Amendment vs bill Amendment 261 vs Reprint 1

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REQUIRES TWO-THIRDS MAJORITY VOTE (§§ 7, 11) (Reprinted with amendments adopted on April 20, 2021) FIRST REPRINT S.B.
Session (81st) A SB201 261 Amendment No.
201 SENATE B ILLN O.
261 Senate Amendment to Senate Bill No.
201–COMMITTEE ON H EALTH AND H UMAN SERVICES (O N BEHALF OF THE COMMITTEE TO CONDUCT AN NTERIM STUDY C ONCERNING THE COSTS OF P RESCRIPTION D RUGS ) M ARCH 9, 2021 ____________ Referred to Committee on Health and Human Services SUMMARY—Requires licensing of pharmaceutical sales representatives.
201 (BDR 54-444) Proposed by:
Senate Committee on Health and Human Services Amends:
Summary:
No Title:
No Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will MAINTAIN the 2/3s majority vote requirement for final passage of S.B.
201 (§§ 7, 11).
ASSEMBLY ACTION Initial and Dat| 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/BJF - Date:
4/19/2021 S.B.
No.
201—Requires licensing of pharmaceutical sales representatives.
(BDR 54-444) Page 1 of 12 *A_SB201_261* Senate Amendment No.
261 to Senate Bill No.
201 Page 3 S ENATEB ILLNO .
201–OMMITTEE ON H EALTH AND HUMAN SERVICES (ON BEHALF OF THEC OMMITTEE TO CONDUCT AN NTERIM STUDY CONCERNING THE COSTS OFP RESCRIPTIONDRUGS ) M ARCH 9, 2021 _______________ Referred to Committee on Health and Human Services SUMMARY—Requires licensing of pharmaceutical sales representatives.
(Chapter 449 of NRS) Sections 2-13 of this bill require the Division to also license and regulate pharmaceutical sales representatives.
(Chapter 449 of NRS) Sections 2-13 of this bill require this bill prohibits a person from marketing prescription drugs in this State to providers of health care, pharmacies or employees thereof, operators or employees of certain medical facilities, and insurers, for more than 15 days in a calendar year without obtaining a license from the Division.
Section 7 of this bill prohibits a person from marketing prescription drugs in this State to providers of health care, pharmacies or insurers, for more than 15 days in a calendar year without obtaining a license from the Division.
Section 9 of this bill requires the Division to keep records of proceedings relating to the licensure, discipline and investigation of pharmaceutical to such proceedings to be confidential.
Section 9 of this bill requires the Division to keep records of proceedings relating to the licensure, discipline and investigation of pharmaceutical sales representatives.
Sections 10 and 11 of this bill enact certain - *SB201_R1* – 2 – provisions necessary to comply with federal law governing the collection of child support from persons holding a professional license, including a requirement in section 10 that an applicant for a license include his or her social security number in the application.
Sections 9 and 15 of this bill declare certain records related to such proceedings to be confidential.
Sections 18 and 19 of this bill eliminate that requirement on the of the requirements related to the collection of child support 2 years after Congress repeals the provisions of federal law imposing those requirements.
Sections 10 and 11 of this bill enact certain provisions necessary to comply with federal law governing the collection of child support from persons holding a professional license, including a requirement in section 10 that an applicant for a license include his or her social security number in the application.
Section 14 of this bill makes a conforming change to clarify the applicability of the requirement governing the submission of a social security number.
Sections 18 and 19 of this bill eliminate that requirement on the date Congress repeals those provisions of federal law.
Section 12 of this bill provides that it is a misdemeanor to violate any provision of sections 2-13 relating to the licensure and regulation of pharmaceutical sales for an injunction against a natural person or business entity who violates anyn action provision of sections 2-13.
Section 19 also eliminates all of the requirements related to the collection of child support 2 years after Congress repeals the provisions of federal law Senate Amendment No.
261 to Senate Bill No.
201 Page 4 imposing those requirements.
Section 14 of this bill makes a conforming change to clarify the appSection 12 of this bill provides that it is a misdemeanor to violate any provision of sections 2-13 relating to the licensure and regulation of pharmaceutical sales representatives.
Section 13 of this bill authorizes the Division to maintain an action for an injunction against a natural person or business entity who violates any provision of sections 2-13.
(NRS 439B.660) Section 17 of this bill classifies pharmaceutical sales representatives as professionals for the purposes of certain requirements related to comUnder section 7, fees collected for the licensure of pharmaceutical sales representation:
(NRS 439B.660) Section 17 of this bill classifies pharmaceutical sales representatives as professionals for the purposes of certain requirements related to compensation, wages and hours and exemptions from those requirements.
(1) must be accounted for separately in the State General Fund;
Under section 7, fees collected for the licensure of pharmaceutical sales only to cover the costs of licensing and regulating pharmaceutical sales representatives and for the purposes of improving transparency concerning the costs of prescription drugs;
(2) used only to cover the costs of licensing and regulating pharmaceutical sales representatives and for the purposes of improving transparency concerning the costs of prescription drugs;
A person shall not market prescription drugs in this State to providers of health care, pharmacies or employees thereof, operators or employees of medical facilities, or persons - *SB201_R1* – 3 – licensed or certified under the provisions of Title 57 of NRS, for more than 15 days in any calendar year unless the person holds a valid license as a pharmaceutical sales representative issued by the Division.
A person shall not market prescription drugs in this State to providers of health care, pharmacies or employees thereof, operators or employees of medical facilities, or persons licensed or certified under the provisions of Title 57 of NRS, for more than 15 days in any calendar year unless the person holds a valid license as a pharmaceutical sales representative issued by the Division.
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Such disciplinary action may include, without limitation, the suspension or revocation of a license, the placement of limitations on the practice of a licensee and the imposition of an administrative penalty.
Such Senate Amendment No.
261 to Senate Bill No.
201 Page 5 disciplinary action may include, without limitation, the suspension or revocation of a license, the placement of limitations on the practice of a licensee and the imposition of an administrative penalty.
- *SB201_R1* – 4 – 2.
2.
(b) Submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.
(b) Submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Senate Amendment No.
261 to Senate Bill No.
201 Page 6 Services pursuant to NRS 425.520.
- *SB201_R1* – 5 – (a) Fails to submit the statement required pursuant to subsection 1;
(a) Fails to submit the statement required pursuant to subsection 1;
- *SB201_R1* – 6 – Sec.
Sec.
(b) Does not relieve the natural person or business entity from any criminal prosecution for the same violation.
Senate Amendment No.
261 to Senate Bill No.
201 Page 7 (b) Does not relieve the natural person or business entity from any criminal prosecution for the same violation.
A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to a regulatory body is - *SB201_R1* – 7 – confidential and is not a public record for the purposes of chapter 239 of NRS.
A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to a regulatory body is confidential and is not a public record for the purposes of chapter 239 of NRS.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119A.677, 119B.370, 119B.382, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 172.075, 172.245, 176.01249, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 179.495, 179A.070, 179A.165, 179D.160, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3923, 209.3925, 209.419, 209.429, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 226.300, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1473, 233.190, 237.300, 239.0105, 239.0113, 239.014, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 239C.420, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.550, 247.560, 250.087, 250.130, 250.140, 250.150, 268.095, 268.0978, 268.490, 268.910, 269.174, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 286.110, 286.118, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.5757, 293.870, 293.906, 293.908, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 360.240, 360.247, 360.255, 360.755, 361.044, 361.2242, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.0075, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.033, 391.035, 391.0365, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 393.045, 394.167, 394.16975, 394.1698, 394.447, 394.460, 394.465, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 414.280, 416.070, 422.2749, 422.305, 422A.342, 422A.350, - *SB201_R1* – 8 – 425.400, 427A.1236, 427A.872, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.407, 432B.430, 432B.560, 432B.5902, 432C.140, 432C.150, 433.534, 433A.360, 437.145, 437.207, 439.4941, 439.840, 439.914, 439B.420, 439B.754, 439B.760, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 442.774, 445A.665, 445B.570, 445B.7773, 447.345, 449.209, 449.245, 449.4315, 449A.112, 450.140, 450B.188, 453.164, 453.720, 453A.610, 453A.700, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.535, 480.545, 480.935, 480.940, 481.063, 481.091, 481.093, 482.170, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484A.469, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 599B.090, 603.070, 603A.210, 604A.303, 604A.710, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.238, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.047, 629.069, 630.133, 630.2673, 630.30665, 630.336, 630A.555, 631.368, 632.121, 632.125, 632.3415, 632.405, 633.283, 633.301, 633.4715, 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.580, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.221, 641.325, 641A.191, 641A.262, 641A.289, 641B.170, 641B.282, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.228, 653.900, 654.110, 656.105, 657A.510, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 678A.470, 678C.710, 678C.800, 679B.122, 679B.124, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.325, 706.1725, 706A.230, 710.159, 711.600, section 9 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared - *SB201_R1* – 9 – from those public books and public records.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119A.677, 119B.370, 119B.382, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 172.075, 172.245, 176.01249, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 179.495, 179A.070, 179A.165, 179D.160, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3923, 209.3925, 209.419, 209.429, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 226.300, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1473, 233.190, 237.300, 239.0105, 239.0113, 239.014, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 239C.420, 240.007, 241.020, 241.030, Senate Amendment No.
261 to Senate Bill No.
201 Page 8 241.039, 242.105, 244.264, 244.335, 247.540, 247.550, 247.560, 250.087, 250.130, 250.140, 250.150, 268.095, 268.0978, 268.490, 268.910, 269.174, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 286.110, 286.118, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.5757, 293.870, 293.906, 293.908, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 360.240, 360.247, 360.255, 360.755, 361.044, 361.2242, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.0075, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.033, 391.035, 391.0365, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 393.045, 394.167, 394.16975, 394.1698, 394.447, 394.460, 394.465, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 414.280, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.407, 432B.430, 432B.560, 432B.5902, 432C.140, 432C.150, 433.534, 433A.360, 437.145, 437.207, 439.4941, 439.840, 439.914, 439B.420, 439B.754, 439B.760, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 442.774, 445A.665, 445B.570, 445B.7773, 447.345, 449.209, 449.245, 449.4315, 449A.112, 450.140, 450B.188, 453.164, 453.720, 453A.610, 453A.700, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.535, 480.545, 480.935, 480.940, 481.063, 481.091, 481.093, 482.170, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484A.469, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 599B.090, 603.070, 603A.210, 604A.303, 604A.710, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.238, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.047, 629.069, 630.133, 630.2673, 630.30665, 630.336, 630A.555, 631.368, 632.121, 632.125, 632.3415, 632.405, 633.283, 633.301, 633.4715, 633.524, 634.055, 634.214, 634A.185, 635.158, 636.107, 637.085, 637B.288, 638.087, 638.089, 639.2485, 639.570, 640.075, 640A.220, 640B.730, 640C.580, 640C.600, 640C.620, 640C.745, 640C.760, 640D.190, 640E.340, 641.090, 641.221, 641.325, 641A.191, 641A.262, 641A.289, 641B.170, 641B.282, 641B.460, 641C.760, 641C.800, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.228, 653.900, 654.110, 656.105, 657A.510, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 671.170, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 678A.470, 678C.710, 678C.800, 679B.122, 679B.124, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.110, 687A.115, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.325, 706.1725, 706A.230, 710.159, 711.600, section 9 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum Senate Amendment No.
261 to Senate Bill No.
201 Page 9 may be prepared from those public books and public records.
- *SB201_R1* – 10 – Sec.
Sec.
3.
Senate Amendment No.
261 to Senate Bill No.
201 Page 10 3.
and (b) The name and manufacturer of each prescription drug for which the pharmaceutical sales representative provided a free sample to a provider of health care licensed, certified or registered in this State, pharmacy or employee thereof, operator or employee - *SB201_R1* – 11 – of a medical facility or person licensed or certified under the provisions of title 57 of NRS and the name of each such person to whom a free sample was provided.
and (b) The name and manufacturer of each prescription drug for which the pharmaceutical sales representative provided a free sample to a provider of health care licensed, certified or registered in this State, pharmacy or employee thereof, operator or employee of a medical facility or person licensed or certified under the provisions of title 57 of NRS and the name of each such person to whom a free sample was provided.
In addition to any other requirements set forth in the regulations adopted pursuant to section 7 of this act, an applicant for the issuance or renewal of a license as a pharmaceutical sales representative must [:
In addition to any other requirements set forth in the regulations adopted pursuant to section 7 of this act, an applicant for the Senate Amendment No.
261 to Senate Bill No.
201 Page 11 issuance or renewal of a license as a pharmaceutical sales representative must [:
- *SB201_R1* – 12 – (b) Submit] submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.
(b) Submit] submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.
or - *SB201_R1* – 13 – children,e in arrears in the payment for the support of one or more are repealed by the Congress of the United States.
or (b) Are in arrears in the payment for the support of one or more children, are repealed by the Congress of the United States.
or (b) Are in arrears in the payment for the support of one or more children, are repealed by the Congress of the United States.
or (b) Are in arrears in the payment for the support of one or more children, Senate Amendment No.
H - *SB201_R1*
261 to Senate Bill No.
201 Page 12  are repealed by the Congress of the United States.