AB 221 — Exempts certain offices of physicians and other health care facilities from certain permitting requirements relating to anesthesia and sedation. (BDR 40-672)

A.B.Assembly Bill No.

221221–Assemblymember AEdgeworth SSEMBLYCHAPTER.......... B ILLN O.

221–A SSEMBLYMEMBER EDGEWORTH PREFILED FEBRUARY 3, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Exempts certain offices of physicians and other health care facilities from certain permitting requirements relating to anesthesia and sedation.

(BDR 40-672) 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 requires an office of a physician and certain other facilities Healthproviding ofhealth thecare Departmentto ofobtain Healtha andpermit Humanfrom Servicesthe beforeDivision offeringof generalvioralPublic and Behavioral anesthesia, conscious sedation or deep sedation.

(NRS 631.265) Existing law defines “minimal sedation” and “moderate sedation” 449.436, 631.078, 631.079) Consequently, existing law requires a person whoS holds both a license as a physician and a license as a dentist to obtainencompass twothe permitstypes toof offersedation generalwhich anesthesia,constitute conscious sedation or deep sedation.

(NRS 449.441,449.436, 631.265)631.078, This631.079) billConsequently, exemptsexisting anlaw officerequires of a physicianperson orwho aholds facilityboth thata provideslicense healthas care,a otherphysician thanand a medicallicense facility,as froma thedentist requirement to obtain atwo permitpermits from631.265) thegeneral anesthesia, conscious sedation toor dentaldeep patientssedation. and the administration is performed by a physician who:

(NRS 449.441, This bill exempts an office of a physician or a facility that provides health care, other than a medical facility, from the requirement to obtain a permit from the Division if the office only administers general anesthesia, deep sedation or conscious sedation to dental patients and the administration is performed by a physician who:

(2) holds a permit issued by the Board to administer general anesthesia, minimal sedation, moderate sedation orsedation deepof sedationany totype dentalonly patients;within the scope of that permit.

andThis (3)bill administerstherebyor generaleliminates anesthesiathe orrequirement sedationthat ofa anyperson typewho onlyis withinlicensed theas scopeboth ofa thatphysician permit.and a dentist obtain two permits to offer general anesthesia, conscious sedation or deep sedation.

ThisEXPLANATION bill thereby - *AB221* – 2Matter –in eliminatesbolded theitalics requirement that a person who is licensednew; as both a physician and a dentist obtain two permits to offer general anesthesia, conscious sedation or deep sedation.

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

A medication to a patient to relieve the patient’s anxiety or pain and if the medication is not given in a dosage that is sufficient to induce in a patient a controlled state of depressed consciousness - 83rd Session (2025) – 2 – or unconsciousness similar to general anesthesia, deep sedation or conscious sedation.

General anesthesia, conscious sedation or deep sedation to dental patients and the administration is performed by a physician who:who(a) Is also licensed to practice dentistry pursuant to chapter of NRS;

(a) Is also licensed to practice dentistry pursuant to chapter 631 of NRS;

or (2) Is exempt from the provisions of NRS 449.435 to 449.448,449(c) inclusive,In pursuanta tomedical facility as that term is defined in NRS 449.441;449.0151;

(c)or In(d) aOutside medicalof facilitythis asState. that term is defined in NRS 449.0151;

or - *AB221* – 3 – (d) Outside of this State.

- 83rd Session (2025) – 3 – (a) In an office of a physician or osteopathic physician which [holds] :

or (2)449.448, Isinclusive, exemptpursuant fromto the provisions of NRS 449.441;RS 449.435 to 449.448,(b) inclusive,In pursuanta tofacility NRSwhich 449.441;[holds] :

(b) In a facility which [holds] :

H~~~~~ 25 - *AB221*83rd Session (2025)