Nevada 2019 Regular Session Status: Enacted

AB 348 — Makes various changes related to working conditions at certain medical facilities. (BDR 53-843)

Last action — Chapter 571.

  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 March 18, 2019. Enacted.

Prognosis

Advancing 60% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    6 primary, 0 co-sponsors signed on.

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 occupational safety and health; requiring certain medical facilities to develop and carry out a plan for the prevention of workplace violence and report incidents of workplace violence to the Division of Industrial Relations of the Department of Business and Industry; prohibiting such a medical facility from taking certain actions against an employee or other provider of care who seeks the assistance of a public safety agency in response to workplace violence or who reports workplace violence; requiring such a medical facility to maintain certain records; requiring the Division to publish an annual report concerning workplace violence at such medical facilities; revising provisions relating to staffing at certain health care facilities; and providing other matters properly relating thereto.

Bill Text

What changed in the latest version

625 added · 644 removed

625 line(s) added, 644 removed.

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EXEMPT (Reprinted with amendments adopted on June 3, 2019) SECOND REPRINT A.B.
Assembly Bill No.
348 ASSEMBLY B ILLN O.
348–Assemblymen Gorelow, Munk;
348–A SSEMBLYMEN G ORELOW , MUNK ;
Assefa, Flores, Martinez and McCurdy CHAPTER..........
A SSEFA, FLORES , MARTINEZ AND M CC URDY M ARCH 18, 2019 ____________ Referred to Committee on Commerce and Labor SUMMARY—Makes various changes related to working conditions at certain medical facilities.
(BDR 53-843) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
CONTAINS UNFUNDED MANDATE (§§ 14-17) (NOTREQUESTED BAFFECTEDLOCALGOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Legislative Counsel’s Digest:
LegiExisting law prohibits an employer from maintaining unsafe or unhealthy places of employment.
places of employment.
(NRS 618.750-618.936) Sections 14 and 17 of this bill require a hospital or psychiatric hospital to develop and maintain a plan for the - *AB348_R2* – 2 – prevention of and response to workplace violence.
(NRS 618.750-618.936) Sections 14 and 17 of this bill require a hospital or psychiatric hospital to develop and maintain a plan for the prevention of and response to workplace violence.
Section 14 requires certain medical facilities to establish a committee on workplace safety to assist in the development of the plan.
Section 14 requires certain development of the plan.
to workplace violence and situations that create the potential for workplacending violence.
Section 14 additionally requires the plan to include procedures for responding violence.
Section 16 of this bill prescribes the required contents of those procedures.
Section 16 of this bill prescribes the required contents of thosee procedures.
Section 17 of this bill requires a hospital or psychiatric hospital to take certain actions relating to the development and implementation of the plan.
Section 17 of this bill requires a hospital or psychiatric hospital to take certain requires a hospital or psychiatric hospital to carry out certain controls to prevent and mitigate the risk of workplace violence.
Section 17 also requires a hospital or psychiatric hospital to carry out certain controls to prevent hospital or psychiatric hospital to document and report to the Division of Industrial Relations of the Department of Business and Industry certain incidents of workplace violence.
Section 17 additionally requires a hospital or psychiatric hospital to document and report to the Division of Industrial Relations of the Department of Business and Industry certain incidents of workplace violence.
Section 17 bans a hospital or psychiatric hospital from prohibiting an employee or other provider of care from reporting an incident of workplace violence or seeking the assistance of a public safety agency in response to an incident of workplace violence.
Section 17 bans a hospital or psychiatric hospital from prohibiting an employee or other provider of care from reporting an incident of workplace violence or seeking the assistance of a public safety agency in response - 80th Session (2019) – 2 – to an incident of workplace violence.
Section 19.3 of this bill authorizes an employee who is aggrieved by such prohibited actions to file a complaint with the Division for reinstatement and reimbursement for lost wages and work benefits.
Section 19.3 of this bill authorizes an Division for reinstatement and reimbursement for lost wages and work benefits.the Section 19.35 additionally authorizes the Division of Public and Behavioral Health of the Department of Health and Human Services to take disciplinary action against a medical facility that retaliates against an employee for reporting workplace violence or seeking the assistance of a public safety agency in response to an incident of workplace violence.
Section 19.35 additionally authorizes the Division of Public and Behavioral Health a medical facility that retaliates against an employee for reporting workplaceinst violence or seeking the assistance of a public safety agency in response to an incident of workplace violence.
Section 19 of this bill requires the Division to annually make available copies of hospitals.
certain reports concerning workplace violence at hospitals and psychiatricopies of hospitals.
(1) develop a written policy concerning the refusal of or objection to a work assignment by a nurse or certified nursing bill provides that, if a staffing committee is established for a health care facility through collective bargaining, the health care facility is not required to appoint another staffing committee.
(1) develop a written policy concerning the assistant;
and (2) a documented staffing plan.
(NRS 449.242) Section 19.4 of this bill provides that, if a staffing committee is established for a health care facility through collective bargaining, the health care facility is not required to appoint another staffing committee.
- *AB348_R2* – 3 – Existing law requires:
Existing law requires:
(NRS 449.242, 449.2421) Section 18.5 requires the Division of Industrial Relations of the Department of Business and Industry to Health of the Department of Health and Human Services and section 19.37 of thisal bill uses that definition for that purpose.
(NRS 449.242, 449.2421) Section 18.5 requires the Division of Industrial Relations of the Department of Business and Industry to define the term “unit” in consultation with the Division of Public and Behavioral bill uses that definition for that purpose.n Services and section 19.37 of this EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
As used in sections 2 to 19, inclusive, of this act, unless the context otherwise requires, the words and terms defined in sections 3 to 13, inclusive, of this act have the meaning ascribed to them in those sections.
As used in sections 2 to 19, inclusive, of this act, unless the context otherwise requires, the words and terms defined - 80th Session (2019) – 3 – in sections 3 to 13, inclusive, of this act have the meaning ascribed to them in those sections.
“Alarm” means a mechanical or electronic communication system that does not rely on the vocalization of a person to alert others to an incident of workplace violence.
“Alarm” means a mechanical or electronic communication system that does not rely on the vocalization of a perSec.
Sec.
“Dangerous weapon” means an item capable of inflicting death or serious bodily injury, regardless of whether the item was designed for that purpose.
“Dangerous weapon” means an item capable oflence.
inflicting death or serious bodily injury, regardless of whether the item was designed for that purpose.
10.
provider of care;signed to aid the sight of an employee or other 11.
Devices designed to aid the sight of an employee or other provider of care;
- *AB348_R2* – 4 – 11.
4.
- 80th Session (2019) – 4 – 4.
Sec.
1.c.
8.
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“Public safety agency” means:
1.
3.
2.
An emergency medical service.efined in NRS 277.035;
A law enforcement agency as defined in NRS 277.035;
or Sec.
or 3.
An emergency medical service.
Sec.
“Security guard” has the meaning ascribed to it in NRSSec.
“Security guard” has the meaning ascribed to it in NRS 648.016.
Sec.
Providing training on methods to prevent workplace violence and respond to incidents of workplace violence.
Providing training on methods to prevent workplace vioSec.
Sec.
“Workplace violence” means any act of violence or threat of violence that occurs at a medical facility, except for a - *AB348_R2* – 5 – lawful act of self-defense or defense of another person.
“Workplace violence” means any act of violence or threat of violence that occurs at a medical facility, except for a lawful act of self-defense or defense of another person.
(1) If a staffing committee has been established for the medical facility pursuant to NRS 449.242 or an applicable collective bargaining agreement:
- 80th Session (2019) – 5 – (1) If a staffing committee has been established for the medical facility pursuant to NRS 449.242 or an applicable collective bargaining agreement:
and (II) Employees of the medical facility who work in areas of the medical facility other than those represented on the staffing committee, appointed by the operator of the medical facility.
and of the medical facility other than those represented on the staffing committee, appointed by the operator of the medical facility.
(2) If a staffing committee has not been established for the medical facility pursuant to NRS 449.242 or an applicable collective bargaining agreement, employees of the medical facility must include, without limitation, employees who work in all major areas of the medical facility.
(2) If a staffing committee has not been established for the medical facility pursuant to NRS 449.242 or an applicable collective bargaining agreement, employees of the medical facility appointed by the operator of the medical facility.
response to workplace violence.
Such employees must include, without limitation, employees who work in all major areas of the medical facility.
The plan must:vention of and (1) Be in writing;
(b) Develop and maintain a plan for the prevention of and response to workplace violence.
The plan must:
(1) Be in writing;
(a) A requirement that all employees of the medical facility and other providers of care at the medical facility receive the training described in section 15 of this act concerning the prevention of workplace violence:
(a) A requirement that all employees of the medical facility and other providers of care at the medical facility receive the prevention of workplace violence:of this act concerning the (1) Upon the adoption of a new plan for the prevention of workplace violence;
(1) Upon the adoption of a new plan for the prevention of workplace violence;
(2) Upon commencing employment and annually thereafter;
- *AB348_R2* – 6 – (2) Upon commencing employment and annually thereafter;
(c) Procedures that meet the requirements of the regulations adopted pursuant to section 18.5 of this act for assessing and responding to situations that create the potential for workplace violence.
- 80th Session (2019) – 6 – (c) Procedures that meet the requirements of the regulations adopted pursuant to section 18.5 of this act for assessing and responding to situations that create the potential for workplace violence.
(d) Procedures for correcting hazards that increase the risk of workplace violence, including, without limitation, using engineering controls that are feasible and applicable to the medical facility and work practice controls to eliminate or minimize exposure of employees and other providers of care to such hazards.
workplaceocedviolence,coincluding,azawithoutt ilimitation, rusingf engineering controls that are feasible and applicable to the medical facility and work practice controls to eliminate or minimize exposure of employees and other providers of care to such hazards.
shooter and other threats of mass casualties through the use ofve plans for evacuation and sheltering that are feasible and app(g) Procedures for annually assessing, in collaboration with the committee on workplace safety established pursuant to paragraph (a) of subsection 1, the effectiveness of the plan.
(f) Procedures for responding to incidents involving an active shooter and other threats of mass casualties through the use of plans for evacuation and sheltering that are feasible and appropriate for the medical facility.
(g) Procedures for annually assessing, in collaboration with the committee on workplace safety established pursuant to paragraph (a) of subsection 1, the effectiveness of the plan.
(a) An explanation of the plan, the manner in which the medical facility plans to address incidents of workplace violence, the manner in which an employee may participate in reviewing and revising the plan and any information necessary for employees and other providers of care to perform the duties that may be required of each employee or other provider of care under the plan;
(a) An explanation of the plan, the manner in which the medical facility plans to address incidents of workplace violence, and revising the plan and any information necessary forewing employees and other providers of care to perform the duties that may be required of each employee or other provider of care under the plan;
- *AB348_R2* – 7 – (c) When and how to respond to and seek assistance in preventing or responding to workplace violence;
(c) When and how to respond to and seek assistance in preventing or responding to workplace violence;
(e) Resources available to employees and other providers of care in coping with incidents of workplace violence, including, without limitation, debriefing processes established by the medical facility for use after an incident of workplace violence and available programs to assist employees and other providers of care in recovering from incidents of workplace violence;
(e) Resources available to employees and other providers of care in coping with incidents of workplace violence, including, without limitation, debriefing processes established by the medical facility for use after an incident of workplace violence and - 80th Session (2019) – 7 – available programs to assist employees and other providers of care in recovering from incidents of workplace violence;
and (f) For each employee or other provider of care who has contact with patients, training concerning verbal intervention and de-escalation techniques that:
and (f) For each employee or other provider of care who has contact with patients, training concerning verbal intervention and de-esc(1) Allows the employee or other provider of care to practice those techniques with other employees and other providers of care with whom he or she works;
(1) Allows the employee or other provider of care to practice those techniques with other employees and other providers of care with whom he or she works;
A medical facility shall collaborate with the committee on workplace safety established pursuant to paragraph (a) of subsection 1 of section 14 of this act in developing, reviewing and revising the training provided under the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act and any curSec.
A medical facility shall collaborate with the committee on workplace safety established pursuant to paragraph (a) of subsection 1 of section 14 of this act in developing, reviewing and revising the training provided under the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act and any curricula or materials used in that training.
Sec.
The procedures for responding to and investigating incidents of workplace violence included in the plan adopted must include, without limitation, procedures to:tion 14 of this act 1.
The procedures for responding to and investigating incidents of workplace violence included in the plan adopted pursuant to paragraph (b) of subsection 1 of section 14 of this act must include, without limitation, procedures to:
1.
Ensure an effective response to each incident of workplace violence, including, without limitation, by ensuring that members of the staff of the medical facility are trained to address such incidents and designated to be available to immediately assist in the response to such an incident without interrupting patient care;
Ensure an effective response to each incident of workplace violence, including, without limitation, by ensuring that members of the staff of the medical facility are trained to address such incidents and designated to be available to immediately assist in the3.espProvide timely medical care or first aid to employees orre;
3.
other providers of care who have been injured in an incident of workplace violence;
Provide timely medical care or first aid to employees or other providers of care who have been injured in an incident of workplace violence;
Offer the opportunity for each employee and other provider of care, including, without limitation, supervisors and security - *AB348_R2* – 8 – guards, involved in an incident of workplace violence to debrief as soon as possible after the incident at a time and place that is convenient for the employee or other provider of care;
Offer the opportunity for each employee and other provider of care, including, without limitation, supervisors and security guards, involved in an incident of workplace violence to debrief as soon as possible after the incident at a time and place that is convenient for the employee or other provider of care;
8.
- 80th Session (2019) – 8 – 8.
Solicit the feedback of each employee or other provider of care involved in an incident of workplace violence concerning the precipitating factors of the incident and any measures that may have assisted in preventing the incident.
Solicit the feedback of each employee or other provider of care involved in an incident of workplace violence concerning the have assisted in preventing the incident.
Sec.
any measures that may Sec.
(c) Implement engineering controls, work practice controls and other appropriate measures, as applicable, to prevent and mitigate the risk of workplace violence in all units, areas and prescribed in the regulations adopted pursuant to section 18.5 ofts this act.
(c) Implement engineering controls, work practice controls and other appropriate measures, as applicable, to prevent and mitigate the risk of workplace violence in all units, areas and locations of the facility.
(a) Encourage employees and other providers of care to report incidents of workplace violence and concerns about workplace violence and seek the assistance of a public safety agency in accordance with the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act to respond to an incident of workplace violence;
Such controls must meet the requirements prescribed in the regulations adopted pursuant to section 18.5 of this act.
and (b) Report to the Division any incident of workplace violence that:
2.
A medical facility shall:
(a) Encourage employees and other providers of care to report incidents of workplace violence and concerns about workplace violence and seek the assistance of a public safety agency in accordance with the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act to respond to an incident of wor(b) Report to the Division any incident of workplace violence that:
A medical facility shall not prohibit an employee or other provider of care from reporting incidents of workplace violence or concerns about workplace violence or seeking the assistance of a - *AB348_R2* – 9 – public safety agency to respond to an incident of workplace violence in accordance with the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act.
A medical facility shall not prohibit an employee or other provider of care from reporting incidents of workplace violence or concerns about workplace violence or seeking the assistance of a public safety agency to respond to an incident of workplace violence in accordance with the plan developed pursuant to paragraph (b) of subsection 1 of section 14 of this act.
Sec.
- 80th Session (2019) – 9 – Sec.
A medical facility shall maintain and make available to the Division upon request records related to incidents of workplace violence and actions taken in compliance with sections 14 to 18.5, inclusive, of this act and the regulations adopted pursuant thereto.
A medical facility shall maintain and make available to the Division upon request records related to incidents of workplace violence and actions taken in compliance with sections 14 to 18.5, inclusive, of this act and the regulations limitation:suant thereto.
Such records must include, without limitation:
Such records must include, without (a) Records of the identification, evaluation and correction of hazards that increase the risk of workplace violence.
(a) Records of the identification, evaluation and correction of hazards that increase the risk of workplace violence.
Records maintained pursuant to sections 14 to 18.5, inclusive, of this act and the regulations adopted pursuant thereto patient, employee of the medical facility or other provider of care at the medical facility.
Records maintained pursuant to sections 14 to 18.5, inclusive, of this act and the regulations adopted pursuant thereto must not include the personally identifiable information of any patient, employee of the medical facility or other provider of care at the medical facility.
Such records must not be maintained or Insurance Portability and Accountability Act of 1996, Public Law 104-191, and any regulations adopted pursuant thereto.
Such records must not be maintained or disclosed in a manner that violates NRS 449A.112 or the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, and any regulations adopted pursuant thereto.
The Division shall, in consultation with the Division of Public and Behavioral Health of the Department of Health and Human Services, define by regulation the term “unit” for the purposes of sections 2 to 19, inclusive, of this act.
The Division shall, in consultation with the Health and Human Services, define by regulation the term “unit” for the purposes of sections 2 to 19, inclusive, of this act.
- *AB348_R2* – 10 – Sec.
- 80th Session (2019) – 10 – Sec.
The Division shall make available on an Internet website maintained by the Division a copy of the most recent:
The Division shall make available on an Internet website mai(a) Annual summary submitted by each medical facility in this State pursuant to subsection 1;
(a) Annual summary submitted by each medical facility in this State pursuant to subsection 1;
Any employee aggrieved by a violation of subsection 1 may Division.
Any employee aggrieved by a violation of subsection 1 may file a complaint for the relief afforded under subsection 3 with the Division.
Any complaint must be filed with the Division within 30the days after the violation has occurred and must set forth in writing the3.actUpon receipt of the complaint by the Division, the Administrator shall cause such investigation to be made as the Administrator deems appropriate.
Any complaint must be filed with the Division within 30 days after the violation has occurred and must set forth in writing the facts constituting the violation.
Administrator shall cause such investigation to be made as the Administrator deems appropriate.
- *AB348_R2* – 11 – Sec.
- 80th Session (2019) – 11 – follows:19.35.
19.35.
NRS 449.205 is hereby amended to read as 449.205 1.
NRS 449.205 is hereby amended to read as follows:
449.205 1.
or (3) Cooperates or otherwise participates in an investigation or proceeding conducted by the Board of Medical Examiners, the State Board of Osteopathic Medicine or another governmental entity relating to conduct described in subparagraph (1) or (2);
or (3) Cooperates or otherwise participates in an investigation or proceeding conducted by the Board of Medical Examiners, the relating to conduct described in subparagraph (1) or (2);
[or] (b) A registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the medical facility and who:
[or]tity (b) A registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the medical facility and who:
(1) In accordance with the policy, if any, established by the medical f(I) Reports to his or her immediate supervisor, in writing, that he or she does not possess the knowledge, skill or experience to andply with an assignment to provide nursing services to a patient;
(1) In accordance with the policy, if any, established by the medical facility:
(II) Refuses to provide to a patient nursing services for which, as verified by documentation in the personnel file of the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified concerning his or her competence to provide various nursing services, he or she does not possess the knowledge, skill or experience to comply with the assignment to provide nursing services to the patient, unless the refusal constitutes unprofessional conduct as set forth in chapter 632 of NRS or any regulations adopted pursuant thereto;
(I) Reports to his or her immediate supervisor, in writing, that he or she does not possess the knowledge, skill or experience to comply with an assignment to provide nursing services to a patient;
and (II) Refuses to provide to a patient nursing services for which, as verified by documentation in the personnel file of the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified concerning his or her competence to provide various nursing services, he or she does not possess the provide nursing services to the patient, unless the refusal constitutes unprofessional conduct as set forth in chapter 632 of NRS or any regulations adopted pursuant thereto;
(3) In good faith, reports to the medical facility, the Board of Medical Examiners, the State Board of Osteopathic Medicine, the State Board of Nursing, the Legislature or any committee thereof or any other governmental entity:
(3) In good faith, reports to the medical facility, the Board of Medical Examiners, the State Board of Osteopathic Medicine, the - 80th Session (2019) – 12 – any other governmental entity:gislature or any committee thereof or (I) Any information concerning the willful conduct of another registered nurse, licensed practical nurse, nursing assistant or medication aide - certified which violates any provision of chapter 632 of NRS or which is required to be reported to the State Board of Nursing;
- *AB348_R2* – 12 – (I) Any information concerning the willful conduct of another registered nurse, licensed practical nurse, nursing assistant or medication aide - certified which violates any provision of chapter 632 of NRS or which is required to be reported to the State Board of Nursing;
or (4) Refuses to engage in conduct that would violate the duty of the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified to protect patients from actual or potential harm, conduct which would violate any provision of chapter 632 of NRS or conduct which would subject the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified to disciplinary action by the State Board of Nursing [.] ;
or (4) Refuses to engage in conduct that would violate the duty of the registered nurse, licensed practical nurse, nursing assistant or potential harm, conduct which would violate any provision ofor chapter 632 of NRS or conduct which would subject the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified to disciplinary action by the State Board of Nursing [.] ;
A medical facility or any agent or employee thereof shall not facility or a registered nurse, licensed practical nurse, nursingical assistant or medication aide - certified who is employed by or the employee, registered nurse, licensed practical nurse, nursingcause assistant or medication aide - certified has taken an action described in subsection 1.
A medical facility or any agent or employee thereof shall not retaliate or discriminate unfairly against an employee of the medical facility or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the medical facility because the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified has taken an action described in subsection 1.
A medical facility or any agent or employee thereof shall not prohibit, restrict or attempt to prohibit or restrict by contract, policy, procedure or any other manner the right of an employee of the medical facility or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the medical facility to take an action described in subsection 1.
A medical facility or any agent or employee thereof shall not procedure or any other manner the right of an employee of theract, policy, medical facility or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the medical facility to take an action described in subsection 1.
(b) “Physician” means a person licensed to practice medicine pursuant to chapter 630 or 633 of NRS.
- 80th Session (2019) – 13 – (b) “Physician” means a person licensed to practice medicine pursuant to chapter 630 or 633 of NRS.
(1) Includes, without limitation, any of the following actions if taken solely because the employee, registered nurse, licensed - *AB348_R2* – 13 – practical nurse, nursing assistant or medication aide - certified took an action described in subsection 1:
(1) Includes, without limitation, any of the following actions practical nurse, nursing assistant or medication aide - certified took an action described in subsection 1:
449.2418 “Unit” [means a component within a health care facility for providing patient care.] has the meaning ascribed to it by regulation of the Division.
449.2418 “Unit” [means a component within a health care facility for providing patient care.] has the meaning ascribed to it by Sec.
19.4.
ofNRS 449.242 is hereby amended to read as follows:
NR[Each]242Exceptrebasameotherwiseeaprovidedlowin subsection 4, each hospital located in a county whose population is shall establish a staffing committee to develop a written policy as required pursuant to NRS 449.2423 and a documented staffing plan as required pursuant to NRS 449.2421.
[Each] Except as otherwise provided in subsection 4, each hospital located in a county whose population is 100,000 or more and which is licensed to have more than 70 beds shall establish a staffing committee to develop a written policy as required pursuant to NRS 449.2423 and a documented staffing plan as required pursuant to NRS 449.2421.
(1) One member representing each unit of the hospital who is a licensed nurse who provides direct patient care on that unit, elected by the licensed nursing staff who provide direct patient care on the unit that the member will represent.
(1) One member representing each unit of the hospital who is a licensed nurse who provides direct patient care on that unit, - 80th Session (2019) – 14 – elected by the licensed nursing staff who provide direct patient care on the unit that the member will represent.
(2) One member representing each unit of the hospital who is a certified nursing assistant who provides direct patient care on that unit, elected by the certified nursing assistants who provide direct patient care on the unit that the member will represent.
(2) One member representing each unit of the hospital who is a certified nursing assistant who provides direct patient care on that patient care on the unit that the member will represent.ovide direct (b) Not less than one-half of the total regular members of the staffing committee appointed by the administration of the hospital.
(b) Not less than one-half of the total regular members of the staffing committee appointed by the administration of the hospital.
(c) One alternate member representing each unit of the hospital who is a licensed nurse or certified nursing assistant who provides direct patient care on that unit, elected by the licensed nursing staff and certified nursing assistants who provide direct patient care on the unit that the member represents.
- *AB348_R2* – 14 – (c) One alternate member representing each unit of the hospital who is a licensed nurse or certified nursing assistant who provides direct patient care on that unit, elected by the licensed nursing staff and certified nursing assistants who provide direct patient care on the unit that the member represents.
(a) The regular member described in paragraph (a) of subsection 1 who will represent his or her unit and profession;
(a) The regular member described in paragraph (a) of subsection who will represent his or her unit and profession;
4.
facility described in subsection 1 through collective bargaining with an employee organization representing the licensed nursing staff and certified nursing assistants of the health care facility:
If a staffing committee is established for a health care facility described in subsection 1 through collective bargaining with an employee organization representing the licensed nursing staff and certified nursing assistants of the health care facility:
(a) The health care facility is not required to form a staffing committee pursuant to that subsection;
committee pursuant to that subsection;
and (b) The staffing committee established pursuant to the collective bargaining agreement shall be deemed to be the staffing committee established for the health care facility pursuant to subsection 1.
anduired to form a staffing (b) The staffing committee established pursuant to the committee established for the health care facility pursuant tofing subsection 1.
[5.] 6.
- 80th Session (2019) – 15 – [5.] 6.
Each hospital that is required to establish a staffing committee pursuant to this section shall prepare a written report concerning the establishment of the staffing committee, the activities and progress of the staffing committee and a determination of the efficacy of the staffing committee.
Each hospital that is required to establish a staffing committee pursuant to this section shall prepare a written report activities and progress of the staffing committee and a determination of the efficacy of the staffing committee.
- *AB348_R2* – 15 – (a) Even-numbered year to the Director of the Legislative Counsel Bureau for transmission to the next regular session of the Legislature.
(a) Even-numbered year to the Director of the Legislative Counsel Bureau for transmission to the next regular session of the Legislature.
7.
defined in NRS 449.00385;
A facility for modified medical detoxification, as defined in NRS 449.00385;
ored medical detoxification, as 8.
or 8.
This section and sections 1 to 19.4, inclusive, and 20 of this act become effective:
This section and sections 1 to 19.4, inclusive, and of this act become effective:
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
- 80th Session (2019) – 16 – (a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
H - *AB348_R2*
~~~~~ 19 - 80th Session (2019)
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2 amendments

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Action History

  1. Chapter 571.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 1109.) Reprinting dispensed with. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 8.) To printer. From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. In Assembly. Senate Amendment No. 1109 concurred in. To enrollment.

  5. Taken from Secretary's desk. Re-referred to Committee on Finance. To committee. Exemption effective.

  6. From committee: Without recommendation. Placed on Second Reading File. Notice of eligibility for exemption. Read second time. Taken from General File. Placed on Secretary's desk.

  7. In Senate. Read first time. Referred to Committee on Commerce and Labor. To committee.

  8. From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 29, Nays: 12, Excused: 1.) To Senate.

  9. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 603.) To printer.

  10. From printer. To committee.

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

Sponsors

  • Assemblywoman Connie Munk · Primary
  • Assemblyman Alexander Assefa · Primary
  • Assemblyman Edgar Flores · Primary
  • Assemblywoman Susie Martinez · Primary
  • William McCurdy II · Primary
  • Michelle Gorelow · Primary

Sponsorship breakdown

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6 sponsors · 0 co-sponsors · 61 not signed on

Sponsors (6)

Co-sponsors (0)

None.

Not signed on (61)

61 members have not signed on to this bill.

Show all 61 →

"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

public-safety healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does AB 348 do?
AN ACT relating to occupational safety and health; requiring certain medical facilities to develop and carry out a plan for the prevention of workplace violence and report incidents of workplace violence to the Division of Industrial Relations of the Department of Business and Industry; prohibiting such a medical facility from taking certain actions against an employee or other provider of care who seeks the assistance of a public safety agency in response to workplace violence or who reports workplace violence; requiring such a medical facility to maintain certain records; requiring the Division to publish an annual report concerning workplace violence at such medical facilities; revising provisions relating to staffing at certain health care facilities; and providing other matters properly relating thereto.
Who sponsors AB 348?
AB 348 is sponsored by Assemblywoman Connie Munk, Assemblyman Alexander Assefa, Assemblyman Edgar Flores, Assemblywoman Susie Martinez, William McCurdy II, and Gorelow, Michelle.
What is the current status of AB 348?
This bill has been enacted into law. Introduced March 18, 2019. Enacted.
Where can I track AB 348?
Track AB 348 free on One Click Politics — get push/email alerts when it moves.

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