or interscholastic activity or event to be immediately removed from the sport, event or activity.
(NRS 385B.080, 392.452, 455A.200) Sections 1, 4 and 6 of this Sections 4 and 6 also authorize an advanced practice registered nurse to complete such a statement for an interscholastic activity or event or a competitive sport governed by the Nevada Interscholastic Activities Association.
The child may return to the sport, event or activity if his or her parent or legal guardian provides a signed statement of a physician, physical therapist, athletic trainer or, for a competitive sport governed by an organization for youth sports other than the nurse indicating that the child is medically cleared for participation in the sport, activity or event.
Existing law provides that a medical device sold to a governmental entity is exempt from sales tax regardless of whether the governmental entity or the person using the device will hold title to the device if:
(NRS 385B.080, 392.452, 455A.200) Sections 1, 4 and 6 of this bill additionally authorize a physician assistant to complete such a statement.
(1) the device is prescribed by - *AB147_R1* – 2 – the device is covered by Medicaid or Medicare;
Sections 4 and 6 also authorize an advanced practice registered nurse to complete such a statement for an interscholastic activity or event or a competitive sport governed by the Nevada Interscholastic Activities Association.
and (3) the purchase of the medical2) device is made pursuant to a contract between the governmental entity and the seller.
Existing law provides that a medical device sold to a governmental entity is exempt from sales tax regardless of whether the governmental entity or the person certain providers of health care for use by the person to whom it is prescribed;
(2) the device is covered by Medicaid or Medicare;
and (3) the purchase of the medical device is made pursuant to a contract between the governmental entity and the seller.
Existing law authorizes the parent or legal guardian of a pupil who has asthma, anaphylaxis or diabetes to submit a written request that the public or private school or her condition while on the grounds of a school, participating in an activityr his sponsored by a school or on a school bus.
Existing law authorizes the parent or legal guardian of a pupil who has asthma, in which the pupil is enrolled allow the pupil to self-administer medication for hisl or her condition while on the grounds of a school, participating in an activity sponsored by a school or on a school bus.
(NRS 394.1999) Sections 5 and 7 of this bill additionally authorize:
(NRS 394.1999) Sections 5 and of this bill additionally authorize:
(1) a physician assistant to complete such documentation with regard to a pupil enrolled at a public or private school;
(1) a physician assistant to complete such an advanced practice registered nurse to complete such documentation with regard (2) to a pupil enrolled at a private school.
and (2) an advanced practice registered nurse to complete such documentation with regard to The Department of Motor Vehicles is authorized to issue a special license plate, parking placard or parking sticker upon submission of an application that includes a statement from a licensed physician or advanced practice registered nurse that the applicant is a person with a disability.
- 80th Session (2019) – 2 – The Department of Motor Vehicles is authorized to issue a special license plate, parking placard or parking sticker upon submission of an application that includes a applicant is a person with a disability.
(NRS 482.384) The holder of a special license plate, parking placard or parking sticker may park in a parking space designated for persons who are handicapped.
(NRS 482.384) The holder of a special the license plate, parking placard or parking sticker may park in a parking space designated for persons who are handicapped.
Existing law authorizes a hearing aid specialist or dispensing audiologist to sell hearing aids by catalog, mail or the Internet if the hearing aid specialist or dispensing audiologist has received documentation of certain examinations from a physician or advanced practice registered nurse.
Existing law authorizes a hearing aid specialist or dispensing audiologist to sell hearing aids by catalog, mail or the Internet if the hearing aid specialist or dispensing audiologist has received documentation of certain examinations from a bill additionally authorizes a physician assistant to complete such documentation.
(NRS 637B.242) Section 15 of this bill additionally authorizes a physician assistant to complete such documentation.
Under existing law, a person who applies for employment as a driver of a taxicab must provide a certificate from a physician, advanced practice registered nurse or chiropractic physician stating that the prospective driver meets certain health requirements prescribed in federal regulations.
Under existing law, a person who applies for employment as a driver of a nurse or chiropractic physician stating that the prospective driver meets certain health requirements prescribed in federal regulations.
(NRS 706.8842) Section 16 of this bill additionally authorizes a physician assistant to complete such a certSection 17 of this bill requires a state and local governmental entity to update any form issued by the entity to conform to the provisions of this bill authorizing a physician assistant or advanced practice registered nurse to perform certain tasks.
(NRS 706.8842) Section 16 of this bill additionally authorizes a physician assistant to complete such a certificate.
EXPLANATION – Matter in bolded italics is new;
Section 17 of this bill requires a state and local governmental entity to update any form issued by the entity to conform to the provisions of this bill authorizing a physician assistant or advanced practice registered nurse to perform certain tasks.
matter between brackets [omitted material] is material to be omitted.
- *AB147_R1* – 3 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
2.
- 80th Session (2019) – 3 – 2.
and (b) May return to the competitive sport if the parent or legal guardian of the youth provides a signed statement of a provider of health care indicating that the youth is medically cleared for participation in the competitive sport and the date on which the youth may return to the competitive sport.
and (b) May return to the competitive sport if the parent or legal guardian of the youth provides a signed statement of a provider of health care indicating that the youth is medically cleared for participation in the competitive sport and the date on which the you3.
3.
maBefore a youth participates in competitive sports sanctioned or sponsored by an organization for youth sports in this State, the youth and his or her parent or legal guardian:
Before a youth participates in competitive sports sanctioned or sponsored by an organization for youth sports in this State, the youth and his or her parent or legal guardian:
(a) Must be provided with a copy of the policy adopted pursuant to subsection 1;
to subsection 1;
and (b) Must sign a statement on a form prescribed by the organization for youth sports acknowledging that the youth and his or her parent or legal guardian have read and understand the terms and conditions of the policy.
andded with a copy of the policy adopted pursuant (b) Must sign a statement on a form prescribed by the organization for youth sports acknowledging that the youth and his or her parent or legal guardian have read and understand the terms and conditions of the policy.
- *AB147_R1* – 4 – (b) “Youth” means a person under the age of 18 years.
(b) “Youth” means a person under the age of 18 years.
372.7285 1.
the Department shall apply the exemption to the sale of a medical device to a governmental entity that is exempt pursuant to that section without regard to whether the person using the medical device or the governmental entity that purchased the device is deemed to be the holder of title to the device if:
In administering the provisions of NRS 372.325, the Department shall apply the exemption to the sale of a medical device to a governmental entity that is exempt pursuant to that section without regard to whether the person using the medical device or the governmental entity that purchased the device is deemed to be the holder of title to the device if:
2.
- 80th Session (2019) – 4 – 2.
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(c) “Provider of health care” means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.
(c) “Provider of health care” means a physician or physician perfusionist,ensdentist,anlicensedpternurse,630dispensingf NRoptician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.
and - *AB147_R1* – 5 – (c) The purchase of the medical device is made pursuant to a contract between the governmental entity that purchases the medical device and the person who sells the medical device to the governmental entity.
and (c) The purchase of the medical device is made pursuant to a device and the person who sells the medical device to thehe medical governmental entity.
(c) “Provider of health care” means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.
(c) “Provider of health care” means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, - 80th Session (2019) – 5 – optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.
The Nevada Interscholastic Activities Association shall adopt a policy concerning the prevention and treatment of injuries to the head which may occur during a pupil’s participation in interscholastic activities and events, including, without limitation, a concussion of the brain.
The Nevada Interscholastic Activities Association shall adopt a policy concerning the prevention and participation in interscholastic activities and events, including, without limitation, a concussion of the brain.
- *AB147_R1* – 6 – 3.
3.
Before a pupil participates in an interscholastic activity or event, and on an annual basis thereafter, the pupil and his or her parent or legal guardian:
Before a pupil participates in an interscholastic activity or parent or legal guardian:asis thereafter, the pupil and his or her (a) Must be provided with a copy of the policy adopted pursuant to subsection 1;
(a) Must be provided with a copy of the policy adopted pursuant to subsection 1;
Sec.
- 80th Session (2019) – 6 – Sec.
2.
blood-borne pathogens and the handling and disposal of needles,g medical devices and other medical waste and provide a copy of these protocols and procedures to the parent or guardian of a pupil who requests permission for the pupil to self-administer medication pursuant to subsection 1.
A public school shall establish protocols for containing blood-borne pathogens and the handling and disposal of needles, medical devices and other medical waste and provide a copy of these protocols and procedures to the parent or guardian of a pupil who requests permission for the pupil to self-administer medication pursuant to subsection 1.
(b) A written treatment plan prepared by the physician , physician assistant or advanced practice registered nurse pursuant to which the pupil will manage his or her asthma, anaphylaxis or diabetes if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode while on the grounds of a public school, participating in an activity sponsored by a public school or on a school bus;
(b) A written treatment plan prepared by the physician , physician assistant or advanced practice registered nurse pursuant to which the pupil will manage his or her asthma, anaphylaxis or diabetes if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode while on the grounds of a public school, participating in an activity sponsored by a public school or on a sch(c) A signed statement of the parent or legal guardian:
and (c) A signed statement of the parent or legal guardian:
(1) Indicating that the parent or legal guardian grants permission for the pupil to self-administer the medication while the pupil is on the grounds of a public school, participating in an activity sponsored by a public school or on a school bus;
- *AB147_R1* – 7 – (1) Indicating that the parent or legal guardian grants permission for the pupil to self-administer the medication while the pupil is on the grounds of a public school, participating in an activity sponsored by a public school or on a school bus;
and (5) Acknowledging that authorization to self-administer medication pursuant to this section may be revoked if the pupil fails to comply with the protocols established pursuant to subsection 2.
and - 80th Session (2019) – 7 – (5) Acknowledging that authorization to self-administer medication pursuant to this section may be revoked if the pupil fails to comply with the protocols established pursuant to subsection 2.
If a pupil is granted authorization pursuant to this section to self-administer medication, the board of trustees of the school district, the school district and the public school in which the pupil is enrolled, and any employee or agent thereof, are immune from liability for the injury to or death of:
If a pupil is granted authorization pursuant to this section to district, the school district and the public school in which the pupil is enrolled, and any employee or agent thereof, are immune from liability for the injury to or death of:
(a) The name and purpose of the medication which the pupil is authorized to self-administer;
(a) The name and purpose of the medication which the pupil is aut(b) The prescribed dosage and the duration of the prescription;
(b) The prescribed dosage and the duration of the prescription;
- *AB147_R1* – 8 – (d) The side effects that may occur from an administration of the medication;
(d) The side effects that may occur from an administration of the medication;
If a parent or legal guardian submits a written request that complies with subsection 3, the principal or, if applicable, the school nurse of the public school in which the pupil is enrolled shall renew and, if necessary, revise the written authorization.
If a parent or legal guardian submits a - 80th Session (2019) – 8 – written request that complies with subsection 3, the principal or, if applicable, the school nurse of the public school in which the pupil is enrolled shall renew and, if necessary, revise the written authorization.
If a parent or legal guardian of a pupil who is authorized pursuant to this section to carry medication on his or her person provides to the principal or, if applicable, the school nurse of the public school in which the pupil is enrolled doses of the medication in addition to the dosage that the pupil carries on his or her person, the principal or, if applicable, the school nurse shall ensure that the additional medication is:
If a parent or legal guardian of a pupil who is authorized pursuant to this section to carry medication on his or her person provides to the principal or, if applicable, the school nurse of the public school in which the pupil is enrolled doses of the medication in addition to the dosage that the pupil carries on his or her person, additional medication is:icable, the school nurse shall ensure that the (a) Stored on the premises of the public school in a location that is secure;
(a) Stored on the premises of the public school in a location that is secure;
(e) “Self-administer” means the auto-administration of a medication pursuant to the prescription for the medication or written directions for such a medication.
medication pursuant to the prescription for the medication or written directions for such a medication.
For those competitive sports not governed by the Nevada Interscholastic Activities Association pursuant to chapter - *AB147_R1* – 9 – 385B of NRS, the board of trustees of each school district shall adopt a policy concerning the prevention and treatment of injuries to the head which may occur during a pupil’s participation in competitive sports within the school district, including, without limitation, a concussion of the brain.
For those competitive sports not governed by the Nevada Interscholastic Activities Association pursuant to chapter 385B of NRS, the board of trustees of each school district shall adopt a policy concerning the prevention and treatment of injuries to the head which may occur during a pupil’s participation in competitive sports within the school district, including, without limitation, a concussion of the brain.
The policy must provide information concerning the nature and risk of injuries to the head which may occur during a pupil’s participation in competitive sports, including, without limitation, the risks associated with continuing to participate in competitive sports after sustaining such an injury.
The policy must provide information concerning the nature and risk - 80th Session (2019) – 9 – of injuries to the head which may occur during a pupil’s participation in competitive sports, including, without limitation, the risks associated with continuing to participate in competitive sports after sustaining such an injury.
and (b) May return to the competitive sport if the parent or legal guardian of the pupil provides a signed statement of a provider of health care indicating that the pupil is medically cleared for participation in the competitive sport and the date on which the pupil may return to the competitive sport.
and guardian of the pupil provides a signed statement of a provider of health care indicating that the pupil is medically cleared for participation in the competitive sport and the date on which the pupil may return to the competitive sport.
394.1999 1.
asthma, anaphylaxis or diabetes may submit a written request to the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled to allow the pupil to self-administer medication for the treatment of the pupil’s asthma, anaphylaxis or diabetes while the pupil is on the grounds of the private school, participating in an activity sponsored by the private school or on a school bus.
The parent or legal guardian of a pupil who has asthma, anaphylaxis or diabetes may submit a written request to the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled to allow the pupil to self-administer medication for the treatment of the pupil’s asthma, anaphylaxis or diabetes while the pupil is on the grounds of the private school, participating in an activity sponsored by the private school or on a school bus.
2.
- *AB147_R1* – 10 – 2.
3.
- 80th Session (2019) – 10 – 3.
(b) A written treatment plan prepared by the physician , physician assistant or advanced practice registered nurse pursuant to which the pupil will manage his or her asthma, anaphylaxis or diabetes if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode while on the grounds of the private school, participating in an activity sponsored by the private school or on a school bus;
(b) A written treatment plan prepared by the physician , to which the pupil will manage his or her asthma, anaphylaxis ornt diabetes if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode while on the grounds of the private school, participating in an activity sponsored by the private school or on a school bus;
and (5) Acknowledging that authorization to self-administer medication pursuant to this section may be revoked if the pupil fails to comply with the protocols established pursuant to subsection 2.
and (5) Acknowledging that authorization to self-administer to comply with the protocols established pursuant to subsection 2.ils 4.
4.
If a pupil is granted authorization pursuant to this section to self-administer medication, the governing body of the private school in which the pupil is enrolled, the private school and any employee - *AB147_R1* – 11 – or agent thereof, are immune from liability for the injury to or death of:
If a pupil is granted authorization pursuant to this section to self-administer medication, the governing body of the private school in which the pupil is enrolled, the private school and any employee or agent thereof, are immune from liability for the injury to or death of:
and (b) Any other person as a result of exposure to or injury caused by needles, medical devices or other medical waste from the self-administration of medication by a pupil pursuant to this section.
and - 80th Session (2019) – 11 – (b) Any other person as a result of exposure to or injury caused by needles, medical devices or other medical waste from the self-administration of medication by a pupil pursuant to this section.
Upon receipt of a request that complies with subsection 3, the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled shall provide written authorization for the pupil to carry and self-administer medication to treat his or her asthma, anaphylaxis or diabetes while the pupil is on the grounds of the private school, participating in an activity sponsored by the private school or on a school bus.
Upon receipt of a request that complies with subsection 3, the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled shall provide written authorization for the pupil to carry and self-administer medication to treat his or her asthma, anaphylaxis or diabetes while the pupil is on the grounds of the private school, participating in an activity sponsored by the filed with the principal or, if applicable, the school nurse of thee private school in which the pupil is enrolled and must include:
The written authorization must be filed with the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled and must include:
If a parent or legal guardian submits a written request that complies with subsection 3, the principal or, if applicable, the school nurse of the private school in which the pupil is enrolled shall renew and, if necessary, revise the written authorization.
If a parent or legal guardian submits a written request that complies with subsection 3, the principal or, if applicable, the school nurse of the private school in which the pupil authorization.all renew and, if necessary, revise the written 8.
8.
and - *AB147_R1* – 12 – (b) Readily available if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode during school hours.
and (b) Readily available if the pupil experiences an asthmatic attack, anaphylactic shock or diabetic episode during school hours.
9.
- 80th Session (2019) – 12 – 9.
[(c)] (d) “Physician assistant” has the meaning ascribed to it in NRS 392.425.
in NRS 392.425.hysician assistant” has the meaning ascribed to it (e) “Self-administer” has the meaning ascribed to it in NRS 392.425.
(e) “Self-administer” has the meaning ascribed to it in NRS 392.425.
Sec.
10.
NRS 482.3839 is hereby amended to read as follows:
The application must include a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a - *AB147_R1* – 13 – person with a permanent disability.
The application must include a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a - 80th Session (2019) – 13 – person with a permanent disability.
Every year after the initial issuance of special license plates to a person with a permanent disability, the Department shall require the person to renew the special license plates in accordance with the procedures for renewal of registration pursuant to this chapter.
Every year after the initial issuance of special license plates to a person with a permanent disability, the Department shall require the person to renew the special license plates in accordance with the Department shall not require a person with a permanent disability to include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the person is a person with a permanent disability.
The Department shall not require a person with a permanent disability to include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the person is a person with a permanent disability.
or (b) The organization which is issued the special parking placards will only use such placards on vehicles that actually transport persons with permanent disabilities, disabilities of moderate duration or temporary disabilities.
or (b) The organization which is issued the special parking placards will only use such placards on vehicles that actually transport persons with permanent disabilities, disabilities of mod4.
4.
(b) A special parking sticker for a motorcycle or moped.
- 80th Session (2019) – 14 – (b) A special parking sticker for a motorcycle or moped.
- *AB147_R1* – 14 – The application must include a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a person with a permanent disability or disability of moderate duration.
The application must include a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a person with a permanent disability or disability of moderate duration.
(a) Have inscribed on it the international symbol of access which is at least 3 inches in height, is centered on the placard and is white on a blue background;
(a) Have inscribed on it the international symbol of access which is at least 3 inches in height, is centered on the placard and is whi(b) Have an identification number and date of expiration of:
(b) Have an identification number and date of expiration of:
or (2) If the special parking sticker is issued to a person with a disability of moderate duration, 2 years after the initial date of issuance;
or disability of moderate duration, 2 years after the initial date ofth a issuance;
If the applicant for renewal is a person with a disability of moderate duration, the applicant must include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a person with a disability which limits or impairs the ability to walk, and that such disability, although not irreversible, is estimated to last longer than 6 months.
If the applicant for renewal is a person with a disability of moderate duration, the applicant must include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant is a person with a disability which limits or impairs the ability to walk, - 80th Session (2019) – 15 – and that such disability, although not irreversible, is estimated to last longer than 6 months.
A person with a permanent disability is not - *AB147_R1* – 15 – required to submit evidence of a continuing disability with the application for renewal.
A person with a permanent disability is not required to submit evidence of a continuing disability with the application for renewal.
Upon request, the Department, city or county may issue one additional temporary parking placard to an applicant.
Upon request, the Department, city or county The application must include a certificate from a licensed physician , physician assistant or advanced practice registered nurse indicating:
The application must include a certificate from a licensed physician , physician assistant or advanced practice registered nurse indicating:
A temporary parking placard issued pursuant to subsection 10 must:
A temporary parking placard issued pursuant to subsection must:
A temporary parking sticker issued pursuant to subsection 10 must:
A temporary parking sticker issued pursuant to subsection must:
and (b) Have an identification number and a date of expiration.
and 13.
13.
The person with the temporary disability shall include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying that the applicant continues to be a person with a temporary disability and the estimated period of the disability.
The person with the temporary disability shall include with the application for renewal a statement from a licensed physician , physician assistant or advanced practice registered nurse certifying - 80th Session (2019) – 16 – that the applicant continues to be a person with a temporary disability and the estimated period of the disability.
If the vehicle has no - *AB147_R1* – 16 – rearview mirror, the placard must be placed on the dashboard of the vehicle in such a manner that the placard can easily be seen from outside the vehicle when the vehicle is parked.
If the vehicle has no rearview mirror, the placard must be placed on the dashboard of the vehicle in such a manner that the placard can easily be seen from outside the vehicle when the vehicle is parked.
Upon issuing a special license plate pursuant to subsection 1, a special or temporary parking placard, or a special or temporary parking sticker, the Department, or the city or county, if applicable, shall issue a letter to the applicant that sets forth the name and address of the person with a permanent disability, disability of moderate duration or temporary disability to whom the special license plate, special or temporary parking placard or special or temporary parking sticker has been issued and:
Upon issuing a special license plate pursuant to subsection parking sticker, the Department, or the city or county, if applicable, shall issue a letter to the applicant that sets forth the name and address of the person with a permanent disability, disability of moderate duration or temporary disability to whom the special license plate, special or temporary parking placard or special or temporary parking sticker has been issued and:
If the motorcycle or moped has no windscreen, the sticker must be affixed to any other part of the motorcycle or moped which may be easily seen when the motorcycle or moped is parked.
If the motorcycle or moped has no windscreen, the sticker must be affixed to any other motorcycle or moped is parked.d which may be easily seen when the 17.
17.
19.
- 80th Session (2019) – 17 – 19.
- *AB147_R1* – 17 – 21.
21.
The Department may adopt such regulations as are necessary to carry out the provisions of this section.
The Department may adopt such regulations as are necSec.
Sec.
(1) Has completed an educational program designed to prepare a registered nurse to:
(1) Has completed an educational program designed to prepare a (I) Perform designated acts of medical diagnosis;
(I) Perform designated acts of medical diagnosis;
2.
- 80th Session (2019) – 18 – 2.
and [(c)] (d) Provide his or her signature, certification, stamp, verification or endorsement when a signature, certification, stamp, verification or endorsement by a physician is required, if providing such a signature, certification, stamp, verification or endorsement is - *AB147_R1* – 18 – within the authorized scope of practice of an advanced practice registered nurse.
and [(c)] (d) Provide his or her signature, certification, stamp, verification or endorsement when a signature, certification, stamp, verification or endorsement by a physician is required, if providing within the authorized scope of practice of an advanced practicement is registered nurse.
An advanced practice registered nurse may perform the acts described in paragraphs (a) , [and] (b) and (c) of subsection 2 by using equipment that transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, without limitation, through telehealth, as defined in NRS 629.515, from within or outside this State or the United States.
An advanced practice registered nurse may perform the acts described in paragraphs (a) , [and] (b) and (c) of subsection 2 by using equipment that transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, without limitation, through telehealth, as defined in NRS 629.515, from within or outside this State or the Uni5.d SNothing in paragraph [(c)] (d) of subsection 2 shall be deemed to expand the scope of practice of an advanced practice registered nurse who provides his or her signature, certification, stamp, verification or endorsement in the place of a physician.
5.
Nothing in paragraph [(c)] (d) of subsection 2 shall be deemed to expand the scope of practice of an advanced practice registered nurse who provides his or her signature, certification, stamp, verification or endorsement in the place of a physician.
(c) Establishing the procedure for application for licensure as an advanced practice registered nurse.
- 80th Session (2019) – 19 – (c) Establishing the procedure for application for licensure as an advanced practice registered nurse.
(a) The] the physician assistant is authorized to perform by his or her supervising osteopathic physician [;] and [(b) Are] are within the supervising osteopathic physician’s scope of practice.
(a) The] the physician assistant is authorized to perform by his or [(b) Are] are within the supervising osteopathic physician’s scope of practice.
- *AB147_R1* – 19 – 2.
2.
(I) A physician or physician assistant licensed pursuant to chapter 630 or 633 of NRS, an advanced practice registered nurse licensed pursuant to NRS 632.237, an audiologist or a hearing aid specialist which verifies that he or she has performed an otoscopic examination of the person to whom the hearing aid will be sold and the results of the examination indicate that the person may benefit from the use of a hearing aid;
(I) A physician or physician assistant licensed pursuant to chapter 630 or 633 of NRS, an advanced practice registered nurse licensed pursuant to NRS 632.237, an audiologist or a hearing aid specialist which verifies that he or she has performed an otoscopic the results of the examination indicate that the person may benefit from the use of a hearing aid;
or (2) A waiver of the medical evaluation signed by the person to whom the hearing aid will be sold as authorized pursuant to 21 C.F.R.
or - 80th Session (2019) – 20 – (2) A waiver of the medical evaluation signed by the person to whom the hearing aid will be sold as authorized pursuant to 21 C.F.R.
A hearing aid specialist or dispensing audiologist who sells hearing aids by catalog, mail or the Internet pursuant to this section shall maintain a record of each sale of a hearing aid made pursuant to this section for not less than 5 years.
A hearing aid specialist or dispensing audiologist who sells shall maintain a record of each sale of a hearing aid made pursuantion to this section for not less than 5 years.
- *AB147_R1* – 20 – Sec.
Sec.
The certificate described in subsection 1 must state that the medical examiner has examined the prospective driver and has found that the prospective driver meets the health requirements described in subsection 2.
The certificate described in subsection 1 must state that the medical examiner has examined the prospective driver and has found that the prospective driver meets the health requirements by the medical examiner.2.
The certificate must be signed and dated by the medical examiner.
The certificate must be signed and dated 4.
4.
Shall revise any form issued by the entity as necessary to conform to any amendatory provision of this act that newly authorizes a physician assistant or advanced practice registered nurse to perform a task;
Shall revise any form issued by the entity as necessary to conform to any amendatory provision of this act that newly - 80th Session (2019) – 21 – authorizes a physician assistant or advanced practice registered nur2.
and 2.
toSubmit any such updated form to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.
Submit any such updated form to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.
H - *AB147_R1*
~~~~~ 19 - 80th Session (2019)
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Amendments

1 amendment

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Action History

  1. Approved by the Governor. Chapter 26.

  2. Enrolled and delivered to Governor.

  3. Senate Amendment No. 649 concurred in. To enrollment.

  4. In Assembly.

  5. Read third time. Passed, as amended. Title approved. (Yeas: 21, Nays: None.) To Assembly.

  6. From printer. To engrossment. Engrossed. First reprint.

  7. Read second time. Amended. (Amend. No. 649.) To printer.

  8. From committee: Amend, and do pass as amended.

  9. In Senate. Read first time. Referred to Committee on Health and Human Services. To committee.

  10. Read third time. Passed. Title approved. (Yeas: 40, Nays: None, Excused: 1, Vacant: 1.) To Senate.

  11. Read second time.

  12. From committee: Do pass.

  13. From printer. To committee.

  14. Read first time. Referred to Committee on Commerce and Labor. To printer.

Sponsors

Sponsorship breakdown

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21 sponsors · 0 co-sponsors · 46 not signed on

Sponsors (21)

Co-sponsors (0)

None.

Not signed on (46)

46 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor
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Frequently asked questions

What does AB 147 do?
AN ACT relating to providers of health care; authorizing a physician assistant or advanced practice registered nurse to perform certain services; and providing other matters properly relating thereto.
Who sponsors AB 147?
AB 147 is sponsored by Assemblywoman Robin Titus, Assemblywoman Dina Neal, Assemblywoman Lisa Krasner, Assemblyman Alexander Assefa, Assemblyman John Ellison, Assemblyman Glen Leavitt, Assemblywoman Connie Munk, Assemblyman Tom Roberts, Assemblywoman Ellen Spiegel, Hardy, Melissa R.. (Republican), Hansen, Alexis M. (Republican), Hafen, Gregory T., II (Republican), Miller, Brittney M. (Democratic), Joyce Woodhouse, Jim Wheeler, Jill Tolles, Gorelow, Michelle, Chris Edwards, Teresa Benitez-Thompson, Al Kramer, and Maggie Carlton.
What is the current status of AB 147?
This bill has been enacted into law. Introduced February 15, 2019. Enacted.
Where can I track AB 147?
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