EXPLANATION327 –First MatterReprint inPage bolded4 italicsand is(8) new;other populations designated by the applicable licensing Board.ysical disability;

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

-(a) 81stRenewal Session (2021) – 2 – (b) Biennial registration of the holder of a license to practice medicine,  require each holder to submit evidence of compliance with the requirements for continuing education as seta forthphysician inassistant; regulations adopted by the Board.

or (b) Biennial registration of the holder of a license to practice medicine,  require each holder to submit evidence of compliance with the requirements for continuing education as set forth in regulations adopted by the Board.

(1) An overview of acts of terrorism and weapons of mass destru(2)destruction; Personal protective equipment required for acts of terrorism;

(2) Personal protective equipment required for acts of terrorism;

(d) Must provide for the biennial completion by each psychiatrist and each physician assistant practicing under the supervision of a psychiatrist of one or more courses of instruction that provide at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

Such instruction:instruction [may] :

- 81st Session (2021) – 3 – (I) Persons from various gender, racial and ethnic backgrounds;

(III) Lesbian, gay, bisexual, transgender and questionin(IV)questioning Childrenpersons; and senior citizens;

(IV) Children and senior citizens;

[]Senate 3.Amendment No.

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327 First Reprint Page 5 [] 3.

including(b) bothApproaches didacticto andproviding clinicalhealth approaches;dercare persons,to (c)older Thepersons, biological,including behavioral,both socialdidactic and emotionalclinical aspectsapproaches; of the aging process;

(c) The biological, behavioral, social and emotional aspects of the aging process;

The Board shall require each holder of a license to practice medicine to receive as a portion of his or her continuing education at least 2 hours of instruction every 4 years on - 81st Session (2021) – 4 – evidence-based suicide prevention and awareness, which may include, without limitation, instruction concerning:

(a) The skills and knowledge that the licensee needs to detect behaviors that may lead to suicide, including, without limitation, pos(b)post-traumatic Approachesstress todisorder; engaging other professionals in suicide intervention;

(b) Approaches to engaging other professionals in suicide intervention;

[9.] 10.

As used in this section:

(e)Senate “WeaponAmendment ofNo. mass destruction” has the meaning ascribed to it in NRS 202.4445.

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327 First Reprint Page 6 (e) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.

The Board shall not renew any license issued under this chapter until the licensee has submitted proof satisfactory to the Board of completion, during the 2-year period before renewal of the license, of 30 hours in a program of continuing education -approved 81stby Sessionthe (2021)Board –in 5accordance –with regulations adopted by the Board.

Except as otherwise provided in subsection 3, the by licensee is exempt from this provision for the first biennial period after graduation from:

These may include academic studies, workshops, extension studies, home study and3.and other courses.

The3. program of continuing education required by subsection must include:

The program of continuing education required by subsection 1 must include:

(2) Personal protective equipment required for acts of terrori(3)terrorism; Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;

(3) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;

(c) For each person licensed pursuant to this chapter, one or more courses of instruction that provide at least 2 hours of - 81st Session (2021) – 6 – instruction relating to cultural competency and diversity, equity and inclusion to be completed biennially.

Such instruction:instruction [may] :

sources.)(2) Must be based upon a range of research from diverse (3)sources. Must address persons of different cultural backgrounds, including, without limitation:

(3) Must address persons of different cultural backgrounds, including, without limitation:

(V)Senate Veterans;Amendment No.

555 to Assembly Bill No.

327 First Reprint Page 7 (V) Veterans;

The Board may [thereafter] determine whether to include in a program of continuing education [additional] courses of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction [.] in addition to the course of instruction required by paragraph (b) of sub[4.]subsection 5.3.

[4.] 5.

The Board shall require each person licensed as an advanced practice registered nurse to receive as a portion of his or her continuing education at least 2 hours of instruction every 4 years -on 81stevidence-based Sessionsuicide (2021)prevention –and 7awareness –or another course of instruction on suicide prevention and awareness that is approved by the Board which the Board has determined to be effective and appropriate.

NRS(c) 202.4425.cal“Chemical agent” has the meaning ascribed to it in (d) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.202.4425.

(d) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.

Except as otherwise provided in subsection [10] 11 and NRS 633.491, every holder of a license issued under this chapter, except a temporary or a special license, may renew the license on or before January 1 of each calendar year after its issuance by:

(c) Submitting a list of all actions filed or claims submitted to holderarbitration duringor themediation previousfor year;practicemalpractice or negligence against the (d) Submitting evidence to the Board that in the year preceding the application for renewal the holder hasduring attended courses or programs of continuing education approved by the Boardprevious inyear; accordance with regulations adopted by the Board totaling a number of hours established by the Board which must not be less than 35 hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;

Senate Amendment No.

555 to Assembly Bill No.

327 First Reprint Page 8 (d) Submitting evidence to the Board that in the year preceding the application for renewal the holder has attended courses or programs of continuing education approved by the Board in accordance with regulations adopted by the Board totaling a number of hours established by the Board which must not be less than 35 hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;

-2. 81st Session (2021) – 8 – requirements for renewal not less than 30 days before the date ofe renewal.

The Secretary of the Board shall notify each licensee of the requirements for renewal not less than 30 days before the date of renewal.

The Board shall require each holder of a license to practice osteopathic medicine to complete a course of instruction within 2 years after initial licensure that provides at least 2 hours of describedinstruction inon subsectionevidence-based 8.sed suicide prevention and awareness as 5.described in subsection 8.

5.

and (b) Interpreting family history to determine whether such requiressymptoms additionalindicate examination.hooda normal childhood illness or a condition that 7.requires additional examination.

7.

The Board shall require each holder of a license to practice osteopathic medicine to receive as a portion of his or her continuing education at least 2 hours of instruction every 4 years on -evidence-based 81stsuicide Sessionprevention (2021)and –awareness 9which –may include, without limitation, instruction concerning:hconcerning: may (a) The skills and knowledge that the licensee needs to detect behaviors that may lead to suicide, including, without limitation, post-traumatic stress disorder;

(a) The skills and knowledge that the licensee needs to detect behaviors that may lead to suicide, including, without limitation, post-traumatic stress disorder;

10.Senate Amendment No.

The555 Board shall require each psychiatrist or a physician assistant practicing under the supervision of a psychiatrist to bienniallyAssembly completeBill oneNo. or more courses of instruction that competency and diversity, equity and inclusion.

Such327 instruction:First Reprint Page 9 10.

The Board shall require each psychiatrist or a physician assistant practicing under the supervision of a psychiatrist to biennially complete one or more courses of instruction that provide at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

Such instruction [may] :

(7) Persons with an intellectual disability, developmental disability or physical disability;

and disability, developmental (8) Persons who are part of any other population that a psychiatrist or physician assistant practicing under the supervision of a psychiatrist may need to better understand, as determined by the Board.

- 81st Session (2021) – 10 – Sec.

To renew a license issued pursuant to this chapter, each person must, on or before the first day of January of each odd-odd-numbered numbered year:

(a) Apply to the Board for renewal;

(b) A requirement that the holder of a license must biennially receive at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

Such instruction:instruction [may] :

(II)Senate PersonsAmendment fromNo. various religious backgrounds;

555 to Assembly Bill No.

327 First Reprint Page 10 (II) Persons from various religious backgrounds;

- 81st Session (2021) – 11 – (VII) Persons with an intellectual disability, developmental disability or physical disability;

and (VIII) Persons who are part of any other population that the holder of a license may need to better understand, as detSec.determined by the Board.

Sec.

byNRSNRS 641A.260 is hereby amended to read as follows:

(a) A requirement that the holder receive at least 2 hours of instruction on evidence-based suicide prevention and awareness or another course of instruction on suicide prevention and awareness effectivethat andis appropriate.ardapproved by the Board which the Board has determined to be (b)effective A requirement that the holder receive at least 2 hours of instruction relating to cultural competency and diversity,appropriate. equity and inclusion.

Such(b) instruction:A requirement that the holder receive at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

Such instruction [may] :

- 81st Session (2021) – 12 – (IV) Children and senior citizens;

(VII) Persons with an intellectual disability, developmen(VIII)developmental Personsdisability who are part of any other population that a marriage and family therapist or clinicalphysical professionaldisability; counselor may need to better understand, as determined by the Board.

and (VIII) Persons who are part of any other population that a marriage and family therapist or clinical professional counselor may need to better understand, as determined by the Board.

(c)Senate SubmittingAmendment evidenceNo. to the Board of completion of the required continuing education as set forth in regulations adopted by the Board;

555 to Assembly Bill No.

327 First Reprint Page 11 (c) Submitting evidence to the Board of completion of the required continuing education as set forth in regulations adopted by the Board;

(b) A requirement that every 2 years the holder receive at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

Such instruction:encyinstruction and[may] (1): May include the training provided pursuant to NRS 449.103, where applicable.

(1) May include the training provided pursuant to NRS 449.103, where applicable.

- 81st Session (2021) – 13 – (VII) Persons with an intellectual disability, developmental disability or physical disability;

and (VIII) Persons who are part of any other population that the holder of a license issued pursuant to this chapter may need to betSec.better understand, as determined by the Board.

7.ersNRSSec. 641C.450 is hereby amended to read as follows:

7.

NRS 641C.450 is hereby amended to read as follows:

Such instruction:instruction [may] :

sources.)(2) Must be based upon a range of research from diverse (3)sources. Must address persons of different cultural backgrounds, including, without limitation:

(3) Must address persons of different cultural backgrounds, including, without limitation:

(III)Senate Lesbian,Amendment gay,No. bisexual, transgender and questioning persons;

555 to Assembly Bill No.

327 First Reprint Page 12 (III) Lesbian, gay, bisexual, transgender and questioning persons;

and -(VIII) 81stPersons Sessionwho (2021)are –part 14of –any other population that the holder of a license or certificate may need to bettertionbetter that understand, as determined by the Board.

(1) Of completion of the requirements for continuing education as set forth in regulations adopted by the Board, if applic(2)applicable; That the person’s certification or registration, as applicable, by the Behavior Analyst Certification Board, Inc., or its successor organization, remains valid and the holder remains in good standing;

and (2) That the person’s certification or registration, as applicable, by the Behavior Analyst Certification Board, Inc., or its successor organization, remains valid and the holder remains in good standing;

(a) Be consistent with nationally recognized standards for the continuing education of behavior analysts or assistant behavior analysts, as applicable .

and]analystsand] or assistant behavior (b) Include, without limitation,limitation a, requirement that the holder of a license[: receive at least 2 hours of instruction on evidence-based suicide prevention and awareness.

(c)(1) Include,A] without limitation, a requirement that the holder of a license as a behavior analyst receive at least 2 hours of instruction relatingon toevidence-based culturalsuicide competencyprevention and diversity,awareness. equity and inclusion.

Such[ instruction:(2) A] (c) Include, without limitation, a requirement that the holder of a license as a behavior analyst receive at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.

-Such 81stinstruction Session[may] (2021): – 15 – (1) May include the training provided pursuant to NRS 449.103, where applicable.

(1) May include the training provided pursuant to NRS 449.103, where applicable.

(IV) Children and senior citizens;

and senior citizens;

and (VIII)Senate PersonsAmendment whoNo. are part of any other population that a behavior analyst may need to better understand, as determined by the Board.

555 to Assembly Bill No.

327 First Reprint Page 13 (VIII) Persons who are part of any other population that a behavior analyst may need to better understand, as determined by the Board.

~~~~~ 21 - 81st Session (2021)