Struck = removed from the bill ·
added = the amendment's new text.
REQUIRESSession TWO-THIRDS(81st) MAJORITYA VOTEAB387 EXEMPTR2 (§§841 19,Amendment 29)No. (Reprinted with amendments adopted on May 31, 2021) THIRD REPRINT A.B.
387841 ASenate SSEMBLYAmendment Bto ILLAssembly NBill O.No.
387–A387 SSEMBLYMENSecond MReprint ONROE(BDR -MORENO54-225) ,Proposed PETERS,by: G ORELOW , SUMMERS -ARMSTRONG , C ARLTON ;
ASenate NDERSON , BILBRAY -AXELROD , BROWN -MAY , DURAN , FRIERSON , ONZÁLEZ , NGUYEN AND T ORRES M ARCH 23, 2021 ____________ Referred to Committee on CommerceFinance andAmends: Labor SUMMARY—Revises provisions relating to midwives.
Summary:
No Title:
No Preamble:
No Joint Sponsorship:
No Digest:
No Adoption of this amendment will MAINTAIN the 2/3s majority vote requirement for final passage of A.B.
387 R2 (§§ 19, 29).
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:
5/30/2021 A.B.
No.
387—Revises provisions relating to midwives.
(BDR 54-225) Page 1 of 64 *A_AB387_R2_841* Senate Amendment No.
841 to Assembly Bill No.
387 Second Reprint Page 3 ASSEMBLY B ILL NO.
387–A SSEMBLYMEN M ONROE -M ORENO , PETERS, G ORELOW , SUMMERS -ARMSTRONG , CARLTON ;
A NDERSON , B ILBRAY -AXELROD , BROWN -MAY , URAN , FRIERSON, GONZÁLEZ , GUYEN AND T ORRES M ARCH 23,2021 _______________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to midwives.
EffProvidesEffect foron TermLocal ofGovernment: Imprisonment in County or City Jail or Detention Facility.
Increases or Newly Provides for Term of Imprisonment in County or City Jail or Detention Facility.
providing for the licensureoflicensure of licensed certified professional midwives;
-Legislative *AB387_R3*Counsel’s –Digest: 2 – LegExisting law requires a midwife to perform certain duties relating to reporting births and deaths and testing newborn babies for certain diseases.
(NRSExisting 440.100,law 440.740,requires 442.008-442.110,a 442.600-442.680)midwife Sectionsto 2-32perform ofcertain thisduties billrelating provideto for:reporting births and deaths and testing newborn babies for certain diseases.
(1)(NRS the440.100, licensure440.740, of442.008- licensed442.110, certified442.600-442.680) professionalSections midwives2-32 by the Division of Publicthis andbill Behavioralprovide Healthfor: of the Department of Health and Human Services;
and(1) (2) the regulationlicensure of licensed certified professional midwives by the Division of Public and Behavioral Health of the professional midwives by the Division and the Board of Licensed Certified Professional Midwives created by section 16 of this bill.
Sections 2-14, 45, 69 and 73 of this bill define certain terms related to other providers of health care from requirements governing the licensurepractice andempts regulation of licensed certified professional midwives.midwifery.
SectionsSection 36,15 38, 39 and 42- 44 of this bill similarlyexempts exemptother licensedproviders certifiedof professionalhealth midwivescare and certified professional midwife student midwives from provisionsrequirements governing certainthe otherlicensure providersand ofSenate healthAmendment care.No.
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387 Second Reprint Page 4 regulation of licensed certified professional midwives.
Sections 36, 38, 39 and 42-44 of this bill similarly exempt licensed certified professional midwives and certified professional midwife student midwives from provisions governing certain other providers of health care.
(NRS 630.047) Section 15.5 of this bill authorizes the Division to accept gifts, grants and donations to pay the costscostSection of16 performingcreates its duties under the provisionsBoard of thisLicensed bill.Certified Professional Midwives.
(1) a list of approved programs of training for certified professional licensemidwife asbirth aassistants; licensed certified professional midwife;
(2) requirements governing the issuance and renewal of a license as a licensed certified professional midwife;
and (5) requirements governing certain other aspectsaspeSection 19 of this bill prescribes the practicerequirements for the issuance of a license as a licensed certified professional midwifery.midwife.
Section 19 of this bill prescribes the requirements for the issuance of a license as a licensed certified professional midwife.
(1) authorizes a licensed certified professional midwife to utilize a certified professional midwife birth assistant to perform certain simple, routine medical tasks;
Sections 102 and 107 of this bill remove a requirement that an application for a license as a licensed certified professional midwife include the social security number of the applicant on the date that those federal requirements ofare sectionsrepealed, 23while andleaving 29in untilplace 2the yearsother aftera thatconforming date.change to address applicants for licensure who do not have a social security makes number.
Section 3324 of this bill makesprescribes the authorized activities of a conformingcertified changeprofessional tomidwife addressstudent applicantsmidwife forand licensurerequirements whogoverning dothe notsupervision haveof a socialcertified securityprofessional number.midwife student midwife by a preceptor.
Section 2425 of this bill prescribes the authorized activities of a certified professional midwife student midwife and requirements governing the supervision - *AB387_R3* – 3 – this bill requires any midwife who provides birthing services in this State to provide to a client a Community Birth Disclosure that contains certain information.
(NRS 639.235, 639.23505) Sections 26, 40, 41 and 76 of this bill authorize a licensed certified professional midwifeand to:(2) order certain devices and vaccines for a client.
(1)Sections order,22, possess24 and administer77 certainof drugs,this devices,bills; chemicals and solutions;
andauthorize (2)a ordercertified professional midwife birth assistant or certified professional midwife student midwife to administer certain devicesdrugs, devices, chemicals and vaccinessolutions forunder the direct supervision of a client.licensed certified professional midwife or in certain emergency situations.
SectionsSection 22,27 24 and 77 of this bill authorizeimposes specific requirements concerning the management of a certifiedclient professionalwho midwifeis birthat assistanta moderate or certifiedhigh professionalrisk midwifeof studentan midwifeadverse tooutcome, administerand certainsection drugs,103 devices,of chemicalsthis andbill solutionsrevises undersome of those requirements on the directeffective supervisiondate of aregulations licensedadopted certifiedby professionalthe midwifeBoard orof inLicensed certainCertified emergencyProfessional situations.Midwives to replace those requirements.
Section 27105 of this bill imposescreates specific requirements concerning the managementCollaboration ofand aTransfer clientGuidelines whoWorkgroup isto atmake arecommendations moderateto orthe highBoard riskfor of an adverse outcome, of regulations adoptedgoverning by the Boardtransfer of Licensedsuch Certifieda Professionalclient Midwivesto toatea replaceSenate thoseAmendment requirements.No.
Section841 105 of this bill creates the Collaboration and Transfer Guidelines Workgroup to makeAssembly recommendationsBill toNo. the Board for regulations governing the transfer of such a client to a medical facility.
387 Second Reprint Page 5 medical facility.
licensedand certified(2) professionalother midwife.romproviders of health care from liability for the actions or omissions of a Section 28 of this bill requires a licensed certified professional midwifemidwife. to report certain information concerning his or her practice to the Division.
information concerning his or her practice to the Division.rofessional midwife to report certain Section 30 of this bill:
Section 31 of this bill prohibits a person who does not hold a license as a licensed certified professional midwife from representing that he or she is licensed to engage in the practice of certified professional midwifery.
Section 31 allows a person to represent that he or she isedis licensed to engage in the practice of certified professional midwifery if the person is licensed in another district, state or territory of the United States and the person discloses that license to the public.
or (2) representing that he or she is qualified to engage in the practice of certified professionalhas midwiferyreason withoutto supervision.believe or has received complaints that a person has repeatedly violated the provisions of section 31, certify the facts to the Attorney General, or other appropriate law enforcement officer, who may, in his or her discretion, cause appropriate proceedings to be brought.
Section 31 authorizes the Division to, when it has reason to believe or has received complaints that a person has repeatedly violated the provisions of section 31, officer, who may, in his or her discretion, cause appropriate proceedings to be brought.
- *AB387_R3* – 4 – (NRS 629.031) Existing law imposes certain requirements upon providers of health care, including requirements for billing, standards for advertisements and criminal penalties for acquiring certain debts.
(NRS 629.071, 629.076, 629.078) Section 35 of this bill includes licensed certified professional midwives in the definition of “provider of health care,” thereby subjecting licensed certified professional to clarify that licensed certified professional midwives areto providersthose ofrequirements. health care.
Section 3775 of this bill requiresmakes a licensedconforming certifiedchange professional midwife to reportclarify misconductthat by a person licensed or certified byprofessional themidwives Stateare Boardproviders of Nursinghealth tocare. the Executive Director of the Board.
by a person licensed or certified by the State Board of Nursing to the Executive Director ofuct the Board.
Section 70 of this bill requires a licensed certified professional midwife who attends a birth that occurs outside a hospital which is not also attended by a physician or advancedtadvanced practice registered nurse to prepare a birth certificate.
Existing law provides that, in any civil action concerning any unwelcome or nonconsensual sexual conduct, there is a rebuttable presumption that the sexual conduct was unwelcome or nonconsensual if the alleged perpetrator was a person in a position of authority overprofessional themidwife, allegedcertified victim.professional midwife student midwife or certified professionaled midwife birth assistant is a person of authority for that purpose.
(NRSSections 41.138)46, Section50-54, 4763, of64, this66-75 billand provides78-99 thatof athis licensedbill certifiedmake professionalrevisions midwife,to certifiedtreat professionallicensed midwife student midwife or certified professional midwifemidwives birthsimilarly assistantto isother aproviders person of authorityhealth forcare thatin purpose.certain respects.
SectionsSection 46,65 50-54, 63, 64, 66-75 and 78-99 of this bill makerequires revisionsMedicaid to treatcover licensedthe certifiedservices professional midwives similarly to other providers of health care a licensed certified professional midwife and provide reimbursement for suchservicessuch of services at comparable rates to other providers of health care who provide similar services.
THESenate PEOPLEAmendment OFNo. THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
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387 Second Reprint Page 6 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
and - *AB387_R3* – 5 – 2.
“Consult” means a client receiving an opinion concerning the management of a particular condition or symptom from an appropriate provider of healthSec. care at the direction of a licensed certified professional midwife.
Sec.
“Division” means the Division of Public and Behavioral Health ofofe. the Department of Health and Human Services.
the Department of Health and Human Services.
For the purposes of this subsection, a certified nurse-midwife shall be deemed to be - *AB387_R3* – 6 – practicing within the scope of authoritySenate authorizedAmendment byNo. his or her license as an advanced practice registered nurse.
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- *AB387_R3* – 7 – Sec.
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- *AB387_R3* – 8 – (g) Regulations concerning the management by a licensed certified professional midwife of a client who may have a condition that puts the client at a moderate or high risk of an adverse outcome for the client or the fetus or newborn infant of the client.
(I) The circumstances under which a licensed certified professional midwife must arrange for the client to consult with another provider of health care, co-manage the care of the client with another provider of health care, refer primary responsibility for the care of a client to another provider of health care or transfer the care of the client to a medical facility, procedures for such consultation, co-management, referral or transfer and requirements to ensure that a provider of health care who is consulted, with whom a client’s condition or symptom is co-co-managed managed or to whom primary responsibility for the care of a client is referred is appropriately qualified;
and (II) The information that must be included on the form for providing informed refusal to consent to consultation, co-co-management, management, referral or transfer pursuant to section 27 of this act and the management of a client who provides such informed refusal to consent.
(i)Senate RequirementsAmendment concerningNo. the records of treatment and outcomes that must be kept by a licensed certified professional midwife.
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387 Second Reprint Page 9 (i) Requirements concerning the records of treatment and outcomes that must be kept by a licensed certified professional midwife.
- *AB387_R3* – 9 – 2.
(b) The Division allocates a portion of the fees imposed and collected pursuant to this section to programs that promote applicants from marginalized identities through increasing the - *AB387_R3* – 10 – numbers of such applicants and reducing barriers that such applicants face.
Except as otherwise provided in subsection 2, a certified professional midwife birth assistant, including, without limitation, a providerSenate ofAmendment healthNo. care serving as a certified professional midwife birth assistant, must:
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387 Second Reprint Page 10 provider of health care serving as a certified professional midwife birth assistant, must:
and (e) Hold current certificationcertificationin in the techniques of administering cardiopulmonary resuscitation.
A certified professional midwife birth assistant who is a licensed certified professional midwife or who is a certified nurse-nurse-midwife midwife is not required to possess the qualifications set forth in subsection 1.
(b) Providing medication, including, without limitation and to the extent applicable, any medication described in subsection 2 of - *AB387_R3* – 11 – section 26 of this act, to a patient to self-administer orally, sublingually, topically or rectally;
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or - *AB387_R3* – 12 – (b) Indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order.
A certified professional midwife student midwife may provide any necessary assistance in an emergency or when birth is - *AB387_R3* – 13 – imminent if his or her preceptor is not present.
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- *AB387_R3* – 14 – (f) A description of the procedures that will be used during the birth in the client’s chosen setting, the risks and benefits of birth in that setting and the conditions that may arise during delivery;
(h) A summary of the provisions of section 27 of this act and the regulations adopted pursuant to section 18 of this act governing consultation, co-management,co- management, referral and transfer and a description of the procedures established by the licensed certified professional midwife for consultation, co-management,co- management, referral and transfer;
(b)Senate EquipmentAmendment forNo. administering nitrous oxide, including, without limitation, scavenging systems, only in an obstetric center licensed pursuant to chapter 449 of NRS;
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387 Second Reprint Page 13 (b) Equipment for administering nitrous oxide, including, without limitation, scavenging systems, only in an obstetric center licensed pursuant to chapter 449 of NRS;
and - *AB387_R3* – 15 – (b) Any other chemicals or solutions authorized by regulation of the Board.
Except as otherwise provided in subsections 4 and 5, a licensed certified professional midwife must recommend and, with the consent of the client, arrange for consultation or co-co-management management with or referral to a qualified provider of health care or transfer to an appropriate medical facility if the licensed certified professional midwife determines that any of the following conditions or symptoms exist:
Except as otherwise provided in subsections 4 and 5, a licensed certified professional midwife must recommend and, with the consent of the client, arrange for consultation or co-co-management management with or referral to a qualified provider of health care if the licensed certified professional midwife determines that any of the following conditions or symptoms exist:
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- *AB387_R3* – 16 – (b) The condition or symptom for which the recommendation was made;
(c) Whether the client consented to the consultation, co-co-management, management, referral or transfer;
A client may provide informed refusal to consent to consultation, co-management,co- management, referral or transfer in writing on a form prescribed by the Board.
and (2) Is not liable for any damages resulting from the failure to consult, co-manageco- manage or refer.
(a) Subsection 1 exists and making a reasonable effort to arrange for consultation with, co-management of the condition or symptom with or referral of the client to a qualified provider of health care or the transfer of the client to an appropriate medical facility, a licensed certified professional midwife is unable to - *AB387_R3* – 17 – locate a qualified provider of health care who is willing to consult, co-manageco- manage or accept the referral or an appropriate medical facility willing to accept the transfer, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of this section and is not liable for any damages resulting from the inability of the licensed certified professional midwife to consult, co-manage, refer or transfer.
(b) Subsection 2 exists and making a reasonable effort to arrange for consultation with, co-management of the condition or symptom with or referral of the client to a qualified provider of health care, a licensed certified professional midwife is unable to locate a qualified provider of health care who is willingSenate toAmendment consult,No. co-manage or accept the referral, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of this section and is not liable for any damages resulting from the inability of the licensed certified professional midwife to arrange for consultation, co-manage or refer.
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387 Second Reprint Page 15 willing to consult, co-manage or accept the referral, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of this section and is not liable for any damages resulting from the inability of the licensed certified professional midwife to arrange for consultation, co-manage or refer.
- *AB387_R3* – 18 – (e) A brief description of any complications resulting in maternal or infant morbidity or mortality;
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- *AB387_R3* – 19 – 4.
or - *AB387_R3* – 20 – (b) Use in connection with his or her name the words “licensed certified professional midwife,” “certified professional midwife,” “licensed midwife” or any other letters, words or insignia indicating or implying that he or she is licensed to engage in the practice of certified professional midwifery without supervision, or in any other way, orally, or in writing or print, or by sign, directly orSenate byAmendment implication,No. represent himself or herself as licensed to engage in the practice of certified professional midwifery without supervision in this State.
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387 Second Reprint Page 17 or by implication, represent himself or herself as licensed to engage in the practice of certified professional midwifery without supervision in this State.
Notwithstanding the provisions of NRS 623.225, 623A.185, 624.268, 625.387, 625A.105, 628.0345, 628B.320, 630.197, - *AB387_R3* – 21 – 630A.246, 631.225, 632.3446, 633.307, 634.095, 634A.115, 635.056, 636.159, 637.113, 637B.166, 638.103, 639.129, 640.095, 640A.145, 640B.340, 640C.430, 640D.120, 640E.200, 641.175, 641A.215, 641B.206, 641C.280, 642.0195, 643.095, 644A.485, 645.358, 645A.025, 645B.023, 645B.420, 645C.295, 645C.655, 645D.195, 645E.210, 645G.110, 645H.550, 648.085, 649.233, 652.075, 653.550, 654.145, 655.075 and 656.155, and section 23 of this act, an applicant for a license who does not have a social security number must provide an alternative personally identifying number, including, without limitation, his or her individual taxpayer identification number, when completing an application for a license.
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- *AB387_R3* – 22 – 3.
(a)Senate AAmendment physicianNo. licensed pursuant to chapter 630, 630A or 633 of NRS;
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387 Second Reprint Page 19 (a) A physician licensed pursuant to chapter 630, 630A or 633 of NRS;
- *AB387_R3* – 23 – (e) A person who holds a license as an attendant or who is certified as an emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS;
(a) The practice of dentistry, chiropractic, Oriental medicine, podiatry, optometry, perfusion, respiratory care, faith or Christian - *AB387_R3* – 24 – Science healing, nursing, certified professional midwifery, veterinary medicine or fitting hearing aids.
(d)Senate HomeopathicAmendment physiciansNo. who are called into this State, other than on a regular basis, for consultation or assistance to any physician licensed in this State, and who are legally qualified to practice in the state or country where they reside.
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387 Second Reprint Page 20 (d) Homeopathic physicians who are called into this State, other than on a regular basis, for consultation or assistance to any physician licensed in this State, and who are legally qualified to practice in the state or country where they reside.
- *AB387_R3* – 25 – (e) Any person who operates, who is employed by or who contracts to provide services for an intermediary service organization as defined in NRS 449.4304.
Every physician who, as a member of the staff of a medical facility or facility for the dependent, has reason to believe that a nursing assistant or medication aide - certified has engaged in conduct which constitutes grounds for theSenate denial,Amendment suspensionNo. or revocation of a certificate shall notify the superintendent, manager or other person in charge of the facility.
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387 Second Reprint Page 21 the denial, suspension or revocation of a certificate shall notify the superintendent, manager or other person in charge of the facility.
- *AB387_R3* – 26 – (a) The practice of medicine or perfusion pursuant to chapter 630 of NRS, dentistry, chiropractic, podiatry, optometry, respiratory care, faith or Christian Science healing, nursing, certified professional midwifery, veterinary medicine or fitting hearing aids.
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A hospital, pharmacy or other institution licensed, registered or otherwise permitted to distribute, dispense, conduct research with - *AB387_R3* – 27 – respect to or administer drugs in the course of professional practice or research in this State;
A licensed certified professional midwife may administer drugs and devices ordered pursuant to section 26 of this act in - *AB387_R3* – 28 – accordance with the provisions of that section and any regulations adopted pursuant to section 18 of this act without obtaining a certificate from the Board.
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(c) A person licensed or registered as an esthetician, esthetician’s apprentice, hair designer, hair designer’s apprentice, hair braider, shampoo technologist, cosmetologist or cosmetologist’s apprentice pursuant to chapter 644A of NRS if the person is massaging, cleansing or stimulating the scalp, face, neck or skin within the permissible scope of practice for an esthetician, - *AB387_R3* – 29 – esthetician’s apprentice, hair designer, hair designer’s apprentice, hair braider, shampoo technologist, cosmetologist or cosmetologist’s apprentice pursuant to that chapter.
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An attorney shall not contract for or collect a fee contingent on the amount of recovery for representing a person - *AB387_R3* – 30 – seeking damages in connection with an action for injury or death against a provider of health care based upon professional negligence in excess of:
(a) “Person in a position of authority” means a parent, relative, household member, employer, supervisor, youth leader, scout leader, coach, mentor in a mentoring program, teacher, professor, counselor, school administrator, religious leader, doctor, nurse, - *AB387_R3* – 31 – licensed certified professional midwife, certified professional midwife student midwife, certified professional midwife birth assistant, psychologist, other health care provider, guardian ad litem, guardian, babysitter, police officer or other law enforcement officer or any other person who, by reason ofSenate hisAmendment orNo. her position, is able to exercise significant or undue influence over the victim.
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387 Second Reprint Page 25 of his or her position, is able to exercise significant or undue influence over the victim.
- *AB387_R3* – 32 – 4.
A licensed medical facility in which such care or assistance is rendered is not liable for any civil damages as a result of any act or omission by the person in rendering that care or assistance if that person is not liable for any civil damages pursuant to subsection 1 and the actions of the medical facility relating to the renderingSenate ofAmendment thatNo. care or assistance do not amount to gross negligence or reckless, willful or wanton conduct.
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387 Second Reprint Page 26 rendering of that care or assistance do not amount to gross negligence or reckless, willful or wanton conduct.
In an action for injury or death against a provider of health care based upon professional negligence, if the defendant so elects, the defendant may introduce evidence of any amount payable as a benefit to the plaintiff as a result of the injury or death pursuant to the United States Social Security Act, any state or federal income disability or worker’s compensation act, any health, sickness or income-disability insurance, accident insurance that provides health benefits or income-disability coverage, and any contract or agreement of any group, organization, partnership or - *AB387_R3* – 33 – corporation to provide, pay for or reimburse the cost of medical, hospital, dental or other health care services.
In such cases, the court that rendered the original judgment may, upon petition of any party in interest,Senate modifyAmendment theNo. judgment to award and apportion the unpaid future damages in accordance with this subsection.
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387 Second Reprint Page 27 interest, modify the judgment to award and apportion the unpaid future damages in accordance with this subsection.
If the court finds that the judgment debtor has exhibited a continuing pattern of failing to make the periodic payments as - *AB387_R3* – 34 – specified pursuant to subsection 5, the court shall find the judgment debtor in contempt of court and, in addition to the required periodic payments, shall order the judgment debtor to pay the judgment creditor all damages caused by the failure to make such periodic payments, including, but not limited to, court costs and attorney’s fees.
- *AB387_R3* – 35 – Sec.
and (b)Senate MakeAmendment suchNo. a report as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the older person or vulnerable person has been abused, neglected, exploited, isolated or abandoned.
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387 Second Reprint Page 28 (b) Make such a report as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the older person or vulnerable person has been abused, neglected, exploited, isolated or abandoned.
(a) Every physician, dentist, dental hygienist, chiropractor, optometrist, podiatric physician, medical examiner, resident, intern, professional or practical nurse, physician assistant licensed pursuant to chapter 630 or 633 of NRS, licensed certified professional midwife, perfusionist, psychiatrist, psychologist, marriage and family therapist, clinical professional counselor, clinical alcohol and drug counselor, alcohol and drug counselor, music therapist, athletic trainer, driver of an ambulance, paramedic, licensed dietitian, holder of a license or a limited license issued under the provisions of chapter 653 of NRS or other person providing medical services licensed or certified to practice in this State, who examines, attends - *AB387_R3* – 36 – or treats an older person or vulnerable person who appears to have been abused, neglected, exploited, isolated or abandoned.
(m)Senate EveryAmendment personNo. who operates or is employed by a peer support recovery organization, as defined in NRS 449.01563.
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387 Second Reprint Page 29 (m) Every person who operates or is employed by a peer support recovery organization, as defined in NRS 449.01563.
If a person who is required to make a report pursuant to subsection 1 knows or has reasonable cause to believe that an older person or vulnerable person has died as a result of abuse, neglect, - *AB387_R3* – 37 – isolation or abandonment, the person shall, as soon as reasonably practicable, report this belief to the appropriate medical examiner or coroner, who shall investigate the cause of death of the older person or vulnerable person and submit to the appropriate local law enforcement agencies, the appropriate prosecuting attorney, the Aging and Disability Services Division of the Department of Health and Human Services and the Unit for the Investigation and Prosecution of Crimes his or her written findings.
- *AB387_R3* – 38 – (a) Pursuant to a criminal prosecution;
Except as otherwise provided in subsection 2 and NRS 200.50982, data or information concerning the reports and investigations of the abuse, neglect, exploitation,Senate isolationAmendment orNo. abandonment of an older person or a vulnerable person is available only to:
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387 Second Reprint Page 30 exploitation, isolation or abandonment of an older person or a vulnerable person is available only to:
- *AB387_R3* – 39 – (k) An attorney appointed by a court to represent a protected person in a guardianship proceeding pursuant to NRS 159.0485, if:
Except as otherwise provided in subsection 2, each board created by the provisions of NRS 590.485 and chapters 623 to 625A, inclusive, 628,Senate 630Amendment toNo. 644A, inclusive, and sections 2 to 32, inclusive, of this act, 648, 654 and 656 of NRS shall:
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387 Second Reprint Page 31 628, 630 to 644A, inclusive, and sections 2 to 32, inclusive, of this act, 648, 654 and 656 of NRS shall:
(b) If the revenue of the board from all sources is $200,000 or more for any fiscal year, or if the board is a regulatory body pursuant to NRS 622.060 and has failed to submit to the Director of - *AB387_R3* – 40 – the Legislative Counsel Bureau for each quarter of that fiscal year the information required by NRS 622.100, engage the services of a certified public accountant or public accountant, or firm of either of such accountants, to audit all its fiscal records for that fiscal year and file a report of the audit with the Legislative Auditor and the Chief of the Budget Division of the Office of Finance on or before December 1 following the end of that fiscal year.
The provisions of this subsection do not - *AB387_R3* – 41 – apply to a state officer who may be removed from office only by impeachment pursuant to Article 7 of the Nevada Constitution.
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- *AB387_R3* – 42 – (4) Identify the sources of funding for services provided by the Department and the allocation of that funding;
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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, - *AB387_R3* – 43 – 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,Senate 640.075,Amendment 640A.220,No. 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, - *AB387_R3* – 44 – 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, and section 30 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 from those public books and public records.
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387 Second ReprintPage 34 639.570, 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, and section 30 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 from those public books and public records.
or - *AB387_R3* – 45 – (b) Providing the public record in an electronic format or by means of an electronic medium would:
(b)Senate ExceptAmendment asNo. otherwise provided in NRS 239.030, shall, upon request, prepare the copy of the public record and shall not require the person who has requested the copy to prepare the copy himself or herself.
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387 Second Reprint Page 35 (b) Except as otherwise provided in NRS 239.030, shall, upon request, prepare the copy of the public record and shall not require the person who has requested the copy to prepare the copy himself or herself.
Any board, commission, committee or council created in chapters 445C, 590, 623 to 625A, inclusive, 628, 630 to 644A, inclusive, 648, 652, 654 and 656 of NRS which contracts for the services of a person, shall require the contract for those services to - *AB387_R3* – 46 – be in writing.
(d)Senate AAmendment systemNo. of practices to be followed in the performance of the duties and functions of each agency;
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387 Second Reprint Page 36 (d) A system of practices to be followed in the performance of the duties and functions of each agency;
- *AB387_R3* – 47 – Sec.
The Director shall, on or before the first Monday in February of each odd-numberedodd- numbered year, submit a report on the status of internal accounting and administrative controls in agencies to the:
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The annual work - *AB387_R3* – 48 – plan must list the agencies to which the Division will provide training and assistance and be submitted to the Director for approval.
- *AB387_R3* – 49 – Sec.
(a)Senate “Medicaid”Amendment meansNo. the program established pursuant to Title XIX of the Social Security Act, 42 U.S.C.
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387 Second Reprint Page 38 (a) “Medicaid” means the program established pursuant to Title XIX of the Social Security Act, 42 U.S.C.
and - *AB387_R3* – 50 – (c) The purchase of the medical device is made pursuant to a contract between the governmental entity that purchases the medical device and the person who sells the medical device to the governmental entity.
The Department or a managed care organization, including, without limitation, a health maintenance organization, that provides health care services toSenate recipientsAmendment ofNo. Medicaid under the State Plan for Medicaid may charge a copayment or coinsurance or apply a deductible for the services described in subsection 1.
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387 Second Reprint Page 39 to recipients of Medicaid under the State Plan for Medicaid may charge a copayment or coinsurance or apply a deductible for the services described in subsection 1.
- *AB387_R3* – 51 – Sec.
(a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, - *AB387_R3* – 52 – 633, 634, 634A, 635, 636, 637, 637B, 639, 640, 640A, 640B, 640C, 640D, 640E, 641, 641A, 641B, 641C or 653 of NRS [.] or sections 2 to 32, inclusive, of this act.
(d)Senate AAmendment memberNo. of the clergy, practitioner of Christian Science or religious healer, unless the person has acquired the knowledge of the abuse or neglect from the offender during a confession.
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387 Second Reprint Page 40 (d) A member of the clergy, practitioner of Christian Science or religious healer, unless the person has acquired the knowledge of the abuse or neglect from the offender during a confession.
If such a report is made to an agency which provides child welfare services, the agency which provides child welfare services shall - *AB387_R3* – 53 – notify the appropriate medical examiner or coroner of the report.
(b)Senate ObtainAmendment aNo. written acknowledgment or electronic record from the person that he or she has been informed of his or her duty pursuant to this section;
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387 Second Reprint Page 41 (b) Obtain a written acknowledgment or electronic record from the person that he or she has been informed of his or her duty pursuant to this section;
and - *AB387_R3* – 54 – (c) Maintain a copy of the written acknowledgment or electronic record for as long as the person serves as a volunteer at the school.
- *AB387_R3* – 55 – Sec.
As used in this chapter, “midwife” means any type of midwife, including, without limitation, a licensed certified professional midwife, a certified nurse-midwifenurse- midwife or any person who engages in the practice of certified professional midwifery.
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or (2) The mother and a person other than the mother’s spouse have signed a declaration for the voluntary acknowledgment of paternity developed by the Board pursuant to NRS 440.283 or a - *AB387_R3* – 56 – declaration for the voluntary acknowledgment of parentage developed by the Board pursuant to NRS 440.285.
If both parents execute a declaration consenting to theSenate useAmendment ofNo. the surname of one parent as the surname of the child, the name of that parent must be entered on the original certificate of birth and the surname of that parent must be entered thereon as the surname of the child.
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387 Second Reprint Page 43 the use of the surname of one parent as the surname of the child, the name of that parent must be entered on the original certificate of birth and the surname of that parent must be entered thereon as the surname of the child.
- *AB387_R3* – 57 – Sec.
“Midwife” means any type of midwife, including, without limitation, a licensed certified professional midwife,midwife , a certified nurse-midwife or any person who engages in the practice of certified professional midwifery.
or - *AB387_R3* – 58 – (j) The holder of a certificate of registration as a pharmacist.
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or - *AB387_R3* – 59 – (b) A physician assistant who holds a license from the Board of Medical Examiners and a certificate from the State Board of Pharmacy permitting him or her so to prescribe.
(c)Senate ExceptAmendment asNo. otherwise provided in paragraph (d), a registered nurse licensed to practice professional nursing or licensed practical nurse, at the direction of a prescribing physician, physician assistant licensed pursuant to chapter 630 or 633 of NRS, dentist, podiatric physician or advanced practice registered nurse, or pursuant to a chart order, for administration to a patient at another location.
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387 Second Reprint Page 45 (c) Except as otherwise provided in paragraph (d), a registered nurse licensed to practice professional nursing or licensed practical nurse, at the direction of a prescribing physician, physician assistant licensed pursuant to chapter 630 or 633 of NRS, dentist, podiatric physician or advanced practice registered nurse, or pursuant to a chart order, for administration to a patient at another location.
(f) Except as otherwise provided in paragraph (g), an advanced emergency medical technician or a paramedic, as authorized by - *AB387_R3* – 60 – regulation of the State Board of Pharmacy and in accordance with any applicable regulations of:
(o)Senate AAmendment physicalNo. therapist, but only if the drug or medicine is a topical drug which is:
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387 Second Reprint Page 46 (o) A physical therapist, but only if the drug or medicine is a topical drug which is:
- *AB387_R3* – 61 – (I) Iontophoresis;
- *AB387_R3* – 62 – (2) State Board of Osteopathic Medicine, at the direction of the prescribing physician and under the supervision of a physician or physician assistant.
454.361 A conviction of the violation of any of the provisions of NRS 454.181 to 454.371, inclusive, constitutes grounds for the suspension or revocation ofSenate anyAmendment licenseNo. issued to such person pursuant to the provisions of chapters 630, 631, 633, 635, 636, 638, 639 or 653 of NRS [.] or sections 2 to 32, inclusive, of this act.
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387 Second Reprint Page 47 of any license issued to such person pursuant to the provisions of chapters 630, 631, 633, 635, 636, 638, 639 or 653 of NRS [.] or sections 2 to 32, inclusive, of this act.
- *AB387_R3* – 63 – (2) Medical or dental malpractice of:
(1)Senate LossesAmendment unpaidNo. on reported claims;
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387 Second Reprint Page 48 (1) Losses unpaid on reported claims;
- *AB387_R3* – 64 – Sec.
-Senate *AB387_R3*Amendment –No. 65 – 2.
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387 Second Reprint Page 49 2.
An insurer shall not contract with a provider of health care to provide health care to an insured unless the insurer uses the form - *AB387_R3* – 66 – prescribed by the Commissioner pursuant to NRS 629.095 to obtain any information related to the credentials of the provider of health care.
If the provider fails to object in writing to the modification within the 45-day45- day period, the modification becomes effective at the end of that period.
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(b) Except as otherwise provided in this paragraph, by the insurer upon giving to the provider 45 days’ written notice of the - *AB387_R3* – 67 – modification of the insurer’s schedule of payments, including any changes to the fee schedule applicable to the provider’s practice.
If the provider fails to object in writing to the modification within the 45-day45- day period, the modification becomes effective at the end of that period.
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- *AB387_R3* – 68 – 4.
690B.270 If an insurer declines to issue to a practitioner licensed pursuant to chapter 630, 631, 632 or 633 of NRS or sections 2 to 32, inclusive, of this act a policy of professional liability insurance, the insurer shall, upon the request of the - *AB387_R3* – 69 – practitioner, disclose to the practitioner the reasons the insurer declined to issue the policy.
690B.280 If an insurer, for a policy of professional liability insurance for a practitioner licensed pursuant to chapter 630, 631, 632 or 633 of NRS [,] or sections 2 to 32, inclusive, of this act, sets the premium for the policy for the practitionerSenate atAmendment aNo. rate that is higher than the standard rate of the insurer for the applicable type of policy and specialty of the practitioner, the insurer shall, upon the request of the practitioner, disclose the reasons the insurer set the premium for the policy at the higher rate.
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387 Second Reprint Page 52 practitioner at a rate that is higher than the standard rate of the insurer for the applicable type of policy and specialty of the practitioner, the insurer shall, upon the request of the practitioner, disclose the reasons the insurer set the premium for the policy at the higher rate.
If an insurer issues a policy of professional liability insurance to a practitioner licensed pursuant to chapter 630, 632 or 633 of NRS or sections 2 to 32, inclusive, of this act who delivers one or more babies per year, the insurer may set the premium for the policy at a rate that is different, based in whole or in part upon the number of babies delivered per year by the practitioner, from the rate set for such a policy issued by the insurer to any other practitioner licensed pursuant to chapter 630, 632 or 633 of NRS or - *AB387_R3* – 70 – sections 2 to 32, inclusive, of this act who delivers one or more babies per year if the insurer:
(c)Senate TheAmendment natureNo. of the claim or action as set forth in the complaint and the answer that is filed with the district court;
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387 Second Reprint Page 53 (c) The nature of the claim or action as set forth in the complaint and the answer that is filed with the district court;
(c) Disclose to the practitioner the portion of the premium attributable to funding the extended reporting endorsement offered at no additional cost to the practitioner in the event of the - *AB387_R3* – 71 – practitioner’s death, disability or retirement, if such a benefit is offered.
(a) Whose rates and credit utilization are materially different from other insurers in the market for professional liability insurance for a practitioner licensed pursuantSenate toAmendment chapterNo. 630, 631, 632 or 633 of NRS or sections 2 to 32, inclusive, of this act in this State;
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387 Second Reprint Page 54 pursuant to chapter 630, 631, 632 or 633 of NRS or sections 2 to 32, inclusive, of this act in this State;
or - *AB387_R3* – 72 – (c) Whose information collected pursuant to subsection 1 indicates a potentially adverse trend.
If - *AB387_R3* – 73 – the provider fails to object in writing to the modification within the 45-day45- day period, the modification becomes effective at the end of that period.
or (b) If requested by the provider of health care at any other time, submit to the provider of health care the schedule of payments, including any changes to the fee scheduleSenate applicableAmendment toNo. the provider’s practice, specified in paragraph (a) within 7 days after receiving the request.
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387 Second Reprint Page 55 schedule applicable to the provider’s practice, specified in paragraph (a) within 7 days after receiving the request.
- *AB387_R3* – 74 – (a) If requested by the provider of health care at the time the contract is made, submit to the provider of health care the schedule of payments applicable to the provider of health care;
If the provider objects in writing to the modification within the 45-45-day day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).
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- *AB387_R3* – 75 – 4.
If the provider objects in writing to the modification within the 45-45-day day period, the modification must not become effective unless agreed to by both parties as described in paragraph (a).
The application must be accompanied by a fee - *AB387_R3* – 76 – in the amount prescribed by regulation of the State Board of Health pursuant to NRS 439.150, which must not exceed $1,000.
(a)Senate IsAmendment certifiedNo. as a midwife by the North American Registry of Midwives, or its successor organization ;
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387 Second Reprint Page 57 (a) Is certified as a midwife by the North American Registry of Midwives, or its successor organization ;
- *AB387_R3* – 77 – (b) The Division allocates a portion of the fees imposed and collected pursuant to this section to programs that promote applicants from marginalized identities through increasing the numbers of such applicants and reducing barriers that such applicants face.
(b) An] , an applicant for the issuance of a license as a licensed certified professional midwife in this State shall submit to the Division of Public and Behavioral Health of the Department of Health and Human Services the statement prescribed by the Division of Welfare and SupportiveSenate ServicesAmendment ofNo. the Department of Health and Human Services pursuant to NRS 425.520.
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387 Second Reprint Page 58 Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.
If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court - *AB387_R3* – 78 – order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order, the Division shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.
Except as otherwise provided in subsections 4 and 5, a licensed certified professional midwife must recommend and, with the consent of the client, arrange for consultation or co-co-management management with or referral to a qualified provider of health care if the licensed certified professional midwife determines that any of the following conditions or symptoms exist:
(b)Senate MultifetalAmendment gestation;No.
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387 Second Reprint Page 59 (b) Multifetal gestation;
- *AB387_R3* – 79 – 3.
(c) Whether the client consented to the consultation, co-co-management, management, referral or transfer;
and (d) If the client provides consent, the name, profession and specialty of the provider of health care with whom the licensed certified professional midwife consulted or co-co-managed managed or to whom the client was referred or the medical facility to which the client was transferred.
(a) Consultation,] consultation, co-management, referral or transfer after the licensed certified professional midwife has determined that a condition or symptom [described in subsection 1] exists [, the] for which consultation, co-co-management, management, referral or transfer is required by the regulations adopted pursuant to section 18 of this act:
and (c) If the licensed certified professional midwife complies with paragraphs (a) and (b), he or she is not liable for any damages resulting from the failure to consult, co-co-manage, manage, refer or transfer.
[If the condition or symptom threatens the life or health of the client or the fetus or the newborn infant of the client during labor or delivery, the licensed certified professional midwife must call 911 and - *AB387_R3* – 80 – provide care until relieved by a qualified provider of health care.
(a) Subsection 1] exists for which consultation, co-co-management, management, referral or transfer is required by the regulations adopted pursuant to section 18 of this act and making a reasonable effort to [arrange for consultation with, co-management of the condition or symptom with or referralSenate ofAmendment theNo. client to a qualified provider of health care or the transfer of the client to an appropriate medical facility,] comply with those regulations, a licensed certified professional midwife is unable to locate a qualified provider of health care who is willing to consult, co-manage or accept the referral or an appropriate medical facility willing to accept the transfer, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of [this section] those regulations and is not liable for any damages resulting from the inability of the licensed certified professional midwife to consult, co-manage, refer or transfer.
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387 Second Reprint Page 60 referral of the client to a qualified provider of health care or the transfer of the client to an appropriate medical facility,] comply with those regulations, a licensed certified professional midwife is unable to locate a qualified provider of health care who is willing to consult, co-manage or accept the referral or an appropriate medical facility willing to accept the transfer, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of [this section] those regulations and is not liable for any damages resulting from the inability of the licensed certified professional midwife to consult, co-manage, refer or transfer.
[(b) Subsection 2 exists and making a reasonable effort to arrange for consultation with, co-management of the condition or symptom with or referral of the client to a qualified provider of health care, a licensed certified professional midwife is unable to locate a qualified provider of health care who is willing to consult, co-manage or accept the referral, the licensed certified professional midwife shall be deemed to be in compliance with the requirements of this section and is not liable for any damages resulting from the inability of the licensed certified professional midwife to arrange for consultation, co-manage or refer.] - *AB387_R3* – 81 – 6.
(a)Senate AAmendment clinicalNo. alcohol and drug counselor who is licensed, or an alcohol and drug counselor who is licensed or certified, pursuant to chapter 641C of NRS;
(b)841 A physician or a physician assistant who is licensed pursuant to chapterAssembly 630Bill orNo. 633 of NRS and who practices in - *AB387_R3* – 82 – the area of obstetrics and gynecology, family practice, internal medicine, pediatrics or psychiatry;
387 Second Reprint Page 61 (a) A clinical alcohol and drug counselor who is licensed, or an alcohol and drug counselor who is licensed or certified, pursuant to chapter 641C of NRS;
(b) A physician or a physician assistant who is licensed pursuant to chapter 630 or 633 of NRS and who practices in the area of obstetrics and gynecology, family practice, internal medicine, pediatrics or psychiatry;
- *AB387_R3* – 83 – 3.
6.Senate Amendment No.
841 to Assembly Bill No.
387 Second Reprint Page 62 6.
Not later than July 1, 2022, the Workgroup or, if the Workgroup divides into subcommittees pursuant to subsection 8, each subcommittee of the Workgroup, shall make recommendations to the Board of Licensed Certified Professional Midwives created by section 16 of this act concerning the regulations required by paragraph (g) of subsection 1 of section 18 of this act governing the - *AB387_R3* – 84 – transfer of the client of a licensed certified professional midwife to a medical facility.
If such a memberSenate isAmendment notNo. licensed as a licensed certified professional midwife pursuant to section 19 of this act on July 1, 2022:
841 to Assembly Bill No.
387 Second Reprint Page 63 member is not licensed as a licensed certified professional midwife pursuant to section 19 of this act on July 1, 2022:
- *AB387_R3* – 85 – Sec.
This section and sections 103.5, 104,104 , [and] 105 and 106.5 of this act become effective upon passage and approval.
-(a) *AB387_R3*Have –failed 86to –comply with a subpoena or warrant relating to a proceeding to determine the paternity of a child or to establish or enforce an obligation for the support of a child;
TEXTSenate OFAmendment REPEALED SECTION Section 1.1 of Assembly Bill No.
841 to Assembly Bill No.
387 Second Reprint Page 64 TEXT OF REPEALED SECTION Section 1.1 of Assembly Bill No.
H - *AB387_R3*