SB 299 — Revises provisions relating to senior living communities. (BDR 40-1039)

(ReprintedSenate withBill amendmentsNo. adopted on April 18, 2025) FIRST REPRINT S.B.

299299–Senators SDondero ENATELoop; B ILLN O.

299–SENATORSCannizzaro, DONDERODaly, LOOPFlores, ;Lange, Nguyen, Ohrenschall and Taylor CHAPTER..........

ANNIZZARO , DALY , FLORES , ANGE , NGUYEN , HRENSCHALL AND TAYLOR M ARCH 10, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to senior living communities.

(BDR 40-1039) 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.

Section 3 of this bill requires the Division of Public and Behavioral Health of the Department of Health and Human Services to adopt regulations to carry out the provisions of the Nevada Revised Statutes relating to senior living community the referral agencies.

Section 7 of this bill provides that regardless of whether a senior living community referral agency has obtained a license from the State Board of Health before October 1, 2025, it may operate in this State without a license obtained from the Board or a registration obtained from the Division until 120 days after the andregulations approvedrequired pursuant to be adopted by the NevadaDivision Administrativepursuant Procedureto Act.ctionsection 3 are adopted Existingand lawapproved authorizespursuant the State Board of Health to set reasonable fees for the licensingNevada ofAdministrative anyProcedure facility,Act. establishment or service regulated to the Division.

Existing law authorizes the State Board of Health to set reasonable fees for the licensing of any facility, establishment or service regulated to the Division.

and (2) an applicant - *SB299_R1* – 2 – for the renewal of such a license to pay a fee of $1,354.

(NAC 449.013) Section 2 provides that the amount of fees for an application to register or renew the registration of a senior living community referral agency may not exceed these aamounts. senior living community referral agency.s the Board from increasing these fees for Section 4 of this bill makes a conforming change to eliminate the requirement that a senior living community referral agency obtain a license from the Board.

Section 7.5 of this bill prohibits the Board from increasing these fees for a senior living community referral agency.

Section 4 of this bill makes a conforming change to eliminate the requirement that a senior living community referral agency obtain a license from the Board.

(NRS 449.160) Section 5 of this bill applies these provisions to theExistingthe law:registration of a senior living community referral agency.

(1)Existing setslaw: forth certain notice requirements before the denial, suspension or revocation of a license issued by the Division;

and(1) (2)sets authorizesforth ancertain notice requirements before the denial, appeal and hearing relating to the denial, suspension or revocation of such a license.

- 83rd Session (2025) – 2 – EXPLANATION – Matter in bolded italics is new;

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

and (2) Any other contact information for the senior living communitycom(b) referralProof agency;of the liability insurance required pursuant to paragraph (b) of subsection 2 of NRS 449.1145;

(b) Proof of the liability insurance required pursuant to paragraph (b) of subsection 2 of NRS 449.1145;

and - *SB299_R1* – 3 – (II) Any other contact information for the senior living community referral agency;

The Division shall adopt any regulations necessary to carry out the provisions of NRS 449.114 and 449.1145 and section 1oSec. of this act.

Sec.4.actNRS 449.0305 is hereby amended to read as follows:

4.

NRS 449.0305 is hereby amended to read as follows:

Except as otherwise provided in subsection 5, a person must obtain a license from the Board to operate a business that- provides83rd referralsSession to(2025) residential– facilities3 for– groups or any other group housing arrangement that provides assistance, food, shelter ororother limited supervision to a person with a mental illness, intellectual disability, developmental disability or physical disability or who is aged or infirm .

A licensed nurse, social worker, physician or hospital, or a provider of geriatric care who is licensed as a nurse or social worker, may provide referrals to residential facilities for groups or any other group housing arrangement described in subsection 1 Board may, by regulation, authorize a public guardian or any other person it determines appropriate to provide referrals to residential facilities for groups or any other group housing arrangement described in subsection 1 through a business that is licensed pursuant to this section.

The Board may, by regulation, authorize a public guardian or any other person it determines appropriate to provide referrals to residential facilities for groups or any other group housing arrangement described in subsection 1 through a business that is licensed pursuant to this section.

- *SB299_R1* – 4 – (c) Refer a person to a residential facility for groups or any other group housing arrangement described in subsection 1 that is owned other by the same person who owns the business.

Unless otherwise required by federal law, the Board shall deposit all civil penalties collected pursuant to this section into a separate account in the State General Fund to be used to- administer83rd andSession carry(2025) out– the4 provisions– of NRS 449.001 to 449.430, inclusive, and sections 2 and 3 of this act, 449.435 to 449.531, inclusive, and chapter 449A of NRS and to protect the health, safety, well-being and property of the patients and residents of facilities in accordance with applicable state and federal standards.

(c) “Mental illness” has the meaning ascribed to it in NRSNRSSec. 433.164.

Sec.5.4.

5.

(c) Conduct inimical to the public health, morals, welfare and safetyoperation of the peoplepremises offor thewhich Statea oflicense Nevadais inissued.enance and (d) Conduct or practice detrimental to the maintenancehealth andor operationsafety of the premisesoccupants foror whichemployees aof licensethe isfacility. issued.

-(e) *SB299_R1*Failure –of 5the –applicant (d)to Conductobtain orwritten practiceapproval detrimentalfrom tothe Director of the healthDepartment of Health and Human Services as required by NRS 439A.100 or safety439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and section 2 of this act and 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, - 83rd Session (2025) – 5 – without limitation, the occupantsclosure or employeesconversion of any hospital in a county whose population is 100,000 or more that is owned by the facility.licensee without approval pursuant to NRS 439A.102.