SB 445 — Revises provisions governing emergency medical services. (BDR 40-1071)

EXEMPTSenate S.B.Bill No.

445445–Committee SENATEon BILLNFinance OCHAPTER.......... .

445–COMMITTEE ON F INANCE (O NB EHALF OF THE OFFICE OF FINANCE IN THE OFFICE OF THE G OVERNOR ) APRIL 3, 2023 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions governing emergency medical services.

(BDR 40-1071) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Executive Budget.

~ EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

Existingapplicable, lawto authorizesissue theannual Divisionpermits orand theprovisional districtpermits boardfor ofthe health,operation asof an ambulance, an air ambulance or certain vehicles of a fire-fighting agency.

Existing - *SB445* – 2 – law requires the State Board of Health or district board of health, as applicable, to establish fees for such annual and provisional permits.

(NRS 450B.200, 450B.210) Sections 2 and 3 of this bill provide that revenue from such fees collected by the Division of Public and Behavioral Health must be accounted for separately andyand the does not revert to the State General Fund at the end of any fiscal year.

EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

Any money the Division receives from a fee set by the State Board of Health pursuant to NRS 439.150 for the issuance or renewal of a license pursuant to NRS 450B.160, an administrative penalty imposed pursuant to NRS 450B.900 or an - 82nd Session (2023) – 2 – appropriation made by the Legislature for the purposes of training related to emergency medical services:

(b) May(1) beCarry usedout [only]a totraining [carry]program :for emergency medical services personnel who work for a volunteer ambulance service or firefighting agency, including, without limitation, equipment for use in the training;

(1) Carry out a training program for emergency medical services personnel who work for a volunteer ambulance service or firefighting agency, including, without limitation, equipment for use in the training;

2.holder of the permit.ust be evidenced by a card issued to the 3.

Each permit must be evidenced by a card issued to the holder of the permit.

- *SB445* – 3 – 3.

(d)- The82nd locationSession and(2023) description– of3 the– places from which the ambulance, air ambulance or fire-fighting agency intends to operate;

or (b)the Bringregulations anadopted actionpursuant into anythis courtchapter, for violation of this chapter or the regulations adopted pursuant to this chapter,  only after the holder of a permit is afforded an opportunity for a public hearing pursuant to regulations adopted by the board.

and - *SB445* – 4 – (b) Shall not consider economic factors, including, without limitation, factors related to the prices, routes or nonmedical services of an air ambulance.

10.450B.210 does not authorize any person or governmental entity to provide those services or to operate any ambulance, air ambulance or vehicle of a fire-fighting agency not in conformity with any ordinance or regulation enacted by any county, municipality or special purpose district.

The issuance of a permit pursuant to this section or NRS 450B.210 does not authorize any person or governmental entity to provide those services or to operate any ambulance, air ambulance or vehicle of a fire-fighting agency not in conformity with any ordinance or regulation enacted by any county, municipality or special purpose district.

An ambulance, air ambulance or vehicle of a fire-fighting agency which has received a permit from the district board of health - 82nd Session (2023) – 4 – in a county whose population is 700,000 or more is not required to obtain a permit from the Division, even if the ambulance, air ambulance or vehicle of a fire-fighting agency has routine operations outside the county.

The board may issue provisional permits limited asprovisional topermit time,may placebe andissued purpose,for baseda onperiod theof needlonger therefor.than 6 months.

No provisional permit may be issued for a period of longer than 6 months.

H~~~~~ 23 - *SB445*82nd Session (2023)