Nevada 2025 Regular Session Status: Passed Senate 2 D cosponsors

SB 294 — Revises provisions relating to physician assistants. (BDR 54-965)

Last action — (Pursuant to Joint Standing Rule No. 14.3.3, no further action allowed.)

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    Introduced
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    Passed Senate
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    Passed Assembly
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    To Executive
  6. 6
    Enacted

This bill died with 2025 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

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Bill Text

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S.B.
(Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT S.B.
prescribing the settings in which a physician assistant is authorized to practice;
requiring the Board of Medical Examiners and the State Board of Osteopathic Medicine to authorize a supervising physician or osteopathic physician to simultaneously supervise not less than six physician assistants;
eliminating provisions requiring the supervision of a physician assistant by a physician;
authorizing a physician assistant to perform certain medical services under certain circumstances;
eliminating provisions governing the testing or examination of applicants for licensure as a physician assistant;
prescribing certain authority and duties of a physician assistant and an advanced practice registered nurse;
removing the requirement that a rural clinic be supervised by a physician;
and (2) requires a physician assistant to work under the supervision of a physician or osteopathic physician.
and (2) requires a physician assistant to work under the supervision of a Existing regulations, with certain exceptions, prohibit a supervising physician or osteopathic physician from simultaneously supervising more than three physician assistants.
(NRS 630.271, 630.275, 633.432-633.469) assistant be supervised by a physician or osteopathic physician.
(NAC 630.495, 633.288) Sections 1 and 2 of this bill require the Board of Medical Examiners and the State Board of Osteopathic Medicine to adopt regulations which authorize a supervising physician or osteopathic physician to simultaneously supervise not less than six physician assistants.
Sections 6, 13, 21, 22, 24, 27, 28, 59, 76-79, 85, 93, 162, 163, 187, 189, 190, 192, 194, 196-198, 200 and 204 of this bill remove references to supervision of a physician assistant by a physician or osteopathic physician.
Sections 4 and 15 of this bill:
(1) require a physician assistant who has practiced for less than 4,000 hours as a physician the Board of Medical Examiners and the State Board of Osteopathic Medicine touthorize - *SB294* – 2 – require a physician assistant who changes the field of medicine within which the physician assistant practices to enter into a collaborative agreement with a physician until the physician assistant has practiced in that field for a certain amount of time.
Sections 4 and 15 also prescribe the settings in which a physician assistant is authorized to practice.
Sections 7 and 18:
(1) require a physician assistant to obtain the informed consent of a patient before providing any medical service;
(2) prescribe medical services that a physician assistant is authorized to his or her scope of practice and which he or she has the necessary education,within training and experience to competently perform.
Sections 9 and 20 remove a requirement that the Board of Medical Examiners and the State Board of Osteopathic Medicine adopt regulations governing the testing or examination of applicants for licensure as a physician assistant and the services which a physician assistant may perform.
Sections 1-3, 10-12, 14, 17, 23-26, 29-58, 60-75, 80-92, 94- 121, 123-130, 132-139, 141, 143, 145-147, 149-151, 153-158, 160, 161, 164-186, 188, 191, 193, 195, 197, 199 and 201-203 of this bill make various changes so that care who provide medical services independently and are otherwise treated in thelth same manner as other such providers of health care.
Sections 46, 61, 120, 136 and 172 also add advanced practice registered nurses to certain provisions to ensure that physician assistants and advanced practice registered nurses have similar authority.
Existing law requires the State Board of Pharmacy to adopt regulations governing the:
(1) administration, possession, dispensing, storage, security, recordkeeping and transportation of controlled substances by a physician assistant;
recordkeeping and transportation of dangerous drugs, poisons and devices by aty, physician assistant.
(NRS 639.1373) Section 28 removes a requirement that the Board consider the experience and training of the physician assistant when adopting those regulations.
Existing law defines a rural clinic to mean a medical facility in a rural area where medical services are provided by a physician assistant or advanced practice registered nurse under the supervision of a physician.
(NRS 449.0175) Section 122 of this bill removes the requirement that a rural clinic be supervised by physician.
changes so that the definition of the term “attending physician assistant” set forth in section 128 applies to certain provisions governing withholding or withdrawal of life-sustaining treatment.
Sections 148, 152 and 159 of this bill make conforming changes so that the definition of the term “attending physician assistant” set forth in section 146 applies to certain provisions governing withholding life-sustaining treatment.
NRS 629.047 is hereby amended to read as follows:
629.047 1.
If a physician , a physician assistant or an advanced practice registered nurse determines that, in his or her professional judgment, a patient’s epilepsy severely impairs the ability of the patient to safely operate a motor vehicle, the physician , physician assistant or advanced practice registered nurse shall:
- *SB294* – 3 – (a) Adequately inform the patient of the dangers of operating a motor vehicle with his or her condition until such time as the physician , physician assistant or advanced practice registered nurse or another physician , physician assistant or advanced practice registered nurse informs the patient that the patient’s condition does not severely impair the ability of the patient to safely operate a motor vehicle.
(b) Sign a written statement verifying that the physician , physician assistant or advanced practice registered nurse informed the patient of all material facts and information required by paragraph (a).
The physician , physician assistant or advanced practice registered nurse shall, to the extent practicable, provide a copy of the statement signed by the physician , physician assistant or advanced practice registered nurse to the patient.
The statement signed by the physician , physician assistant or advanced practice registered nurse pursuant to this paragraph shall be deemed a health care record.
(c) Within 15 days after making such a determination, provide to the Department a copy of the statement signed by the physician , physician assistant or advanced practice registered nurse pursuant to paragraph (b).
A statement received by the Department pursuant to this paragraph:
(1) Is confidential, except that the contents of the statement may be disclosed to the patient;
and (2) May be used by the Department solely to determine the eligibility of the patient to operate a vehicle on the streets and highways of this State.
2.
Except as otherwise provided in subsection 1, a physician , a physician assistant or an advanced practice registered nurse is not required to notify the Department about a patient who has been diagnosed with epilepsy.
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No cause of action may be brought against a physician , a physician assistant or an advanced practice registered nurse based on the fact that he or she did not notify the Department about a patient who has been diagnosed with epilepsy unless the physician , physician assistant or advanced practice registered nurse does not comply with the requirements set forth in subsection 1.
3.
No cause of action may be brought against a physician , a physician assistant or an advanced practice registered nurse based on the fact that he or she provided a copy of a statement pursuant to subsection 1 unless the physician , physician assistant or advanced practice registered nurse acted with malice, intentional misconduct, gross negligence or intentional or knowing violation of the law.
4.
As used in this section:
(a) “Department” means the Department of Motor Vehicles.
- *SB294* – 4 – (b) “Patient” means a person who consults or is examined or interviewed by a physician , a physician assistant or an advanced practice registered nurse for the purposes of diagnosis or treatment.
Sec.
2.
NRS 629.550 is hereby amended to read as follows:
629.550 1.
If a patient communicates to a mental health professional an explicit threat of imminent serious physical harm or death to a clearly identified or identifiable person and, in the judgment of the mental health professional, the patient has the intent and ability to carry out the threat, the mental health professional shall place the patient on a mental health crisis hold pursuant to NRS 433A.160, petition for a court to order the placement of the patient on a mental health crisis hold pursuant to NRS 433A.155 or make a reasonable effort to communicate the threat in a timely manner to:
(a) The person who is the subject of the threat;
(b) The law enforcement agency with the closest physical location to the residence of the person;
and (c) If the person is a minor, the parent or guardian of the person.
2.
A mental health professional shall be deemed to have made a reasonable effort to communicate a threat pursuant to subsection 1 if:
(a) The mental health professional actually communicates the threat in a timely manner;
or (b) The mental health professional makes a good faith attempt to communicate the threat in a timely manner and the failure to actually communicate the threat in a timely manner does not result from the negligence or recklessness of the mental health professional.
3.
A mental health professional who exercises reasonable care in determining that he or she:
(a) Has a duty to take an action described in subsection 1 is not subject to civil or criminal liability or disciplinary action by a professional licensing board for disclosing confidential or privileged information.
(b) Does not have a duty to take an action described in subsection 1 is not subject to civil or criminal liability or disciplinary action by a professional licensing board for any damages caused by the actions of a patient.
4.
The provisions of this section do not:
(a) Limit or affect the duty of the mental health professional to report child abuse or neglect pursuant to NRS 432B.220 or the commercial sexual exploitation of a child pursuant to NRS 432C.110;
or (b) Modify any duty of a mental health professional to take precautions to prevent harm by a patient:
- *SB294* – 5 – (1) Who is in the custody of a hospital or other facility where the mental health professional is employed;
or (2) Who is being discharged from such a facility.
5.
As used in this section, “mental health professional” includes:
(a) A physician , [or] psychiatrist or physician assistant licensed [to practice medicine] in this State pursuant to chapter 630 or 633 of NRS;
(b) A psychologist who is licensed to practice psychology pursuant to chapter 641 of NRS or authorized to practice psychology in this State pursuant to the Psychology Interjurisdictional Compact enacted in NRS 641.227;
(c) A social worker who:
(1) Holds a master’s degree in social work;
(2) Is licensed as a clinical social worker pursuant to chapter 641B of NRS;
and (3) Is employed by the Division of Public and Behavioral Health of the Department of Health and Human Services;
(d) A registered nurse who:
(1) Is licensed to practice professional nursing pursuant to chapter 632 of NRS;
and (2) Holds a master’s degree in psychiatric nursing or a related field;
(e) A marriage and family therapist licensed pursuant to chapter 641A of NRS;
(f) A clinical professional counselor licensed pursuant to chapter 641A of NRS;
and (g) A person who is working in this State within the scope of his or her employment by the Federal Government, including, without limitation, employment with the Department of Veterans Affairs, the military or the Indian Health Service, and is:
(1) Licensed or certified as a physician, a physician assistant, psychologist, marriage and family therapist, clinical professional counselor, alcohol and drug counselor or clinical alcohol and drug counselor in another state;
(2) Licensed as a social worker in another state and holds a master’s degree in social work;
or (3) Licensed to practice professional nursing in another state and holds a master’s degree in psychiatric nursing or a related field.
Sec.
3.
NRS 629.600 is hereby amended to read as follows:
629.600 1.
A psychotherapist shall not provide any conversion therapy to a person who is under 18 years of age regardless of the willingness of the person or his or her parent or legal guardian to authorize such therapy.
- *SB294* – 6 – 2.
Any violation of subsection 1 is a ground for disciplinary action by a state board that licenses a psychotherapist as defined in subsection 3.
3.
As used in this section:
(a) “Conversion therapy” means any practice or treatment that seeks to change the sexual orientation or gender identity of a person, including, without limitation, a practice or treatment that seeks to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attractions or feelings toward persons of the same gender.
The term does not include counseling that:
(1) Provides assistance to a person undergoing gender transition;
or (2) Provides acceptance, support and understanding of a person or facilitates a person’s ability to cope, social support and identity exploration and development, including, without limitation, an intervention to prevent or address unlawful conduct or unsafe sexual practices that is neutral as to the sexual-orientation of the person receiving the intervention and does not seek to change the sexual orientation or gender identity of the person receiving the intervention.
(b) “Psychotherapist” means:
(1) A psychiatrist licensed to practice medicine in this State pursuant to chapter 630 of NRS;
(2) A homeopathic physician, advanced practitioner of homeopathy or homeopathic assistant licensed or certified pursuant to chapter 630A of NRS;
(3) A psychiatrist licensed to practice medicine in this State pursuant to chapter 633 of NRS;
(4) A physician assistant licensed pursuant to chapter 630 or 633 of NRS who practices in the specialty of psychiatry.
(5) A psychologist licensed to practice in this State pursuant to chapter 641 of NRS;
[(5)] (6) A social worker licensed in this State as an independent social worker or a clinical social worker pursuant to chapter 641B of NRS;
[(6)] (7) A registered nurse holding a master’s degree in the field of psychiatric nursing and licensed to practice professional nursing in this State pursuant to chapter 632 of NRS;
[(7)] (8) A marriage and family therapist or clinical professional counselor licensed in this State pursuant to chapter 641A of NRS;
or [(8)] (9) A person who provides counseling services as part of his or her training for any of the professions listed in subparagraphs (1) to [(7),] (8), inclusive.
- *SB294* – 7 – Sec.
4.
Chapter 630 of NRS is hereby amended by adding thereto a new section to read as follows:
1.
A physician assistant may practice only in the following settings:
(a) A medical facility, any facility licensed pursuant to chapter 449 of NRS or any facility that has established a system for evaluating the credentials of and granting practice privileges to physician assistants;
(b) A facility or medical practice owned by a physician or osteopathic physician or a group of physicians or osteopathic physicians;
(c) A federally-qualified health center, as defined in 42 U.S.C.
§ 1396d(l)(2)(B);
(d) A correctional facility or institution;
(e) A state, county, city or district health department;
or (f) Any other location authorized by the regulation of the Board.
2.
A physician assistant who has practiced as a physician assistant for less than 4,000 hours shall enter into a written collaborative agreement with a physician whereby both parties agree to collaborate in the manner set forth in the agreement.
Upon request of the Board, the physician assistant shall provide the collaborative agreement to the Board.
3.
The Board may require a physician assistant who changes the field of medicine within which the physician assistant practices to enter into a written collaborative agreement with a physician pursuant to subsection 2 until the physician assistant has practiced as a physician assistant in that field of medicine for an amount of time prescribed by the Board.
Sec.
5.
NRS 630.015 is hereby amended to read as follows:
630.015 “Physician assistant” means a person who is a graduate of an academic program approved by the Board or who, by general education, practical training and experience determined to be satisfactory by the Board, is qualified to perform medical services [under the supervision of a supervising physician] and who has been issued a license by the Board.
Sec.
6.
NRS 630.253 is hereby amended to read as follows:
630.253 1.
The Board shall, as a prerequisite for the:
(a) Renewal of a license as a physician assistant;
(b) Renewal of a license as an anesthesiologist assistant;
or (c) Biennial registration of the holder of a license to practice medicine,  require each holder to submit evidence of compliance with the requirements for continuing education as set forth in regulations adopted by the Board.
- *SB294* – 8 – 2.
These requirements:
(a) May provide for the completion of one or more courses of instruction relating to risk management in the performance of medical services.
(b) Must provide for the completion of a course of instruction, within 2 years after initial licensure, relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction.
The course must provide at least 4 hours of instruction that includes instruction in the following subjects:
(1) An overview of acts of terrorism and weapons of mass destruction;
(2) Personal protective equipment required for acts of terrorism;
(3) Common symptoms and methods of treatment associated with exposure to, or injuries caused by, chemical, biological, radioactive and nuclear agents;
(4) Syndromic surveillance and reporting procedures for acts of terrorism that involve biological agents;
and (5) An overview of the information available on, and the use of, the Health Alert Network.
(c) Must provide for the completion by a holder of a license to practice medicine of a course of instruction within 2 years after initial licensure that provides at least 2 hours of instruction on evidence-based suicide prevention and awareness as described in subsection 6.
(d) Must provide for the completion of at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure.
(e) Must provide for the biennial completion by each psychiatrist and each physician assistant [practicing under the supervision of a psychiatrist] who practices in the specialty of psychiatry of one or more courses of instruction that provide at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.
Such instruction:
(1) May include the training provided pursuant to NRS 449.103, where applicable.
(2) Must be based upon a range of research from diverse sources.
(3) Must address persons of different cultural backgrounds, including, without limitation:
(I) Persons from various gender, racial and ethnic backgrounds;
(II) Persons from various religious backgrounds;
- *SB294* – 9 – (III) Lesbian, gay, bisexual, transgender and questioning persons;
(IV) Children and senior citizens;
(V) Veterans;
(VI) Persons with a mental illness;
(VII) Persons with an intellectual disability, developmental disability or physical disability;
and (VIII) Persons who are part of any other population that a psychiatrist or a physician assistant [practicing under the supervision of a psychiatrist] who practices in the specialty of psychiatry may need to better understand, as determined by the Board.
(f) Must allow the holder of a license to receive credit toward the total amount of continuing education required by the Board for the completion of a course of instruction relating to genetic counseling and genetic testing.
(g) Must provide for the completion by a physician or physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care of at least 2 hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency virus within 2 years after beginning to provide or supervise the provision of such services or care.
3.
The Board may determine whether to include in a program of continuing education courses of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction in addition to the course of instruction required by paragraph (b) of subsection 2.
4.
The Board shall encourage each holder of a license who treats or cares for persons who are more than 60 years of age to receive, as a portion of their continuing education, education in geriatrics and gerontology, including such topics as:
(a) The skills and knowledge that the licensee needs to address aging issues;
(b) Approaches to providing health care to older persons, including both didactic and clinical approaches;
(c) The biological, behavioral, social and emotional aspects of the aging process;
and (d) The importance of maintenance of function and independence for older persons.
5.
The Board shall encourage each holder of a license to practice medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about how to effectively manage medications, including, without limitation, the ability of the patient to request to have the symptom - *SB294* – 10 – or purpose for which a drug is prescribed included on the label attached to the container of the drug.
6.
The Board shall require each holder of a license to practice medicine to receive as a portion of his or her continuing education at least 2 hours of instruction every 4 years on evidence-based suicide prevention and awareness, which may include, without limitation, instruction concerning:
(a) The skills and knowledge that the licensee needs to detect behaviors that may lead to suicide, including, without limitation, post-traumatic stress disorder;
(b) Approaches to engaging other professionals in suicide intervention;
and (c) The detection of suicidal thoughts and ideations and the prevention of suicide.
7.
The Board shall encourage each holder of a license to practice medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the diagnosis of rare diseases, including, without limitation:
(a) Recognizing the symptoms of pediatric cancer;
and (b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
8.
A holder of a license to practice medicine may not substitute the continuing education credits relating to suicide prevention and awareness required by this section for the purposes of satisfying an equivalent requirement for continuing education in ethics.
9.
Except as otherwise provided in NRS 630.2535, a holder of a license to practice medicine may substitute not more than 2 hours of continuing education credits in pain management, care for persons with an addictive disorder or the screening, brief intervention and referral to treatment approach to substance use disorder for the purposes of satisfying an equivalent requirement for continuing education in ethics.
10.
As used in this section:
(a) “Act of terrorism” has the meaning ascribed to it in NRS 202.4415.
(b) “Biological agent” has the meaning ascribed to it in NRS 202.442.
(c) “Chemical agent” has the meaning ascribed to it in NRS 202.4425.
(d) “Primary care” means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
(e) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.
- *SB294* – 11 – (f) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.
Sec.
7.
NRS 630.271 is hereby amended to read as follows:
630.271 1.
A physician assistant shall:
(a) Obtain the informed consent of a patient or the representative of a patient before performing any medical service for the patient;
and (b) Only perform medical services that are within the scope of practice of the physician assistant and which the physician assistant has the necessary education, training and experience to competently perform.
2.
A physician assistant may perform [such] the following medical services [as the physician assistant is authorized to perform by his or her supervising physician.
Such services may include ordering home health care for a patient.
2.
The Board and supervising physician shall limit the authority of a physician assistant to prescribe controlled substances to those schedules of controlled substances that the supervising physician is authorized to prescribe pursuant to state and federal law.] :
(a) Obtaining a history of the health of a patient.
(b) Performing a physical examination of a patient.
(c) Providing medical treatment, including, without limitation, evaluating, diagnosing, developing a treatment plan and managing a condition of a patient.
(d) Ordering, performing and interpreting a diagnostic test or therapeutic procedure, including, without limitation, assigning the test or procedure to another person who is authorized to perform the test or procedure and supervising that person.
(e) Educating a patient on how to maintain or improve his or her health and prevent disease.
(f) Providing a consultation to a patient or writing a medical order for a patient.
(g) Examining and reporting on the health or disability of a person for purposes relating to eligibility for a local, state or federal program.
(h) Providing his or her signature, certification, stamp, verification or endorsement when a signature, certification, stamp, verification or endorsement by a physician is required, if providing such a signature, certification, stamp, verification or endorsement is within the authorized scope of practice of a physician assistant.
(i) Planning and initiating a therapeutic regimen that includes, without limitation, ordering or prescribing the following items:
(1) Medical equipment;
- *SB294* – 12 – (2) Programs concerning the nutrition of the patient;
(3) Whole human blood, plasma, blood product or blood derivative for the purpose of injection or transfusion;
and (4) Diagnostic support services, including, without limitation, home health care, hospice care or physical or occupational therapy.
(j) Prescribing, ordering, dispensing and administering any medical device or drug that is not a controlled substance or dangerous drug.
(k) Prescribing, ordering, dispensing and administering dangerous drugs or controlled substances in schedules II, III, IV or V in accordance with applicable state and federal law.
3.
If a patient requires, may benefit from or requests a medical service that is beyond the scope of practice or experience, knowledge or ability of a physician assistant, the physician assistant shall collaborate with, consult with or refer the patient to another provider of health care who is authorized to perform the service.
4.
As used in this section:
(a) “Dangerous drug” has the meaning ascribed to it in NRS 454.201.
(b) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(c) “Therapeutic regimen” means a program for the treatment of an illness that is integrated into the daily life of a patient.
Sec.
8.
NRS 630.273 is hereby amended to read as follows:
630.273 The Board may issue a license to an applicant who is qualified under the regulations of the Board .
[to perform medical services under the supervision of a supervising physician.] The application for a license as a physician assistant must include all information required to complete the application.
Sec.
9.
1.
- *SB294_R1* – 2 – 1.
[The tests or examinations of applicants required by the Board.
The tests or examinations of applicants required by the Board.
The medical services which a physician assistant may perform, except that a physician assistant may not perform those - *SB294* – 13 – specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, naprapaths, podiatric physicians and optometrists under chapters 631, 634, 634B, 635 and 636, respectively, of NRS, or as hearing aid specialists.
The medical services which a physician assistant may perform, except that a physician assistant may not perform those specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, naprapaths, podiatric physicians and optometrists under chapters 631, 634, 634B, 635 and 636, respectively, of NRS, or as hearing aid specialists.
7.] The duration, renewal and termination of licenses, including licenses by endorsement.
7.
The duration, renewal and termination of licenses, including licenses by endorsement.
[8.] 6.
8.
[9.
9.
The supervision of medical services of a physician assistant by a supervising physician.
The supervision of medical services of a physician assistant by a supervising physician [.] , which must authorize a supervising physician to simultaneously supervise not less than six physician assistants.
10.] 7.
10.
10.
NRS 630.415 is hereby amended to read as follows:
630.415 1.
A physician or physician assistant or any agent or employee thereof shall not retaliate or discriminate unfairly against:
(a) An employee of the physician or physician assistant or a person acting on behalf of the employee who in good faith:
(1) Reports to the Board of Medical Examiners information relating to the conduct of the physician or physician assistant which may constitute grounds for initiating disciplinary action against the physician or physician assistant or which otherwise raises a reasonable question regarding the competence of the physician to practice medicine with reasonable skill and safety to patients [;] or the competence of the physician assistant to practice as a physician assistant with reasonable skill and safety to patients, as applicable;
or (2) Reports a sentinel event to the Division of Public and Behavioral Health of the Department of Health and Human Services pursuant to NRS 439.835;
(b) A registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the physician or physician assistant and who:
(1) In good faith, reports to the physician [,] or physician assistant, the Board of Medical Examiners, the State Board of - *SB294* – 14 – Nursing, the Legislature or any committee thereof or any other governmental entity:
(I) Any information concerning the willful conduct of another registered nurse, licensed practical nurse, nursing assistant or medication aide - certified which violates any provision of chapter 632 of NRS or which is required to be reported to the State Board of Nursing;
(II) Any concerns regarding patients who may be exposed to a substantial risk of harm as a result of the failure of the physician or physician assistant or any agent or employee thereof to comply with minimum professional or accreditation standards or applicable statutory or regulatory requirements;
or (III) Any other concerns regarding the physician [,] or physician assistant, the agents and employees thereof or any situation that reasonably could result in harm to patients;
or (2) Refuses to engage in conduct that would violate the duty of the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified to protect patients from actual or potential harm, including, without limitation, conduct which would violate any provision of chapter 632 of NRS or which would subject the registered nurse, licensed practical nurse, nursing assistant or medication aide - certified to disciplinary action by the State Board of Nursing;
or (c) An employee of the physician [,] or physician assistant, a person acting on behalf of the employee or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the physician or physician assistant and who cooperates or otherwise participates in an investigation or proceeding conducted by the Board of Medical Examiners or another governmental entity relating to conduct described in paragraph (a) or (b).
A physician or physician assistant or any agent or employee thereof shall not retaliate or discriminate unfairly against an employee of the physician or physician assistant or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certificate who is employed by or contracts to provide nursing services for the physician or physician assistant because the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified has taken an action described in subsection 1.
3.
A physician or physician assistant or any agent or employee thereof shall not prohibit, restrict or attempt to prohibit or restrict by contract, policy, procedure or any other manner the right of an employee of the physician or physician assistant or a registered - *SB294* – 15 – nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the physician or physician assistant to take an action described in subsection 1.
4.
As used in this section:
(a) “Good faith” means honesty in fact in the reporting of the information or in the cooperation of the investigation concerned.
(b) “Retaliate or discriminate”:
(1) Includes, without limitation, any of the following actions if taken solely because the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified took an action described in subsection 1:
(I) Frequent or undesirable changes in the location where the person works;
(II) Frequent or undesirable transfers or reassignments;
(III) The issuance of letters of reprimand, letters of admonition or evaluations of poor performance;
(IV) A demotion;
(V) A reduction in pay;
(VI) The denial of a promotion;
(VII) A suspension;
(VIII) A dismissal;
(IX) A transfer;
or (X) Frequent changes in working hours or workdays.
(2) Does not include an action described in sub- subparagraphs (I) to (X), inclusive, of subparagraph (1) if the action is taken in the normal course of employment or as a form of discipline.
Sec.
11.
NRS 630.417 is hereby amended to read as follows:
630.417 1.
An employee of a physician or physician assistant or a registered nurse, licensed practical nurse, nursing assistant or medication aide - certified who is employed by or contracts to provide nursing services for the physician or physician assistant and who believes that he or she has been retaliated or discriminated against in violation of NRS 630.415 may file an action in a court of competent jurisdiction.
2.
If a court determines that a violation of NRS 630.415 has occurred, the court may award such damages as it determines to have resulted from the violation, including, without limitation:
(a) Compensatory damages;
(b) Reimbursement of any wages, salary, employment benefits or other compensation denied to or lost by the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified as a result of the violation;
- *SB294* – 16 – (c) Attorney’s fees and costs, including, without limitation, fees for expert witnesses;
and (d) Punitive damages, if the facts warrant.
3.
The court shall award interest on the amount of damages at a rate determined pursuant to NRS 17.130.
4.
The court may grant any equitable relief it considers appropriate, including, without limitation, reinstatement of the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified and any temporary, preliminary or permanent injunctive relief.
5.
If any action to retaliate or discriminate is taken against an employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified within 60 days after the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified takes any action described in subsection 1 of NRS 630.415, there is a rebuttable presumption that the action taken against the employee, registered nurse, licensed practical nurse, nursing assistant or medication aide - certified constitutes retaliation or discrimination in violation of NRS 630.415.
6.
A physician or physician assistant or any agent or employee thereof that violates the provisions of NRS 630.415 is subject to a civil penalty of not more than $10,000 for each violation.
The Attorney General or any district attorney of this State may recover the penalty in a civil action brought in the name of the State of Nevada in any court of competent jurisdiction.
7.
Any action under this section must be brought not later than 2 years after the date of the last event constituting the alleged violation for which the action is brought.
8.
As used in this section, “retaliate or discriminate” has the meaning ascribed to it in NRS 630.415.
Sec.
12.
NRS 630A.090 is hereby amended to read as follows:
630A.090 1.
This chapter does not apply to:
(a) The practice of dentistry, chiropractic, naprapathy, Oriental medicine, podiatry, optometry, perfusion, respiratory care, faith or Christian Science healing, nursing, veterinary medicine or fitting hearing aids.
(b) A medical officer of the Armed Forces or a medical officer of any division or department of the United States in the discharge of his or her official duties, including, without limitation, providing medical care in a hospital in accordance with an agreement entered into pursuant to NRS 449.2455.
(c) Licensed or certified nurses in the discharge of their duties as nurses.
- *SB294* – 17 – (d) Homeopathic physicians who are called into this State, other than on a regular basis, for consultation or assistance to any physician licensed in this State, and who are legally qualified to practice in the state or country where they reside.
(e) Physician assistants licensed pursuant to chapter 630 or 633 of NRS.
2.
This chapter does not repeal or affect any statute of Nevada regulating or affecting any other healing art.
3.
This chapter does not prohibit:
(a) Gratuitous services of a person in case of emergency.
(b) The domestic administration of family remedies.
4.
This chapter does not authorize a homeopathic physician to practice medicine, including allopathic medicine, except as otherwise provided in NRS 630A.040.
Sec.
13.
NRS 632.473 is hereby amended to read as follows:
632.473 1.
A nurse licensed pursuant to the provisions of this chapter, while working at an institution of the Department of Corrections, may treat patients, including the administration of a dangerous drug, poison or related device, pursuant to orders given by a physician assistant if those orders are given pursuant to a protocol approved by the Board of Medical Examiners .
[and the supervising physician.
The orders must be cosigned by the supervising physician or another physician within 72 hours after treatment.] 2.
A copy of the protocol under which orders are given by a physician assistant must be available at the institution for review by the nurse.
3.
[This section does not authorize a physician assistant to give orders for the administration of any controlled substance.
4.] For the purposes of this section:
(a) “Physician assistant” means a physician assistant licensed by the Board of Medical Examiners pursuant to chapter 630 of NRS who:
(1) Is employed at an institution of the Department of Corrections;
(2) Has been awarded a bachelor’s degree from a college or university recognized by the Board of Medical Examiners;
and (3) Has received at least 40 hours of instruction regarding the prescription of medication as a part of either his or her basic educational qualifications or a program of continuing education approved by the Board of Medical Examiners.
(b) “Protocol” means the written directions for the assessment and management of specified medical conditions, including the drugs and devices the physician assistant is authorized to order .
[, - *SB294* – 18 – which the physician assistant and the supervising physician have agreed upon as a basis for their practice.
(c) “Supervising physician” has the meaning ascribed to it in NRS 630.025.] Sec.
14.
NRS 632.474 is hereby amended to read as follows:
632.474 A registered nurse who is authorized by a physician , physician assistant or advanced practice registered nurse pursuant to NRS 440.415 may make a pronouncement of death.
Sec.
15.
Chapter 633 of NRS is hereby amended by adding thereto a new section to read as follows:
1.
A physician assistant may practice only in the following settings:
(a) A medical facility, any facility licensed pursuant to chapter 449 of NRS or any facility that has established a system for evaluating the credentials of and granting practice privileges to physician assistants;
(b) A facility or medical practice owned by a physician or osteopathic physician or a group of physicians or osteopathic physicians;
(c) A federally-qualified health center, as defined in 42 U.S.C.
§ 1396d(l)(2)(B);
(d) A correctional facility or institution;
(e) A state, county, city or district health department;
or (f) Any other location authorized by the regulation of the Board.
2.
A physician assistant who has practiced as a physician assistant for less than 4,000 hours shall enter into a written collaborative agreement with a physician whereby both parties agree to collaborate in the manner set forth in the agreement.
Upon request of the Board, the physician assistant shall provide the collaborative agreement to the Board.
3.
The Board may require a physician assistant who changes the field of medicine within which the physician assistant practices to enter into a written collaborative agreement with a physician pursuant to subsection 2 until the physician assistant has practiced as a physician assistant in that field of medicine for an amount of time prescribed by the Board.
Sec.
16.
NRS 633.107 is hereby amended to read as follows:
633.107 “Physician assistant” means a person who is a graduate of an academic program approved by the Board or who, by general education, practical training and experience determined to be satisfactory by the Board, is qualified to perform medical services [under the supervision of a supervising osteopathic physician] and who has been issued a license by the Board.
- *SB294* – 19 – Sec.
17.
NRS 633.161 is hereby amended to read as follows:
633.161 1.
Osteopathic physicians and physician assistants have the same rights as physicians or physician assistants, as applicable, of other schools of medicine in all respects, including but not limited to the treatment of patients and the holding of offices in public institutions.
2.
All state and local government regulations relative to the reporting of births and deaths in any matter pertaining to the public health apply to osteopathic physicians and physician assistants with the same effect as to physicians or physician assistants, as applicable, of other schools of medicine.
Such reports by osteopathic physicians or physician assistants shall be accepted by the officers of the agency to which they are made.
Sec.
18.
NRS 633.432 is hereby amended to read as follows:
633.432 1.
A physician assistant shall:
(a) Obtain the informed consent of a patient or the representative of a patient before performing any medical service for the patient;
and (b) Only perform medical services that are within the scope of practice of the physician assistant and which the physician assistant has the necessary education, training and experience to competently perform.
2.
A physician assistant may perform [such] the following medical services [as the physician assistant is authorized to perform by his or her supervising osteopathic physician and are within the supervising osteopathic physician’s scope of practice.
Such services may include ordering home health care for a patient.
2.
The Board and supervising osteopathic physician shall limit the authority of a physician assistant to prescribe controlled substances to those schedules of controlled substances that the supervising osteopathic physician is authorized to prescribe pursuant to state and federal law.] :
(a) Obtaining a history of the health of a patient.
(b) Performing a physical examination of a patient.
(c) Providing medical treatment, including, without limitation, evaluating, diagnosing, developing a treatment plan and managing a condition of a patient.
(d) Ordering, performing and interpreting a diagnostic test or therapeutic procedure, including, without limitation, assigning the test or procedure to another person who is authorized to perform the test or procedure and supervising that person.
(e) Educating a patient on how to maintain or improve his or her health and prevent disease.
(f) Providing a consultation to a patient or writing a medical order for a patient.
- *SB294* – 20 – (g) Examining and reporting on the health or disability of a person for purposes relating to eligibility for a local, state or federal program.
(h) Providing his or her signature, certification, stamp, verification or endorsement when a signature, certification, stamp, verification or endorsement by a physician is required, if providing such a signature, certification, stamp, verification or endorsement is within the authorized scope of practice of a physician assistant.
(i) Planning and initiating a therapeutic regimen that includes, without limitation, ordering or prescribing the following items:
(1) Medical equipment;
(2) Programs concerning the nutrition of the patient;
(3) Whole human blood, plasma, blood product or blood derivative for the purpose of injection or transfusion;
and (4) Diagnostic support services, including, without limitation, home health care, hospice care or physical or occupational therapy.
(j) Prescribing, ordering, dispensing and administering any medical device or drug that is not a controlled substance or dangerous drug.
(k) Prescribing, ordering, dispensing and administering dangerous drugs or controlled substances in schedules II, III, IV or V in accordance with applicable state and federal law.
3.
If a patient requires, may benefit from or requests a medical service that is beyond the scope of practice or experience, knowledge or ability of a physician assistant, the physician assistant shall collaborate with, consult with or refer the patient to another provider of health care who is authorized to perform the service.
4.
As used in this section:
(a) “Dangerous drug” has the meaning ascribed to it in NRS 454.201.
(b) “Provider of health care” has the meaning ascribed to it in NRS 629.031.
(c) “Therapeutic regimen” means a program for the treatment of an illness that is integrated into the daily life of a patient.
Sec.
19.
NRS 633.433 is hereby amended to read as follows:
633.433 The Board may issue a license as a physician assistant to an applicant who is qualified under the regulations of the Board .
[to perform medical services under the supervision of a supervising osteopathic physician.] The application for a license as a physician assistant must include all information required to complete the application.
- *SB294* – 21 – Sec.
20.
[The tests or examinations of applicants by the Board.
The tests or examinations of applicants by the Board.
6.
- *SB294_R1* – 3 – 6.
The medical services which a physician assistant may perform, except that a physician assistant may not perform osteopathic manipulative therapy or those specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, doctors of Oriental medicine, naprapaths, podiatric physicians, optometrists and hearing aid specialists under chapters 631, 634, 634A, 634B, 635, 636 and 637B, respectively, of NRS.
The medical services which a physician assistant may perform, except that a physician assistant may not perform osteopathic manipulative therapy or those specific functions and duties delegated or restricted by law to persons licensed as dentists, podiatric physicians, optometrists and hearing aid specialists under chapters 631, 634, 634A, 634B, 635, 636 and 637B, respectively, of NRS.
7.] The grounds and procedures respecting disciplinary actions against physician assistants.
[8.
The supervision of medical services of a physician assistant by a supervising osteopathic physician.] Sec.
21.
NRS 633.442 is hereby amended to read as follows:
633.442 [1.] A physician assistant shall:
[(a)] 1.
Keep his or her license available for inspection at his or her primary place of business;
and [(b)] 2.
When engaged in professional duties, identify himself or herself as a physician assistant.
[2.
A physician assistant shall not bill a patient separately from his or her supervising osteopathic physician.] Sec.
22.
NRS 633.471 is hereby amended to read as follows:
633.471 1.
Except as otherwise provided in subsection 15 and NRS 633.491, every holder of a license, except a physician assistant or an anesthesiologist assistant, issued under this chapter, except a temporary or a special license, may renew the license on or before January 1 of each calendar year after its issuance by:
(a) Applying for renewal on forms provided by the Board;
(b) Paying the annual license renewal fee specified in this chapter;
(c) Submitting a list of all actions filed or claims submitted to arbitration or mediation for malpractice or negligence against the holder during the previous year;
(d) Subject to subsection 14, submitting evidence to the Board that in the year preceding the application for renewal the holder has - *SB294* – 22 – attended courses or programs of continuing education approved by the Board in accordance with regulations adopted by the Board totaling a number of hours established by the Board which must not be less than 35 hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;
and (e) Submitting all information required to complete the renewal.
2.
The Secretary of the Board shall notify each licensee of the requirements for renewal not less than 30 days before the date of renewal.
3.
The Board shall request submission of verified evidence of completion of the required number of hours of continuing medical education annually from a percentage of the applicants for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant or anesthesiologist assistant determined by the Board.
Subject to subsection 14, upon a request from the Board, an applicant for renewal of a license to practice osteopathic medicine or a license to practice as a physician assistant or anesthesiologist assistant shall submit verified evidence satisfactory to the Board that in the year preceding the application for renewal the applicant attended courses or programs of continuing medical education approved by the Board totaling the number of hours established by the Board.
4.
The Board shall require each holder of a license to practice osteopathic medicine to complete a course of instruction within 2 years after initial licensure that provides at least 2 hours of instruction on evidence-based suicide prevention and awareness as described in subsection 9.
5.
The Board shall encourage each holder of a license to practice osteopathic medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about how to effectively manage medications, including, without limitation, the ability of the patient to request to have the symptom or purpose for which a drug is prescribed included on the label attached to the container of the drug.
6.
The Board shall encourage each holder of a license to practice osteopathic medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the diagnosis of rare diseases, including, without limitation:
(a) Recognizing the symptoms of pediatric cancer;
and (b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
- *SB294* – 23 – 7.
The Board shall require, as part of the continuing education requirements approved by the Board, the biennial completion by a holder of a license to practice osteopathic medicine of at least 2 hours of continuing education credits in ethics, pain management, care of persons with addictive disorders or the screening, brief intervention and referral to treatment approach to substance use disorder.
8.
The continuing education requirements approved by the Board must allow the holder of a license as an osteopathic physician, physician assistant or anesthesiologist assistant to receive credit toward the total amount of continuing education required by the Board for the completion of a course of instruction relating to genetic counseling and genetic testing.
9.
The Board shall require each holder of a license to practice osteopathic medicine to receive as a portion of his or her continuing education at least 2 hours of instruction every 4 years on evidence- based suicide prevention and awareness which may include, without limitation, instruction concerning:
(a) The skills and knowledge that the licensee needs to detect behaviors that may lead to suicide, including, without limitation, post-traumatic stress disorder;
(b) Approaches to engaging other professionals in suicide intervention;
and (c) The detection of suicidal thoughts and ideations and the prevention of suicide.
10.
A holder of a license to practice osteopathic medicine may not substitute the continuing education credits relating to suicide prevention and awareness required by this section for the purposes of satisfying an equivalent requirement for continuing education in ethics.
11.
The Board shall require each holder of a license to practice osteopathic medicine to complete at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure.
12.
The Board shall require each psychiatrist or a physician assistant [practicing under the supervision of a psychiatrist] who practices in the specialty of psychiatry to biennially complete one or more courses of instruction that provide at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.
Such instruction:
(a) May include the training provided pursuant to NRS 449.103, where applicable.
(b) Must be based upon a range of research from diverse sources.
- *SB294* – 24 – (c) Must address persons of different cultural backgrounds, including, without limitation:
(1) Persons from various gender, racial and ethnic backgrounds;
(2) Persons from various religious backgrounds;
(3) Lesbian, gay, bisexual, transgender and questioning persons;
(4) Children and senior citizens;
(5) Veterans;
(6) Persons with a mental illness;
(7) Persons with an intellectual disability, developmental disability or physical disability;
and (8) Persons who are part of any other population that a psychiatrist or physician assistant [practicing under the supervision of a psychiatrist] who practices in the specialty of psychiatry may need to better understand, as determined by the Board.
13.
The Board shall require each holder of a license to practice osteopathic medicine or as a physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care to complete at least 2 hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency virus within 2 years after beginning to provide or supervise the provision of such services or care.
14.
The Board shall not require a physician assistant to receive or maintain certification by the National Commission on Certification of Physician Assistants, or its successor organization, or by any other nationally recognized organization for the accreditation of physician assistants to satisfy any continuing education requirement pursuant to paragraph (d) of subsection 1 and subsection 3.
15.
Members of the Armed Forces of the United States and the United States Public Health Service are exempt from payment of the annual license renewal fee during their active duty status.
16.
As used in this section, “primary care” means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
Sec.
23.
NRS 633.521 is hereby amended to read as follows:
633.521 An osteopathic physician or physician assistant is not subject to disciplinary action solely for:
1.
Prescribing or administering to a patient under his or her care:
(a) Amygdalin (laetrile), if the patient has consented to the use of the substance.
- *SB294* – 25 – (b) Procaine hydrochloride with preservatives and stabilizers (Gerovital H3).
(c) A controlled substance which is listed in schedule II, III, IV or V by the State Board of Pharmacy pursuant to NRS 453.146, if the controlled substance is lawfully prescribed or administered for the treatment of intractable pain in accordance with the provisions of NRS 639.23507 and 639.2391 to 639.23916, inclusive, and any regulations adopted by the State Board of Pharmacy pursuant thereto and the accepted standards for the practice of osteopathic medicine.
2.
Engaging in any activity in accordance with the provisions of chapter 678C of NRS.
Sec.
24.
NRS 633.741 is hereby amended to read as follows:
633.741 1.
It is unlawful for any person to:
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How this bill changes current law

2 changes Share ↗

Compared against the Nevada Revised Statutes as published AI-generated reading aid — verify against the official bill.

The bill allows a supervising physician or osteopathic physician to simultaneously supervise not less than six physician assistants, increasing the number from three.

  • NRS 630.275

    supervision of medical services of a physician assistant by a supervising physician [.] → supervision of medical services of a physician assistant by a supervising physician, which must authorize a supervising physician to simultaneously supervise not less than six physician assistants.

    This change increases the limit on the number of physician assistants that a supervising physician can oversee at the same time from three to six.

  • NRS 633.434

    supervision of medical services of a physician assistant by a supervising osteopathic physician [.] → supervision of medical services of a physician assistant by a supervising osteopathic physician, which must authorize a supervising osteopathic physician to simultaneously supervise not less than six physician assistants.

    This change similarly increases the limit on the number of physician assistants that a supervising osteopathic physician can oversee at the same time from three to six.

Amendments

1 amendment

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Action History

  1. (Pursuant to Joint Standing Rule No. 14.3.3, no further action allowed.)

  2. To Assembly. In Assembly. Read first time. Referred to Committee on Commerce and Labor. To committee.

  3. From printer. To engrossment. Engrossed. First reprint.

  4. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 15, Nays: 6.) To printer.

  5. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 310.) Reprinting dispensed with.

  6. From printer. To committee.

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

Sponsors

Sponsorship breakdown

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2 sponsors · 0 co-sponsors · 65 not signed on · 6 voted No

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (65)

65 members have not signed on to this bill.

Show all 65 →

"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

Votes

Senate (1st Reprint)

Passed 15 Yea · 6 Nay
Party YeaNayPresentNot Voting
Republican 3500
Democratic 12100
Total 15600
% of votes cast 71%29%0%0%
How each member voted (21)
Member Party Vote
Cannizzaro, Nicole J. Democratic Yea
Cruz-Crawford, Michelee "Shelly" Democratic Yea
Daly, Skip Democratic Nay
Dondero Loop, Marilyn Democratic Yea
Doñate, Fabian Democratic Yea
Flores, Edgar Democratic Yea
Lange, Roberta Democratic Yea
Neal, Dina Democratic Yea
Nguyen, Rochelle T. Democratic Yea
Ohrenschall, James Democratic Yea
Pazina, Julie Democratic Yea
Scheible, Melanie Democratic Yea
Taylor, Angela D. Democratic Yea
Buck, Carrie Ann Republican Nay
Ellison, John Republican Nay
Hansen, Ira Republican Yea
Krasner, Lisa Republican Nay
Rogich, Lori Republican Nay
Steinbeck, John C. Republican Yea
Stone, Jeff Republican Yea
Titus, Robin L. Republican Nay

Official roll call →

Subjects

healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 294?
SB 294 is sponsored by D'Silva, Reuben (Democratic) and Flores, Edgar (Democratic).
What is the current status of SB 294?
This bill died with 2025 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 294?
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