AB 471 — Revises provisions relating to the system for reporting information relating to cancer and other neoplasms. (BDR 40-1082)

REQUIRESAssembly TWO-THIRDSBill MAJORITYNo. VOTE EXEMPT (§§ 1, 3, 5, 6, 8, 9) A.B.

471471–Committee Aon SSEMBLYWays Band ILLNMeans O.CHAPTER..........

471–COMMITTEE ON W AYS AND M EANS (O NB EHALF OF THE OFFICE OF FINANCE IN THE OFFICE OF THE G OVERNOR ) A PRIL29, 2021 ____________ Referred to Committee on Ways and Means SUMMARY—Revises provisions relating to the system for reporting information relating to cancer and other neoplasms.

(BDR 40-1082) FISCAL NOTE:

Effect on Local Government:

May have Fiscal Impact.

Effect on the State:

Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

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

(NRS 457.230) Existing law requires the chief administrative officer of each health care facility in this State to make available to the Chief Medical Officer or his or her representative the records of the health care facility for each reportable neoplasm.

(NRS 457.250) Existing law additionally requires providers of health care who diagnose or treat cancer or other neoplasms to report information to the system unless the case was directly referred or previously admitted to a hospital, medical laboratory or other facility.

(NRS 457.230) Section 4 of this bill removes thatthatical exemption, thereby requiring providers of health care who diagnose or provide treatment for cancer or other neoplasms to report information to the systemdesystem regardless of whether the case was referred or previously admitted to a hospital, medical laboratory or other facility.

- *AB471* – 2 – Existing law requires:

(1) the chief administrative officer of certain facilities that provide health-related services to make available to the Chief Medical Officer or the Chief Medical Officer’s representative the records of the health care facility for each case of neoplasm which is required to be reported;

(2) the Division ofofcility Public and Behavioral Health of the Department of Health and Human Services to (3)abstract eachor healthrequire caresuch a facility fromto whoseabstract recordscertain such information isfrom abstractedsuch byrds;records;

(3) each health care facility from whose records such information is abstracted by the Division to pay a fee;

(NRS 457.270) Sections 6 and 7 of this bill make those provisionsand alsosection applicable2 toof certainthis otherbill defines those facilities and providers of health care,care.re, andAdditionally, section 26 ofrevises thisterminology billto definesrefer thoseto facilitiesa andfacility providersor ofprovider healthwho care.provides information to the Division as reporting the information rather than abstracting it.

provides information to the Division as reporting the information rather thanr who abstracting it.

Sections 1, 3, 8 and 9 of this bill require an applicant for the issuance or renewal of registration of a radiation machine, a certificate of authorization for a radiationthe machineDivision forto mammographypay ora thefee renewalin ofan certainamount licensesprescribed issued by the Division pursuant toy section 5 of this bill to support the system for the reporting of information on cancer and other neoplasms.

and (2) the fees collected must be accounted for separately- and81st usedSession by(2021) the– Division2 – on cancer and other neoplasms.ision to support the system for reporting information onEXPLANATION cancer– andMatter otherin neoplasms.bolded italics is new;

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

Each license issued pursuant to NRS 449.029 to 449.2428, inclusive, expires on December 31 following its issuance and is renewable for 1 year upon reapplication and payment of all fees required pursuant to NRS 449.050 and subsection 4, as applicable, unless the Division finds, after an investigation, that the facility has not:

Each reapplication for an agency to provide personal care services in the home, an agency to provide nursing in the home, a community health worker pool, a facility for intermediate care, a - *AB471* – 3 – facility for skilled nursing, a provider of community-based living arrangement services, a hospital described in 42 U.S.C.

Each reapplication for an agency to provide personal care services in the home, a community health worker pool, a facility for - 81st Session (2021) – 3 – intermediate care, a facility for skilled nursing, a facility for the care of adults during the day, a peer support recovery organization, a residential facility for groups or a home for individual residential care must include, without limitation, a statement that the holder of the license to operate, and the administrator or other person in charge and employees of, the facility, agency, pool, organization or home are in compliance with the provisions of NRS 449.093.

“Other treatment facility” means a facility, other than a health care facility, that provides services to patients with cancer -diagnosis *AB471* – 4 – and othertreatment.luding, neoplasms, including, without limitation, screening, diagnosis5. and treatment.

5.

- 81st Session (2021) – 4 – (a) Submit an application to the Division on a form provided by the Division;

[and] (c) Pay the fee required by the Division which must be calculated to cover the administrative costs directly related to the process of issuing the certificates [.] ;

5.more than one radiation machine for mammography shall obtain ae for certificate of authorization for each radiation machine.

ASec. person who owns or leases or is otherwise responsible for more than one radiation machine for mammography shall obtain a certificate of authorization for each radiation machine.

- *AB471* – 5 – Sec.

and - 81st Session (2021) – 5 – (b) The evaluation of the appropriateness of measures for the prevention and control of cancer and other neoplasms.

Hospitals, medical laboratories and other facilities that provide screening, diagnostic or therapeutic services to patients with respect to cancer and other neoplasms shall report information on cases of cancer and other neoplasms, which are specified by thetheon State Board of Health as subject to reporting, to the system.

[3.] (c) Prescribe other information to be included in each such report, for example, the patient’s name and address, the pathological findings, the stage of the disease, the environmental and occupational factors, the methods of treatment, the incidence of cancer or other neoplasms in the patient’s family, and the places where the patient has resided;

[and[andtient’s family, and the places 4.] (d) Establish a protocol for obtaining access to and preserving the confidentiality of the patients’ records needed for research into cancer and other neoplasms [.] ;

and - *AB471* – 6 – (e) Prescribe a fee to be imposed on an applicant for:

(3) The renewal of a license to operate a surgical center for ambulatory patients, facility for the treatment of irreversible renal disease, facility for hospice care, program of hospice care, hospital, facility for intermediate care, facility for skilled nursing, - 81st Session (2021) – 6 – agency to provide personal care services in the home or a rural clinic pursuant to NRS 449.089;

or (4) The renewal of a license to operate a medical laboratory, other than a laboratory in which the only test performed is a test for the detection of the human immunodeficiency virus that is classified as a waived test pursuant to Subpart A of Part 493 of Title 42 of the Code of Federal Regulations, pursuant to NRS 652.080.

The fees collected pursuant to paragraph (e) of subsection 1 must be accounted for separately and used by the Division to support the system for the reporting of information on cancer and other neoplasms established pursuant to NRS 457.230.