Amendment vs bill Amendment 19 vs Enrolled

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* Assembly Bill No.
Session (83rd) A AB60 19 Amendment No.
60–Committee on Health and Human Services CHAPTER..........
19 Assembly Amendment to Assembly Bill No.
60 (BDR 39-434) Proposed by:
Assembly Committee on Health and Human Services Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will MAINTAIN the 2/3s majority vote requirement for final passage of A.B.
60 (§§ 9-11).
ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
DAN/EWR - Date:
4/10/2025 A.B.
No.
60—Revises provisions relating to certain behavioral health services.
(BDR 39-434) Page 1 of 20 *A_AB60_19* Assembly Amendment No.
19 to Assembly Bill No.
60 Page 3 ASSEMBLY B ILLNO.
60–COMMITTEE ON H EALTH AND HUMAN SERVICES (ON BEHALF OF THEN ORTHERN REGIONAL B EHAVIORAL HEALTH P OLICYBOARD ) PREFILEDN OVEMBER 20,2024 _______________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to certain behavioral health services.
(BDR 39-434) 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.
prohibiting a minor from providing or supervising the provision of peer recovery support services;
prohibiting a minor from providing or supervising the provision of peer recovery support services ;
authorizing the imposition of civil penalties for certain violations;
[in most circumstances;
authorizing certain minors to serve as peer recovery support specialist interns;] authorizing the imposition of civil penalties for certain violations;
In general, existing law requires an adult to be certified as a peer recovery support specialist or peer recovery support specialist supervisor by the Nevada Certification Board or, if that Board ceases issuing such certificates, the Division of order to provide peer recovery support services or supervise the provision of such services, as applicable, for compensation as a regular part of his or her job duties.
In general, existing law requires an adult to be certified as a peer recovery support specialist or peer recovery support specialist supervisor by the Nevada Certification Board or, if that Board ceases issuing such certificates, the Division of Public and Behavioral Health of the Department of Health and Human Services, in order to provide peer recovery support services or supervise the provision of such services, as applicable, for compensation as a regular part of his or her job duties.
However, existing law authorizes an adult who is not a peer recovery support specialist to provide peer recovery support services as a regular part of his or her job duties while serving as a peer recovery support specialist intern if the Nevada Certification Board or the Division, as applicable, has established conditions prohibits a minor from providing or supervising the provision of peer recoveryy support services for compensation as a regular part of his or her job duties.
However, existing law authorizes an adult who is not a peer recovery support specialist to provide peer recovery support services as a regular part of his or her job duties while serving as a peer recovery support specialist intern if the Nevada Certification Board or the Division, as applicable, has established conditions authorizing such internships.
Sections 7, 8 and 13 of this bill authorize the Division to impose a civil penalty or bring an action for an injunction against a minor who:
(NRS 433.631) Section 7 of this bill additionally [imposes a general prohibition services for compensation as a regular part of his or her job duties.
(1) provides peer recovery support services;
[However, section 7t Assembly Amendment No.
or (2) supervises the provision of peer recovery support services.
19 to Assembly Bill No.
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60 Page 4 authorizes a minor who is at least 16 years of age to provide such services for compensation as a regular part of his or her job duties while serving as a peer recovery support specialist intern if the Nevada Certification Board or the Division, as applicable, has established Division to impose a civil penalty or bring an action for an injunction against a minor who:
(1) provides peer recovery support services ;
[and is not a peer recovery support specialist intern;] or (2) supervises the provision of peer recovery support services.
(1) reflect that the minors;
(1) reflect that the provisions of law governing peer recovery support services apply to both adults and minors;
Sections 3, 7 and 8 of this bill prohibit a natural person from holding himself or herself out as a certified prevention specialist unless he or she is certified as such by the Nevada Certification Board or, if that Board ceases to certify certified specialist supervisors, the Division.
Sections 3, 7 and 8 of this bill prohibit a natural person from holding himself or herself out as a certified prevention specialist unless he or she is certified as such by the Nevada Certification Board or, if that Board ceases to certify certified prevention specialists, peer recovery support specialists or peer recovery support specialist supervisors, the Division.
Section 1 of this bill defines “certifiedort prevention specialist” to mean a natural person who:
and (2) supervises, reviews and implements evidence-based programs, policies, - 83rd Session (2025) – 2 – practices and other culturally relevant interventions in schools or communities to prevent or reduce the harms caused by substance use, substance use disorder and other behavioral health disorders or address systemic barriers to wellness.
and (2) supervises, reviews and implements evidence-basedon who:
Section 2 definition.
programs , policies, practices and other [evidence-based] culturally relevant interventions in schools or communities to prevent or reduce the harms caused by substance [misuse,] use, substance use disorder and other behavioral health disorders or address systemic barriers to wellness.
Section 2 of this bill makes conforming changes to indicate the applicability of that definition.
Sections 9-12, 14-17 and 19-23 of this bill make various changes so that certified prevention specialists are treated similarly to peer recovery support specialists and certification and background checks;
Sections 9-12, 14-17 and 19-23 of this bill make various changes so that certified prevention specialists are treated similarly to peer recovery support specialists and peer recovery support specialist supervisors for purposes related to:
(2) mandatory reporting of certain crimes andon, violations;
(1) regulation, certification and background checks;
and (3) exemption from the applicability of provisions of law governing certain other professions that provide behavioral health services.
(2) mandatory reporting of governing certain other professions that provide behavioral health services.rovisions of law Existing law:
Existing law:
(2) requires a certified substance use disorder prevention and substance use disorder;
(2) requires a certified substance use disorder prevention coalition to perform certain duties relating to the prevention of substance misuse and substance use disorder;
and (3) requires the Division to collaborate with ande utilize certified substance use disorder prevention coalitions as the primary local and regional entities to coordinate programs and strategies for the prevention of substance use disorders in this State.
and (3) requires the Division to collaborate with and utilize certified substance use disorder prevention coalitions as the primary local and regional entities to coordinate programs and strategies for the prevention of substance use disorders in this State.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Supervises, reviews and implements evidence-based programs, policies, practices and other culturally relevant interventions in schools or communities to:
[Plans] Supervises, reviews and implements evidence-based programs , policies, practices and other [evidence-based] culturally relevant interventions in schools or communities to:
(a) Prevent substance use, early-onset substance use, substance use disorder and other behavioral health disorders;
(a) Prevent substance [misuse,] use, early-onset substance use, substance use disorder and other behavioral health disorders;
(b) Reduce the harms caused by substance use, substance use disorder and other behavioral health disorders;
(b) Reduce the harms caused by substance [misuse,] use, substance use disorder and other behavioral health disorders;
and 2.
and Assembly Amendment No.
19 to Assembly Bill No.
60 Page 5 2.
433.622 As used in NRS 433.622 to 433.641, inclusive, and section 1 of this act, unless the context otherwise requires, the - 83rd Session (2025) – 3 – words and terms defined in NRS [433.623] 433.624 to 433.629, inclusive, and section 1 of this act have the meanings ascribed to them in those sections.
433.622 As used in NRS 433.622 to 433.641, inclusive, and section 1 of this act, unless the context otherwise requires, the words and terms defined in NRS [433.623] 433.624 to 433.629, inclusive, and section 1 of this act have the meanings ascribed to them in those sections.
Division that authorizes the holder to hold himself or herself out as a certified prevention specialist or provide or supervise the provision of peer recovery support services, as applicable.
433.625 “Certificate” means a certificate issued by the Division that authorizes the holder to hold himself or herself out as a certified prevention specialist or provide or supervise the provision of peer recovery support services, as applicable.
natural person shall not:as authorized by subsection 2, [an adult] a (a) Provide peer recovery support services for compensation as a regular part of his or her job duties or hold himself or herself out as authorized to provide peer recovery support services unless he or she [holds] :
433.631 1.
Except as authorized by subsection 2, [an adult] a natural person shall not:
(a) Provide peer recovery support services for compensation as a regular part of his or her job duties or hold himself or herself out as authorized to provide peer recovery support services unless he or she [holds] :
and - 83rd Session (2025) – 4 – specialist supervisor issued by the Nevada Certification Board or its successor organization.
and (2) Holds a valid certificate as a peer recovery support specialist supervisor issued by the Nevada Certification Board or its successor organization.
If the Nevada Certification Board or its successor organization establishes conditions governing the provision of peer recovery support services by a natural person who is not certified as a peer recovery support specialist while the natural person is acquiring the experience necessary for certification as a peer recovery support specialist, [an adult] a natural person who is at least 18 years of age and is not certified as a peer recovery support specialist may:
If the Nevada Certification Board or its successor organization establishes conditions governing the provision of peer recovery support services by a natural person who is not certified as a peer recovery support specialist while the natural person is acquiring the experience necessary for certification as a peer recovery Assembly Amendment No.
regular part of his or her job duties under those conditions;
19 to Assembly Bill No.
and a (b) Use the title of “peer recovery support specialist intern” while providing peer recovery support services under those conditions.
60 Page 6 support specialist, [an adult] a natural person who is at least [16] 18 years of age and is not certified as a peer recovery support specialist may:
(a) Provide peer recovery support services for compensation as a regular part of his or her job duties under those conditions;
and (b) Use the title of “peer recovery support specialist intern” while providing peer recovery support services under those conditions.
and specialist issued by the Division.te as a peer recovery support (b) Supervise the provision of peer recovery support services for compensation as a regular part of his or her job duties or hold himself or herself out as authorized to supervise the provision of peer recovery support services unless he or she [holds] :
and (2) Holds a valid certificate as a peer recovery support specialist issued by the Division.
(b) Supervise the provision of peer recovery support services for compensation as a regular part of his or her job duties or hold himself or herself out as authorized to supervise the provision of peer recovery support services unless he or she [holds] :
- 83rd Session (2025) – 5 – specialist unless he or she:lf out as a certified prevention (1) Is at least 18 years of age;
(c) Hold himself or herself out as a certified prevention specialist unless he or she:
(1) Is at least 18 years of age;
The Division may adopt regulations establishing conditions under which [an adult] a natural person who is at least 18 years of age and is not certified as a peer recovery support specialist may:
The Division may adopt regulations establishing conditions under which [an adult] a natural person who is at least [16] 18 years of age and is not certified as a peer recovery support specialist may:
The Board shall adopt regulations governing the recovery support services.
The Board shall adopt regulations governing the practice of certified prevention specialists and the provision of peer recovery support services.
The regulations must 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.
The regulations must prescribe:
(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 sup2.
Assembly Amendment No.
The Board may, by regulation, prescribe a fee for:upervisor.
19 to Assembly Bill No.
60 Page 7 (d) The forms of disciplinary action that the Division may impose against a certified prevention specialist, peer recovery support specialist or peer recovery support specialist supervisor.
2.
The Board may, by regulation, prescribe a fee for:
- 83rd Session (2025) – 6 – 4.
4.
The Division may issue a certificate by support specialist or peer recovery support specialist supervisor to an applicant who meets the requirements set forth in this section.
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 app(c) The fee prescribed by the Board in the regulations adopted pursuant to NRS 433.632;
(b) An affidavit stating that the information contained in the application and any accompanying material is true and correct;
(c) The fee prescribed by the Board in the regulations adopted pursuant to NRS 433.632;
- 83rd Session (2025) – 7 – Sec.
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 applicant may submit to the Division an application for such aion.
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 Assembly Amendment No.
An certificate if the applicant:
19 to Assembly Bill No.
60 Page 8 this section.
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 information contained in the application and any accompanying material is true and correct;
and (3) Has not been held civilly or criminally liable for malpractice in the District of Columbia or any state or territory of the United States;
(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 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.
Unless the 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 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 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.
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.
(a) The applicant fails to submit the information required by subsection 1;
Assembly Amendment No.
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 the(1) Satisfied the debt;
19 to Assembly Bill No.
60 Page 9 (a) The applicant fails to submit the information required by subsection 1;
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 the applicant has not:
(1) Satisfied the debt;
- 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:
Sec.
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 201.553, 201.560, 392.4633 or 394.366 made against the natural, person.
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 natural person.
If an employee or independent contractor described in 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.
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 - 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 services , as applicable, and have regular and substantial contact with minors despite the report.
The Division, in consultation with each agency which provides child welfare services, may establish by regulation a process by which it may review Assembly Amendment No.
19 to Assembly Bill No.
60 Page 10 evidence upon request to determine whether an employee or independent contractor described in 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 welSec.
As used in this section, “agency which provides child welfare services” has the meaning ascribed to it in NRS 424.011.
Sec.
NRS 433.641 is hereby amended to read as follows:11.
NRS 433.641 is hereby amended to read as follows:
and - 83rd Session (2025) – 11 – reasonable time and copies thereof must be furnished to the Division upon request.
and (b) 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 Hum(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.
or (3) A toll-free telephone service designated by the Aging and Disability Services Division of the Department of Health and Human Services;
and Assembly Amendment No.
19 to Assembly Bill No.
60 Page 11 (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 Inv4.tigA report must be made pursuant to subsection 1 by the following persons:
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 Investigation and Prosecution of Crimes.
(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.
4.
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 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 C.F.R.
(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.
establishment that provides care for older persons or vulnerable persons.
(i) Any person who maintains or is employed by a facility or establishment that provides care for older persons or vulnerable persons.
(j) Any person who maintains, is employed by or serves as a volunteer for an agency or service which advises persons regarding the abuse, neglect, exploitation, isolation or abandonment of an older person or vulnerable person and refers them to persons and agencies where their requests and needs can be met.
(j) Any person who maintains, is employed by or serves as a volunteer for an agency or service which advises persons regarding the abuse, neglect, exploitation, Assembly Amendment No.
19 to Assembly Bill No.
60 Page 12 isolation or abandonment of an older person or vulnerable person and refers them to persons and agencies where their requests and needs can be met.
- 83rd Session (2025) – 13 – (l) Any person who owns or is employed by a funeral home or mortuary.
(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 health worker, as defined in NRS 449.0027.e services of a (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.
(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 health worker pool contracts to provide the services of a community health worker, as defined in NRS 449.0027.
(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 than the Aging and Disability Services Division of the Departmentr of Health and Human Services, must be forwarded within 30 days after the completion of the report to the:
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 Department of Health and Human Services, must be forwarded within 30 days after the completion of the report to the:
- 83rd Session (2025) – 14 – 9.
9.
As used in this section, “Unit for the Investigation and Prosecution of Crimes” means the Unit for the Investigation and in the Office of the Attorney General created pursuant to Persons NRS 228.265.
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 in the Office of the Attorney General created pursuant to NRS 228.265.
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 child has been abused or neglected.
and Assembly Amendment No.
19 to Assembly Bill No.
60 Page 13 (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 child has been abused or neglected.
(b) An agency which provides child welfare services or a law other than the one alleged to have committed the act or omission, and the investigation of the abuse or neglect of the child must be made by an agency other than the one alleged to have committed the act or omission.
(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 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.
Any person who is described in paragraph (a) of subsection 4 who delivers or provides medical services to a newborn infant and who, in his or her professional or occupational capacity, knows or has reasonable cause to believe that the newborn infant has been affected by a fetal alcohol spectrum disorder or prenatal substance use disorder or has withdrawal symptoms resulting from prenatal substance exposure shall, as soon as reasonably practicable but not later than 24 hours after the person knows or has reasonable cause to believe that the newborn infant is so affected or has such symptoms, notify an agency which provides child welfare services of the condition of the infant and refer each person who is responsible for the welfare of the infant to an agency which provides child welfare services for appropriate counseling, training or other services.
A notification and referral to an agency which provides child welfare services pursuant to this subsection shall not be construed to require pro4.cutA report must be made pursuant to subsection 1 by the following persons:
A notification and referral to an agency which provides child welfare services pursuant to this subsection shall not be construed to require prosecution for any illegal action.
4.
A report must be made pursuant to subsection 1 by the following persons:
establishment that provides care for children, children’s camp or other public or private facility, institution or agency furnishing care to a child.
(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.
(h) Any officer or employee of a law enforcement agency or an adult or juvenile probation officer.
Assembly Amendment No.
19 to Assembly Bill No.
60 Page 14 (h) Any officer or employee of a law enforcement agency or an adult or juvenile probation officer.
- 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.
(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 Services to provide doula services to recipients of Medicaidman pursuant to NRS 422.27177.
(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 Medicaid pursuant to NRS 422.27177.
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 obtainable, the information required pursuant to the provisions of subsection 2 of NRS 432B.230.
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 enforcement agency.
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.
and (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 capacity to be licensed, certified or endorsed in this State must, upon initial employment of the person:
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:
9.
Assembly Amendment No.
19 to Assembly Bill No.
60 Page 15 9.
The provisions of subsection 8 do not apply to the employer of a person practicing as an emergency medical this State under the Recognition of Emergency Medical Services in Personnel Licensure Interstate Compact ratified by NRS 450B.145.
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 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.
The regulations adopted pursuant to this paragraph must align with nationally recognized standards for substance use disorder prevention coalitions and must provide that a geographic region may be served by more than one substance use disorder prevention coalition.
the Division concerning:ment of Health and Human Services and (1) The needs of adults and children in the geographic region served by the coalition concerning the prevention of substance misuse and substance use disorders in the geographic region;
(a) Advise the Department of Health and Human Services and the Division concerning:
(1) The needs of adults and children in the geographic region served by the coalition concerning the prevention of substance misuse and substance use disorders in the geographic region;
(b) Convene interested persons and entities to promote the use of evidence-based strategies to address needs concerning services for the prevention of substance misuse and substance use disorders and improve such services in the geographic region served by the coalition.
(b) Convene interested persons and entities to promote the use of evidence- based strategies to address needs concerning services for the prevention of substance misuse and substance use disorders and improve 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 prevention of substance (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.
(c) Coordinate and share information with other certified substance use disorder prevention coalitions to provide recommendations to the Department of Health and Human Services and the Division concerning services for the prevention of substance misuse and substance use disorders.
(e) Coordinate with persons and entities in this State who provide services related to the prevention of substance misuse and substance use disorders to increase the awareness of such services and reduce duplication of efforts.
(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 - 83rd Session (2025) – 19 – limitation:evention coalition.
Assembly Amendment No.
The report must include, without (1) Identification of the specific needs of the geographic region served by the coalition concerning the prevention of substance misuse and substance use disorders;
19 to Assembly Bill No.
60 Page 16 (e) Coordinate with persons and entities in this State who provide services related to the prevention of substance misuse and substance use disorders to increase the awareness of such services and reduce duplication of efforts.
(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 prevention 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;
and (5) The goals of the coalition for the immediately following yea(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.
and (5) The goals of the coalition for the immediately following year and the long-term goals of the coalition.
(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 subSec.
(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 substance 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, - 83rd Session (2025) – 20 – of NRS, anesthesiologist assistant, psychiatrist, 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.
(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, physician assistant licensed pursuant to chapter 630 or 633 of NRS, anesthesiologist assistant, psychiatrist, psychologist, 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.
(b) Any personnel of a medical facility or facility for the dependent engaged in the admission, examination, care or treatment of persons or an administrator, manager or other person in charge of a medical facility or facility for the dependent upon notification by a member of the staff of the facility.
(b) Any personnel of a medical facility or facility for the dependent engaged in the admission, examination, care or treatment of persons or an administrator, Assembly Amendment No.
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contracts to provide services for an intermediary service organization as defined in NRS 449.4304.
(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.
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 or other person in charge of the facility.
provisions of this chapter to the Executive Director of the Board pursuant to this section is immune from civil liability for reporting the violation.
4.
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.
A person who is licensed as a clinical professional counselor NRS;linical professional counselor intern pursuant to chapter 641A of 5.
A person who is licensed as a clinical professional counselor or clinical professional counselor intern pursuant to chapter 641A of NRS;
5.
6.
Assembly Amendment No.
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- 83rd Session (2025) – 22 – 9.
9.
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 problem gambling counselor intern, pursuant to chapter 641C of NRS;
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.
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 provisional license pursuant to paragraph (b) of subsection 1 of NRS 641B.275.
641C.130 The provisions of this chapter do not apply to:ws:
Sec.
1.
22.
NRS 641C.130 is hereby amended to read as follows:
641C.130 The provisions of this chapter do not apply to:
Assembly Amendment No.
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A nurse who is licensed pursuant to the provisions of chapter 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 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) (1) A clinical social worker pursuant to the provisions of chapter 641B of NRS;
(a) Licensed as:
(1) A clinical social worker pursuant to the provisions of chapter 641B of NRS;
- 83rd Session (2025) – 24 – Sec.
Sec.
effective on July 1, 2021.20 and 32 of this act become 3.
2.
Sections 18.5, 19, 20 and 32 of this act become effective on July 1, 2021.
3.
(a) Have failed to comply with the subpoena or warrant or to establish or enforce an obligation for the support of ad child;
Assembly Amendment No.
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60 Page 20 (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;
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.
[Notwithstanding any provision of this act to the contrary, any natural person who is less than 18 years of age, will be at least 16 years of age on January 1, 2026, and provides peer recovery support services as a regular part of his or her job duties on or before July 1, 2025, may continue to do so under conditions other than those specified by the Nevada Certification Board or its successor organization as described in paragraph (a) of subsection 2 of NRS 433.631, as amended by section 7 of this act, until December 31, 2025.
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 ame2.ed As used in this section, “certified prevention specialist” has the meaning ascribed to it in section 1 of this act.
Such a natural person who remains less than 18 years of age must comply with those conditions on or after January 1, 2026.
2.] 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 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 amended by section 8 of this act.
[3.] 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, 2026.
This section and sections 1, 2, 4 to 7, inclusive, and 13 to 25, inclusive, of this act become effective on July 1, 2025.
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.
Sections 3 and 8 to 12, inclusive, of this act become effective on 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.
~~~~~ 25 - 83rd Session (2025)
3.
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.
TEXT OF REPEALED SECTION 433.623 “Adult” defined.
“Adult” means a natural person who is 18 years of age or older.