SB 124 — Revises provisions relating to health care. (BDR 54-38)
Last action — Approved by the Governor. Chapter 164.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed Assembly
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 28, 2025. Enacted.
Signed by Governor Joe Lombardo (Republican) on May 30, 2025.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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5 sponsors
2 primary, 3 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (4 D · 1 R) — cross-party backing.
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
What changed in the latest version
438 added · 472 removed438 line(s) added, 472 removed.
REQUIRESSenate TWO-THIRDSBill MAJORITYNo. VOTE (§ 1.3 & NRS 453.221, 453.226, 630.267, 630.268, 639.170) (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT S.B.
124124–Senators SENATEDoñate; BILL NO .
124–SENATORSFlores, DStone OÑATEand ;Taylor Joint Sponsor:
FAssemblymember LORESGonzález ,CHAPTER.......... TONE AND T AYLOR PREFILED JANUARY 28, 2025 ____________ JOINT SPONSOR :
ASSEMBLYMEMBER GONZÁLEZ ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to health care.
(BDR 54-38) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
Yes.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Existing law provides for the licensing of physicians by the Board of Medical Examiners.
(NRS 630.160-630.1607, 630.258-630.2665) Existing law alsoalsod of Medical authorizes a graduate of a foreign medical school to obtain a restricted license to teach, research or practice medicine at a medical facility, medical research facility or medical school by completing certain requirements that are less stringent than the requirements to obtain an unrestricted license.
(1) has completed a residency - *SB124_R1* – 2 – program or other program of postgraduate training or has performed the duties of a physician in that foreign country within a certain amount of time before applying for the license;
Section 1.3 authorizes the Board to additionally require an applicant performed the duties of physician for a limitedcontinuous licenseperiod to:of 24 months before has not applying for licensure;
(1) take an additional examination if the applicant has not applying for licensure;
- 83rd Session (2025) – 2 – a limited license to practice medicine pursuant to section 1.3 is not required tofor possess the same qualifications as an applicant for a standard license.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
(a) Holds or has held a valid and unrestricted license to practice medicine issued by a foreign country other than Canada and has completed a residency program or other program of postgraduate training in that foreign country or performed the duties of a physician in that foreign country within the 5 years immediately preceding the date on which the application is submitted or within such other time period as the Board deems acceptable;acc(b) Meets the requirements prescribed by the Board with respect to proficiency in the English language;
(b) Meets the requirements prescribed by the Board with respect to proficiency in the English language;
(d) Is in good standing with the foreign regulatory body that issued the license described in paragraph (a) or, if the applicant is - *SB124_R1* – 3 – no longer licensed by the foreign regulatory body, was in good standing with the regulatory body at the time in which the license of the applicant expired or was otherwise deactivated at the request of the applicant;
(a) Require an applicant who has not performed the duties of a physician for a continuous period of 24 months immediately preceding the date on which the applicant submits the application to complete an examination prescribed by the Board similar to the Step- 283rd clinicalSession skills(2025) exam– of3 the– United States Medical Licensing Examination to evaluate the clinical skills of the applicant totoing practice medicine.
3.section:The holder of a limited license issued pursuant to this (a) Shall file with the Board for approval a written practice agreement between the limited licensee and each physician supervising him or her pursuant to paragraph (b).
The holder of a limited license issued pursuant to this section:
(a) Shall file with the Board for approval a written practice agreement between the limited licensee and each physician supervising him or her pursuant to paragraph (b).
- *SB124_R1* – 4 – (2) In accordance with the applicable written practice agreement filed with and approved by the Board pursuant to paragraph (a).
(c)status Shallof inform the Boardlimited oflicensee.f any change in the employment status4. of the limited licensee.
4.
- 83rd Session (2025) – 4 – 5.
6.may issue an unrestricted license to practice medicine upon the submission of an application by the holder of a limited license issued pursuant to this section who:
Except as otherwise provided in NRS 630.161, the Board may issue an unrestricted license to practice medicine upon the submission of an application by the holder of a limited license issued pursuant to this section who:
(a) Shall adopt regulations necessary to carry out the provisions of this section, including, without limitation, regulations:
of this section, including, without limitation, (1) Establishing the required provisions of a written practice agreement entered into between the holder of a limited license and his or her supervising physician pursuant to subsection 3;
- *SB124_R1* – 5 – (2) Governing the prescribing and dispensing of controlled substances by limited licensees, which must prohibit a limited licensee from prescribing or dispensing any controlled substance that the supervising physician of the limited licensee is not authorized or qualified to prescribe or dispense;
(b)- May83rd adoptSession such(2025) additional– regulations5 as– it deems appropriate to carry out the provisions of this section, which may include, without limitation:
and (5) Regulations concerning the types of procedures or services which a limited licensee may perform outside of the presence of his or her supervising physician, which may exempt a limited licensee from the requirements of paragraph (b) ofofempt a subsection 3 in emergency or life threatening situations.
(c) “Physician group practice” means any business entity organized for the purpose of the practice of medicine or osteopathicostSec. medicine by more than one physician.
Sec.
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- *SB124_R1* – 6 – 1.
(b)- The83rd numberSession of(2025) applications– received6 by– the Board from the holders of limited licenses for an unrestricted license pursuant to subsection 6 of section 1.3 of this act;
630.160before 1.beginning to practice, procure from the Board a licenseust, authorizing the person to practice.
Every person desiring to practice medicine must, before beginning to practice, procure from the Board a license authorizing the person to practice.
(b) Is currently certified by a specialty board of the American Board of Medical Specialties and who agrees to maintain the certificationcertif(1) forAll parts of the durationexamination ofgiven by the licensure,National orBoard hasof passed:Medical Examiners;
(1) All parts of the examination given by the National Board of Medical Examiners;
- *SB124_R1* – 7 – (4) All parts of a licensing examination given by any state or territory of the United States, if the applicant is certified by a specialty board of the American Board of Medical Specialties;
- 83rd Session (2025) – 7 – (5) All parts of the examination to become a licentiate of the Medical Council of Canada;
or (6) Any combination of the examinations specified in subparagraphs (1), (2) and (3) that the Board determines to be sufficient;suf(c) Is currently certified by a specialty board of the American Board of Medical Specialties in the specialty of emergency medicine, preventive medicine or family medicine and who agrees to maintain certification in at least one of these specialties for the duration of the licensure, or:
(c) Is currently certified by a specialty board of the American Board of Medical Specialties in the specialty of emergency medicine, preventive medicine or family medicine and who agrees to maintain certification in at least one of these specialties for the duration of the licensure, or:
or (3) Is a resident who is enrolled in a progressive postgraduate training program in the United States or Canada approved by the Board, the Accreditation Council for Graduate Medical Education, the Royal College of Physicians and Surgeons of Canada, thethetion, Collège des médecins du Québec or the College of Family Physicians of Canada, or, as applicable, their successor organizations, has completed at least 24 months of the program and has committed, in writing, to the Board that he or she will complete the program;
The verification may include, but is not limited to, using the Federation - *SB124_R1* – 8 – Credentials Verification Service.
If any information is verified by a source- other83rd thanSession the(2025) primary– source8 of– the information, the Board may require subsequent verification of the information by thetheBoard primary source of the information.
or (e) If the Board temporarily suspends the license, allow the license to return to active status subject to any terms and conditions specified by the Board, including:
(9) Requiring the licensee to take a physical or mental examinationpractice ormedicine;examination an examination testing his or her competence to practice(10) medicine;Requiring the licensee to complete any training or educational requirements specified by the Board;
(10) Requiring the licensee to complete any training or educational requirements specified by the Board;
If the Board determines after reviewing the differing information to allow the license to remain in active status, the action of the Board is not a disciplinary action and must not be reported to - 83rd Session (2025) – 9 – any national database.
If the Board determines after reviewing the - *SB124_R1* – 9 – differing information to declare the license void, its action shall be deemed a disciplinary action and shall be reportable to national databases.
Sec.630.195 1.NRS 6Except as otherwise provided in NRS 630.1606 and 630.1607, in addition to the other requirements for licensure, an applicant for a license to practice medicine who is a graduate of a foreign medical school shall submit to the Board proof that the applicant has received:
3.
NRS 630.195 is hereby amended to read as follows:
630.195 1.
Except as otherwise provided in NRS 630.1606 and 630.1607, in addition to the other requirements for licensure, an applicant for a license to practice medicine who is a graduate of a foreign medical school shall submit to the Board proof that the applicant has received:
Unless the Board denies such licensure pursuant to NRS 630.161 or for other good cause, the Board shall issue to a qualified applicant a limited license to practice medicine as a resident physician in a graduate program approved by the Accreditation Council for Graduate Medical Education if the applicantapp(a) is:A graduate of an accredited medical school in the United States or Canada;
(a) A graduate of an accredited medical school in the United States or Canada;
- 83rd Session (2025) – 10 – 4.
- *SB124_R1* – 10 – 5.
The holder of a limited license granted pursuant to this section may be disciplined by the Board at any time for any of the grounds provided in NRS 630.161 or 630.301 to 630.3065, any of the inclusive.
In addition to the proofs required by subsection 1, the Board may take such further evidence and require such further proof of the professional and moral qualifications of the applicant as in its the discretion may be deemed proper.
- 83rd Session (2025) – 11 – (a) The applicant is a graduate of an accredited medical school in the United States or Canada or is a graduate of a foreign medical school recognized by the Educational Commission for Foreign Medical Graduates and has completed 1 year of supervised clinical training approved by the Board.
- *SB124_R1* – 11 – (b) The Board approves the program of clinical training, and the medical school or other institution sponsoring the program provides the Board with written confirmation that the applicant has been appointed to a position in the program.
In addition to the requirements of subsection 1, an applicant who is a graduate of a foreign medical school must [have received the standard certificate of] be certified by the Educational Commission for Foreign Medical Graduates.
by the Educational 3.
The holder of this limited license may practice homeopathic medicine only in connection with his or her duties as a resident physician and shall not engage in the private practice ofesidentof homeopathic medicine.
H~~~~~ 25 - *SB124_R1*83rd Session (2025)
Show all 75 changed rows (35 more)
View plain text versions (3)
- Enrolled As Enrolled Current pdf
- Reprint 1 View text pdf
- Introduced As Introduced pdf
Amendments
1 amendmentClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Approved by the Governor. Chapter 164.
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Enrolled and delivered to Governor.
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Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate. In Senate. To enrollment.
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Taken from General File. Placed on General File for next legislative day.
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Taken from General File. Placed on General File for next legislative day.
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Read second time.
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From committee: Do pass.
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To Assembly. In Assembly. Read first time. Referred to Committee on Commerce and Labor. To committee.
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From printer. To engrossment. Engrossed. First reprint.
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Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.
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From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 300.) Reprinting dispensed with.
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Read first time. To committee.
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From printer.
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Prefiled. Referred to Committee on Commerce and Labor. To printer.
Sponsors
- Angela D. Taylor · Cosponsor
- Jeff Stone · Cosponsor
- Edgar Flores · Cosponsor
- Cecelia González · Primary
- Fabian Doñate · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 3 co-sponsors · 62 not signed on
Sponsors (2)
- González, Cecelia Democratic
- Doñate, Fabian Democratic
Co-sponsors (3)
- Taylor, Angela D. Democratic
- Stone, Jeff Republican
- Flores, Edgar Democratic
Not signed on (62)
62 members have not signed on to this bill.
Show all 62 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 26 | 0 | 0 | 1 |
| Republican | 14 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 41 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (42)
| Member | Party | Vote |
|---|---|---|
| OâNeill, PK | — | Yea |
| Anderson, Natha C. | Democratic | Yea |
| Backus, Shea M. | Democratic | Yea |
| Brown-May, Tracy | Democratic | Yea |
| Carter, Max E., II | Democratic | Yea |
| Considine, Venicia | Democratic | Yea |
| D'Silva, Reuben | Democratic | Yea |
| Dalia, Joe | Democratic | Yea |
| Flanagan, Tanya P. | Democratic | Not Voting |
| González, Cecelia | Democratic | Yea |
| Goulding, Heather | Democratic | Yea |
| Hunt, Linda F. | Democratic | Yea |
| Jackson, Jovan A. | Democratic | Yea |
| Jauregui, Sandra | Democratic | Yea |
| Karris, Venise | Democratic | Yea |
| La Rue Hatch, Selena | Democratic | Yea |
| Marzola, Elaine H. | Democratic | Yea |
| Miller, Brittney M. | Democratic | Yea |
| Monroe-Moreno, Daniele | Democratic | Yea |
| Moore, Cinthia Zermeño | Democratic | Yea |
| Mosca, Erica | Democratic | Yea |
| Nadeem, Hanadi | Democratic | Yea |
| Nguyen, Duy | Democratic | Yea |
| Orentlicher, David | Democratic | Yea |
| Roth, Erica P. | Democratic | Yea |
| Torres-Fossett, Selena | Democratic | Yea |
| Watts, Howard | Democratic | Yea |
| Yeager, Steve | Democratic | Yea |
| Cole, Lisa K. | Republican | Yea |
| DeLong, Rich | Republican | Yea |
| Dickman, Jill | Republican | Yea |
| Edgeworth, Rebecca | Republican | Yea |
| Gallant, Danielle | Republican | Yea |
| Gray, Ken | Republican | Yea |
| Gurr, Bert K. | Republican | Yea |
| Hafen, Gregory T., II | Republican | Yea |
| Hansen, Alexis M. | Republican | Yea |
| Hardy, Melissa R.. | Republican | Yea |
| Hibbetts, Brian | Republican | Yea |
| Kasama, Heidi | Republican | Yea |
| Koenig, Gregory S. | Republican | Yea |
| Yurek, Toby | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 8 | 0 | 0 | 0 |
| Democratic | 13 | 0 | 0 | 0 |
| Total | 21 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Cannizzaro, Nicole J. | Democratic | Yea |
| Cruz-Crawford, Michelee "Shelly" | Democratic | Yea |
| Daly, Skip | Democratic | Yea |
| 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 | Yea |
| Ellison, John | Republican | Yea |
| Hansen, Ira | Republican | Yea |
| Krasner, Lisa | Republican | Yea |
| Rogich, Lori | Republican | Yea |
| Steinbeck, John C. | Republican | Yea |
| Stone, Jeff | Republican | Yea |
| Titus, Robin L. | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 124?
- SB 124 is sponsored by Taylor, Angela D. (Democratic), Stone, Jeff (Republican), Flores, Edgar (Democratic), González, Cecelia (Democratic), and Doñate, Fabian (Democratic).
- What is the current status of SB 124?
- This bill has been enacted into law. Introduced January 28, 2025. Enacted.
- Where can I track SB 124?
- Track SB 124 free on One Click Politics — get push/email alerts when it moves.
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