Nevada 2025 Regular Session Status: Enacted

AB 513 — Revises provisions relating to chiropractic physicians and chiropractic assistants. (BDR 54-630)

Last action — Approved by the Governor. Chapter 156.

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  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 March 24, 2025. Enacted.

Signed by Governor Joe Lombardo (Republican) on May 30, 2025.

Prognosis

Advancing 50% · moderate confidence

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High

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  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

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Bill Text

What changed in the latest version

609 added · 654 removed

609 line(s) added, 654 removed.

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REQUIRES TWO-THIRDS MAJORITY VOTE (§§ 1, 11) (Reprinted with amendments adopted on April 18, 2025) FIRST REPRINT A.B.
Assembly Bill No.
513 A SSEMBLY B ILL NO .
513–Committee on Commerce and Labor CHAPTER..........
513–COMMITTEE ON COMMERCE AND L ABOR M ARCH 24, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to chiropractic physicians and chiropractic assistants.
(BDR 54-630) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law regulates the practice of chiropractic in this State and provides for the licensure of chiropractic physicians and the certification of chiropractic assistants.
Existing law regulates the practice of chiropractic in this State and provides for assistants.
(Chapter 634 of NRS) Section 1 of this bill authorizes the Chiropractic Physicians’ Board of Nevada, under certain circumstances, to issue a temporary license, certificate or registration in good standing in another jurisdiction where the person resides.
(Chapter 634 of NRS) Section 1 of this bill authorizes the Chiropractic Physicians’ Board of Nevada, under certain circumstances, to issue a temporary certificate to practice as a chiropractic assistant to a person who holds an existing license, certificate or registration in good standing in another jurisdiction where the person resides.
(1) valid for 15 business days or less;
(1) valid for business days or less;
and (3) not renewable, and the Board may grant not more than two temporary certificates to a person during any calendar year.
and (3) not renewable, and the Board may grant not more authorizes the Board to charge a reasonable fee, established by regulation of the Board, for each application for a temporary certificate.
Section 1 - *AB513_R1* – 2 – Board, for each application for a temporary certificate.shed by regulation of the Existing law provides grounds for initiating disciplinary action against practitioners of chiropractic.
Existing law provides grounds for initiating disciplinary action against practitioners of chiropractic.
(NRS 634.020) Section 3 of this bill revises the membership of the Board by:
(NRS 634.020) Section 3 the Governor to appoint one member who represents the interests of persons ornt for agencies that regularly provide health care to patients who are indigent, uninsured or unable to afford health care;
(1) removing a requirement for agencies that regularly provide health care to patients who are indigent, uninsured or unable to afford health care;
and (2) include additional subjects on such examinations.
and (2) include additional subjects on such such examinations be held semiannually and contain certain subjects, and instead authorizes the Board to:
(NRS 634.070) Section 4 of this bill removes the requirements that such examinations be held semiannually and contain certain subjects, and instead prescribed by the Board;
(1) hold examinations semiannually or at other intervals prescribed by the Board;
and (2) determine the content of such examinations.rvals Section 5 of this bill requires an applicant for examination to submit to the Board a statement which attests that the applicant has read, understood and will abide by the provisions of existing law and regulations governing chiropractic physicians and providers of health care.
and (2) determine the content of such examinations.
Section 5 of this bill requires an applicant for examination to submit to the Board a statement which attests that the applicant has read, understood and will abide by the provisions of existing law and regulations governing chiropractic physicians and - 83rd Session (2025) – 2 – providers of health care.
Section 11 of this bill eliminates the authority of the Board to charge a fee for providing to a person who is not licensed to practice chiropractic:
providing to a person who is not licensed to practice chiropractic:
(1) a list of examination of the Board;
(1) a list of for persons who were licensed to practice chiropractic following the most recent examination of the Board;
Section 11 also expands the applicability of an existing fee for a review by the Board of certain courses offered for continuing education to include a review of a course offered to satisfy the requirements for the qualifications to perform dry needling.
Section 11 also expands the applicability of an existing fee for a review by the Board of certain courses offered for continuing education to include a review of a course offered to satisfy the requSection 12 revises certain requirements for a student to participate in a preceptor program.
Section 12 revises certain requirements for a student to participate in a preceptor program.
- *AB513_R1* – 3 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
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:
(1) An application on a form prescribed by the Board;
- 83rd Session (2025) – 3 – (1) An application on a form prescribed by the Board;
(3) An attestation on a form prescribed by the Board that the applicant understands he or she is not authorized to take and develop radiographs unless he or she is certified or licensed in this State to do so;
the applicant understands he or she is not authorized to take and develop radiographs unless he or she is certified or licensed in this State to do so;
a chiropractic assistant who will practice under a temporaryces of certificate must attest on a form provided by the Board that:
3.
A chiropractic physician who intends to use the services of a chiropractic assistant who will practice under a temporary certificate must attest on a form provided by the Board that:
and - *AB513_R1* – 4 – (d) The person will only perform the functions of a chiropractic assistant for the period specified by the chiropractic physician, which must be 15 business days or less.
and (d) The person will only perform the functions of a chiropractic assistant for the period specified by the chiropractic physician, which must be 15 business days or less.
4.
assistant shall not commence performing the functions of aopractic chiropractic assistant until his or her application is approved and the applicant is issued the certificate.
An applicant for a temporary certificate as a chiropractic assistant shall not commence performing the functions of a chiropractic assistant until his or her application is approved and the applicant is issued the certificate.
1.
- 83rd Session (2025) – 4 – 1.
3.
permanently cured.hat a manifestly incurable disease can be 4.
Assuring that a manifestly incurable disease can be permanently cured.
4.
The - *AB513_R1* – 5 – record of conviction is conclusive evidence of unprofessional conduct.
The record of conviction is conclusive evidence of unprofessional con9.ct.Habitual intemperance or excessive use of alcohol or alcoholic beverages , cannabis or any controlled substance.
Show all 92 changed rows (52 more)
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9.
Habitual intemperance or excessive use of alcohol or alcoholic beverages , cannabis or any controlled substance.
14.
- 83rd Session (2025) – 5 – 14.
Solicitation by the licensee or the licensee’s designated agent of any person who, at the time of the solicitation, is vulnerable to undue influence, including, without limitation, any person known by the licensee to have recently been involved in a motor vehicle crash, involved in a work-related accident, or injured by, or as the result of the actions of, another person.
Solicitation by the licensee or the licensee’s designated agent of any person who, at the time of the solicitation, is vulnerable to undue influence, including, without limitation, any person known by the licensee to have recently been involved in a motor vehicle result of the actions of, another person.
- *AB513_R1* – 6 – 17.
with the Board, or any of the provisions of this chapter or anyt regulation adopted pursuant thereto.
Violating a lawful order of the Board, a lawful agreement with the Board, or any of the provisions of this chapter or any regulation adopted pursuant thereto.
Anatomy, bacteriology, chiropractic theory and practice, diagnosis or analysis, elementary chemistry and toxicology, histology, hygiene and sanitation, obstetrics and gynecology, pathology, physiology and symptomatology;
Anatomy, bacteriology, chiropractic theory and practice, diagnosis or analysis, elementary - 83rd Session (2025) – 6 – chemistry and toxicology, histology, hygiene and sanitation, obstetrics and gynecology, pathology, physiology and symptomatology;
and (3) Actually engaged in the practice of chiropractic in this State and who have been so engaged in this State for at least 3 years preceding their appointment.
and State and who have been so engaged in this State for at least 3 years preceding their appointment.
The examinations may be written, oral, practical, demonstrative, or any combination thereof, as the Board determines to be sufficient, and [must] may include [, without limitation,] the following subjects:
The examinations may be written, oral, practical, demonstrative, or any combination thereof, as the Board determines to be sufficient, and [must] may include [, without limitation,] the fol(a) [Chapter] Chapters 629 and 634 of NRS and regulations of the Board;
- *AB513_R1* – 7 – (a) [Chapter] Chapters 629 and 634 of NRS and regulations of the Board;
2.
- 83rd Session (2025) – 7 – (a) When and where the applicant was born, the various places of the applicant’s residence during the 5 years immediately preceding the making of the application and the address to which he or she wishes the Board to mail the license.
An application must be verified and must state:
(a) When and where the applicant was born, the various places of the applicant’s residence during the 5 years immediately preceding the making of the application and the address to which he or she wishes the Board to mail the license.
Such an applicant must also attach a certificate from the chiropractic board of each state in which the applicant was licensed, certifying that the applicant is a member in good standing of the chiropractic profession in that state, and that no proceedings affecting the applicant’s standing as a chiropractic physician are undisposed of and pending.
Such an applicant must also attach a certificate from the chiropractic board of each state in member in good standing of the chiropractic profession in that state, and that no proceedings affecting the applicant’s standing as a chiropractic physician are undisposed of and pending.
- *AB513_R1* – 8 – (h) All other information required to complete the application.
(h) All other information required to complete the application.
(a) A copy of the applicant’s official transcript from the school or college of chiropractic or the doctor of chiropractic degree program from which the applicant received his or her degree of doctor of chiropractic, which must be transmitted by the school or college of chiropractic or the doctor of chiropractic degree program directly to the Board.
(a) A copy of the applicant’s official transcript from the school program from which the applicant received his or her degree ofe doctor of chiropractic, which must be transmitted by the school or college of chiropractic or the doctor of chiropractic degree program directly to the Board.
Sec.
- 83rd Session (2025) – 8 – 634.090 1.NRS 6An applicant must, in addition to the requirements of NRS 634.070 and 634.080, furnish satisfactory evidence to the Board:
6.
NRS 634.090 is hereby amended to read as follows:
634.090 1.
An applicant must, in addition to the requirements of NRS 634.070 and 634.080, furnish satisfactory evidence to the Board:
or (2) An examination that is required to graduate from a college of chiropractic or a doctor of chiropractic degree program which is accredited by the Council on Chiropractic Education, or its successor organization, or an accrediting agency recognized by that organization.
or (2) An examination that is required to graduate from a which is accredited by the Council on Chiropractic Education, or its successor organization, or an accrediting agency recognized by that organization.
If an applicant has actively engaged in the practice of chiropractic in another state, the District of Columbia, the Commonwealth of Puerto Rico or any other territory or possession of the United States for not less than 7 of the immediately preceding 10 years without any adverse disciplinary action taken against him or her, the applicant is only required to have successfully completed those parts of the examination administered by the National Board of Chiropractic Examiners, or its successor organization, at the time - *AB513_R1* – 9 – that the applicant graduated from a college of chiropractic [.] or a doctor of chiropractic degree program.
If an applicant has actively engaged in the practice of chiropractic in another state, the District of Columbia, the Commonwealth of Puerto Rico or any other territory or possession of the United States for not less than 7 of the immediately preceding years without any adverse disciplinary action taken against him or her, the applicant is only required to have successfully completed those parts of the examination administered by the National Board of Chiropractic Examiners, or its successor organization, at the time that the applicant graduated from a college of chiropractic [.] or a doc3.
3.
Except as otherwise provided in subsections 5 and 6, every applicant is required to submit evidence of the successful completion of not less than 60 credit hours at an accredited college or university.
Except as otherwise provided in subsections 5 and 6, every applicant is required to submit evidence of the successful - 83rd Session (2025) – 9 – completion of not less than 60 credit hours at an accredited college or university.
Any applicant who has been licensed to practice in another state, and has been in practice for not less than 5 years, is not required to comply with the provisions of subsection 4.
Any applicant who has been licensed to practice in another state, and has been in practice for not less than 5 years, is not req6.redIf an applicant has received his or her training and education at a school or college located in a foreign country and the course of study leading to his or her degree of doctor of chiropractic consisted of not less than 4,000 hours of instruction, the Board may, if the Board determines that such training and education is substantially equivalent to graduation from a college of chiropractic or doctor of chiropractic degree program that is accredited by the Council on Chiropractic Education, or its successor organization, waive the requirement that an applicant attend or graduate from a college or degree program that is accredited by the Council on Chiropractic Education, or its successor organization, or an accrediting agency recognized by that organization.
6.
If an applicant has received his or her training and education at a school or college located in a foreign country and the course of study leading to his or her degree of doctor of chiropractic consisted of not less than 4,000 hours of instruction, the Board may, if the Board determines that such training and education is substantially equivalent to graduation from a college of chiropractic or doctor of chiropractic degree program that is accredited by the Council on Chiropractic Education, or its successor organization, waive the requirement that an applicant attend or graduate from a college or degree program that is accredited by the Council on Chiropractic Education, or its successor organization, or an accrediting agency recognized by that organization.
(b) For a written, open-book examination which is administered in person by the Board or an examination that is taken online, a score of 90 percent or higher in all subjects taken on the examination is a passing score.
(b) For a written, open-book examination which is administered in person by the Board or an examination that is taken online, a examination is a passing score.n all subjects taken on the 3.
3.
- *AB513_R1* – 10 – 4.] An applicant for a certificate as a chiropractic assistant must pay the required fee to the Secretary of the Board before the application may be considered.
4.] An applicant for a certificate as a chiropractic assistant must pay the required fee to the Secretary of the Board before the application may be considered.
The Board shall specify the formal training [, including at least 12 months of study or the equivalent,] which such an applicant must have completed before the Board awards the applicant a certificate as a chiropractic assistant.
The Board shall specify the formal training [, including at least 12 months of study or the - 83rd Session (2025) – 10 – the Board awards the applicant a certificate as a chiropractice assistant.
[(I)] (1) That the applicant has maintained an active practice in another state, territory or country within the preceding 5 years;
practice in another state, territory or country within the preceding 5 years;
(I) For] (b) Submit a [written, closed-book examination which is administered in person] statement from the applicant which attests, on a form prescribed by the Board, [75 percent or higher in all subjects on] that the [examination concerning] applicant has read, understood and will abide by the provisions of this chapter and chapter 629 of NRS and the regulations adopted [by the Board;
(I) For] (b) Submit a [written, closed-book examination which is administered in person] statement from the applicant which attests, on a form prescribed by the Board, [75 percent or higher in all subjects on] that the [examination concerning] applicant has read, understood and will abide by the provisions of this chapter and chapter 62(II) For a written, open-book examination which is;
or (II) For a written, open-book examination which is administered in person by the Board or an examination that is taken - *AB513_R1* – 11 – online, 90 percent or higher in all subjects on the examination concerning the provisions of this chapter and the regulations adopted by the Board;] pursuant thereto;
or administered in person by the Board or an examination that is taken online, 90 percent or higher in all subjects on the examination concerning the provisions of this chapter and the regulations adopted by the Board;] pursuant thereto;
(2) The fee for reinstating a license to practice chiropractic which has expired;
- 83rd Session (2025) – 11 – which has expired;
and (3) The fee for the processing of fingerprints established pursuant to subsection 4;
and reinstating a license to practice chiropractic (3) The fee for the processing of fingerprints established pursuant to subsection 4;
and (2) Satisfy any additional requirements that the Board deems to be necessary.
and to be necessary.fy any additional requirements that the Board deems 4.
4.
For an application for a license to practice chiropractic.............................................................$200.00 For an examination for a license to practice chiropractic...............................................................200.00 For an application for, and the issuance of, a certificate as a chiropractic assistant........................100.00 For an examination for a certificate as a chiropractic assistant................................................100.00 For the issuance of a license to practice chiropractic...............................................................300.00 - *AB513_R1* – 12 – For the biennial renewal of a license to practice chiropractic............................................$1,000.00 For the biennial renewal of an inactive license to practice chiropractic.................................300.00 For the biennial renewal of a certificate as a chiropractic assistant................................................200.00 For the restoration to active status of an inactive license to practice chiropractic...................300.00 For reinstating a license to practice chiropractic which has expired pursuant to NRS 634.130 or has been suspended.......................500.00 For reinstating a certificate as a chiropractic assistant which has expired pursuant to NRS 634.130 or has been suspended.......................100.00 For a review of any subject on the examination................................................................25.00 For the issuance of a duplicate license or for changing the name on a license..................................35.00 For written verification of licensure or issuance of a certificate of good standing ..................25.00 For providing a list of persons who are licensed to practice chiropractic to a person who is not licensed to practice chiropractic.................................................................25.00 [For providing a list of persons who were licensed to practice chiropractic following the most recent examination of the Board to a person who is not licensed to practice chiropractic................................................................10.00] For a set of mailing labels containing the names and addresses of the persons who are licensed to practice chiropractic in this State............................................................................35.00 [For providing a copy of the statutes, regulations and other rules governing the practice of chiropractic in this State to a person who is not licensed to practice chiropractic.................................................................25.00 For each page of a list of continuing education courses that have been approved by the Board................................................
For an application for a license to practice chiropractic.............................................................$200.00 For an examination for a license to practice chiropractic...............................................................200.00 For an application for, and the issuance of, a For an examination for a certificate as at........................100.00 chiropractic assistant................................................100.00 For the issuance of a license to practice chiropractic...............................................................300.00 For the biennial renewal of a license to practice chiropractic..............................................1,000.00 For the biennial renewal of an inactive license to practice chiropractic.................................300.00 - 83rd Session (2025) – 12 – For the biennial renewal of a certificate as a chiropractic assistant..............................................$200.00 For the restoration to active status of an inactive license to practice chiropractic...................300.00 Forchiropractic which has expired pursuant toice NRS 634.130 or has been suspended.......................500.00 For reinstating a certificate as a chiropractic assistant which has expired pursuant to NRS 634.130 or has been suspended.......................100.00 For a review of any subject on the examination................................................................25.00 For the issuance of a duplicate license or for changing the name on a license..................................35.00 For written verification of licensure or issuance of a certificate of good standing ..................25.00 For providing a list of persons who are licensed to practice chiropractic to a person who is not licensed to practice chiropractic.................................................................25.00 [For providing a list of persons who were licensed to practice chiropractic following the most recent examination of the Board to a person who is not licensed to practice chiropractic................................................................10.00] For a set of mailing labels containing the names and addresses of the persons who State............................................................................35.00 [For providing a copy of the statutes, regulations and other rules governing the practice of chiropractic in this State to a person who is not licensed to practice chiropractic.................................................................25.00 For each page of a list of continuing education courses that have been approved by the Board................................................
.50] For an application to a preceptor program offered by the Board to graduates of chiropractic schools or colleges .................................35.00 - *AB513_R1* – 13 – For an application for a student or chiropractic physician to participate in the preceptor program established by the Board pursuant to NRS 634.137 ................................35.00 For a review by the Board of a course offered [by a chiropractic school or college or a course of] to satisfy the requirements for continuing education [in chiropractic] set forth in NRS 634.130 or a course offered to satisfy the qualifications to perform dry needling pursuant to the regulations adopted pursuant to NRS 634.035............................50.00 2.
.50] For an application to a preceptor program offered by the Board to graduates of chiropractic schools or colleges .................................35.00 - 83rd Session (2025) – 13 – For an application for a student or chiropractic physician to participate in the preceptor program established by the Board pursuant to NRS 634.137 ..............................$35.00 For [by a chiropractic school or college or a course of] to satisfy the requirements for continuing education [in chiropractic] set forth in NRS 634.130 or a course offered to satisfy the qualifications to perform dry needling pursuant to the regulations adopted pursuant to NRS 634.035............................50.00 2.
(a) File with the Board an application in the form required by the Board;
(a) File with the Board an application in the form required by the(b) Pay the fee for filing an application required by NRS 634.135;
(b) Pay the fee for filing an application required by NRS 634.135;
3.
- 83rd Session (2025) – 14 – 3.
- *AB513_R1* – 14 – (a) May perform chiropractic, including, without limitation, chiropractic adjustment or manipulation, under the direct supervision of a chiropractic physician who is approved to act as a preceptor pursuant to NRS 634.1379.
(a) May perform chiropractic, including, without limitation, chiropractic adjustment or manipulation, under the direct preceptor pursuant to NRS 634.1379.cian who is approved to act as a (b) Shall not perform chiropractic as a participant in the preceptor program for more than 1 year.
(b) Shall not perform chiropractic as a participant in the preceptor program for more than 1 year.
or (d) Uses any means which directly or indirectly conveys to another person the impression that he or she is qualified or licensed to practice chiropractic, is guilty of a category D felony and shall be punished as provided in NRS 193.130, unless a greater penalty is provided pursuant to NRS 200.830 or 200.840.
or (d) Uses any means which directly or indirectly conveys to another person the impression that he or she is qualified or licensed to practice chiropractic, in NRS 193.130, unless a greater penalty is provided pursuant toided NRS 200.830 or 200.840.
A citation issued pursuant to this paragraph must be in writing, describe with particularity the nature of the violation and inform the person of the provisions of this paragraph.
A citation issued pursuant to this paragraph must be in writing, describe with particularity the nature of the violation and inform the person of the provisions of - 83rd Session (2025) – 15 – this paragraph.
To appeal a citation, the person must submit a written - *AB513_R1* – 15 – request for a hearing to the Board not later than 30 days after the date of issuance of the citation.
To appeal a citation, the person must submit a written request for a hearing to the Board not later than 30 days after the date of issuance of the citation.
(a) Which is not registered with the Board pursuant to NRS 634.136;
634.136;
or (b) For which a chiropractic physician who is not licensed pursuant to this chapter engages in the practice of chiropractic, is guilty of a category D felony and shall be punished as provided in NRS 193.130.
orh is not registered with the Board pursuant to NRS (b) For which a chiropractic physician who is not licensed pursuant to this chapter engages in the practice of chiropractic, is guilty of a category D felony and shall be punished as provided in NRS 193.130.
H - *AB513_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

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Action History

  1. Approved by the Governor. Chapter 156.

  2. Enrolled and delivered to Governor.

  3. In Assembly. To enrollment.

  4. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

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

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

  7. Read second time.

  8. From committee: Do pass.

  9. Read first time. Referred to Committee on Commerce and Labor. To committee.

  10. From printer. To engrossment. Engrossed. First reprint. To Senate. In Senate.

  11. Read third time. Passed, as amended. Title approved. (Yeas: 41, Nays: 1.) To printer.

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

  13. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 481.) Dispensed with reprinting.

  14. From printer. To committee.

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

Sponsors

  • Assembly Committee on Commerce and Labor · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Assembly Committee on Commerce and Labor

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.

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

healthcare
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Frequently asked questions

Who sponsors AB 513?
AB 513 is sponsored by Assembly Committee on Commerce and Labor.
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This bill has been enacted into law. Introduced March 24, 2025. Enacted.
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