AB 60 — Revises provisions relating to certain behavioral health services. (BDR 39-434)

- 83rd Session (2025) – 5 – specialist unless he or she:lf out as a certified prevention (1) Is at least 18 years of age;

The Board shall adopt regulations governing the practice of certified prevention specialists and the provision of peer recovery support services.

The regulations must prescribe:prescribe:sion of peer (a) The requirements for the issuance and renewal of a certificate as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor, which must include, without limitation, required training and experience for certified prevention specialists, peer recovery support specialists and peer recovery support specialist supervisors.

(a) The requirements for the issuance and renewal of a certificate as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor, which must include, without limitation, required training and experience for certified prevention specialists, peer recovery support specialists and peer recovery support specialist supervisors.

(d) The forms of disciplinary action that the Division may impose against a certified prevention specialist, peer recovery supportsup2. specialist or peer recovery support specialist supervisor.

2.The Board may, by regulation, prescribe a fee for:upervisor.

(a) The Boardissuance may,of by regulation, prescribe a feecertificate; for:

- *AB60_R1* – 6 – (a) The issuance of a certificate;

- 83rd Session (2025) – 6 – 4.

The Division may issue a certificate by endorsement as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor to an applicant who meets the requirements set forth in this section.

(b) An affidavit stating that the information contained in the applicationapp(c) andThe anyfee accompanyingprescribed materialby isthe trueBoard andin correct;the regulations adopted pursuant to NRS 433.632;

(c) The fee prescribed by the Board in the regulations adopted pursuant to NRS 433.632;

Unless the - *AB60_R1* – 7 – Division denies the application for good cause, the Division shall approve the application and issue a certificate by endorsement as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor, as applicable, to the applicant not later than 45 days after receiving the application.

- 83rd Session (2025) – 7 – Sec.

The Division may issue a certificate by endorsement as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor to an applicant whomay meetssubmit to the requirementsDivision setan forthapplication infor thissuch section.aion.

An applicant may submit to the Division an application for such a certificate if the applicant:

and (3) Has not been held civilly or criminally liable for malpractice in the District of Columbia or any state or territory of the(b) An affidavit stating that the Unitedinformation States;contained in the application and any accompanying material is true and correct;

(b) An affidavit stating that the information contained in the application and any accompanying material is true and correct;

Unless the Division denies the application for good cause, the Division shall - *AB60_R1* – 8 – approve the application and issue a certificate by endorsement as a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor, as applicable, to the - 83rd Session (2025) – 8 – applicant not later than 45 days after receiving all the additional information required by the Division to complete the application.

At any time before making a final decision on an application for a certificate by endorsement pursuant to this section, the Division may grant a provisional certificate authorizing an applicant to hold himself or herself out as a certified prevention specialist or practice as a peer recovery support specialist or peer recovery support specialist supervisor, as applicable, in accordance with regulations adopted by the Board.

or (b) The State Controller has informed the Division pursuant to subsection 5 of NRS 353C.1965 that the applicant owes a debt to an agency that has been assigned to the State Controller for collection and thethe(1) applicantSatisfied hasthe not:debt;

(1) Satisfied the debt;

It is sufficient in such an action to allege that the defendant did, on a certain date and in a certain place, engage in conduct for - *AB60_R1* – 9 – which a certificate is required by NRS 433.631 without a valid certificate.

Sec.- 83rd Session (2025) – 9 – 433.639 1.RS 43Not later than 3 days after employing a natural person to serve as a certified prevention specialist or provide or supervise the provision of peer recovery support services in a position where the natural person has regular and substantial contact with minors or retaining a natural person as an independent contractor to serve as a certified prevention specialist or provide or supervise the provision of peer recovery support services in such a position and every 5 years thereafter, an employer, or person or entity who retained the independent contractor, shall:

14.

NRS 433.639 is hereby amended to read as follows:

433.639 1.

Not later than 3 days after employing a natural person to serve as a certified prevention specialist or provide or supervise the provision of peer recovery support services in a position where the natural person has regular and substantial contact with minors or retaining a natural person as an independent contractor to serve as a certified prevention specialist or provide or supervise the provision of peer recovery support services in such a position and every 5 years thereafter, an employer, or person or entity who retained the independent contractor, shall:

and (b) Complete a child abuse and neglect screening through the Central Registry to determine whether there has been a substantiated report of child abuse or neglect or a violation of NRS 201.540, 201.553, 201.560, 392.4633 or 394.366 made against the naturalnatural, person.

If an employee or independent contractor described in subsection 1 believes that the information provided to the employer or person or entity who retained the independent contractor pursuant to subsection 2 is incorrect, the employee or independent contractor must inform the employer, person or entity immediately.

The Division, in consultation with each agency which provides child welfare services, may establish by regulation a process by which it may review evidence upon request to determine whether an employee or independent contractor described in - *AB60_R1*83rd Session (2025) – 10 – subsection 1 who has, within the immediately preceding 5 years, had a substantiated report of child abuse or neglect or a violation of NRS 201.540, 201.553, 201.560, 392.4633 or 394.366 made against him or her may continue to serve as a certified prevention specialist or provide or supervise the provision of peer recovery support services , as applicable, and have regular and substantial contact with minors despite the report.

As used in this section, “agency which provides child welfarewelSec. services” has the meaning ascribed to it in NRS 424.011.

Sec.

NRS 433.641 is hereby amended to read as follows:follows:11.

and - *AB60_R1*83rd –Session 11(2025) – (b)11 Made– available for inspection by the Division at any reasonable time and copies thereof must be furnished to the Division upon request.

or (3) A toll-free telephone service designated by the Aging and Disability Services Division of the Department of Health and HumanHum(b) Services;Make such a report as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the older person or vulnerable person has been abused, neglected, exploited, isolated or abandoned.

and (b) Make such a report as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the older person or vulnerable person has been abused, neglected, exploited, isolated or abandoned.

Each agency, after reducing a report to writing, shall forward a copy of the report to the Aging and Disability Services Division of the Department of Health and Human Services and the Unit for the InvestigationInv4.tigA andreport Prosecutionmust ofbe Crimes.made pursuant to subsection 1 by the following persons:

4.(a) Every physician, dentist, dental hygienist, expanded function dental assistant, chiropractic physician, naprapath, optometrist, podiatric physician, medical examiner, resident, intern, professional or practical nurse, physician assistant licensed pursuant to chapter or 633 of NRS, anesthesiologist assistant, perfusionist, psychiatrist, psychologist, marriage and family therapist, clinical professional counselor, clinical alcohol and drug counselor, alcohol - 83rd Session (2025) – 12 – ambulance, paramedic, licensed dietitian, holder of a license or an limited license issued under the provisions of chapter 653 of NRS, behavior analyst, assistant behavior analyst, registered behavior technician, certified prevention specialist, as defined in section 1 of this act, peer recovery support specialist, as defined in NRS 433.627, peer recovery support specialist supervisor, as defined in NRS 433.629, or other person providing medical services licensed or certified to practice in this State, who examines, attends or treats an older person or vulnerable person who appears to have been abused, neglected, exploited, isolated or abandoned.

A report must be made pursuant to subsection 1 by the following persons:

(a) Every physician, dentist, dental hygienist, expanded function dental assistant, chiropractic physician, naprapath, optometrist, podiatric physician, medical examiner, resident, intern, professional or practical nurse, physician assistant licensed pursuant to chapter 630 or 633 of NRS, anesthesiologist assistant, perfusionist, psychiatrist, psychologist, marriage and family therapist, clinical professional counselor, clinical alcohol and drug counselor, alcohol and drug counselor, music therapist, athletic trainer, driver of an ambulance, paramedic, licensed dietitian, holder of a license or a - *AB60_R1* – 12 – limited license issued under the provisions of chapter 653 of NRS, behavior analyst, assistant behavior analyst, registered behavior technician, certified prevention specialist, as defined in section 1 of this act, peer recovery support specialist, as defined in NRS 433.627, peer recovery support specialist supervisor, as defined in NRS 433.629, or other person providing medical services licensed or certified to practice in this State, who examines, attends or treats an older person or vulnerable person who appears to have been abused, neglected, exploited, isolated or abandoned.

(c) A coroner.

(g) Any employee of the Department of Health and Human Services, except the State Long-Term Care Ombudsman appointed pursuant to NRS 427A.125 and any of his or her advocates or volunteers where prohibited from making such a report pursuant to 45 C.F.R.

(i) Any person who maintains or is employed by a facility or establishment that provides care for older persons or vulnerable persons.

- 83rd Session (2025) – 13 – (l) Any person who owns or is employed by a funeral home or mortuary.

(m) Every person who operates or is employed by a community health worker pool, as defined in NRS 449.0028, or with whom a -community *AB60_R1*health –worker, 13as –defined communityin healthNRS worker449.0027.e poolservices contractsof toa provide(n) Every person who is enrolled with the servicesDivision of aHealth communityCare healthFinancing worker,and asPolicy definedof inthe Department of Health and Human Services to provide doula services to recipients of Medicaid pursuant to NRS 449.0027.422.27177.

(n) Every person who is enrolled with the Division of Health Care Financing and Policy of the Department of Health and Human Services to provide doula services to recipients of Medicaid pursuant to NRS 422.27177.

A copy of the final report of the investigation conducted by a division, office or department, other than the Aging and Disability Services Division of the DepartmentDepartmentr of Health and Human Services, must be forwarded within 30 days after the completion of the report to the:

- 83rd Session (2025) – 14 – 9.

As used in this section, “Unit for the Investigation and Prosecution of Crimes” means the Unit for the Investigation and Prosecution of Crimes Against Older Persons or Vulnerable Persons - *AB60_R1* – 14 – in the Office of the Attorney General created pursuant to Persons NRS 228.265.

(b) An agency which provides child welfare services or a law enforcement agency, the person shall make the report to an agency other than the one alleged to have committed the act or omission, and the investigation of the abuse or neglect of the child must be made by an agency other than the one alleged to have committed the act or omission.

Any person who is described in paragraph (a) of subsection 4 who delivers or provides medical services to a newborn infant and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that the newborn infant has been affected by a fetal alcohol spectrum disorder or prenatal substance use disorder or has withdrawal symptoms resulting from prenatal substance exposure shall, as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the newborn infant is so affected or has such symptoms, notify an agency which provides child welfare services of the condition of the infant and refer each person who is responsible for - 83rd Session (2025) – 15 – the welfare of the infant to an agency which provides child welfare services for appropriate counseling, training or other services.

A notification and referral to an agency which provides child welfare services pursuant to this subsection shall not be construed to require prosecutionpro4.cutA forreport anymust illegalbe action.made pursuant to subsection 1 by the following persons:

4.(a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640B, 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS or practicing as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.

A report must be made pursuant to subsection 1 by the following persons:

- *AB60_R1* – 15 – (a) A person providing services licensed or certified in this State pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640B, 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS or practicing as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.

(f) Any person who maintains or is employed by a facility or establishment that provides care for children, children’s camp or other public or private facility, institution or agency furnishing care to a child.

- 83rd Session (2025) – 16 – (l) Any adult person who is employed by an entity that provides organized activities for children, including, without limitation, a person who is employed by a school district or public school.

(m) Any person who is enrolled with the Division of Health Care Financing and Policy of the Department of Health and Human Services to provide doula services to recipients of MedicaidMedicaidman pursuant to NRS 422.27177.

(n) A certified prevention specialist, as defined in section 1 of this act, peer recovery support specialist, as defined in - *AB60_R1* – 16 – NRS 433.627, or peer recovery support specialist supervisor, as defined in NRS 433.629.

The medical examiner or coroner who is notified of a report pursuant to this subsection shall investigate the report and submit his or her written findings to the appropriate agency which provides child welfare services, the appropriate district attorney and a law enforcementobtainable, agency.the information required pursuant to the provisions of subsection 2 of NRS 432B.230.

The written findings must include, if obtainable, the information required pursuant to the provisions of subsection 2 of NRS 432B.230.

and - 83rd Session (2025) – 17 – (c) Maintain a copy of the written acknowledgment or electronic record for as long as the person is licensed, certified or endorsed in this State.

The employer of a person who is described in subsection 4 and who is not required in his or her professional or occupational capacity to be licensed, certified or endorsed in this State must, upon initial employment of the person:

- *AB60_R1* – 17 – (b) Obtain a written acknowledgment or electronic record from the person that he or she has been informed of his or her duty pursuant to this section;

The provisions of subsection 8 do not apply to the employer of a person practicing as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services in Personnel Licensure Interstate Compact ratified by NRS 450B.145.

The regulations adopted pursuant to this paragraph must align with nationally recognized standards for substance use - 83rd Session (2025) – 18 – disorder prevention coalitions and must provide that a geographic region may be served by more than one substance use disorder prevention coalition.

(a) Advise the DepartmentDivision concerning:ment of Health and Human Services and (1) The needs of adults and children in the Divisiongeographic concerning:region served by the coalition concerning the prevention of substance misuse and substance use disorders in the geographic region;

(1)(2) TheAny needsprogress, ofproblems adultsor andplans childrenrelating into the geographicprovision regionof servedservices byfor the coalition concerning the prevention of substance misuse and substance use disorders and methods for improving the provision of such services in the geographic region;region served by the coalition;

(2) Any progress, problems or plans relating to the provision of services for the prevention of substance misuse and substance use - *AB60_R1* – 18 – disorders and methods for improving the provision of such services in the geographic region served by the coalition;

(c) Coordinate and share information with other certified substance use disorder prevention coalitions to provide recommendations to the Department of Health and Human Services misuse and substance use disorders.s for the Divisionprevention concerningof servicessubstance (d) Implement, in coordination with the Department of Health and Human Services, the Division, other certified substance use disorder prevention coalitions and other interested persons and entities, statewide efforts for the prevention of substance misuse and substance use disorders.

(d) Implement, in coordination with the Department of Health and Human Services, the Division, other certified substance use disorder prevention coalitions and other interested persons and entities, statewide efforts for the prevention of substance misuse and substance use disorders.

(f) In consultation with other persons and entities in this State who provide services related to the prevention of substance use disorders, submit an annual report to the regional behavioral health policy board for the geographic region served by the substance use disorder- prevention83rd Session (2025) – 19 – limitation:evention coalition.

The report must include, without limitation:(1) Identification of the specific needs of the geographic region served by the coalition concerning the prevention of substance misuse and substance use disorders;

(1) Identification of the specific needs of the geographic region served by the coalition concerning the prevention of substance misuse and substance use disorders;

- *AB60_R1* – 19 – (4) The goals of the coalition for the immediately preceding year and the degree to which the coalition achieved those goals;

and (5) The goals of the coalition for the immediately following yearyea(g) andEmploy theor long-termenter goalsinto ofcontracts with certified prevention specialists as necessary to perform or facilitate the coalition.activities described in paragraphs (a) to (f), inclusive.

(g) Employ or enter into contracts with certified prevention specialists as necessary to perform or facilitate the activities described in paragraphs (a) to (f), inclusive.

(c) “Substance use disorder prevention coalition” means a coalition of persons and entities who possess knowledge and experience related to the prevention of substance misuse and substancesubSec. use disorders in a region of this State.

Sec.

(a) Any physician, dentist, dental hygienist, expanded function dental assistant, naprapath, chiropractic physician, optometrist, podiatric physician, medical examiner, resident, intern, professional or practical nurse, nursing assistant, medication aide - certified, perfusionist,- physician83rd assistantSession licensed(2025) pursuant– to20 chapter– 630 or 633 of NRS, anesthesiologist assistant, psychiatrist, psychologist,psychologist,or marriage and family therapist, clinical professional counselor, alcohol or drug counselor, certified prevention specialist, peer recovery support specialist, peer recovery support specialist supervisor, music therapist, holder of a license or limited license issued pursuant to chapter 653 of NRS, driver of an ambulance, paramedic or other person providing medical services licensed or certified to practice in this State.

- *AB60_R1* – 20 – (d) Any person who maintains or is employed by an agency to provide personal care services in the home.

(e) Any person who operates, who is employed by or who contracts to provide services for an intermediary service organization as defined in NRS 449.4304.

(k) Any social worker.

Every physician who, as a member of the staff of a medical facility or facility for the dependent, has reason to believe that a nursing assistant or medication aide - certified has engaged in conduct which constitutes grounds for the denial, suspension or revocation of a certificate shall notify the superintendent, manager - 83rd Session (2025) – 21 – or other person in charge of the facility.

4.provisions of this chapter to the Executive Director of the Board pursuant to this section is immune from civil liability for reporting the violation.

Any person who in good faith reports any violation of the provisions of this chapter to the Executive Director of the Board pursuant to this section is immune from civil liability for reporting the violation.

- *AB60_R1* – 21 – [(d)] (e) “Peer recovery support specialist supervisor” has the meaning ascribed to it in NRS 433.629.

A person who is licensed as a clinical professional counselor orNRS;linical clinical professional counselor intern pursuant to chapter 641A of NRS;5.

5.

- 83rd Session (2025) – 22 – 9.

- *AB60_R1* – 22 – 5.

A person who is licensed as a clinical alcohol and drug counselor, licensed or certified as an alcohol and drug counselor or certified as a clinical alcohol and drug counselor intern, an alcohol and drug counselor intern, a problem gambling counselor or a problem gambling counselor intern, pursuant to chapter 641C of NRS;

A student of social work and any other person preparing for the profession of social work under the supervision of a qualified social worker in a training institution or facility recognized by the Board, unless the student or other person has been issued a - 83rd Session (2025) – 23 – provisional license pursuant to paragraph (b) of subsection 1 of NRS 641B.275.

Sec.641C.130 The provisions of this chapter do not apply to:ws:

22.

NRS 641C.130 is hereby amended to read as follows:

641C.130 The provisions of this chapter do not apply to:

A nurse who is licensed pursuant to the provisions of chapter 632 of NRS and is authorized by the State Board of Nursing to engage in the practice of counseling persons with alcohol and other substance use disorders or the practice of counseling persons with an addictive disorder related to gambling;

A marriage and family therapist or marriage and family therapist intern who is licensed pursuant to the provisions of chapter - *AB60_R1* – 23 – 641A of NRS and is authorized by the Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors to engage in the practice of counseling persons with alcohol and other substance use disorders or the practice of counseling persons with an addictive disorder related to gambling;

(a) Licensed(1) as:A clinical social worker pursuant to the provisions of chapter 641B of NRS;

(1) A clinical social worker pursuant to the provisions of chapter 641B of NRS;

- 83rd Session (2025) – 24 – Sec.

2.effective on July 1, 2021.20 and 32 of this act become 3.

Sections 18.5, 19, 20 and 32 of this act become effective on July 1, 2021.

3.

§ 666 requiring each state to establish procedures under which the state has authority to withhold or suspend, or to restrict the use of - *AB60_R1* – 24 – professional, occupational and recreational licenses of persons who:

(a) Have failed to comply with the subpoena or warrant relating to a proceeding to determine the paternity of a child or to establish or enforce an obligation for the support of aad child;

Notwithstanding any provision of this act to the contrary, a natural person who holds a valid certification as a certified prevention specialist issued by the Nevada Certification Board or its successor organization on the date on which that organization ceases certifying certified prevention specialists may hold himself or herself out as a certified prevention specialist without being certified by the Division of Public and Behavioral Health of the Department of Health and Human Services until 6 months after the date on which the Division begins certifying certified prevention specialists pursuant to the regulations adopted - 83rd Session (2025) – 25 – by the State Board of Health pursuant to NRS 433.632, as amended by section 9 of this act.

To hold himself or herself out as a certified prevention specialist after that date, the natural person must obtain a certificate from the Division as required by NRS 433.631, as amendedame2.ed byAs used in this section, “certified prevention specialist” has the meaning ascribed to it in section 81 of this act.

2.

As used in this section, “certified prevention specialist” has the meaning ascribed to it in section 1 of this act.

This section and sections 1, 2, 4 to 7, inclusive, and 13 to 25, inclusive, of this act become effective on July 1, 2025.2026.

Sections 3 and 8 to 12, inclusive, of this act become effective on the later of July 1, 2026, or the date on which the Nevada Certification Board, or its successor organization, ceases certifying certified prevention specialists, peer recovery support specialists or peer recovery support specialist supervisors.

3.~~~~~ 25 - 83rd Session (2025)

Sections 10 and 11 of this act expire by limitation on the date on which the provisions of 42 U.S.C.

§ 666 requiring each state to establish procedures under which the state has authority to withhold or suspend, or to restrict the use of professional, occupational and recreational licenses of persons who:

(a) Have failed to comply with the subpoena or warrant relating to a proceeding to determine the paternity of a child or to establish or enforce an obligation for the support of a child;

or (b) Are in arrears in the payment for the support of one or more children,  are repealed by the Congress of the United States.

- *AB60_R1* – 25 – TEXT OF REPEALED SECTION 433.623 “Adult” define“Adult” means a natural person who is 18 years of age or older.

H - *AB60_R1*