Nevada 2023 Regular Session Status: Enacted 9 R cosponsors

AB 158 — Revises provisions relating to emergency medical services. (BDR 40-511)

Last action — Chapter 391.

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

This bill has been enacted into law. Introduced February 14, 2023. Enacted.

Signed by Governor Joe Lombardo (Republican) on June 12, 2023.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 62% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    3 primary, 7 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (9 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

1447 added · 1567 removed

Plain-language change summary

The amendments to Assembly Bill No. 158 primarily clarify the roles and permissions of emergency medical service personnel under the new Interstate Compact. Specifically, the bill establishes that emergency medical technicians and paramedics who are certified in one participating state can work in any other participating state without needing additional certification. This change aims to enhance the mobility of emergency responders, ensuring that skilled personnel are available in various areas, especially during emergencies. Additionally, the bill now specifies that these individuals will not be eligible for community paramedicine service endorsements under this compact, which is an important distinction for regulation.

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EXEMPT (Reprinted with amendments adopted on June 2, 2023) FIRST REPRINT A.B.
Assembly Bill No.
158 A SSEMBLY B ILL NO .
158–Assemblymen O’Neill, Gray, Kasama;
158–A SSEMBLYMEN O’N EILL, G RAY , K ASAMA ;
DeLong, Dickman, Gallant, Gurr, Hansen, Hibbetts and Koenig CHAPTER..........
D ELONG , DICKMAN , GALLANT , GURR , HANSEN , H IBBETTS AND K OENIG FEBRUARY 14, 2023 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to emergency medical services.
(BDR 40-511) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law generally provides for the certification and regulation of advanced emergency medical technicians, emergency medical technicians and paramedics in this State.
emergency medical technicians, emergency medical technicians and paramedics inanced this State.
The this State to perform their professional duties in any other state that has ratified the Compact;
The Compact authorizes:
and (2) emergency medical service personnel who are certified in another state that has ratified the Compact to perform their professional duties in this State.
(1) emergency medical service personnel who are certified in this State to perform their professional duties in any other state that has ratified the Compact;
Sections 1, 3-7 and 9-21 of this bill make various changes to clarify that a person who is authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic under the Compact, including by serving as an attendant on an ambulance or air ambulance:
and (2) emergency medical service personnel who are certified in another Sections 1, 3-7 and 9-21 of this bill make various changes to clarify that a personate.
(1) is not prohibited legally equivalent to an emergency medical technician, advanced emergencye;
who is authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic under the Compact, including by serving as an attendant on an ambulance or air ambulance:
and (2) is medical technician or paramedic who is certified in this State for certain purposes.
(1) is not prohibited from doing so because he or she is not licensed or certified in this State;
Section 8 of this bill provides that a person who is authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic under the Compact is not eligible for an endorsement to provide community paramedicine services.
and (2) is legally equivalent to an emergency medical technician, advanced emergency Section 8 of this bill provides that a person who is authorized to practice as anes.
Section 21.5 of this bill makes an appropriation to the Division of Public and Behavioral Health of the Department of Health and established under the Compact.n fees related to the coordinated database - *AB158_R1* – 2 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
emergency medical technician, advanced emergency medical technician or paramedic under the Compact is not eligible for an endorsement to provide community paramedicine services.
Section 21.5 of this bill makes an appropriation to the Division of Public and Behavioral Health of the Department of Health and Human Services to cover certain fees related to the coordinated database established under the Compact.
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:
Except as otherwise provided in NRS 259.047, a law enforcement officer, correctional officer, emergency medical attendant, firefighter, county coroner or medical examiner or any of their employees or volunteers, any other person who is employed by or is a volunteer for an agency of criminal justice or any other public employee or volunteer for a public agency who, in the course of his or her official duties, comes into contact with human blood or bodily fluids, or the employer of such a person or the public agency for which the person volunteers, may petition a court for an order requiring the testing of a person or decedent for exposure to a communicable disease if:
Except as otherwise provided in NRS 259.047, a law enforcement officer, correctional officer, emergency medical attendant, firefighter, county coroner or medical examiner or any of their employees or volunteers, any other person who is employed by or is a volunteer for an agency of criminal justice or any other public employee or volunteer for a public agency who, in the course of his or her official duties, comes into contact with human blood or - 82nd Session (2023) – 2 – for which the person volunteers, may petition a court for an ordercy requiring the testing of a person or decedent for exposure to a communicable disease if:
When possible, before filing a petition pursuant to subsection 1, the person, employer or public agency for which the person volunteers, and who is petitioning shall submit information concerning the likely exposure to a communicable disease to the designated health care officer for the employer or public agency or, if there is no designated health care officer, the person designated by exposure to communicable diseases, for verification that there was substantial exposure.
When possible, before filing a petition pursuant to subsection 1, the person, employer or public agency for which the person volunteers, and who is petitioning shall submit information concerning the likely exposure to a communicable disease to the if there is no designated health care officer, the person designated by the employer or public agency to document and verify likely exposure to communicable diseases, for verification that there was substantial exposure.
- *AB158_R1* – 3 – (a) Order the person who likely exposed the petitioner, or the person on whose behalf the petition was filed, to a communicable disease to submit two appropriate specimens to a local hospital or medical laboratory for testing for exposure to a communicable disease;
person on whose behalf the petition was filed, to a communicablee disease to submit two appropriate specimens to a local hospital or medical laboratory for testing for exposure to a communicable disease;
The local hospital or medical laboratory shall perform the test in accordance with generally accepted medical practices and shall disclose the results of the test in the manner set forth in NRS 629.069.
- 82nd Session (2023) – 3 – accordance with generally accepted medical practices and shallest in disclose the results of the test in the manner set forth in NRS 629.069.
Any failure of the judge or justice of the peace to make such an endorsement and entry does not in and of itself invalidate the order.
Any failure of the does not in and of itself invalidate the order.ndorsement and entry 5.
5.
The employer of a person or the public agency for which the person volunteers, who files a petition or on whose behalf a petition is filed pursuant to this section or the insurer of the employer or public agency, shall pay the cost of performing the test pursuant to subsection 3.
The employer of a person or the public agency for which the person volunteers, who files a petition or on whose behalf a petition is filed pursuant to this section or the insurer of the employer or public agency, shall pay the cost of performing the test pursuant to sub8.ctiAs used in this section:
8.
(a) “Agency of criminal justice” has the meaning ascribed to it in NRS 179A.030.
As used in this section:
- *AB158_R1* – 4 – (a) “Agency of criminal justice” has the meaning ascribed to it in NRS 179A.030.
or (2) Authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
or - 82nd Session (2023) – 4 – technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
PURPOSE In order to protect the public through verification of competency and ensure accountability for patient care related activities all states license emergency medical services (EMS) personnel, such as emergency medical technicians (EMTs), advanced EMTs and paramedics.
PURPOSE competency and ensure accountability for patient care related activities all states license emergency medical services (EMS) personnel, such as emergency medical technicians (EMTs), advanced EMTs and paramedics.
2.
and safety, especially patient safety;protect the public’s health 3.
Enhance the states’ ability to protect the public’s health and safety, especially patient safety;
3.
- *AB158_R1* – 5 – 4.
4.
6.
- 82nd Session (2023) – 5 – 6.
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“Certification” means the successful verification of entry- level cognitive and psychomotor competency using a reliable, validated and legally defensible examination.
“Certification” means the successful verification of entry- validated and legally defensible examination.ing a reliable, E.
E.
- *AB158_R1* – 6 – I.
I.
J.
- 82nd Session (2023) – 6 – J.
“Privilege to practice” means an individual’s authority to deliver emergency medical services in remote states as authorized under this Compact.
“Privilege to practice” means an individual’s authority to deliver emergency medical services in remote states as authorized undL.
L.
Investigative information that a state EMS authority, after a preliminary inquiry that includes notification and an opportunity to respond if required by state law, has reason to believe, if proved true, would result in the imposition of an adverse action on a license or privilege to practice;
Investigative information that a state EMS authority, opportunity to respond if required by state law, has reason to believe, if proved true, would result in the imposition of an adverse action on a license or privilege to practice;
- *AB158_R1* – 7 – SECTION 3.
- 82nd Session (2023) – 7 – SECTION 3.
HOME STATE LICENSURE 3 A.
HOME STATE LICENSURE A.
B.
retain a license to be authorized to practice in the member state under circumstances not authorized by the privilege to practice under the terms of this Compact.
Any member state may require an individual to obtain and retain a license to be authorized to practice in the member state under circumstances not authorized by the privilege to practice under the terms of this Compact.
Not later than 5 years after activation of the Compact, requires a criminal background check of all applicants for initial licensure, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the Federal Bureau of Investigation with the exception of federal employees who have suitability determination in accordance with 5 C.F.R.
Not later than 5 years after activation of the Compact, requires a criminal background check of all applicants for initial licensure, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the Federal Bureau of Investigation with the exception of federal employees who have suitability determination in accordance with C.F.R.
§ 731.202 and submit documentation of such as promulgated in the rules of the Commission;
§ 731.202 and submit documentation of such as promul5.
and 5.
C.
- 82nd Session (2023) – 8 – C.
An individual providing patient care in a remote state under the privilege to practice shall function within the scope of - *AB158_R1* – 8 – practice authorized by the home state unless and until modified by an appropriate authority in the remote state as may be defined in the rules of the Commission.
An individual providing patient care in a remote state under the privilege to practice shall function within the scope of practice authorized by the home state unless and until modified by an appropriate authority in the remote state as may be defined in theD.uleExcept as provided in Section 4, subsection C, an individual practicing in a remote state will be subject to the remote state’s authority and laws.
D.
Except as provided in Section 4, subsection C, an individual practicing in a remote state will be subject to the remote state’s authority and laws.
CONDITIONS OF PRACTICE IN A REMOTE STATE An individual may practice in a remote state under a privilege to practice only in the performance of the individual’s EMS duties as assigned by an appropriate authority, as defined in the rules of the Commission, and under the following circumstances:
CONDITIONS OF PRACTICE IN A REMOTE STATE An individual may practice in a remote state under a privilege to practice only in the performance of the individual’s EMS duties the Commission, and under the following circumstances:
1.
the rules of 1.
SECTION 6.
- 82nd Session (2023) – 9 – SECMANAGEMENT ASSISTANCE COMPACTENCY Upon a member state’s governor’s declaration of a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), all relevant terms and provisions of EMAC shall apply, and to the extent any terms or provisions of this Compact conflict with EMAC, the terms of EMAC shall prevail with respect to any individual practicing in the remote state in response to such declaration.
RELATIONSHIP TO EMERGENCY MANAGEMENT ASSISTANCE COMPACT Upon a member state’s governor’s declaration of a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), all relevant terms and provisions of - *AB158_R1* – 9 – EMAC shall apply, and to the extent any terms or provisions of this Compact conflict with EMAC, the terms of EMAC shall prevail with respect to any individual practicing in the remote state in response to such declaration.
SECTION 7.
6 SECTION 7.
Member states shall consider a veteran, active military service member and member of the National Guard and Reserves separating from an active duty tour, and a spouse thereof, who holds a current valid and unrestricted NREMT certification at or above the level of the state license being sought as satisfying the minimum training and examination requirements for such licensure.
Member states shall consider a veteran, active military service member and member of the National Guard and Reserves holds a current valid and unrestricted NREMT certification at or above the level of the state license being sought as satisfying the minimum training and examination requirements for such licensure.
A home state shall have exclusive power to impose adverse action against an individual’s license issued by the home state.
A home state shall have exclusive power to impose adverse actB.n aIf an individual’s license in any home state is restricted or suspended, the individual shall not be eligible to practice in a remote state under the privilege to practice until the individual’s home state license is restored.
B.
If an individual’s license in any home state is restricted or suspended, the individual shall not be eligible to practice in a remote state under the privilege to practice until the individual’s home state license is restored.
2.
- 82nd Session (2023) – 10 – 2.
C.
occurrences that the individual’s Compact privileges areany restricted, suspended or revoked to the Commission in accordance with the rules of the Commission.
A member state shall report adverse actions and any occurrences that the individual’s Compact privileges are restricted, suspended or revoked to the Commission in accordance with the rules of the Commission.
D.
- *AB158_R1* – 10 – D.
The issuing state EMS authority shall pay any witness fees, travel expenses, mileage and other fees required by the service statutes of the state where the witnesses and/or evidence are located;
The issuing state EMS authority shall pay any witness fees, travel expenses, - 82nd Session (2023) – 11 – where the witnesses and/or evidence are located;
and 2.
andtes of the state 2.
- *AB158_R1* – 11 – SECTION 10.
SECTION 10.
ESTABLISHMENT OF THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE 4 A.
ESTABLISHMENT OF THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE A.
The Commission may waive venue and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute resolution proceedings.
The Commission may waive venue and participate in alternative dispute resolution proceedings.s to 3.
3.
In the event that more than one board, office or other agency with the legislative mandate to license EMS personnel at and above the level of EMT exists, the governor of the state will determine which entity will be responsible for assigning the delegate.
In the event that more than one board, office or other agency with the legislative mandate to license EMS personnel at and above the level of EMT exists, the governor of the state will determine which entity will be responsible for assign2.
2.
3.
- 82nd Session (2023) – 12 – 3.
All meetings shall be open to the public, and public notice of meetings shall be given in the same manner as required under the rulemaking provisions in Section 12.
All meetings shall be open to the public, and public under the rulemaking provisions in Section 12.manner as required 5.
5.
- *AB158_R1* – 12 – a.
a.
i.
reports prepared by or on behalf of or for use of the Commissionry or other committee charged with responsibility of investigation or determination of compliance issues pursuant to the Compact;
Disclosure of information related to any investigatory reports prepared by or on behalf of or for use of the Commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to the Compact;
All minutes and documents of a closed meeting shall remain under seal, subject to release by a majority vote of the Commission or order of a court of competent jurisdiction.
All minutes and documents of a closed meeting shall remain under seal, subject to release by a - 82nd Session (2023) – 13 – jurisdiction.
C.
of the Commission or order of a court of competent C.
- *AB158_R1* – 13 – a.
a.
Providing reasonable procedures for calling and conducting meetings of the Commission, ensuring reasonable advance notice of all meetings and providing an opportunity for attendance of such meetings by interested parties, with enumerated exceptions designed to protect the public’s interest, the privacy of individuals and proprietary information, including trade secrets.
Providing reasonable procedures for calling and conducting meetings of the Commission, ensuring reasonable advance notice of all meetings and providing an opportunity for attendance of such meetings by interested parties, with the privacy of individuals and proprietary information, including trade secrets.
Promulgating a code of ethics to address permissible and prohibited activities of Commission members and employees;
Promulgating a code of ethics to address permissible and prohib7.
and 7.
F.
- 82nd Session (2023) – 14 – consistent with the provisions of this Compact and the bylaws.
The Commission shall meet and take such actions as are consistent with the provisions of this Compact and the bylaws.
To bring and prosecute legal proceedings or actions in the name of the Commission, provided that the standing of any state EMS authority or other regulatory body responsible for EMS - *AB158_R1* – 14 – personnel licensure to sue or be sued under applicable law shall not be affected;
To bring and prosecute legal proceedings or actions in the name of the Commission, provided that the standing of any state EMS authority or other regulatory body responsible for EMS personnel licensure to sue or be sued under applicable law shall not be affected;
To hire employees, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of the Compact, and to establish the Commission’s personnel policies and programs relating to conflicts of interest, qualifications of personnel and other related personnel matters;
To hire employees, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate establish the Commission’s personnel policies and programs relating to conflicts of interest, qualifications of personnel and other related personnel matters;
9.
To establish a budget and make expenditures;
To borrow money;
To borrow money;dget and make expenditures;
and 14.
and - 82nd Session (2023) – 15 – appropriate to achieve the purposes of this Compact consistentor with the state regulation of EMS personnel licensure and practice.
To perform such other functions as may be necessary or appropriate to achieve the purposes of this Compact consistent with the state regulation of EMS personnel licensure and practice.
The Commission may levy on and collect an annual assessment from each member state or impose fees on other - *AB158_R1* – 15 – parties to cover the cost of the operations and activities of the Commission and its staff, which must be in a total amount sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources.
The Commission may levy on and collect an annual assessment from each member state or impose fees on other parties to cover the cost of the operations and activities of the Commission and its staff, which must be in a total amount sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources.
The aggregate annual assessment amount shall be allocated based upon a formula to be determined by the Commission, which shall promulgate a rule binding upon all member states.
The aggregate annual assessment amount shall be allocated based upon a promulgate a rule binding upon all member states.
4.
shall 4.
The members, officers, executive director, employees and representatives of the Commission shall be immune from suit and liability, either personally or in their official capacity, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that nothing in this paragraph shall be construed to protect any such person from suit and/or liability for any damage, loss, injury or liability caused by the intentional or willful or wanton misconduct of that person.
The members, officers, executive director, employees and liability, either personally or in their official capacity, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that nothing in this paragraph shall be construed to protect any such person from suit and/or liability for - 82nd Session (2023) – 16 – willful or wanton misconduct of that person.
2.
by the intentional or 2.
- *AB158_R1* – 16 – 3.
3.
The Commission shall indemnify and hold harmless any member, officer, executive director, employee or representative of the Commission for the amount of any settlement or judgment obtained against that person arising out of any actual or alleged act, error or omission that occurred within the scope of Commission employment, duties or responsibilities, or that such person had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that the actual or alleged act, error or omission did not result from the intentional or willful or wanton misconduct of that person.
The Commission shall indemnify and hold harmless any member, officer, executive director, employee or representative of the Commission for the amount of any settlement or judgment act, error or omission that occurred within the scope ofr alleged Commission employment, duties or responsibilities, or that such person had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that the actual or alleged act, error or omission did not result from the intentional or willful or wanton misconduct of that person.
Notwithstanding any other provision of state law to the contrary, a member state shall submit a uniform data set to the coordinated database on all individuals to whom this Compact is applicable as required by the rules of the Commission, including:
Notwithstanding any other provision of state law to the coordinated database on all individuals to whom this Compact is applicable as required by the rules of the Commission, including:
6.
- 82nd Session (2023) – 17 – 6.
and 8.
and of this Compact, as determined by the rules of the Commission.ion C.
Other information that may facilitate the administration of this Compact, as determined by the rules of the Commission.
C.
- *AB158_R1* – 17 – SECTION 12.
SECTION 12.
RULEMAKING 3 A.
RULEMAKING A.
If a majority of the legislatures of the member states rejects a rule, by enactment of a statute or resolution in the same manner used to adopt the Compact, then such rule shall have no further force and effect in any member state.
If a majority of the legislatures of the member states rejects a rule, by enactment of a statute or resolution in the same manner used to adopt the Compact, then such rule shall have no furC.er Rules or amendments to the rules shall be adopted at a regular or special meeting of the Commission.
C.
Rules or amendments to the rules shall be adopted at a regular or special meeting of the Commission.
3.
- 82nd Session (2023) – 18 – interested person;
A request for comments on the proposed rule from any interested person;
and comments on the proposed rule from any 4.
and 4.
1.
notify the executive director of the Commission or othershall designated member in writing of their desire to appear and testify at the hearing not less than 5 business days before the scheduled date of the hearing.
All persons wishing to be heard at the hearing shall notify the executive director of the Commission or other designated member in writing of their desire to appear and testify - *AB158_R1* – 18 – at the hearing not less than 5 business days before the scheduled date of the hearing.
Nothing in this Section shall be construed as requiring a separate hearing on each rule.
Nothing in this Section shall be construed as requiring a convenience of the Commission at hearings required by thise Section.
Rules may be grouped for the convenience of the Commission at hearings required by this Section.
The Commission shall, by majority vote of all members, take final action on the proposed rule and shall determine the effective date of the rule, if any, based on the rulemaking record and the full text of the rule.
The Commission shall, by majority vote of all members, take final action on the proposed rule and shall determine the - 82nd Session (2023) – 19 – effective date of the rule, if any, based on the rulemaking record and the full text of the rule.
If no written notice of intent to attend the public hearing by interested parties is received, the Commission may proceed with promulgation of the proposed rule without a public hearing.
If no written notice of intent to attend the public hearing by interested parties is received, the Commission may proceed with proL.
L.
Upon determination that an emergency exists, thering.
Upon determination that an emergency exists, the Commission may consider and adopt an emergency rule without prior notice, opportunity for comment or hearing, provided that the usual rulemaking procedures provided in the Compact and in this Section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule.
Commission may consider and adopt an emergency rule without prior notice, opportunity for comment or hearing, provided that the usual rulemaking procedures provided in the Compact and in this Section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule.
The Commission or an authorized committee of the Commission may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors - *AB158_R1* – 19 – in format, errors in consistency or grammatical errors.
The Commission or an authorized committee of the Commission may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors in format, errors in consistency or grammatical errors.
The revision may be challenged only on grounds that the revision results in a material change to a rule.
The revision may be change to a rule.
A challenge shall be made in writing and delivered to the chair of the Commission prior to the end of the notice period.
A challenge shall be made in writing andmaterial delivered to the chair of the Commission prior to the end of the notice period.
The provisions of this Compact and the rules promulgated hereunder shall have standing as statutory law.
The provisions of this Compact - 82nd Session (2023) – 20 – statutory law.promulgated hereunder shall have standing as 2.
2.
a.
other member states of the nature of the default, the proposed means of curing the default and/or any other action to be taken by the Commission;
Provide written notice to the defaulting state and other member states of the nature of the default, the proposed means of curing the default and/or any other action to be taken by the Commission;
If a state in default fails to cure the default, the defaulting state may be terminated from the Compact upon an affirmative vote of a majority of the member states, and all rights, - *AB158_R1* – 20 – privileges and benefits conferred by this Compact may be terminated on the effective date of termination.
If a state in default fails to cure the default, the defaulting state may be terminated from the Compact upon an affirmative vote of a majority of the member states, and all rights, privileges and benefits conferred by this Compact may be terminated on the effective date of termination.
Notice of intent to suspend or terminate shall be given by the Commission to the governor and the majority and minority leaders of the defaulting state’s legislature, and each of the member states.
Notice of intent to suspend or terminate shall be minority leaders of the defaulting state’s legislature, and each of the member states.
The Commission shall not bear any costs related to a state that is found to be in default or that has been terminated from the Compact, unless agreed upon in writing between the Commission and the defaulting state.
The Commission shall not bear any costs related to a state that is found to be in default or that has been terminated - 82nd Session (2023) – 21 – Commission and the defaulting state.
6.
in writing between the 6.
The Commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of this Compact.
The Commission, in the reasonable exercise of its discre2.
2.
By majority vote, the Commission may initiate legalompact.
By majority vote, the Commission may initiate legal action in the United States District Court for the District of Columbia or the federal district where the Commission has its principal offices against a member state in default to enforce compliance with the provisions of the Compact and its promulgated rules and bylaws.
action in the United States District Court for the District of Columbia or the federal district where the Commission has its principal offices against a member state in default to enforce compliance with the provisions of the Compact and its promulgated rules and bylaws.
- *AB158_R1* – 21 – 3.
3.
5 SECTION 14.
SECTION 14.
DATE OF IMPLEMENTATION OF THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE AND ASSOCIATED RULES, WITHDRAWAL AND AMENDMENT A.
DATE OF IMPLEMENTATION OF THE INTERSTATE COMMISSION FOR EMS RULES, WITHDRAWAL AND AMENDMENTED A.
B.
- 82nd Session (2023) – 22 – Commission’s initial adoption of the rules shall be subject to the rules as they exist on the date on which the Compact becomes law in that state.
Any state that joins the Compact subsequent to the Commission’s initial adoption of the rules shall be subject to the rules as they exist on the date on which the Compact becomes law in that state.
Nothing contained in this Compact shall be construed to invalidate or prevent any EMS personnel licensure agreement or other cooperative arrangement between a member state and a nonmember state that does not conflict with the provisions of this Compact.
Nothing contained in this Compact shall be construed to invalidate or prevent any EMS personnel licensure agreement or other cooperative arrangement between a member state and a Compact.r state that does not conflict with the provisions of this E.
E.
If this Compact shall be held contrary to the constitution of any state member thereto, the Compact shall - *AB158_R1* – 22 – remain in full force and effect as to the remaining member states.
If this Compact shall be held contrary to the constitution of any state member thereto, the Compact shall remain in full force and effect as to the remaining member states.
450B.025 “Advanced emergency medical technician” means a person [certified] who is:
person [certified] who is:gency medical technician” means a 1.
1.
Sec.
- 82nd Session (2023) – 23 – Sec.
Certified by the health officer as having satisfactorily completed a program of training for certification as an emergency medical technician pursuant to NRS 450B.1905 [.] ;
Certified by the health officer as having satisfactorily medical technician pursuant to NRS 450B.1905 [.] ;
or 2.
oran emergency 2.
3.
medical technician must annually:ification, each advanced emergency (a) Comply with the requirements established by the board for continuing medical education;
In order to maintain certification, each advanced emergency medical technician must annually:
and (b) Demonstrate his or her skills as required by regulation of the board.
(a) Comply with the requirements established by the board for continuing medical education;
and - *AB158_R1* – 23 – (b) Demonstrate his or her skills as required by regulation of the board.
A person shall not represent himself or herself to be an advanced emergency medical technician unless the person has on file with the health authority a currently valid certificate demonstrating successful completion of the program of training required by this section [.] or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
A person shall not represent himself or herself to be an advanced emergency medical technician unless the person has on file with the health authority a currently valid certificate demonstrating successful completion of the program of training - 82nd Session (2023) – 24 – required by this section [.] or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
Except as authorized by subsection 7 of NRS 450B.160 [,] and the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act, an attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as an advanced emergency medical technician without fulfilling the requirements established by the board.
Except as authorized by subsection 7 of NRS 450B.160 [,] Licensure Interstate Compact ratified by section 2 of this act, an attendant or firefighter shall not perform, and the owner, operator, director or chief officer of an ambulance or a fire-fighting agency shall not offer, emergency care as an advanced emergency medical technician without fulfilling the requirements established by the board.
The curriculum must be at least equivalent to any curriculum or educational standards prepared by the United States Department of Transportation as a national standard for paramedics.
The curriculum must be at least equivalent to any curriculum or educational standards prepared by the United States Dep5.tmeA person shall not represent himself or herself to be aics.
5.
paramedic unless the person has on file with the health authority a currently valid certificate evidencing the person’s successful completion of the program of training required by this section [.] or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
A person shall not represent himself or herself to be a paramedic unless the person has on file with the health authority a currently valid certificate evidencing the person’s successful completion of the program of training required by this section [.] or is practicing under the Recognition of Emergency Medical - *AB158_R1* – 24 – Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
Sec.
- 82nd Session (2023) – 25 – Sec.
450B.199 As used in this section and NRS 450B.1993 and 450B.1996, unless the context otherwise requires, “emergency medical provider” means an emergency medical technician, advanced emergency medical technician or paramedic [.] who is certified pursuant to this chapter.
450B.199 As used in this section and NRS 450B.1993 and 450B.1996, unless the context otherwise requires, “emergency medical provider” means an emergency medical technician, certified pursuant to this chapter.an or paramedic [.] who is Sec.
Sec.
(3) Has successfully completed an air ambulance attendant course which includes didactic and clinical components and is approved or in compliance with requirements set by the board;
(3) Has successfully completed an air ambulance attendant approved or in compliance with requirements set by the board;
If, as determined by the pilot and medical director of the air ambulance, the weight of the secondary attendant could compromise the performance of the air ambulance, safety or patient care, an air ambulance providing medical transportation services may be staffed - *AB158_R1* – 25 – with only a primary attendant as described in paragraph (a) of subsection 1.
If, as determined by the pilot and medical director of the air ambulance, the weight of the secondary attendant could compromise the performance of the air ambulance, safety or patient care, an air ambulance providing medical transportation services may be staffed with only a primary attendant as described in paragraph (a) of subsection 1.
The health authority may issue a letter of endorsement and identification card to an emergency medical services registered nurse or paramedic who satisfies the requirements of paragraph (a) or (b) of subsection 1.
The health authority may issue a letter of endorsement and identification card to an emergency medical services registered - 82nd Session (2023) – 26 – nurse or paramedic who satisfies the requirements of paragraph (a) or (b) of subsection 1.
450B.255 A person shall not represent himself or herself to be an emergency medical technician, advanced emergency medical technician or paramedic unless the person has been issued a currently valid certificate by the health authority [.] or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
450B.255 A person shall not represent himself or herself to be technician or paramedic unless the person has been issued a currently valid certificate by the health authority [.] or is practicing under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
An ambulance carrying a sick or injured patient must be occupied by a driver and an attendant, each of whom is licensed as an attendant pursuant to this chapter , [or] exempt from licensing pursuant to subsection 7 of NRS 450B.160 [,] or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act, except as otherwise provided in subsection 5 or in geographic areas which may be designated by the board and for which the board may prescribe lesser qualifications.
An ambulance carrying a sick or injured patient must be occupied by a driver and an attendant, each of whom is licensed as an attendant pursuant to this chapter , [or] exempt from licensing pursuant to subsection 7 of NRS 450B.160 [,] or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act, except as otherwise provided in subsection 5 or in geographic areas which may be designated by the board and for whi3.
3.
thAn air ambulance carrying a sick or injured patient must be occupied by a licensed attendant, [or] a person exempt from licensing pursuant to subsection 7 of NRS 450B.160 [,] or a person authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act, in addition to the pilot of the aircraft.
An air ambulance carrying a sick or injured patient must be occupied by a licensed attendant, [or] a person exempt from licensing pursuant to subsection 7 of NRS 450B.160 [,] or a person authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act, in addition to the pilot of the aircraft.
- *AB158_R1* – 26 – 5.
5.
(a) At the scene of an emergency unless at least one person in the vehicle is licensed to provide the care;
- 82nd Session (2023) – 27 – (a) At the scene of an emergency unless at least one person in the vehicle is licensed to provide the care;
6.
in this State in a manner other than as an air ambulance.f an aircraft Sec.
Nothing in this section precludes the operation of an aircraft in this State in a manner other than as an air ambulance.
Sec.
- *AB158_R1* – 27 – 1.
1.
Consists of two or more [licensed attendants who are] emergency medical technicians, advanced emergency medical technicians or paramedics [;] who are licensed attendants or authorized to serve as attendants under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act;
Consists of two or more [licensed attendants who are] emergency medical technicians, advanced emergency medical technicians or paramedics [;] who are licensed attendants or authorized to serve as attendants under the Recognition of - 82nd Session (2023) – 28 – Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act;
450B.675 “Roving intermediate emergency medical technician:
team” means a roving emergency medical team that consists of two or more [licensed attendants who are] advanced emergency medical technicians or paramedics [.] who are licensed attendants or authorized to serve as attendants under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
15.
NRS 450B.675 is hereby amended to read as follows:
450B.675 “Roving intermediate emergency medical technician team” means a roving emergency medical team that consists of two or more [licensed attendants who are] advanced emergency medical technicians or paramedics [.] who are licensed attendants or authorized to serve as attendants under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
Sec.
(a) An owner, employee or agent of the authorized entity who has received the training required pursuant to NRS 450B.714;
has received the training required pursuant to NRS 450B.714;
and - *AB158_R1* – 28 – (b) Designate one or more employees or agents who have received the training described in NRS 450B.714 to be responsible for the storage, maintenance and oversight of the auto-injectable epinephrine maintained by the authorized entity.
and (b) Designate one or more employees or agents who have received the training described in NRS 450B.714 to be responsible - 82nd Session (2023) – 29 – epinephrine maintained by the authorized entity.e auto-injectable 4.
4.
or (2) Authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
or (2) Authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical section 2 of this act.ensure Interstate Compact ratified by (b) “Provider of health care” means a physician, nurse or physician assistant registered or licensed in this State.
(b) “Provider of health care” means a physician, nurse or physician assistant registered or licensed in this State.
(c) Violated a statute, ordinance or regulation:
(c) (1) Intended to protect the peace officer, firefighter or emergency medical attendant;
(1) Intended to protect the peace officer, firefighter or emergency medical attendant;
- *AB158_R1* – 29 – (a) “Emergency medical attendant” means a person [licensed] who is:
- 82nd Session (2023) – 30 – (a) “Emergency medical attendant” means a person [licensed] who is:
(1) Licensed as an attendant or certified as an emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS [.] ;
(1) Licensed as an attendant or certified as an emergency medical technician, advanced emergency medical technician or parame(2) Authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
or (2) Authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
An emergency medical attendant, physician assistant, registered nurse or licensed practical nurse who obeys an instruction given by a physician, physician assistant, registered nurse or licensed practical nurse and thereby renders emergency care, at the scene of an emergency or while transporting an ill or injured person from the scene of an emergency, is not liable for any civil damages as a result of any act or omission, not amounting to gross negligence, in rendering that emergency care.
An emergency medical attendant, physician assistant, registered nurse or licensed practical nurse who obeys an instruction given by a physician, physician assistant, registered nurse or licensed practical nurse and thereby renders emergency care, at the scene of an emergency or while transporting an ill or injured person from the scene of an emergency, is not liable for any civil damages negligence, in rendering that emergency care.ting to gross 3.
3.
Any person who is described in subsection 4 and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that a child has been abused or neglected shall:
Any person who is described in subsection 4 and who, in his or her professional or occupational capacity, knows - 82nd Session (2023) – 31 – neglected shall:e cause to believe that a child has been abused or (a) Except as otherwise provided in subsection 2, report the abuse or neglect of the child to an agency which provides child welfare services or to a law enforcement agency;
- *AB158_R1* – 30 – (a) Except as otherwise provided in subsection 2, report the abuse or neglect of the child to an agency which provides child welfare services or to a law enforcement agency;
(b) An agency which provides child welfare services or a law enforcement agency, the person shall make the report to an agency other than the one alleged to have committed the act or omission, and the investigation of the abuse or neglect of the child must be made by an agency other than the one alleged to have committed the act or omission.
(b) An agency which provides child welfare services or a law other than the one alleged to have committed the act or omission, and the investigation of the abuse or neglect of the child must be made by an agency other than the one alleged to have committed the act or omission.
Any person who is described in paragraph (a) of subsection 4 who delivers or provides medical services to a newborn infant and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that the newborn infant has been affected by a fetal alcohol spectrum disorder or prenatal substance use disorder or has withdrawal symptoms resulting from prenatal substance exposure shall, as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the newborn infant is so affected or has such symptoms, notify an agency which provides child welfare services of the condition of the infant and refer each person who is responsible for the welfare of the infant to an agency which provides child welfare services for appropriate counseling, training or other services.
Any person who is described in paragraph (a) of subsection who delivers or provides medical services to a newborn infant and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that the newborn infant has been affected by a fetal alcohol spectrum disorder or prenatal substance use disorder or has withdrawal symptoms resulting from prenatal substance exposure shall, as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the newborn infant is so affected or has such symptoms, notify an agency which provides child welfare services of the condition of the infant and refer each person who is responsible for services for appropriate counseling, training or other services.
A notification and referral to an agency which provides child welfare services pursuant to this subsection shall not be construed to require prosecution for any illegal action.
Ae notification and referral to an agency which provides child welfare services pursuant to this subsection shall not be construed to require prosecution for any illegal action.
(a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 633, 634, 634A, 635, 636, 637, 637B, 639, 640, 640A, 640B, 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS [.] or practicing as an emergency medical technician, advanced emergency medical technician or paramedic in this State under - *AB158_R1* – 31 – the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
(a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 633, 634, 634A, 635, 636, 637, 637B, 639, 640, 640A, 640B, 640C, - 82nd Session (2023) – 32 – practicing as an emergency medical technician, advanced.] or emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act.
(f) Any person who maintains or is employed by a facility or establishment that provides care for children, children’s camp or other public or private facility, institution or agency furnishing care to a child.
establishment that provides care for children, children’s camp or other public or private facility, institution or agency furnishing care to a child.
(l) Any adult person who is employed by an entity that provides organized activities for children, including, without limitation, a person who is employed by a school district or public school.
organized activities for children, including, without limitation, a person who is employed by a school district or public school.
5.
- 82nd Session (2023) – 33 – 5.
If a person who is required to make a report pursuant to subsection 1 knows or has reasonable cause to believe that a child has died as a result of abuse or neglect, the person shall, as soon as reasonably practicable, report this belief to an agency which - *AB158_R1* – 32 – provides child welfare services or a law enforcement agency.
If a person who is required to make a report pursuant to subsection 1 knows or has reasonable cause to believe that a child has died as a result of abuse or neglect, the person shall, as soon as provides child welfare services or a law enforcement agency.
(a) Inform the person, in writing or by electronic communication, of his or her duty as a mandatory reporter pursuant to this section;
(a) Inform the person, in writing or by electronic to this section;f his or her duty as a mandatory reporter pursuant (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;
(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;
(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;
- 82nd Session (2023) – 34 – (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 (c) Maintain a copy of the written acknowledgment or electronic record for as long as the person is employed by the employer.
and (c) Maintain a copy of the written acknowledgment or electronic rec9.d fBefore a person may serve as a volunteer at a public school or private school, the school must:
9.
(a) Inform the person, in writing or by electronic communication, of his or her duty as a mandatory reporter pursuant to this section and NRS 392.303;
Before a person may serve as a volunteer at a public school or private school, the school must:
- *AB158_R1* – 33 – (a) Inform the person, in writing or by electronic communication, of his or her duty as a mandatory reporter pursuant to this section and NRS 392.303;
484B.767 1.
peace officer, a firefighter, an emergency medical technician, ana advanced emergency medical technician or a paramedic certified pursuant to chapter 450B of NRS or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act or an employee of a pedestrian mall, who operates a bicycle, an electric bicycle or an electric scooter while on duty, is not required to comply with any provision of NRS or any ordinance of a local government relating to the operation of a bicycle, an electric bicycle or an electric scooter while on duty if he or she:
Except as otherwise provided in this section, a peace officer, a firefighter, an emergency medical technician, an advanced emergency medical technician or a paramedic certified pursuant to chapter 450B of NRS or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act or an employee of a pedestrian mall, who operates a bicycle, an electric bicycle or an electric scooter while on duty, is not required to comply with any provision of NRS or any ordinance of a local government relating to the operation of a bicycle, an electric bicycle or an electric scooter while on duty if he or she:
(a) Relieve a peace officer, firefighter, emergency medical technician, advanced emergency medical technician, paramedic or employee of a pedestrian mall from the duty to operate a bicycle, an electric bicycle or an electric scooter with due regard for the safety of others.
- 82nd Session (2023) – 35 – technician, advanced emergency medical technician, paramedic or employee of a pedestrian mall from the duty to operate a bicycle, an electric bicycle or an electric scooter with due regard for the safety of others.
- *AB158_R1* – 34 – Sec.
Sec.
(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 [;] or authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act;
certified as an emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS [;] or authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by section 2 of this act;
(o) A licensed marriage and family therapist;
(y) An associate in social work, a social worker, a master social worker, an independent social worker or a clinical social worker licensed pursuant to chapter 641B of NRS;
- 82nd Session (2023) – 36 – worker, an independent social worker or a clinical social workercial licensed pursuant to chapter 641B of NRS;
- *AB158_R1* – 35 – 2.
2.
and (b) A person who holds a current license or certificate to practice his or her respective discipline pursuant to the applicable provisions of law of another state or territory of the United States.
and (b) A person who holds a current license or certificate to practice his or her respective discipline pursuant to the applicable proSec.
Sec.
1.
la1.
There is hereby appropriated from the State General Fund to the Division of Public and Behavioral Health of the Department of Health and Human Services for maintenance fees and software licenses to connect to the coordinated database established under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact the following sums:
There is hereby appropriated from the StateStates.
General Fund to the Division of Public and Behavioral Health of the Department of Health and Human Services for maintenance fees and software licenses to connect to the coordinated database established under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact the following sums:
Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 20, 2024, and September 19, 2025, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 20, 2024, and September 19, 2025, respectively.
Any balance of the sums appropriated by subsection 1 remaining at the end of the respective fiscal years must not be committed for expenditure after June 30 of the respective fiscal years by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 20, 2024, and September 19, 2025, respectively.
2.
- 82nd Session (2023) – 37 – 3.
Section 21.5 of this act becomes effective on July 1, 2023.
Sections 1 to 21, inclusive, and 22 of this act become2023.
3.
effective:
Sections 1 to 21, inclusive, and 22 of this act become effective:
H - *AB158_R1*
~~~~~ 23 - 82nd Session (2023)
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Amendments

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Action History

  1. Chapter 391.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. Taken from General File. Placed on Secretary's desk. Taken from Secretary's desk. Placed on General File. Taken from General File. Placed on Secretary's desk. Taken from Secretary's desk. Placed on General File. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. In Assembly. To enrollment.

  5. From committee: Do pass. Placed on Second Reading File. Read second time.

  6. From printer. To engrossment. Engrossed. First reprint. To Senate. In Senate. Read first time. Referred to Committee on Finance. To committee.

  7. From committee: Amend, and do pass as amended. Placed on General File. Read third time. Amended. (Amend. No. 887.) Dispensed with reprinting. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To printer.

  8. Read second time. Taken from General File. Rereferred to Committee on Ways and Means. Exemption effective. To committee.

  9. From committee: Do pass.

  10. Notice of eligibility for exemption.

  11. From printer. To committee.

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

Sponsors

Sponsorship breakdown

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3 sponsors · 7 co-sponsors · 57 not signed on

Sponsors (3)

Co-sponsors (7)

Not signed on (57)

57 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
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Frequently asked questions

Who sponsors AB 158?
AB 158 is sponsored by Philip PK O’Neill, Kasama, Heidi (Republican), DeLong, Rich (Republican), Dickman, Jill (Republican), Gallant, Danielle (Republican), Gurr, Bert K. (Republican), Hansen, Alexis M. (Republican), Hibbetts, Brian (Republican), Koenig, Gregory S. (Republican), and Gray, Ken (Republican).
What is the current status of AB 158?
This bill has been enacted into law. Introduced February 14, 2023. Enacted.
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