AB 11 — Revising provisions governing hospitals. (BDR 40-382)
Last action — No further action taken.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Assembly
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✓Passed Senate
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5To Executive
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6Enacted
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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 removed414 line(s) added, 443 removed.
(ReprintedAssembly withBill amendmentsNo. adopted on April 24, 2023) FIRST REPRINT A.B.
1111–Committee Aon SSEMBLYHealth Band ILLNHuman O.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.
LegislativeLegiExisting Counsel’slaw Digest:prescribes certain requirements governing the staffing of hospitals, psychiatric hospitals and certain other health care facilities.
Existing(NRS law449.241- 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.
2010-04 (March 5, 2010)) Section 1 of this bill expressly prohibits a hospital or psychiatric hospitalhomeopathic 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 divisionslaw. of the Department of Health and Human Services to employ a physician under certain circumstances.
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:
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 forformitation, eacSectionseach 5-7violation, andtogether 8with ofinterest thisat billa makerate conformingnot changes to indicateexceed the10 properr.percent per year.
- 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.
Section 7.3 also prohibits a hospital from taking any action to prevent a medicalprovider facilityof orhealth office.m:care from:
or (2) working for another Existingmedical lawfacility providesor thatoffice. a noncompetition covenant is void unless the covenant:
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 noncompetitionemployment covenantor thatcontract, violatesas thatapplicable. prohibition is void.
Additionally,Section the7.8 aprovides provisionsthat ofany sectionsprovision 7.3of anda 7.8noncompetition wouldcovenant bethat subjectviolates tothat administrativeprohibition enforcementis byvoid. the Labor Commissioner.
(NRSAdditionally, 607.160)the Sectionprovisions 8.5 of thissections bill7.3 requiresand the7.8 Jointwould Interimbe Standingsubject Committee on Health and Human Services to conductadministrative aenforcement studyby on the employmentLabor ofCommissioner. physicians by corporations.
(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 providesthe thatLegislature sectionand 1approval doesof not apply to any contract existing on the date on which this bill becomesby effective.the Governor.
-Section *AB11_R1*9 –of 3this –bill THEprovides PEOPLEthat OFsection THE1 STATEdoes OFnot NEVADA,apply REPRESENTEDto INany SENATEcontract ANDexisting ASSEMBLY,on DOthe ENACTdate ASon FOLLOWS: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:
- 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)by If the hospitalState orGovernment.r psychiatric hospital is owned or operated by3. the State Government.
3.
449.0301 The provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of this act do not apply to:,to: 1.
1.
2.
Foster homes as defined in NRS 424.014.
- *AB11_R1* – 4 – Sec.
(c)- Conduct82nd inimicalSession to(2023) the– public4 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.
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 agentage(a) orIs employeeconvicted of violating any of the licensee: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;
andandt of any investigation conducted with respect to the (c) A report of any disciplinary action taken against the facility.
and (b)- Any82nd disciplinarySession (2023) – 5 – subsection 2.sciplinary actions taken by the Division pursuant to subsectionSec. 2.
Sec.
(c) If the license of the facility limits the occupancy of the facility and the facility has exceeded the approved occupancy,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 pursuantpur(a) toSuspend paragraphthe (d)license of subsectionthe 1,facility until the Divisionadministrative may:penalty is paid;
- *AB11_R1* – 6 – (a) Suspend the license of the facility until the administrative penalty is paid;
- 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.
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,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:
- 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.
(c)(d) DoesImposes notrestrictions imposethat anyare undueappropriate hardshipin onrelation to the employee;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 - 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.]noncompetition 7.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.
IfSuch anrevisions employermust bringscause anthe actionlimitations tocontained enforcein athe noncompetition covenant oras an employee brings an action to challengetime, ageographical noncompetitionarea covenant and thescope courtof findsactivity theto covenantbe isrestrained supportedto bybe valuablereasonable, consideration but contains limitations as to time,not geographicalimpose areaundue orhardship scopeon ofthe activityemployee and to beimpose restraineda restraint that areis not reasonable, imposes a greater restraint than is necessary for the protection of the employer for whose benefit the restraint is imposedimposed. or imposes undue hardship on the employee, the court shall revise the covenant to the extent necessary and enforce the covenant as revised.
Such- revisions82nd mustSession cause(2023) the– limitations9 contained– innoncompetition the covenant asor an employee brings an action to time,challenge geographicala areanoncompetition covenant and scopethe ofcourt activityfinds tothat bethe restrainednoncompetition covenant applies to bean reasonable,employee todescribed notin imposesubsection undue3 hardship, on[or] that the employeeemployer andhas restricted or attempted to imposerestrict a restraintformer thatemployee isin notthe -manner *AB11_R1*described –in 9subsection –2 greater[,] thanor isthat necessarythe fornoncompetition thecovenant protectionviolates ofsubsection 4, the employercourt forshall whoseaward benefit the restraintemployee isreasonable imposed.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.
(a) Is convicted of a felony relating to the practice of administeringoffense ainvolving nursingmoral facilityturpitude.r or residential facility or of any offense(b) involvingHas moralobtained turpitude.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*82nd –Session 10(2023) – (e)10 Violates– any regulation of the Board prescribing additional 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 conclusions5. of law supporting that order are public records.
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 thethehe Nevada Legislature.
[,] 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 - 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.
H~~~~~ 23 - *AB11_R1*82nd Session (2023)
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View plain text versions (3)
- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Introduced As Introduced pdf
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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No further action taken.
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Bill read. Placed on Chief Clerk's desk.
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Vetoed by the Governor.
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In Assembly. To enrollment. Enrolled and delivered to Governor.
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Read third time. Passed. Title approved. (Yeas: 13, Nays: 7, Excused: 1.) To Assembly.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Read second time.
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From committee: Do pass.
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In Senate. Read first time. Referred to Committee on Health and Human Services. To committee.
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From printer. To engrossment. Engrossed. First reprint. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 26, Nays: 16.) To Senate.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 266.) To printer.
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Notice of eligibility for exemption.
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Read first time. To committee.
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From printer.
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Prefiled. Referred to Committee on Health and Human Services. To printer.
Sponsors
- Assembly Committee on Health and Human Services · Primary
Sponsorship breakdown
Export CSV (upgrade) →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.
Show all 66 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors AB 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.
- Where can I track AB 11?
- Track AB 11 free on One Click Politics — get push/email alerts when it moves.
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