Nevada 2023 Regular Session Status: To Executive

AB 11 — Revising provisions governing hospitals. (BDR 40-382)

Last action — No further action taken.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2023 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

Vetoed by Governor Joe Lombardo (Republican) on June 03, 2023.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

414 added · 443 removed

414 line(s) added, 443 removed.

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(Reprinted with amendments adopted on April 24, 2023) FIRST REPRINT A.B.
Assembly Bill No.
11 A SSEMBLY B ILLN O.
11–Committee on Health and Human Services CHAPTER..........
11–COMMITTEE ON H EALTH AND H UMAN SERVICES (O N BEHALF OF THE PATIENT P ROTECTION COMMISSION ) PREFILED N OVEMBER 16, 2022 ____________ Referred to Committee on Health and Human Services SUMMARY—Revising provisions governing hospitals.
(BDR 40-382) 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.
Legislative Counsel’s Digest:
LegiExisting law prescribes certain requirements governing the staffing of hospitals, psychiatric hospitals and certain other health care facilities.
Existing law prescribes certain requirements governing the staffing of hospitals, 449.2428) In 2010, the Attorney General issued an opinion explaining that, while it is the longstanding practice in Nevada that a physician generally works as a contractor for, rather than an employee of, a hospital, there is no provision of law prohibiting a hospital from employing a physician.
(NRS 449.241- 449.2428) In 2010, the Attorney General issued an opinion explaining that, while it is the longstanding practice in Nevada that a physician generally works as a contractor for, rather than an employee of, a hospital, there is no provision of law prohibiting a hospital from employing a physician.
2010-04 (March 5, 2010)) Section 1 of this bill expressly prohibits a hospital or psychiatric hospital from employing a physician for the purpose of practicing medicine, by law.thic medicine or osteopathic medicine except where expressly authorized Existing law authorizes a county hospital or hospital district, a private nonprofit medical school, a nonprofit medical research institution or certain mental health facilities operated by divisions of the Department of Health and Human Services to employ a physician under certain circumstances.
2010-04 (March 5, 2010)) Section 1 of this bill expressly prohibits a hospital or psychiatric homeopathic medicine or osteopathic medicine except where expressly authorized by law.
Existing law authorizes a county hospital or hospital district, a private nonprofit medical school, a nonprofit medical research institution or certain mental health facilities operated by divisions of the Department of Health and Human Services to employ a physician under certain circumstances.
(1) who is participating in certain - *AB11_R1* – 2 – operated by the State Government.hospital or psychiatric hospital is owned or Existing law exempts a medical facility from certain requirements of existing law relating to the licensing and regulation of medical facilities if the facility:
(1) who is participating in certain operated by the State Government.hospital or psychiatric hospital is owned or Existing law exempts a medical facility from certain requirements of existing law relating to the licensing and regulation of medical facilities if the facility:
and (2) section 4 authorizes the Division to impose certain other penalties on a hospital or psychiatric hospital that violates section 1, including, without limitation, the imposition of an administrative penalty of not more than $5,000 per day for eacSections 5-7 and 8 of this bill make conforming changes to indicate the properr.
and (2) section 4 authorizes the Division to impose certain other penalties on a the imposition of an administrative penalty of not more than $5,000 per day formitation, each violation, together with interest at a rate not to exceed 10 percent per year.
placement of section 1 in the Nevada Revised Statutes.
- 82nd Session (2023) – 2 – Sections 5-7 and 8 of this bill make conforming changes to indicate the proper placement of section 1 in the Nevada Revised Statutes.
(NRS 613.330) Section 7.3 of this bill prohibits a hospital from including in a contract with a provider of health care any provision prohibiting the provider from discussing with other persons his or her wages or salary or other information relating to working conditions.
(NRS 613.330) Section 7.3 of this bill prohibits a hospital from including in a contract with a provider of health care any provision prohibiting the provider from discussing with conditions.
Section 7.3 also prohibits a hospital from taking any action to prevent a medical facility or office.m:
Section 7.3 also prohibits a hospital from taking any action to prevent a provider of health care from:
or (2) working for another Existing law provides that a noncompetition covenant is void unless the covenant:
or (2) working for another medical facility or office.
Existing law provides that a noncompetition covenant is void unless the covenant:
(NRS 613.195) Section 7.8 of this bill prohibits a hospital from entering into a noncompetition covenant with a provider of health care that prohibits the provider from providing medical services at another medical facility or office during or after the term of the noncompetition covenant that violates that prohibition is void.
(NRS 613.195) covenant with a provider of health care that prohibits the provider from providing medical services at another medical facility or office during or after the term of the employment or contract, as applicable.
Additionally, the a provisions of sections 7.3 and 7.8 would be subject to administrative enforcement by the Labor Commissioner.
Section 7.8 provides that any provision of a noncompetition covenant that violates that prohibition is void.
(NRS 607.160) Section 8.5 of this bill requires the Joint Interim Standing Committee on Health and Human Services to conduct a study on the employment of physicians by corporations.
Additionally, the provisions of sections 7.3 and 7.8 would be subject to administrative enforcement by the Labor Commissioner.
(NRS 607.160) Section 8.5 of this bill requires the Joint Interim Standing Committee on Health corporations.
Section 10 of this bill makes this bill effective upon the passage of the bill by provides that section 1 does not apply to any contract existing on the date on which this bill becomes effective.
Section 10 of this bill makes this bill effective upon the passage of the bill by the Legislature and approval of the bill by the Governor.
- *AB11_R1* – 3 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 9 of this bill provides that section 1 does not apply to any contract existing on the date on which this bill becomes effective.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
(a) Who is participating in a graduate program approved by the Accreditation Council for Graduate Medical Education, or its successor organization, for the purpose of engaging in the practice of medicine, homeopathic medicine or osteopathic medicine;
- 82nd Session (2023) – 3 – (a) Who is participating in a graduate program approved by the Accreditation Council for Graduate Medical Education, or its successor organization, for the purpose of engaging in the practice of medicine, homeopathic medicine or osteopathic medicine;
or (b) If the hospital or psychiatric hospital is owned or operated by the State Government.
or by the State Government.r psychiatric hospital is owned or operated 3.
3.
inclusive, and section 1 of this act do not apply to:, 1.
449.0301 The provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of this act do not apply to:
1.
2.
Foster homes as defined in NRS 424.014.
- *AB11_R1* – 4 – Sec.
Sec.
(c) Conduct inimical to the public health, morals, welfare and safety of the people of the State of Nevada in the maintenance and operation of the premises for which a license is issued.
- 82nd Session (2023) – 4 – safety of the people of the State of Nevada in the maintenance and operation of the premises for which a license is issued.
In addition to the provisions of subsection 1, the Division may revoke a license to operate a facility for the dependent if, with respect to that facility, the licensee that operates the facility, or an agent or employee of the licensee:
In addition to the provisions of subsection 1, the Division may revoke a license to operate a facility for the dependent if, with respect to that facility, the licensee that operates the facility, or an age(a) Is convicted of violating any of the provisions of NRS 202.470;
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(a) Is convicted of violating any of the provisions of NRS 202.470;
- *AB11_R1* – 5 – (b) A report of any investigation conducted with respect to the complaint;
complaint;
and (c) A report of any disciplinary action taken against the facility.
andt of any investigation conducted with respect to the (c) A report of any disciplinary action taken against the facility.
and (b) Any disciplinary actions taken by the Division pursuant to subsection 2.
and - 82nd Session (2023) – 5 – subsection 2.sciplinary actions taken by the Division pursuant to Sec.
Sec.
(c) If the license of the facility limits the occupancy of the facility and the facility has exceeded the approved occupancy, require the facility, at its own expense, to move patients to another facility that is licensed;
facility and the facility has exceeded the approved occupancy,the require the facility, at its own expense, to move patients to another facility that is licensed;
If the facility fails to pay any administrative penalty imposed pursuant to paragraph (d) of subsection 1, the Division may:
If the facility fails to pay any administrative penalty imposed pur(a) Suspend the license of the facility until the administrative penalty is paid;
- *AB11_R1* – 6 – (a) Suspend the license of the facility until the administrative penalty is paid;
4.
- 82nd Session (2023) – 6 – 4.
Any money collected as administrative penalties pursuant to paragraph (d) of subsection 1 must be accounted for separately and used to administer and carry out the provisions of NRS 449.001 to 449.430, inclusive, and section 1 of this act, 449.435 to 449.531, inclusive, and chapter 449A of NRS to protect the health, safety, well-being and property of the patients and residents of facilities in accordance with applicable state and federal standards or for any other purpose authorized by the Legislature.
Any money collected as administrative penalties pursuant to paragraph (d) of subsection 1 must be accounted for separately and used to administer and carry out the provisions of NRS 449.001 to 449.430, inclusive, and section 1 of this act, 449.435 to 449.531, well-being and property of the patients and residents of facilities in accordance with applicable state and federal standards or for any other purpose authorized by the Legislature.
449.241 As used in NRS 449.241 to 449.2428, inclusive, and section 1 of this act, unless the context otherwise requires, the words and terms defined in NRS 449.2413 to 449.2418, inclusive, have the meanings ascribed to them in those sections.
449.241 As used in NRS 449.241 to 449.2428, inclusive, and words and terms defined in NRS 449.2413 to 449.2418, inclusive,he have the meanings ascribed to them in those sections.
(a) Include in the contract for employment or services any provision prohibiting the provider of health care from discussing - *AB11_R1* – 7 – with other persons matters relating to the contract or his or her experience at the hospital, including, without limitation:
(a) Include in the contract for employment or services any provision prohibiting the provider of health care from discussing with other persons matters relating to the contract or his or her experience at the hospital, including, without limitation:
(b) Act to prevent a provider of health care from discussing information described in paragraph (a) or providing medical services at another medical facility or office during or after the term of the employment or contract, as applicable.
- 82nd Session (2023) – 7 – (b) Act to prevent a provider of health care from discussing information described in paragraph (a) or providing medical services at another medical facility or office during or after the term of the employment or contract, as applicable.
(c) Retaliate against or impose discipline upon a provider of health care who discusses information described in paragraph (a) or provides medical services at another medical facility or office during or after the term of the employment or contract, as applicable.
health care who discusses information described in paragraph (a) or provides medical services at another medical facility or office during or after the term of the employment or contract, as applicable.
(c) Does not impose any undue hardship on the employee;
(d) Imposes restrictions that are appropriate in relation to the valuable consideration supporting the noncompetition covenant.
and (d) Imposes restrictions that are appropriate in relation to the valuable consideration supporting the noncompetition covenant.
and - *AB11_R1* – 8 – (c) The former employee is otherwise complying with the limitations in the covenant as to time, geographical area and scope of activity to be restrained, other than any limitation on providing services to a former customer or client who seeks the services of the former employee without any contact instigated by the former employee.
and (c) The former employee is otherwise complying with the limitations in the covenant as to time, geographical area and scope of activity to be restrained, other than any limitation on providing services to a former customer or client who seeks the services of the - 82nd Session (2023) – 8 – former employee without any contact instigated by the former employee.
3.
who is paid solely on an hourly wage basis, exclusive of any tips or gratuities.
A noncompetition covenant may not apply to an employee who is paid solely on an hourly wage basis, exclusive of any tips or gratuities.
[6.] 7.
noncompetition covenant or an employee brings an action to challenge a noncompetition covenant and the court finds the covenant is supported by valuable consideration but contains limitations as to time, geographical area or scope of activity to be restrained that are not reasonable, imposes a greater restraint than is necessary for the protection of the employer for whose benefit the restraint is imposed or imposes undue hardship on the employee, the court shall revise the covenant to the extent necessary and enforce the covenant as revised.
If an employer brings an action to enforce a noncompetition covenant or an employee brings an action to challenge a noncompetition covenant and the court finds the covenant is supported by valuable consideration but contains limitations as to time, geographical area or scope of activity to be restrained that are not reasonable, imposes a greater restraint than is necessary for the protection of the employer for whose benefit the restraint is imposed or imposes undue hardship on the employee, the court shall revise the covenant to the extent necessary and enforce the covenant as revised.
Such revisions must cause the limitations contained in the covenant as to time, geographical area and scope of activity to be restrained to be reasonable, to not impose undue hardship on the employee and to impose a restraint that is not greater than is necessary for the protection of the employer for whose benefit the restraint is imposed.
Such revisions must cause the limitations contained in the covenant as to time, geographical area and scope of activity to be restrained to be reasonable, to not impose undue hardship on the employee and to impose a restraint that is not - *AB11_R1* – 9 – greater than is necessary for the protection of the employer for whose benefit the restraint is imposed.
- 82nd Session (2023) – 9 – noncompetition covenant or an employee brings an action to challenge a noncompetition covenant and the court finds that the noncompetition covenant applies to an employee described in subsection 3 , [or] that the employer has restricted or attempted to restrict a former employee in the manner described in subsection 2 [,] or that the noncompetition covenant violates subsection 4, the court shall award the employee reasonable attorney’s fees and costs.
[7.] 8.
If an employer brings an action to enforce a noncompetition covenant or an employee brings an action to challenge a noncompetition covenant and the court finds that the noncompetition covenant applies to an employee described in subsection 3 , [or] that the employer has restricted or attempted to restrict a former employee in the manner described in subsection 2 [,] or that the noncompetition covenant violates subsection 4, the court shall award the employee reasonable attorney’s fees and costs.
(d) “Noncompetition covenant” means an agreement between an employer and employee which, upon termination of the employment of the employee, prohibits the employee from pursuing a similar vocation in competition with or becoming employed by a competitor of the employer.
employer and employee which, upon termination of the employment of the employee, prohibits the employee from pursuing a similar vocation in competition with or becoming employed by a competitor of the employer.
(a) Is convicted of a felony relating to the practice of administering a nursing facility or residential facility or of any offense involving moral turpitude.
(a) Is convicted of a felony relating to the practice of offense involving moral turpitude.r residential facility or of any (b) Has obtained his or her license by the use of fraud or deceit.
(b) Has obtained his or her license by the use of fraud or deceit.
- *AB11_R1* – 10 – (e) Violates any regulation of the Board prescribing additional standards of conduct for licensees, including, without limitation, a code of ethics.
- 82nd Session (2023) – 10 – standards of conduct for licensees, including, without limitation, a code of ethics.
4.
conclusions of law supporting that order are public records.
An order that imposes discipline and the findings of fact and conclusions of law supporting that order are public records.
fact and 5.
5.
The Joint Interim Standing Committee on Health and Human Services may request the drafting of 1 legislative measure, in addition to those requested pursuant to NRS 218D.160, to amend or repeal section 1 of this act or make other changes relating to the study conducted pursuant to this section at the 83rd Session of the Nevada Legislature.
The Joint Interim Standing Committee on Health and Human Services may request the drafting of 1 legislative measure, in addition to those requested pursuant to NRS 218D.160, to amend study conducted pursuant to this section at the 83rd Session of thehe Nevada Legislature.
[,] 2.
2.
The provisions of section 7.3 and NRS 613.195, as amended by section 7.8 of this act, do not apply to any contract existing on the effective date of this act between a hospital, as defined in NRS 449.012, and a provider of health care, as defined in NRS 629.031, but apply to any renewal of such a contract.
The provisions of section 7.3 and NRS 613.195, as amended by section 7.8 of this act, do not apply to any contract existing on the effective date of this act between a hospital, as defined in - 82nd Session (2023) – 11 – NRS 449.012, and a provider of health care, as defined in NRS 629.031, but apply to any renewal of such a contract.
- *AB11_R1* – 11 – Sec.
Sec.
H - *AB11_R1*
~~~~~ 23 - 82nd Session (2023)
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Amendments

1 amendment

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Action History

  1. No further action taken.

  2. Bill read. Placed on Chief Clerk's desk.

  3. Vetoed by the Governor.

  4. In Assembly. To enrollment. Enrolled and delivered to Governor.

  5. Read third time. Passed. Title approved. (Yeas: 13, Nays: 7, Excused: 1.) To Assembly.

  6. Taken from General File. Placed on General File for next legislative day.

  7. Taken from General File. Placed on General File for next legislative day.

  8. Taken from General File. Placed on General File for next legislative day.

  9. Taken from General File. Placed on General File for next legislative day.

  10. Read second time.

  11. From committee: Do pass.

  12. In Senate. Read first time. Referred to Committee on Health and Human Services. To committee.

  13. From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 26, Nays: 16.) To Senate.

  14. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 266.) To printer.

  15. Notice of eligibility for exemption.

  16. Read first time. To committee.

  17. From printer.

  18. Prefiled. Referred to Committee on Health and Human Services. To printer.

Sponsors

  • Assembly Committee on Health and Human Services · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Assembly Committee on Health and Human Services

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.

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Subjects

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Frequently asked questions

Who sponsors AB 11?
AB 11 is sponsored by Assembly Committee on Health and Human Services.
What is the current status of AB 11?
This bill died with 2023 Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
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