Nevada 2021 Regular Session Status: Enacted

AB 442 — Revises requirements concerning training of certain providers of health care. (BDR 54-450)

Last action — Chapter 94.

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This bill has been enacted into law. Introduced March 29, 2021. Enacted.

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(Reprinted with amendments adopted on April 19, 2021) FIRST REPRINT A.B.
Assembly Bill No.
442 A SSEMBLY B ILLN O.
442–Committee on Commerce and Labor CHAPTER..........
442–COMMITTEE ON C OMMERCE AND LABOR (O N BEHALF OF THE LEGISLATIVE COMMITTEE ON HEALTH C ARE) M ARCH 29, 2021 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises requirements concerning training of certain providers of health care.
(BDR 54-450) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law requires providers of health care who are authorized to prescribe controlled substances, including physicians, physician assistants, dentists, advanced practice registered nurses, podiatrists and opticians, to complete training relating specifically to persons with substance use and other addictive disorders and the 632.2375, 633.473, 635.116, 636.2881) Sections 1, 16, 21, 26, 41 and 47 of this bill define the term “screening, brief intervention and referral to treatment approach” to mean an evidence-based method of delivering early intervention and treatment to persons who have or are at risk of developing a substance use disorder.
Existing law requires providers of health care who are authorized to prescribe practice registered nurses, podiatrists and optometrists, to complete training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
Sections 2, 17, 22, 27 and 48 of this bill make conforming changes to indicate the proper placement of sections 1, 16, 21, 26 and 47 in the Nevada Revised Statutes.
(NRS 630.2535, 631.344, 632.2375, 633.473, 635.116, 636.2881) Sections 1, 16, 21, 26, 41 and 47 of this bill define the term “screening, brief intervention and referral to treatment approach” to mean an evidence-based method of delivering early intervention and treatment to persons who have or are at risk of developing a substance use disorder.
- *AB442_R1* – 2 – Existing law requires physicians, physician assistants, dentists, advanced practice registered nurses, podiatrists and optometrists to complete certain continuing education as a condition to the renewal of a license.
proper placement of sections 1, 16, 21, 26 and 47 in the Nevada Revised Statutes.e Existing law requires physicians, physician assistants, dentists, advanced practice registered nurses, podiatrists and optometrists to complete certain continuing education as a condition to the renewal of a license.
(NRS 630.253, 631.342, 632.343, 633.471, 635.115, 636.260) Sections 7, 18.5, 24.5, 38, 44.5 and training in the screening, brief intervention and referral to treatment approach to substance use disorder within the first 2 years of licensure.
(NRS 630.253, 631.342, 632.343, 633.471, 635.115, 636.260) Sections 7, 18.5, 24.5, 38, 44.5 and 51.5 of this bill require those providers to complete a certain number of hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within the first 2 years of licensure.
Section 53 of this bill requires a person who holds a license as a physician, physician assistant, dentist, advanced practice registered nurse, podiatrist or optometrist on January 1, 2024, to complete at least 2 hours of such training before renewing his or her license.
Section 53 of this bill advanced practice registered nurse, podiatrist or optometrist on January 1, 2024, to complete at least 2 hours of such training before renewing his or her license.
Sections 7, 8, 19, 24, 38, 39, 45, 52 and 53 of this bill authorize a physician, optometrist to use training in the screening, brief intervention and referral to treatment approach to substance use disorder to satisfy certain continuing education requirements on or after the date on which this bill is approved by the Governor.
Sections 7, 8, 19, 24, 38, 39, 45, 52 and 53 of this bill authorize a physician, physician assistant, dentist, advanced practice registered nurse, podiatrist or optometrist to use training in the screening, brief intervention and referral to treatment approach to substance use disorder to satisfy certain continuing education requirements on or after the date on which this bill is approved by the Governor.
Existing federal law requires a practitioner who dispenses narcotic drugs to individuals for maintenance treatment or detoxification treatment to obtain annually a registration for that purpose.
Existing federal law requires a practitioner who dispenses narcotic drugs to a registration for that purpose.
who obtains such a registration from requirements to complete continuingred nurse education relating specifically to substance use and other addictive disorders and the prescribing of opioids for one period of licensure;
(1) exempt a physician, physician assistant or advanced practice registered nurse who obtains such a registration from requirements to complete continuing education relating specifically to substance use and other addictive disorders and the prescribing of opioids for one period of licensure;
and (2) authorize such a physician, physician assistant or advanced practice registered nurse to use the registration to satisfy 4 hours of any applicable continuing education requirement.
and (2) authorize such a - 81st Session (2021) – 2 – registration to satisfy 4 hours of any applicable continuing education requirement.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
“Screening, brief intervention and referral to treatment approach” means an evidence-based method of delivering early intervention and treatment to persons who have or are at risk of developing a substance use disorder that consists of:
“Screening, brief intervention and referral to treatment approach” means an evidence-based method of delivering early developing a substance use disorder that consists of:
1.
at risk of 1.
Sec.
Secs.
3.
3-6.
4.
(Deleted by amendment.) Sec.
5.
(Deleted by amendment.) Sec.
6.
(Deleted by amendment.) - *AB442_R1* – 3 – Sec.
The course must provide at least 4 hours of instruction that includes instruction in the following subjects:
The course must provide at least 4 - 81st Session (2021) – 3 – hours of instruction that includes instruction in the following subjects:
(2) Personal protective equipment required for acts of terrorism;
terrorism;
(3) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;
Personal protective equipment required for acts of (3) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;
The Board shall encourage each holder of a license who treats or cares for persons who are more than 60 years of age to - *AB442_R1* – 4 – receive, as a portion of their continuing education, education in geriatrics and gerontology, including such topics as:
The Board shall encourage each holder of a license who receive, as a portion of their continuing education, education in geriatrics and gerontology, including such topics as:
The Board shall encourage each holder of a license to practice medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about how to effectively manage medications, including, without limitation, the ability of the patient to request to have the symptom or purpose for which a drug is prescribed included on the label attached to the container of the drug.
The Board shall encourage each holder of a license to practice medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about how to effectively manage medications, including, without limitation, the ability of the patient to request to have the symptom - 81st Session (2021) – 4 – attached to the container of the drug.bed included on the label 5.
5.
The Board shall encourage each holder of a license to practice medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the diagnosis of rare diseases, including, without limitation:
The Board shall encourage each holder of a license to practice medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the dia(a) Recognizing the symptoms of pediatric cancer;
(a) Recognizing the symptoms of pediatric cancer;
andn:
and (b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
(b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
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[A] Except as otherwise provided in NRS 630.2535, a holder of a license to practice medicine may substitute not more than 2 hours of continuing education credits in pain management , [or] care for persons with an addictive disorder or the screening, - *AB442_R1* – 5 – brief intervention and referral to treatment approach to substance use disorder for the purposes of satisfying an equivalent requirement for continuing education in ethics.
[A] Except as otherwise provided in NRS 630.2535, a holder of a license to practice medicine may substitute not more than 2 hours of continuing education credits in pain management , [or] care for persons with an addictive disorder or the screening, brief intervention and referral to treatment approach to substance use disorder for the purposes of satisfying an equivalent requirement for continuing education in ethics.
9.
As used in this section:
(e) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.
- 81st Session (2021) – 5 – (e) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.
The Board shall, by regulation, require each physician or physician assistant who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least 2 hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
The Board shall, by regulation, require each controlled substances pursuant to NRS 453.231 to complete at least hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
A physician or physician assistant may use such registration to satisfy 4 hours of the total number of hours of continuing education required by the Board pursuant to NRS 630.253 during one period of licensure.
A physician or physician assistant may use such registration to satisfy 4 hours of the total pursuant to NRS 630.253 during one period of licensure.
Sec.
Board Secs.
9.
9-15.
10.
(Deleted by amendment.) Sec.
11.
(Deleted by amendment.) Sec.
12.
(Deleted by amendment.) - *AB442_R1* – 6 – Sec.
13.
(Deleted by amendment.) Sec.
14.
(Deleted by amendment.) Sec.
15.
(Deleted by amendment.) Sec.
Sec.
- 81st Session (2021) – 6 – Sec.
631.005 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 631.015 to 631.105, inclusive, and section 16 of this act have the meanings ascribed to them in those sections.
631.005 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 631.015 to 631.105, inclusive, and section 16 of this act have the meanings ascribed to theSec.
Sec.
(c) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;
(c) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, rad(d) Syndromic surveillance and reporting procedures for acts of terrorism that involve biological agents;
(d) Syndromic surveillance and reporting procedures for acts of terrorism that involve biological agents;
and (e) An overview of the information available on, and the use of, the Health Alert Network.
and - *AB442_R1* – 7 – (e) An overview of the information available on, and the use of, the Health Alert Network.
Notwithstanding the provisions of subsections 2 and 3, the Board may 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.
Notwithstanding the provisions of subsections 2 and 3, the Board may determine whether to include in a program of continuing education additional courses of instruction relating to the medical - 81st Session (2021) – 7 – consequences of an act of terrorism that involves the use of a weapon of mass destruction.
Each licensee must complete, as part of continuing education, at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure.
Each licensee must complete, as part of continuing education, at least 2 hours of training in the screening, brief disorder within 2 years after initial licensure.to substance use 6.
6.
631.344 The Board shall, by regulation, require each holder of a license to practice dentistry who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least 2 hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
631.344 The Board shall, by regulation, require each holder of a license to practice dentistry who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
Any such holder of a license may use [such] training required by the regulations adopted pursuant to this section to satisfy 2 hours of any continuing education requirement established by the Board.
Any such holder of a license may use [such] training required by the any continuing education requirement established by the Board.s of Sec.
Sec.
(Deleted by amendment.) - *AB442_R1* – 8 – Sec.
(Deleted by amendment.) Sec.
- 81st Session (2021) – 8 – 632.010.
NRAs used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 632.011 to 632.0195, inclusive, and section 21 of this act have the meanings ascribed to them in those sections.
22.
NRS 632.010 is hereby amended to read as follows:
632.010 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 632.011 to 632.0195, inclusive, and section 21 of this act have the meanings ascribed to them in those sections.
Sec.
The Board shall, by regulation, require each advanced practice registered nurse who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least 2 hours of training relating specifically to persons with substance use or other addictive disorders and the prescribing of opioids during each period of licensure.
The Board shall, by regulation, require each advanced practice registered nurse who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least hours of training relating specifically to persons with substance use or other addictive disorders and the prescribing of opioids during each period of licensure.
An advanced practice registered nurse may use [such] training required by the regulations adopted pursuant to this section to satisfy 2 hours of any continuing education requirement established by the Board.
An advanced practice registered nurse may use [such] training required by the regulations adopted pursuant to this section to satisfy 2 Board.of any continuing education requirement established by the 2.
2.
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 by the Board in accordance with regulations adopted by - *AB442_R1* – 9 – the Board.
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 by the Board in accordance with regulations adopted by licensee is exempt from this provision for the first biennial period after graduation from:
Except as otherwise provided in subsection 3, the licensee is exempt from this provision for the first biennial period after graduation from:
2.
- 81st Session (2021) – 9 – completion of the requirement set forth in subsection 1.
The Board shall review all courses offered to nurses for the completion of the requirement set forth in subsection 1.
The program of continuing education required by subsection 1 must include:
The program of continuing education required by subsection must include:
(b) For each person licensed pursuant to this chapter, a course of instruction, to be completed within 2 years after initial licensure, relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction.
(b) For each person licensed pursuant to this chapter, a course of instruction, to be completed within 2 years after initial licensure, relating to the medical consequences of an act of terrorism that provide at least 4 hours of instruction that includes instruction in the following subjects:
The course must provide at least 4 hours of instruction that includes instruction in the following subjects:
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.
The Board may thereafter determine whether to include in a program of continuing education additional courses of instruction involves the use of a weapon of mass destruction.
- *AB442_R1* – 10 – (c) For a person licensed as an advanced practice registered nurse, at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder to be completed within 2 years after initial licensure.
terrorism that (c) For a person licensed as an advanced practice registered nurse, at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder to be completed within 2 years after initial licensure.
(a) The skills and knowledge that the licensee needs to address aging issues;
- 81st Session (2021) – 10 – (a) The skills and knowledge that the licensee needs to address aging issues;
(c) The biological, behavioral, social and emotional aspects of the aging process;
the aging process;
and (d) The importance of maintenance of function and independence for older persons.
and behavioral, social and emotional aspects of (d) The importance of maintenance of function and independence for older persons.
(b) “Biological agent” has the meaning ascribed to it in NRS 202.442.
(b) “Biological agent” has the meaning ascribed to it in NRS(c) “Chemical agent” has the meaning ascribed to it in NRS 202.4425.
(c) “Chemical agent” has the meaning ascribed to it in NRS 202.4425.
(Deleted by amendment.) - *AB442_R1* – 11 – Sec.
(Deleted by amendment.) Sec.
2.
- 81st Session (2021) – 11 – substance use and motivation to change his or her behavior;
Brief intervention to increase awareness of the person’s substance use and motivation to change his or her behavior;
ands 3.
and 3.
Sec.
Secs.
28.
28-37.
29.
(Deleted by amendment.) Sec.
30.
(Deleted by amendment.) Sec.
31.
(Deleted by amendment.) Sec.
32.
(Deleted by amendment.) Sec.
33.
(Deleted by amendment.) Sec.
34.
(Deleted by amendment.) Sec.
35.
(Deleted by amendment.) Sec.
36.
(Deleted by amendment.) Sec.
37.
(Deleted by amendment.) Sec.
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:
Except as otherwise provided in subsection [10] 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:
(b) Paying the annual license renewal fee specified in this chapter;
chapter;aying the annual license renewal fee specified in this (c) Submitting a list of all actions filed or claims submitted to arbitration or mediation for malpractice or negligence against the holder during the previous year;
(c) Submitting a list of all actions filed or claims submitted to arbitration or mediation for malpractice or negligence against the holder during the previous year;
(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;
(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 - *AB442_R1* – 12 – hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;
3.
completion of the required number of hours of continuing medical education annually from no fewer than one-third of the applicants for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant.
The Board shall request submission of verified evidence of completion of the required number of hours of continuing medical education annually from no fewer than one-third of the applicants for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant.
Upon a request from the Board, an applicant for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant shall submit verified evidence satisfactory to the Board that in the year preceding the application for renewal the applicant attended courses or - 81st Session (2021) – 12 – totaling the number of hours established by the Board.he Board 4.
Upon a request from the Board, an applicant for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant shall submit verified evidence satisfactory to the Board that in the year preceding the application for renewal the applicant attended courses or programs of continuing medical education approved by the Board totaling the number of hours established by the Board.
4.
The Board shall encourage each holder of a license to practice osteopathic medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the diagnosis of rare diseases, including, without limitation:
The Board shall encourage each holder of a license to practice osteopathic medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and limitation:n the diagnosis of rare diseases, including, without (a) Recognizing the symptoms of pediatric cancer;
(a) Recognizing the symptoms of pediatric cancer;
- *AB442_R1* – 13 – 8.
8.
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 suicide prevention and awareness which may include, without limitation, instruction concerning:
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- limitation, instruction concerning:ess which may include, without (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;
9.
- 81st Session (2021) – 13 – not substitute the continuing education credits relating to suicide prevention and awareness required by this section for the purposes of satisfying an equivalent requirement for continuing education in ethics.
A holder of a license to practice osteopathic medicine may not substitute the continuing education credits relating to suicide prevention and awareness required by this section for the purposes of satisfying an equivalent requirement for continuing education in ethics.
The Board shall, by regulation, require each osteopathic physician or physician assistant who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least 2 hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
The Board shall, by regulation, require each osteopathic physician or physician assistant who is registered to dispense controlled substances pursuant to NRS 453.231 to with substance use and other addictive disorders and the prescribingns of opioids during each period of licensure.
- *AB442_R1* – 14 – 3.
3.
An osteopathic physician or physician assistant who obtains a registration to treat opioid dependency with narcotic medications in accordance with the Drug Addiction Treatment Act of 2000, 21 U.S.C.
An osteopathic physician or physician assistant who medications in accordance with the Drug Addiction Treatment Act of 2000, 21 U.S.C.
(Deleted by amendment.) Sec.
(Deleted by amendment.) - 81st Session (2021) – 14 – Sec.
2.
ailments of the human foot and leg., prevention and treatment of 3.
“Podiatry” is the diagnosis, prevention and treatment of ailments of the human foot and leg.
3.
Sec.
Secs.
42.
42-44.
43.
(Deleted by amendment.) Sec.
44.
(Deleted by amendment.) Sec.
The Board may waive all or part of the requirement of continuing education in a particular year if the podiatric physician was prevented from that attendance by circumstances beyond his or her control.
The education in a particular year if the podiatric physician was prevented from that attendance by circumstances beyond his or her control.
The Board shall require each podiatric physician to complete at least 2 hours of training in the screening, brief - *AB442_R1* – 15 – intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure as part of the continuing education required by subsection 1.
The Board shall require each podiatric physician to complete at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure as part of the continuing education required by subsection 1.
635.116 The Board shall, by regulation, require each holder of a license to practice podiatry who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least 2 hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
635.116 The Board shall, by regulation, require each holder of a license to practice podiatry who is registered to dispense controlled substances pursuant to NRS 453.231 to complete at least - 81st Session (2021) – 15 – hours of training relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids during each period of licensure.
Such training may include, without limitation, training in the screening, brief intervention and referral to treatment approach to substance use disorder.
Such training may include, without limitation, training in the screening, brief intervention such holder of a license may use [such] training required by they regulations adopted pursuant to this section to satisfy 2 hours of any continuing education requirement established by the Board.
Any such holder of a license may use [such] training required by the regulations adopted pursuant to this section to satisfy 2 hours of any continuing education requirement established by the Board.
Sec.
Secs.
49.
49-51.
(Deleted by amendment.) Sec.
(Deleted by amendment.) 636.260 1.
50.
NRBefore March 1 of each even-numbered year,lows:
(Deleted by amendment.) Sec.
each licensee shall pay a renewal fee to the Executive Director in the amount established pursuant to NRS 636.143.
51.
For the purposes of this subsection, the date of the postmark on any payment received by mail shall be deemed to be the date of receipt by the Executive Director.
(Deleted by amendment.) Sec.
51.5.
NRS 636.260 is hereby amended to read as follows:
636.260 1.
Before March 1 of each even-numbered year, each licensee shall pay a renewal fee to the Executive Director in the amount established pursuant to NRS 636.143.
For the purposes of this subsection, the date of the postmark on any payment received - *AB442_R1* – 16 – by mail shall be deemed to be the date of receipt by the Executive Director.
The Board may waive the requirement that a licensee complete all or part of the required number of hours of continuing education upon good cause shown by the licensee.
The Board may waive the requirement that a licensee complete all or - 81st Session (2021) – 16 – part of the required number of hours of continuing education upon good cause shown by the licensee.
The Board shall require each licensee to complete at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure as part of the continuing education required by subsection 2.
The Board shall require each licensee to complete at least hours of training in the screening, brief intervention and years after initial licensure as part of the continuing education required by subsection 2.
Any licensee may use [such] training required by the regulations adopted pursuant to this section to satisfy 2 hours of any continuing education requirement established by the Board.
Any licensee may use [such] training required by the any continuing education requirement established by the Board.s of Sec.
Sec.
Except as otherwise provided in subsection 5, the first application that an osteopathic physician, physician assistant licensed pursuant to chapter 630 or 633 of NRS, dentist, advanced practice registered nurse, podiatric physician or optometrist who is licensed on January 1, 2024, submits to renew his or her license on - *AB442_R1* – 17 – or after that date must include, without limitation, proof that the applicant has completed at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder.
Except as otherwise provided in subsection 5, the first application that an osteopathic physician, physician assistant licensed pursuant to chapter 630 or 633 of NRS, dentist, advanced practice registered nurse, podiatric physician or optometrist who is licensed on January 1, 2024, submits to renew his or her license on or after that date must include, without limitation, proof that the applicant has completed at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder.
Except as otherwise provided in subsection 5, the information that a physician who is licensed pursuant to chapter 630 of NRS on January 1, 2024, submits to complete the first biennial registration to be issued on or after that date or renew the license, as applicable, must include, without limitation, proof that the physician has completed at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder.
Except as otherwise provided in subsection 5, the information that a physician who is licensed pursuant to chapter 630 of NRS on January 1, 2024, submits to complete the first biennial registration to be issued on or after that date or renew the license, as applicable, must include, without limitation, proof that the physician - 81st Session (2021) – 17 – has completed at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder.
(a) The applicable requirement to complete continuing education relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids established pursuant to NRS 630.2535 or 633.473, as amended by sections 8 and 39, respectively, of this act;
(a) The applicable requirement to complete continuing education relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids established and 39, respectively, of this act;
or (b) Any applicable requirement to complete continuing education in ethics, pain management, care of persons with addictive disorders or the screening, brief intervention and referral to treatment approach to substance use disorder established pursuant to NRS 630.253 or 633.471, as amended by sections 7 and 38, respectively, of this act.
oras amended by sections 8 (b) Any applicable requirement to complete continuing education in ethics, pain management, care of persons with addictive disorders or the screening, brief intervention and referral to treatment approach to substance use disorder established pursuant to NRS 630.253 or 633.471, as amended by sections 7 and 38, respectively, of this act.
A physician assistant licensed pursuant to 630 or 633 of NRS or a dentist, advanced practice registered nurse, podiatric physician or optometrist who completes training in the screening, brief intervention and referral to treatment approach to substance use disorder to satisfy the requirements of subsection 1 may use such training to satisfy 2 hours of the applicable requirement to complete continuing education relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids established pursuant to NRS 630.2535, 631.344, 632.2375, 633.473, 635.116 or 636.2881, as amended by sections 8, 19, 24, 39, 45 and 52, respectively, of this act.
A physician assistant licensed pursuant to 630 or 633 of NRS or a dentist, advanced practice registered nurse, podiatric physician or optometrist who completes training in the screening, brief intervention and referral to treatment approach to substance use disorder to satisfy the requirements of subsection 1 may use such training to satisfy 2 hours of the applicable requirement to complete continuing education relating specifically to persons with substance use and other addictive disorders and the prescribing of opioids established pursuant to NRS 630.2535, 631.344, 632.2375, 633.473, 635.116 or 636.2881, as amended by sections 8, 19, 24, 39, and 52, respectively, of this act.
A physician or physician assistant licensed pursuant to chapter 630 or 633 of NRS or an advanced practice registered nurse who holds a registration to treat opioid dependency with narcotic medications pursuant to the Drug Addiction Treatment Act of 2000, 21 U.S.C.
A physician or physician assistant licensed pursuant to chapter 630 or 633 of NRS or an advanced practice registered nurse who holds a registration to treat opioid dependency with narcotic medications pursuant to the Drug Addiction Treatment Act of 2000, U.S.C.
§§ 823 et seq., on the date he or she submits the first - *AB442_R1* – 18 – application to renew his or her license after January 1, 2024, is exempt from the requirements of this section.
§§ 823 et seq., on the date he or she submits the first application to renew his or her license after January 1, 2024, is exempt from the requirements of this section.
As used in this section, “screening, brief intervention and referral to treatment approach” has the meaning ascribed to it in secSec.
As used in this section, “screening, brief intervention and referral to treatment approach” has the meaning ascribed to it in section 1 of this act.
Sec.
H - *AB442_R1*
~~~~~ 21 - 81st Session (2021)
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Amendments

1 amendment

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Action History

  1. Chapter 94.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. In Assembly. To enrollment.

  5. Read second time.

  6. From committee: Do pass.

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

  8. From printer. To engrossment. Engrossed. First reprint. To Senate.

  9. Read third time. Passed, as amended. Title approved. (Yeas: 38, Nays: 4.) To printer.

  10. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 245.) Dispensed with reprinting.

  11. From printer. To committee.

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

Sponsors

  • Assembly Committee on Commerce and Labor · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 66 not signed on

Sponsors (1)

  • Assembly Committee on Commerce and Labor

Co-sponsors (0)

None.

Not signed on (66)

66 members have not signed on to this bill.

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"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

healthcare health-insurance
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

Who sponsors AB 442?
AB 442 is sponsored by Assembly Committee on Commerce and Labor.
What is the current status of AB 442?
This bill has been enacted into law. Introduced March 29, 2021. Enacted.
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