AB 210 — Revises provisions governing the practice of chiropractic. (BDR 54-140)
Last action — Chapter 126.
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✓Introduced
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✓In Committee
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✓Passed Assembly
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 08, 2021. Enacted.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
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.
Bill Text
What changed in the latest version
564 added · 602 removedPlain-language change summary
Assembly Bill No. 210 has undergone some significant changes. The revised version requires business entities that provide chiropractic services to register with the Chiropractic Physicians’ Board of Nevada and maintain written policies regarding patient medical records. These updates help ensure that all chiropractors and their assistants comply with existing laws and protect patient confidentiality. Overall, these changes are designed to improve the regulation and professionalism of chiropractic practices in the state.
(ReprintedAssembly withBill amendmentsNo. adopted on April 15, 2021) FIRST REPRINT A.B.
210210–Assemblyman AYeager SSEMBLYCHAPTER.......... B ILLN O.
210–A SSEMBLYMAN Y EAGER M ARCH 8, 2021 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions governing the practice of chiropractic.
(BDR 54-140) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Section 3 of this bill requires a business entity that provides chiropractic services to register with the notifyChiropractic thePhysicians’ Board of anyNevada. change to certain information submitted as part of any to application for registration.
Section 3 requires a business entity to application for registration.
(1) ensure that all chiropractic physicians and chiropractic assistants who provide chiropractic services in any facility owned or operated by the business entity comply with the provisions of existing law and regulations that govern the medicalpractice records of achiropractic; patient;
and(2) (3)establish notifya thewritten Boardpolicy ifand theprocedure businessrelating entityng to the dissolvesmedical orrecords of a facilitypatient; owned or operated by the business entity closes.
Sectionand 6(3) ofnotify this bill requires the Board toif keepthe records relating to registration of a business entity indissolves theor samea mannerfacility asowned itor keepsoperated recordsby ofthe licensingbusiness andentity disciplinarycloses. actions.
- *AB210_R1* – 2 – Section 56 of thisentity billin makesthe asame conformingmanner changeas toit indicatekeeps therecords placement of sectionlicensing 2and indisciplinary theactions. Nevada Revised Statutes.
Section 5 of this bill makes a conforming change to indicate the placement of section 2 in the Nevada Revised Statutes.
(NRS 634.018, 634.140) Sections 9-15 of this bill make various changes to authorize the imposition of disciplinary action against a registered business entity, as applicable.
Section 18 of this bill makes it a category Dwithout felonybeing toappropriately ownregistered orwith operatethe aBoard; business entity:
(1)or that(2) providesfor chiropracticwhich anic services withoutunlicensed beingperson appropriatelyengages registeredin with the Board;practice of chiropractic.
or (2) for which an unlicensed person engages in the practice of chiropractic.
Existing law requires an applicant for a license to engage in the practice of chiropractic to meet certain requirements.
(NRS 634.090) Section 7 of this billfbill revises certain requirements relating to the education of an applicant and the successful completion of an examination.
Sections 6, 8, 15-19 and 22 of this bill change the title of a person practicing chiropractic from “chiropractor” to “chiropractic physician” and the title of a person assisting a chiropractic physician from a “chiropractor’s assistant” to a “chiropractic assistant.” prescribing- drugs.81st Session (2021) – 2 – Existing law prohibits a chiropractic physician from administering or physician to recommend, dispense or administer any drug or device for which aactic prescription or order is not required.
(NRSExisting 634.220)law Sectionestablishes 16a ofprivilege thisfor bill authorizes a chiropracticpatient physician to recommend,refuse dispenseto ordisclose administerand prevent any drugother orperson devicefrom fordisclosing whichconfidential acommunication prescriptionwith oran orderthis isbill notextends required.this privilege to apply to confidential communications between a patient and a chiropractic physician.
ExistingEXPLANATION law– establishesMatter ain privilegebolded foritalics ais patientnew; to refuse to disclose and prevent any other person from disclosing confidential communication with an allopathic or osteopathic physician or dentist.
(NRSmatter 49.215,between 49.225)brackets Section[omitted 20material] ofis patientmaterial and a chiropractic physician.pply to confidentialbe communicationsomitted. between a 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:
A sole proprietorship or partnership that consists solely of persons who are licensed pursuant to this chapter or chapter 630 or 3.3 oA professional corporation or professional limited liability company, the shares of which are wholly owned by a person or persons licensed pursuant to this chapter or chapter 630 or 633 of NRS;
3.
A professional corporation or professional limited liability company, the shares of which are wholly owned by a person or persons licensed pursuant to this chapter or chapter 630 or 633 of NRS;
An administrator or executor of the estate of a deceased chiropractic physician or a person who is legally authorized to act for a chiropractic physician who has been adjudicated to be - *AB210_R1* – 3 – incapacitated for not more than 1 year after the date of the death or incapacitation of the chiropractic physician;
and - 81st Session (2021) – 3 – (c) The name of any chiropractic physician who is responsible for providing or supervising the provision of chiropractic services in any facility owned or operated by the business entity.
A registration as a business entity that provides chiropractic services expires on June 1 of each year and may be renewed by submitting to the Board before the expiration of the registration an application for renewal in the form prescribed by the Board.
A business entity shall notify the Board in writing within 30 days after any change to the information described in subsection 1.
(a) Notifying each patient of the location to which his or her medical records will be moved if the business entity ceasesceasesor her operations, is sold or ceases maintaining medical records at the facility where the medical records are currently maintained;
and - *AB210_R1* – 4 – (c) Responding to a request by a patient or a representative of the patient for any copy of his or her medical records within the time period prescribed by NRS 629.061.
634.010 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 634.012 to 634.018, - 81st Session (2021) – 4 – inclusive, and section 2 of this act have the meanings ascribed to them in those sections.
The Board shall keep a record of its proceedings relatingas tootherwise licensingprovided ,in registrationNRS 634.214, the records must be open tocept public inspection at all reasonable times and disciplinarymust actions.contain the name, known place of business and residence, and the date and number of the license of every [chiropractor] chiropractic physician licensed under this chapter.
Except as otherwise provided in NRS 634.214, the records must be open to public inspection at all reasonable times and must contain the name, known place of business and residence, and the date and number of the license of every [chiropractor] chiropractic physician licensed under this chapter.
Show all 96 changed lines (56 more)
Notice of the disclosure and the contents of the information disclosed pursuant to subsection 2 must be given to the [applicant or licensee] person who is the subject of that information.information.[applicant or Sec.
Sec.
- *AB210_R1* – 5 – (b) Except as otherwise provided in subsections [2] 3 and [5,] 6, that the applicant has a high school education and is a graduate from a college of chiropractic which is accredited by the Council on Chiropractic Education , or [which has a reciprocal agreement with the Council on Chiropractic Education or any governmental accrediting agency, whose minimum course of study leading to the degree of doctor of chiropractic consists of not less than 4,000 hours of credit which includes instruction in each of the following subjects:
- 81st Session (2021) – 5 – (1) Anatomy;
(5) Elementary chemistry and toxicology;
chemistry and toxicology;
2.chiropractic in another state, the District of Columbia, theof Commonwealth of Puerto Rico or any other territory or possession of the United States for not less than 7 of the immediately preceding 10 years without any adverse disciplinary action taken against him or her, the applicant is only required to have successfully completed those parts of the examination administered by the National Board of Chiropractic Examiners, or its successor organization, at the time that the applicant graduated from a college of chiropractic.
If an applicant has actively engaged in the practice of chiropractic in another state, the District of Columbia, the Commonwealth of Puerto Rico or any other territory or possession of the United States for not less than 7 of the immediately preceding 10 years without any adverse disciplinary action taken against him or her, the applicant is only required to have successfully completed those parts of the examination administered by the National Board of Chiropractic Examiners, or - *AB210_R1* – 6 – its successor organization, at the time that the applicant graduated from a college of chiropractic.
The Board may, for good cause shown, waive the requirement for a particular applicant that the college of chiropractic from which the applicant graduated must be accredited by the Council on Chiropractic Education [or have a reciprocal agreement with the Council on Chiropractic Education or a governmental accrediting- agency.]81st ,Session or(2021) its– successor6 organization,– or an accrediting agency recognized by that organization.organization.n, or an [3.] 4.
[3.] 4.
If an applicant has received his or her training and education at a school or college located in a foreign country [,] and the course of study leading to his or her degree of doctor of chiropractic consisted of not less than 4,000 hours of instruction, the Board may, if the Board determines that such training and education is substantially equivalent to graduation from a college of chiropractic that is accredited by the Council on Chiropractic Education [and otherwise meets the requirements specified in paragraph (b) of subsection 1,] , or its successor organization, waive the requirement that an applicant attend or graduate from a college that [:
For an application for a license to practice chiropractic.............................................................$200.00 For an examination for a license to practice chiropractic...............................................................200.00 For an application for, and the issuance of, aa.................................200.00 certificate as a [chiropractor’s] chiropractic assistant....................................................................100.00 - *AB210_R1* – 7 – For an examination for a certificate as a [chiropractor’s] chiropractic assistant...................$100.00assistant.....................100.00 For the issuance of a license to practice chiropractic...............................................................300.00 For the biennial renewal of a license to practice chiropractic............................................................1,000.00 For- the81st biennialSession renewal(2021) of– an7 inactive– licenseForpractice tochiropractic...............................................$300.00 practice chiropractic.................................................300.00 For the biennial renewal of a certificate as a [chiropractor’s] chiropractic assistant.....................200.00 For the restoration to active status of an inactive license to practice chiropractic.................................300.00 For reinstating a license to practice chiropractic which has expired pursuant to NRS 634.130 or has been suspended..............................................500.00 For reinstating a certificate as a [chiropractor’s] chiropractic assistant which has expired pursuant to NRS 634.130 or has been suspended.................................................................100.00 For a review of any subject on the examination..............25.00 For the issuance of a duplicate license or for changing the name on a license..................................35.00 For written verification of licensure or issuance of a certificate of good standing.................................25.00 For providing a list of persons who are licensedlicensed.....................25.00 to practice chiropractic to a person who is not licensed to practice chiropractic.................................25.00 For providing a list of persons who were licensed to practice chiropractic following the most recent examination of the Board to a person who is not licensed to practice chiropractic.................................................................10.00 For a set of mailing labels containing the names and addresses of the persons who are licensed to practice chiropractic in this State...........................35.00 For providing a copy of the statutes, regulations and other rules governing the practice of chiropractic in this State to a person who is not licensed to practice chiropractic...........................25.00 ForForcourses each page of a list of continuing education courses that have been approved by thethecation Board............................................................................
.50 For an application to a preceptor program offered by the Board to graduates of chiropractic schools or colleges .................................35.00 - *AB210_R1* – 8 – For an application for a student or [chiropractor] chiropractic physician to participate in the preceptor program established by the Board pursuant to NRS 634.137.........................................$35.00634.137...........................................35.00 - 81st Session (2021) – 8 – For a review by the Board of a course offered by a chiropractic school or college or a course of continuing education in chiropractic..........................50.00chiropractic........................$50.00 9may 2.charge and collect reasonable and necessary fees for thehe Board expedited processing of a request or for any other incidental service it provides.
In addition to the fees set forth in subsection 1, the Board may charge and collect reasonable and necessary fees for the expedited processing of a request or for any other incidental service it provides.
(c) A violation of any of the provisions of NRS 616D.200, 616D.220,616(d) 616D.240Any oroffense 616D.300involving tomoral 616D.440,turpitude.nclusive; inclusive;
or (d)4. Any offense involving moral turpitude.
4.
- *AB210_R1* – 9 – This subsection applies to an owner or other principal responsible for the operation of the facility.
Sec.- 81st Session (2021) – 9 – 634.160 1.
10.The Board or any of its members who becomelows:
NRSaware 634.160that isany herebyone amendedor toa readcombination of the grounds for initiating disciplinary action may exist as follows:to a person practicing chiropractic or a business entity providing chiropractic services in this State shall, and any other person who is so aware may, file a written complaint specifying the relevant facts with the Executive Director of the Board.
634.160 1.
The Board or any of its members who become aware that any one or a combination of the grounds for initiating disciplinary action may exist as to a person practicing chiropractic or a business entity providing chiropractic services in this State shall, and any other person who is so aware may, file a written complaint specifying the relevant facts with the Executive Director of the Board.
When a complaint is filed with the Executive Director of the Board, it must be considered by the President or a member of the Board designated by the President.
If, from the or a complaint or from other official records, it appears that the complaint may be well founded in fact, the Executive Director shall cause written notice of the charges in the complaint to be served upon the person or business entity charged at least 20 days before the date fixed for the hearing.
The person or business entity charged is entitled to a hearing before the Board, but the failure of the person charged or a representative of the business entity charged to attend aaharged hearing or to defend himself or herself or the business entity, as applicable, does not delay or void the proceedings.
- *AB210_R1*81st Session (2021) – 10 – (b) Administer to the person or business entity a public reprimand.
(d) Suspend the license of the person to practice chiropractic or the registration as a business entity that provides chiropracticchiropracticc or services for a specified period or until further order of the Board.
Any person who has been placed on probation or whose license or registration has been limited, suspended or revoked by the Board is entitled to judicial review of the Board’s order.ord2.
2.
(a) May require the person or an officer or director of the business entity, as applicable, to submit to a mental or physical - 81st Session (2021) – 11 – examination by physicians or other appropriate persons whom it - *AB210_R1* – 11 – designates and submit such other evidence of changed conditions and of fitness as it deems proper;
(b) Shall determine whether under all the circumstances the time of (c) May deny the application isor reasonable;modify or rescind its order as it deems the evidence and the public safety warrant.
and (c) May deny the application or modify or rescind its order as it deems the evidence and the public safety warrant.
634.226 Unless the Board determines that extenuating circumstances exist, the Board shall forward to the appropriate lawlawng enforcement agency any substantiated information submitted to the Board concerning [a] :
or (c)- Practices81st chiropracticSession under(2021) a– 12 – falsely personates another licensee,a false or assumed name or falsely personates another licensee, is guilty of a misdemeanor.
- *AB210_R1* – 12 – 2.
or (d) Uses any means which directly or indirectly conveys to another person the impression that he or she is qualified or licensed to practice chiropractic, is guilty of a category D felony and shall be punished as provided in NRS 193.130, unless a greater penalty is provided pursuant to NRSNRS3.00.In 200.830addition orto 200.840.any other penalty prescribed by law, if the Board determines that a person has committed any act described in subsection 2, the Board may:
3.
In addition to any other penalty prescribed by law, if the Board determines that a person has committed any act described in subsection 2, the Board may:
To appeal a citation, the person must submit a written request for a hearing to the Board not later than 30 days after the datedat(c) ofAssess issuanceagainst the person an administrative fine of thenot citation.more than $5,000.
(c) Assess against the person an administrative fine of not more than $5,000.
(a) Which is not registered with the Board pursuant to section 3 of this act;
or - 81st Session (2021) – 13 – (b) For which a chiropractic physician who is not licensed pursuant to this chapter engages in the practice of chiropractic, is guilty of a category D felony and shall be punished as provided in NRS 193.130.
-634.240 *AB210_R1*1.RS –63In 13addition –to Sec.any other remedy provided by law, the Board, through its President, Secretary or its attorney, or the Attorney General, may bring an action in any court of competent jurisdiction to enjoin any person who does not hold a license issued by the Board from practicing chiropractic or representing himself or herself to be a [chiropractor.] chiropractic physician or any business entity that is providing chiropractic services and is not registered pursuant to section 3 of this act.
19.
NRS 634.240 is hereby amended to read as follows:
634.240 1.
In addition to any other remedy provided by law, the Board, through its President, Secretary or its attorney, or the Attorney General, may bring an action in any court of competent jurisdiction to enjoin any person who does not hold a license issued by the Board from practicing chiropractic or representing himself or herself to be a [chiropractor.] chiropractic physician or any business entity that is providing chiropractic services and is not registered pursuant to section 3 of this act.
(a) Those present to further the interest of the patient in the consultation,con(b) examinationPersons orreasonably interview;necessary for the transmission of the communication;
(b) Persons reasonably necessary for the transmission of the communication;
- 81st Session (2021) – 14 – Sec.
and - *AB210_R1* – 14 – (b) Must be registered pursuant to section 3 of this act if the entity continues to provide such services after that date.
1.set forth in subsection 10 of NRS 220.120 to substitutehe authority appropriately:
In preparing the Nevada Revised Statutes, use the authority set forth in subsection 10 of NRS 220.120 to substitute appropriately:
and (b) The term “chiropractic assistant” for the term “chiropractor’s assistant” as previously used in reference to the practice ofractor’sof chiropractic.
H~~~~~ 21 - *AB210_R1*81st Session (2021)
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View plain text versions (3)
- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Introduced As Introduced pdf
Amendments
2 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Chapter 126.
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Approved by the Governor.
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Enrolled and delivered to Governor.
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In Assembly. To enrollment.
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Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Read second time.
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From committee: Do pass.
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In Senate. Read first time. Referred to Committee on Commerce and Labor. To committee.
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From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved. (Yeas: 34, Nays: 6, Excused: 2.) To Senate.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. Nos. 125 and 170.) To printer.
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From printer. To committee.
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Read first time. Referred to Committee on Commerce and Labor. To printer.
Sponsors
- Steve Yeager · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 66 not signed on
Sponsors (1)
- Yeager, Steve Democratic
Co-sponsors (0)
None.
Not signed on (66)
66 members have not signed on to this bill.
Show all 66 →"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.
Subjects
Frequently asked questions
- Who sponsors AB 210?
- AB 210 is sponsored by Yeager, Steve (Democratic).
- What is the current status of AB 210?
- This bill has been enacted into law. Introduced March 08, 2021. Enacted.
- Where can I track AB 210?
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