AB 519 — Creates a separate chapter of the Nevada Revised Statutes governing certain agencies and organizations that provide nonmedical services. (BDR 40-805)

Sec.

Sec.act, a person must obtain a license from the Board to operate an employment agency that contracts with persons in this State to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home, regardless of whether the employment agency is located in this State.

9.2.

1.

Except as otherwise provided in section 12 of this act, a person must obtain a license from the Board to operate an employment agency that contracts with persons in this State to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home, regardless of whether the employment agency is located in this State.

- *AB519_R1* – 5 – 2.

and - 83rd Session (2025) – 5 – (d) Regulations establishing requirements for training the persons who contract with such employment agencies to provide such nonmedical services.

An employment agency that is licensed pursuant to this section shall not refer a person to a home to provide nonmedical services related to personal care to elderly persons or persons with disabilities if that person has not met the requirements set forth in sections 36 to 40, inclusive, of this act.

Not later than 90 days after a petition is submitted to the Division pursuant to subsection 1, the Division shall inform the person of the determination of the Division of whether the person’s criminal history will disqualify the person from obtaining a license.

A person may resubmit a petition pursuant to subsection 1 not earlier than 6 months after - *AB519_R1* – 6 – receiving instructions pursuant to this subsection if the person remedies the determination of disqualification.

- 83rd Session (2025) – 6 – 5.

The Division may impose a fee of up to $50 upon the person to fund the administrative costs in complying with the provisions of this section.

The Division shall, on or before the 20th day of January, April, July and October, submit to the Director of the Legislative CounselDirector, Bureaua inreport anthat electronicincludes:ormat format prescribed by the Director,(a) aThe reportnumber thatof includes:petitions submitted to the Division pursuant to subsection 1;

(a) The number of petitions submitted to the Division pursuant to subsection 1;

The Director shall transmit a compilation of the information received pursuant to subsection 10 to the Legislative - *AB519_R1* – 7 – Commission quarterly, unless otherwise directed by the Commission.

The provisions of sections 2 to 58, inclusive, of this act do not apply to any agency to provide personal care services in - 83rd Session (2025) – 7 – the home that is operated and maintained by the United States Government or an agency thereof.

A person who is licensed or certified pursuant to a provision of this chapter other than section 9 of this act or a provision of chapter 449 of NRS and who contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities is not required to obtain an additional license pursuant to section 9 of this act.

(b) Using an auto-injection device approved by the Food and Drug Administration for use in the home, administer to a person receiving services from the agency insulin furnished by aaperson registered pharmacist, as directed by a physician, physician assistant or advanced practice registered nurse, or assist such a person with the self-administration of such insulin;

100-578, 42 - *AB519_R1* – 8 – U.S.C.

- 83rd Session (2025) – 8 – (b) Must prohibit the use of a device for monitoring blood glucose on more than one person;

Sec.to provide personal care services in the home must be forwarded to the State Treasurer for deposit in the State General Fund to the credit of the Division.

15.

1.

Money received from the licensing of agencies to provide personal care services in the home must be forwarded to the State Treasurer for deposit in the State General Fund to the credit of the Division.

Sec.Division may charge and collect from an agency to providection, the personal care services in the home or a person who operates such an agency without a license issued by the Division the actual costs incurred by the Division for the enforcement of the provisions of this chapter, including, without limitation, the actual cost of conducting an inspection or investigation of the agency.

17.

1.

Except as otherwise provided in this section, the Division may charge and collect from an agency to provide personal care services in the home or a person who operates such an agency without a license issued by the Division the actual costs incurred by the Division for the enforcement of the provisions of this chapter, including, without limitation, the actual cost of conducting an inspection or investigation of the agency.

- *AB519_R1*83rd Session (2025) – 9 – 3.

Any person, state or local government or agency thereof desiring a license under the provisions of sections 2 to 58, inclusive, of this act, must file with the Division an application, on a form prescribed, prepared and furnished by the Division, containing:

Evidence satisfactory to the Division of the ability of the applicant to comply with the provisions of sections 2 to 58, inclusive, of this act and the standards and regulations adopted by the Board.

An applicant for the issuance or renewal of a license pursuant to sections 2 to 58, inclusive, of this act must submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and - 83rd Session (2025) – 10 – Human Services pursuant to NRS 425.520.

- *AB519_R1* – 10 – 2.

(a) The application or any other forms that must be submitted for the issuance or renewal of the license;

or must be submitted (b) A separate form prescribed by the Division.

In addition to any other requirements set forth in sections 2 to 58, inclusive, of this act, an applicant for the renewal of a license pursuant to those sections must indicate inine the application submitted to the Division whether the applicant has a state business license.

- 83rd Session (2025) – 11 – (2) Entered into an agreement for the payment of the debt pursuant to NRS 353C.130;

-(b) *AB519_R1*“Debt” – 11 – (a) “Agency” has the meaning ascribed to it in NRS 353C.020.353C.040.0.

(b) “Debt” has the meaning ascribed to it in NRS 353C.040.

A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to the Division is confidential and is not a public record for the purposes of chapter 239239Sec. of NRS.

Sec.

The bond must be payable to the Aging and Disability Services Division of the Department of Health and Human Services and - 83rd Session (2025) – 12 – must be conditioned to provide indemnification to an older client who the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Related Condition determines has suffered property damage as a result of anyolder actclient.ilure or failure to act by the agency to protect the property of the older3. client.

- *AB519_R1* – 12 – 3.

A license is suspended by operation of law when the agency is no longer covered by a surety bond as required by this section or by a substitute for the surety bond pursuant to section 25 of this act.

The requirement of filing a surety bond set forth in this section does not apply to an agency to provide personal care services in the home that is operated and maintained by the State of Nevada or an agency thereof.

As used in this section, “older client” means a client who is 60 years of age or older.

- 83rd Session (2025) – 13 – (b) Bills, bonds, notes, debentures or other obligations of the United States or any agency or instrumentality thereof, or guaranteed by the United States;

or (c) Any obligation of this State or any city, county, town, township, school district or other instrumentality of this State, or guaranteed by this State, in an aggregate amount, based uponupontate, or principal amount or market value, whichever is lower.

The obligations of a bank, savings and loan association, savings bank, thrift company or credit union must be held to secure the same obligation as would the surety bond required by - *AB519_R1* – 13 – section 24 of this act.

(a) Full compliance with the provisions of sections 2 to 58, inclusive,inc(b) ofSubstantial thiscompliance act;with the standards and regulations adopted by the Board.

and (b) Substantial compliance with the standards and regulations adopted by the Board.

Each license to operate an agency to provide personal care services in the home issued pursuant to sections 2 to 58, inclusive, of this act expires on December 31 following its issuance and is renewable for 1 year upon reapplication and - 83rd Session (2025) – 14 – payment of all fees required pursuant to subsection 3 and section 19 of this act unless the Division finds, after an investigation, that the agency has not satisfactorily complied with the provisions of sections 2 to 58, inclusive, of this act, or the standards and regulationsreg2.atEach adoptedreapplication byfor an agency to provide personal care services in the Board.home must include, without limitation:

2.

Each reapplication for an agency to provide personal care services in the home must include, without limitation:

- *AB519_R1* – 14 – 3.

or (b) Has failed to comply with the standards or regulations and the Division determines that the agency is in the process of makingwithin thea necessaryreasonable changestime.ges or has agreed to make the changes within2. a reasonable time.

2.

- 83rd Session (2025) – 15 – (b) Review the required topics for training established pursuant to paragraph (a) at least annually and revise those topics when necessary to address new issues that impact the health and safety of persons who receive personal care services.

2.by the Division a list of nationally recognized organizations that provide evidence-based training for caregivers which:

The Division shall post on an Internet website maintained by the Division a list of nationally recognized organizations that provide evidence-based training for caregivers which:

(a) Ensure that each unlicensed caregiver who provides care for the agency completes the training required by the regulations - *AB519_R1* – 15 – adopted pursuant to subsection 1 and document the completion of the training in the personnel file of each unlicensed caregiver;

An applicant for a license to operate an agency to provide personal care services in the home must receive training to recognize and prevent the abuse of older persons before a licenseapplicant tohas operatecompleted such training within the year precedingf an agencythe isdate issuedof the application for a license and the application includes evidence of the training, the applicant shall be deemed to have complied with the applicant.requirements of this subsection.

If an applicant has completed such training within the year preceding the date of the application for a license and the application includes evidence of the training, the applicant shall be deemed to have complied with the requirements of this subsection.

- 83rd Session (2025) – 16 – 5.

An employee who will provide care for an agency to provide personal care services in the home must receive training to recognize and prevent the abuse of older persons before the employee provides care to a person in the agency and annually thereafter.the6.aftThe topics of instruction that must be included in the training required by this section must include, without limitation:

6.

The topics of instruction that must be included in the training required by this section must include, without limitation:

and - *AB519_R1* – 16 – (2) Agencies to provide personal care services in the home for the person.

Sec.the home and any employee or independent contractor of such an in agency shall not discriminate in the provision of services to a client based wholly or partially on the actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or human immunodeficiency virus status of the client or any person with whom the client associates.

32.

1.

An agency to provide personal care services in the home and any employee or independent contractor of such an agency shall not discriminate in the provision of services to a client based wholly or partially on the actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or human immunodeficiency virus status of the client or any person with whom the client associates.

- 83rd Session (2025) – 17 – [Name of the agency to provide personal care services in the home] does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gendergendernder, identity or expression or HIV status, or based on association with another person on account of that person’s actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

(a) Require an agency to provide personal care services in the home or an employee or independent contractor thereof to take or - *AB519_R1* – 17 – refrain from taking any action in violation of reasonable medical standards;

Maintain the confidentiality of personally identifiable information concerning the sexual orientation of a client, whether the client is transgender or has undergone gender-affirming surgery and the human immunodeficiency virus status of the clientdisclosure andof takesuch reasonableinformation;ons actions to prevent the unauthorized disclosure2. of such information;

2.

Except as otherwise provided in subsection 3, to enable an agent or employee of an agency to provide personal care services- in83rd theSession home(2025) who– is18 described– in subsection 2 to more effectively care for clients the Board shall, by regulation, require such an agency to conduct training relating specifically to cultural competency for any agent or employee of the agency who is described in subsection 2 so that such an agent or employee may better understand clients who have different cultural backgrounds, including, without limitation, clients who are:

- *AB519_R1* – 18 –  The Board shall set forth by regulation the frequency with which an agency to provide personal care services in the home is required to provide such training relating to cultural competency.

4.relating specifically to cultural competency conducted by anaining agency to provide personal care services in the home pursuant to subsection 1 must be provided through a course or program that is approved by the Department of Health and Human Services.

Except as otherwise provided in subsection 6, the training relating specifically to cultural competency conducted by an agency to provide personal care services in the home pursuant to subsection 1 must be provided through a course or program that is approved by the Department of Health and Human Services.

The Office of Minority Health and Equity of the Department of Health and Human Services shall ensure that the list established and maintained pursuant to NRS 449.103 is distributed to each agency to provide personal care services in the - 83rd Session (2025) – 19 – home which is required to conduct training relating specifically to cultural competency pursuant to subsection 1.

An agency to provide personal care services in the home which is required to conduct training specifically relating to cultural competency may apply to the Department of Health and Human Services to provide a course or program on cultural and competency that is not approved by the Department pursuant to subsection 4.

- *AB519_R1* – 19 – 1.

and (b) Any other information prescribed by regulation of the Board.BoaSec.

Sec.

Sec.- 83rd Session (2025) – 20 – and 3, within 10 days after hiring an employee, accepting ans 2 employee of a temporary employment service or entering into a contract with an independent contractor, the administrator of, or the person licensed to operate, an agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home shall:

37.

1.

Except as otherwise provided in subsections 2 and 3, within 10 days after hiring an employee, accepting an employee of a temporary employment service or entering into a contract with an independent contractor, the administrator of, or the person licensed to operate, an agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home shall:

(c) Obtain proof that the employee, employee of the temporary employment service or independent contractor holds any required license,lic(d) permitObtain from the employee, employee of the temporary employment service or certificate;independent contractor one set of fingerprints and a written authorization to forward the fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

(d) Obtain from the employee, employee of the temporary employment service or independent contractor one set of - *AB519_R1* – 20 – fingerprints and a written authorization to forward the fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

(1) Screen the employee, employee of the temporary employment service or independent contractor using the Internet website.

The administrator of, or the person licensed to operate, an agency to provide personal care services in the home or employment agency that contracts with persons to provide - 83rd Session (2025) – 21 – nonmedical services related to personal care to elderly persons or persons with disabilities in the home is not required to obtain the information described in subsection 1 from an employee, employee of a temporary employment service or independent contractor if his or her fingerprints have been submitted to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report within the immediately preceding 6 months and the report of the Federal Bureau of Investigation indicated that the employee, employee of the temporary employment service or independent contractor has not been convicted of any crime set forth in section 49 of this act.

(a) The employee, employee of the temporary employment service or independent contractor agrees to allow the - *AB519_R1* – 21 – administrator of, or the person licensed to operate, an agency to provide personal care services in the home to receive notice from the Central Repository for Nevada Records of Criminal History regarding any conviction and subsequent conviction of the employee, employee of the temporary employment service or independentind(b) contractorAn ofagency, aboard crimeor listedcommission inthat sectionregulates 49anof of this act;

(b) An agency, board or commission that regulates an occupation or profession pursuant to title 54 of NRS or temporary employment service has, within the immediately preceding 5 years, submitted the fingerprints of the employee, employee of the temporary employment service or independent contractor to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

The administrator of, or the person licensed to operate, an agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical- services83rd relatedSession to(2025) personal– care22 to– elderly persons or persons with disabilities in the home shall ensure that thethesons or information concerning the background and personal history of each employee, employee of a temporary employment service or independent contractor who works at the agency:

(b) Obtain written authorization from the employee, employee of the temporary employment service or independent contractor to forward the fingerprints obtained pursuant to paragraph (a) to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

and (c) Submit the fingerprints to the Central Repository for Nevada Records of Criminal History or, if the fingerprints were - *AB519_R1* – 22 – submitted electronically, obtain proof of electronic submission of the fingerprints to the Central Repository for Nevada Records of Criminal History.

Upon receiving fingerprints submitted pursuant to this section, the Central Repository for Nevada Records of Criminal History shall determine whether the employee, employee of the temporary employment service or independent contractor has been convicted of a crime listed in section 49 of this act and immediately inform the Division and the administrator of, or the person licensed to operate, the agency to provide personal care services in the home or employment agency that contracts withwithre persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home at which the person works whether the employee, employee of the temporary employment service or independent contractor has been convicted of such a crime.

The Central Repository for Nevada Records of Criminal History may impose a fee upon an agency that submits fingerprints pursuant to this section for the reasonable cost of the investigation.- 83rd Session (2025) – 23 – home or employment agency that contracts with persons to providehe nonmedical services related to personal care to elderly persons or persons with disabilities in the home may recover from the employee or independent contractor whose fingerprints are submitted not more than one-half of the fee imposed by the Central Repository.

The agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home may recover from the employee or independent contractor whose fingerprints are submitted not more than one-half of the fee imposed by the Central Repository.

8.willfully provides a false statement or information in connection with an investigation of the background and personal history of the person pursuant to this section that would disqualify the person from employment, including, without limitation, a conviction of a crime listed in section 49 of this act, is guilty of a misdemeanor.

Unless a greater penalty is provided by law, a person who willfully provides a false statement or information in connection with an investigation of the background and personal history of the person pursuant to this section that would disqualify the person from employment, including, without limitation, a conviction of a crime listed in section 49 of this act, is guilty of a misdemeanor.

A temporary employment service shall not send an employee to provide services to an agency to provide personal - *AB519_R1* – 23 – care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home if the temporary employment service has received notice from such an agency that the employee of the temporary employment service is ineligible to provide such services.

An agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home that enters into an agreement with a temporary employment service to provide services for the agency on a temporary basis must require the temporary employment service to:

(a) Provide proof that each employee of the temporary employment service whom it may send to provide services to the agency has been continuously employed by the temporary - 83rd Session (2025) – 24 – employment service since the last investigation conducted of the employee pursuant to section 37 of this act;

and (b) Notify the agency if the investigation conducted of an employee of the temporary employment service pursuant to section 37 of this act has not been conducted within the immediately preceding 5 years.

not been conducted within the immediately Sec.

(a) Maintained for the period of the employment of the person with the agency to provide personal care services in the home or employment agency that contracts with persons to provide - *AB519_R1* – 24 – nonmedical services related to personal care to elderly persons or persons with disabilities in the home, as applicable;

The Central Repository for Nevada Records of Criminal History may maintain an electronic image of fingerprints submitted pursuant to sections 36 and 37 of this act to notify an agency- to83rd provideSession personal(2025) care– services25 in– the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home and the Division of any subsequent conviction of a person who is required to submit to an investigation pursuant to sections 36 and 37 of this act.

Upon receiving information from the Central Repository for Nevada Records of Criminal History pursuant to section 37 of this act, or evidence from any other source, that an employee, employee of a temporary employment service or independent contractor of an agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home has been convicted of a crime listed in paragraph (a) of subsection 1 of section 49 of this act, the administrator of, or the person licensed to operate, the agency shall terminate the employment or contract of that person or notify the temporary employment service that its employee is prohibited from providing services for the agency after allowing the person time to correct the information as required pursuant to subsection 2.

The agency or temporary - *AB519_R1* – 25 – employment service that is so informed shall give the employee, employee of the temporary employment service or independent contractor a reasonable amount of time of not less than 30 days to correct the information received from the Central Repository before terminating the employment or contract of the personpersony pursuant to subsection 1.

An agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home that has complied with section 37 of this act may not be held civilly or criminally liable based solely upon the ground that the agency allowed an - 83rd Session (2025) – 26 – independent contractor to work:ry employment service or (a) Before it received the information concerning the employee, employee of athe temporary employment service or independent contractor tofrom work:the Central Repository, except that an employee, employee of the temporary employment service or independent contractor shall not have contact with a child without supervision before such information is received;

(a) Before it received the information concerning the employee, employee of the temporary employment service or independent contractor from the Central Repository, except that an employee, employee of the temporary employment service or independent contractor shall not have contact with a child without supervision before such information is received;

or (d) AnyAn combinationagency thereof.to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home may be held liable for any other conduct determined to be negligent or unlawful.

 An agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home may be held liable for any other conduct determined to be negligent or unlawful.

and - *AB519_R1* – 26 – 2.

Any person designated by the Aging and Disability Services Division of the Department of Health and Human Services to investigate complaints made against the agency to provideprovideo personal care services in the home.

The report must be provided to the agency to provide personal care services in the home and include, without limitation, a recommendation of the Division for correcting any deficiencies and, if a deficiency is discovered as a result of an investigation by - 83rd Session (2025) – 27 – a county, district or city board of health or health officer, the recommendations of the board or health officer.

The Division may deny an application for a license or may suspend or revoke any license to operate an agency to provide personal care services in the home issued under the provisions of sections 2 to 58, inclusive, of this act upon any of the following grounds:

or (c) Is ordered by the appropriate governmental agency to correct a violation of a building, safety or health code or regulation but fails to correct the violation.

- *AB519_R1* – 27 – 4.

In addition to the payment of the amount required by section 17 of this act, if an agency to provide personal care- services83rd inSession the(2025) home– violates28 any– provision related to its licensure, including any provision of sections 2 to 58, inclusive, of this act or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to section 46 of this act, may:

(1) It determines that the agency has corrected the violation and has management which is capable of ensuring continued compliance with the applicable statutes, conditions, standards and regulations;

or the applicable statutes, conditions, standards and (2) Improvements are made to correct the violation.

Any money collected as administrative penalties pursuant to paragraph (b) of subsection 1 must be accounted for separately and used to administer and carry out the provisions of chapterchapterely 449A of NRS and sections 2 to 58, inclusive, of this act to protect - *AB519_R1* – 28 – the health, safety, well-being and property of the clients in accordance with applicable state and federal standards or for any other purpose authorized by the Legislature.

The Board shall adopt regulations establishing the criteria for the imposition of each sanction prescribed by section 45 of this act.

- 83rd Session (2025) – 29 – 1.

3.sanctions for repeated or uncorrected violations;ly more severe 4.

Provide for the imposition of incrementally more severe sanctions for repeated or uncorrected violations;

4.

The Board shall adopt such regulations as are necessary to carrycarSec. out the provisions of this section.

Sec.

- *AB519_R1* – 29 – (a) Maintain the confidentiality of the records obtained pursuant to subsection 1.

(b) Share records obtained pursuant to subsection 1 with law enforcement agencies in this State and other governmental entities - 83rd Session (2025) – 30 – which have authority to license the agency to provide personal care services in the home or to license the owners or employees of the agency.

(c) Release a record obtained pursuant to subsection 1 to the clientrecord.or or legal guardian of the client who is the subject of the record.3.

3.

(4) Prostitution, solicitation, lewdness or indecent exposure, or any other sexually related crime that is punished as aat exposure, misdemeanor, within the immediately preceding 7 years;

(9) Abuse, neglect, exploitation, isolation or abandonment of older persons or vulnerable persons, including, without - *AB519_R1* – 30 – limitation, a violation of any provision of NRS 200.5091 to - 83rd Session (2025) – 31 – 200.50995, inclusive, or a law of any other jurisdiction that prohibits the same or similar conduct;

(10) A violation of any provision of law relating to Medicaid or a law of any other jurisdiction that prohibits the same or similarsim(11) conduct,A withinviolation theof immediatelyany precedingprovision 7of years;NRS 422.450 toars;

(11) A violation of any provision of NRS 422.450 to 422.590, inclusive;

In addition to the grounds listed in section 44 of this act, the Division or the Board, as applicable, may suspend or revoke the license of a licensee to operate an agency to provide personal care services in the home or employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home if the licensee has, in violation of section 40 of this act, continued to employ a person who has been convicted of a crime listed ininontinued to paragraph (a) of subsection 1.

If the Division receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of license, the Division shall deem the license issued to that person to be suspended at the end of the 30th day after the date on which the - 83rd Session (2025) – 32 – court order was issued unless the Division receives a letter issued -to *AB519_R1*the –holder 31of –the license by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the license has complied with the subpoena or warrant or has satisfied the2.rrThe Division shall reinstate a license issued pursuant to sections 2 to 58, inclusive, of this act that has been suspended by a district attorney pursuant to NRS 425.540 if the Division receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the holderperson ofwhose the license was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

2.

The Division shall reinstate a license issued pursuant to sections 2 to 58, inclusive, of this act that has been suspended by a district attorney pursuant to NRS 425.540 if the Division receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the person whose license was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

Nonmedical services related to personal care to elderly personsactivities orof personsdaily withliving.abilities disabilities to assist those persons with activitiesSec. of daily living.

Sec.

Has successfully completed the training requirements of a course in the use and administration of first aid, including cardiopulmonary resuscitation,  and who in good faith renders emergency care or assistance in accordance with the person’s training, in the course of his or her - 83rd Session (2025) – 33 – regular employment or profession, to an elderly person or a person with a disability, is not liable for any civil damages as a - *AB519_R1* – 32 – result of any act or omission, not amounting to gross negligence, by that person in rendering that care.

agency to provide personal care services in the home must notn contain any terms misleading to the public with regard to the services offered.

54.

The name, sign, listing or other designation of an agency to provide personal care services in the home must not contain any terms misleading to the public with regard to the services offered.

Sec.

Unless otherwise required by federal law, the Board shall deposit all civil penalties collected pursuant to this section into a separate account in the State General Fund to be used for the enforcement of this section and the protection of the health, safety, well-being and property of residents of residential facilities for groups.

- 83rd Session (2025) – 34 – Sec.

In addition to the payment of the amount required by section 17 of this act and any civil penalty imposed pursuant to subsection 4, a person who operates an agency to - *AB519_R1* – 33 – provide personal care services in the home without a license issued by 2.e DIf the Division believes that a person is guiltyoperating ofan agency to provide personal care services in the home without such a misdemeanor.license, the Division may issue an order to cease and desist the operation of the agency.

2.

If the Division believes that a person is operating an agency to provide personal care services in the home without such a license, the Division may issue an order to cease and desist the operation of the agency.

Unless otherwise required by federal law, the Division shall deposit all civil penalties collected pursuant to paragraph (b) of subsection 4 into a separate account in the State General Fund to be used to administer and carry out the provisions of sections 2 to 58, inclusive, of this act and to protect the health, safety, well- being and property of the clients in accordance with applicable state and federal standards.

2.- 83rd Session (2025) – 35 – did, on a certain date and in a certain place, operate and maintaint such an agency without a license.

It is sufficient in such action to allege that the defendant did, on a certain date and in a certain place, operate and maintain such an agency without a license.

The district attorney of the county in which an agency to provide personal care services in the home or - *AB519_R1* – 34 – employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home is located shall, upon application by the Division, institute and conduct the prosecution of any action for violation of any provisions of sections 2 to 58, inclusive, of this act.

An intermediary service organization that is certified pursuant to sections 59 to 90, inclusive, of this act may provide services for a person with a disability or other responsible person relating to personal assistance received by the person with a disability.

(a) “Other(1) A parent or guardian of, or any other person legally responsible person”for, means:a person with a disability who is under the age of years;

(1) A parent or guardian of, or any other person legally responsible for, a person with a disability who is under the age of 18 years;

- 83rd Session (2025) – 36 – (c) “Personal assistant” means a person who, for compensation and under the direction of a person with a disability or other responsible person, performs services for a person with a disability to help the person maintain his or her independence, personalperSec. hygiene and safety.

- *AB519_R1* – 35 – Sec.

1.1.ne aThe Board shall adopt regulations authorizing an employee of an intermediary service organization, with the consent of the person receiving services, to:

The Board shall adopt regulations authorizing an employee of an intermediary service organization, with the consent of the person receiving services, to:

(b) Must prohibit the use of a device for monitoring blood glucose on more than one person;

andandvice for monitoring blood (c) May require a person to receive training before performing any task described in subsection 1.

- 83rd Session (2025) – 37 – Sec.

Any person wishing to obtain a certificate to operate an intermediary service organization pursuant to the provisions of sections 59 to 90, inclusive, of this act must file with the Division an application, on a form prescribed, prepared and furnished by the1.iviThe name of the Division,applicant containing:and, if a person, whether the applicant has attained the age of 21 years.

1.

The name of the applicant and, if a person, whether the applicant has attained the age of 21 years.

- *AB519_R1* – 36 – 3.

An application for the issuance of a certificate to operate an intermediary service organization pursuant to section 63 of this act must include the social security number of the applicant.

Sec.certificate to operate an intermediary service organization must submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.

65.

1.

An applicant for the issuance or renewal of a certificate to operate an intermediary service organization must submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department of Health and Human Services pursuant to NRS 425.520.

or - 83rd Session (2025) – 38 – (b) Indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcingpursuant to the orderorder.r for the repayment of the amount owed pursuant4. to the order.

4.If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order, the Division shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.

If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public - *AB519_R1* – 37 – agency enforcing the order for the repayment of the amount owed pursuant to the order, the Division shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.

(a) If the intermediary service organization employs less than e(b) If the intermediary service organization employs at least 7 but not more than 25 employees, in the amount of $5,000;$25,000;

(b)or (c) If the intermediary service organization employs at least 7 but not more than 25 employees, in the amount of $25,000;$50,000.

or (c) If the intermediary service organization employs more than 25 employees, in the amount of $50,000.

- 83rd Session (2025) – 39 – 3.

A surety on any bond filed pursuant to this section may be released after the surety gives 30 days’ written notice to the Administrator of the Division of Public and Behavioral Health, but the release does not discharge or otherwise affect any claim filed by an older patient for property damaged as a result of any act or failure to act by the intermediary service organization to protect the property of the older patient alleged to have occurred while the bond was in effect.

- *AB519_R1* – 38 – 5.

As used in this section, “older patient” means a patient whowhoSec. is 60 years of age or older.

Sec.

1.1.s of As a substitute for the surety bond required pursuant to section 67 of this act, an intermediary service organization may deposit with any bank or trust company authorized to do business in this State, upon approval from the Administrator of the Division of Public and Behavioral Health:

As a substitute for the surety bond required pursuant to section 67 of this act, an intermediary service organization may deposit with any bank or trust company authorized to do business in this State, upon approval from the Administrator of the Division of Public and Behavioral Health:

- 83rd Session (2025) – 40 – 2.

With the approval of the Administrator of the Division of Public and Behavioral Health, the depositor may substitute other suitable obligations for those deposited, which must be assigned to the Aging and Disability Services Division of the Department of Health and Human Services and are negotiable only upon approval by the Administrator of the Aging and Disability Services Division.

- *AB519_R1* – 39 – 4.

3.employed by the Division the social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, of an applicant for a license for any purpose except:

The Division shall not disclose to any person who is not employed by the Division the social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, of an applicant for a license for any purpose except:

A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to the Division is confidential and is not a public record for the purposes of chapter 239 of NRS.

The Division shall develop and implement a process by which a person with a criminal history may petition the Division to review the criminal history of the person to determine - 83rd Session (2025) – 41 – if the person’s criminal history will disqualify the person from obtaining a certificate to operate an intermediary service organization pursuant to section 62 of this act.

Not later than 90 days after a petition is submitted to the Division pursuant to subsection 1, the Division shall inform the person of the determination of the Division of whether the person’s criminal history will disqualify the person from obtaining a certificate.

A person may resubmit a petition pursuant to subsection 1 not earlier than 6 months after - *AB519_R1* – 40 – receiving instructions pursuant to this subsection if the person remedies the determination of disqualification.

The Division may waive such fees or allow such fees to be covered by funds from a scholarship or grant.gra7..

7.

- 83rd Session (2025) – 42 – 9.

The Division shall, on or before the 20th day of January, April, July and October, submit to the Director of the Legislative Counsel Bureau in an electronic format prescribed by thetheegislative Director, a report that includes:

The Director shall transmit a compilation of the information received pursuant to subsection 10 to the Legislative - *AB519_R1* – 41 – Commission quarterly, unless otherwise directed by the Commission.

Sec.organization issued by the Division pursuant to sections 59 to 90, inclusive, of this act must be in the form prescribed by the Division and must contain:

72.

Each certificate to operate an intermediary service organization issued by the Division pursuant to sections 59 to 90, inclusive, of this act must be in the form prescribed by the Division and must contain:

Each certificate to operate an intermediary service organization issued pursuant to sections 59 to 90, inclusive, of this act expires on December 31 following its issuance and is renewable for 1 year upon reapplication and payment of all fees required pursuant to section 66 of this act unless the Division finds, after an investigation, that the intermediary service organization has not satisfactorily complied - 83rd Session (2025) – 43 – with the provisions of sections 59 to 90, inclusive, of this act or the standards and regulations adopted by the Board.

Each reapplication for an intermediary service organization must include, without limitation, a statement that the organization85, isinclusive, inof compliancethis act.ce with the provisions of sections 80 to 85,Sec. inclusive, of this act.

Sec.

If the applicant has a state business license, the applicant must include in the application the business identification number assigned by the Secretary of State upon compliance with the provisions of chapter 76 of NRS.

- *AB519_R1* – 42 – (a) The applicant fails to submit the information required by subsection 1;

3.

As used in this section:

- 83rd Session (2025) – 44 – 3.

Conduct or practice detrimental to the health or safety of a person under contract with or employees of the intermediary service organization.

with or employees of the intermediary Sec.

The Division shall reinstate a certificate to operate an intermediary service organization that has been suspended by a district court pursuant to NRS 425.540 if the Division receives a - *AB519_R1* – 43 – letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the person whose certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

The Division may cancel a certificate to operate an intermediary service organization and issue a provisional certificate, effective for a period determined by the Division, to the intermediary service organization if the intermediary service organization:

The provisions of subsection 1 do not require the issuance of a certificate or prevent the Division from refusing to renew or - 83rd Session (2025) – 45 – from revoking or suspending any certificate if the Division deems such action necessary for the health and safety of a person for whom the intermediary service organization provides services.

Money received from the certification of intermediaryint(a) serviceMust organizations:be forwarded to the State Treasurer for deposit in the State Treasury;

(a) Must be forwarded to the State Treasurer for deposit in the State Treasury;

(a) Upon receipt of an application for a certificate to operate an intermediary service organization, conduct an investigation into the qualifications of personnel, methods of operation and - *AB519_R1* – 44 – policies and purposes of any person proposing to engage in the operation of an intermediary service organization.

(b) Upon receipt of a complaint against an intermediary service organization, except for a complaint concerning the cost of services, conduct an investigation into the qualifications of personnel, methods of operation and policies, procedures andandf records of that intermediary service organization or any other intermediary service organization which may have information pertinent to the complaint.

The Central Repository for Nevada Records of Criminal History shall determine whether the applicant has been convicted of a crime listed in subsection 1 of section 85 of this act and immediately- inform83rd theSession administrator(2025) of– the46 facility,– hospital, agency, program or home, if any, and the Division of whether the applicant has been convicted of such a crime.

(c) Obtain proof that the employee, employee of the temporary employment service or independent contractor holds any required license,lic(d) permitObtain from the employee, employee of the temporary employment service or certificate;independent contractor one set of fingerprints and a written authorization to forward the fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

(d)(e) ObtainSubmit fromto the employee,Central employeeRepository for Nevada Records of Criminal History the temporaryfingerprints employmentobtained servicepursuant orto independentparagraph contractor(d) oneto setobtain ofinformation fingerprintson the background and personal history of each employee, employee of a writtentemporary authorizationemployment toservice forwardor theindependent fingerprintscontractor to thedetermine Centralwhether Repositorythe forperson Nevadahas Recordsbeen convicted of Criminalany Historycrime forlisted submissionin tosubsection the1 Federal Bureau of Investigationsection for85 itsof report;this act;

- *AB519_R1* – 45 – (e) Submit to the Central Repository for Nevada Records of Criminal History the fingerprints obtained pursuant to paragraph (d) to obtain information on the background and personal history of each employee, employee of a temporary employment service or independent contractor to determine whether the person has been convicted of any crime listed in subsection 1 of section 85 of this act;

(1) Screen the employee, employee of the temporary employment service or independent contractor using the Internet website.

The holder of a certificate to operate an intermediary service organization is not required to obtain the information described- in83rd subsectionSession 1(2025) from– an47 employee,– employee of a temporary employment service or independent contractor if his or her fingerprints have been submitted to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report within the immediately preceding 6 months and the report of the Federal Bureau of Investigation indicated that the employee, employee of the temporary employment service or independent contractor has not been convicted of any crime set forth in subsection 1 of section 85 of this act.

(a) The employee, employee of the temporary employment service or independent contractor agrees to allow the holder of a certificate to operate an intermediary service organization to receive notice from the Central Repository for Nevada Records of Criminal History regarding any conviction and subsequent conviction of the employee, employee of the temporary employment service or independent contractor of a crime listed in subsection 1 of section 85 of this act;

(b) An agency, board or commission that regulates an occupation or profession pursuant to title 54 of NRS or temporary employment service has, within the immediately preceding 5 years, - *AB519_R1* – 46 – submitted the fingerprints of the employee, employee of the temporary employment service or independent contractor to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

and (c) The report of the Federal Bureau of Investigation indicated that the employee, employee of the temporary employment service or independent contractor has not been convicted of any crime set forth in subsection 1 of section 85 of this act.

of any crime set 4.

(a)- Obtain83rd oneSession set(2025) – 48 – of fingerprintsthe temporary employment service or independent contractor;yee (b) Obtain written authorization from the employee, employee of the temporary employment service or independent contractor;contractor to forward the fingerprints obtained pursuant to paragraph (a) to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

(b) Obtain written authorization from the employee, employee of the temporary employment service or independent contractor to forward the fingerprints obtained pursuant to paragraph (a) to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation for its report;

Upon receiving fingerprints submitted pursuant to this section, the Central Repository for Nevada Records of Criminal History shall determine whether the employee, employee of the temporary employment service or independent contractor has been convicted of a crime listed in subsection 1 of section 85 of this act and immediately inform the Division and the holder of the of this act certificate to operate an intermediary service organization for which the person works whether the employee, employee of the temporary employment service or independent contractor has been convicted of such a crime.

The intermediary service organization may recover from the employee or independent - *AB519_R1* – 47 – contractor whose fingerprints are submitted not more than one- half of the fee imposed by the Central Repository.

If the intermediary service organization requires the employee or independent contractor to pay for any part of the fee imposed by the Central Repository, it shall allow the employee or independent contractorintermediary service organization may require a temporaryhe employment service which employs a temporary employee whose fingerprints are submitted to pay the amountfee throughimposed periodicby payments.the Central Repository.

The intermediary service organization may require a temporary employment service which employs a temporary employee whose fingerprints are submitted to pay the fee imposed by the Central Repository.

- 83rd Session (2025) – 49 – 7.

Unless a greater penalty is provided by law, a person who willfully provides a false statement or information in connection with an investigation of the background and personal history of the person pursuant to this section that would disqualify the person from employment, including, without limitation, a conviction of a crime listed in subsection 1 of section 85 of this act, is guilty of a misdemeanor.

Sec.maintain accurate records of the information concerning itsall employees, employees of a temporary employment service and independent contractors collected pursuant to section 81 of this act, including, without limitation:

83.

1.

Each intermediary service organization shall maintain accurate records of the information concerning its employees, employees of a temporary employment service and - *AB519_R1* – 48 – independent contractors collected pursuant to section 81 of this act, including, without limitation:

- 83rd Session (2025) – 50 – (a) Maintained for the period of the employment of the person with the intermediary service organization;

and (b) Made available for inspection by the Division at any reasonable time, and copies thereof must be furnished to the DivisionDiv3.ioIf uponan request.Internet website has been established pursuant to NRS 439.942, an intermediary service organization shall maintain a current list of its employees, employees of a temporary employment service and independent contractors on the Internet website.

3.

If an Internet website has been established pursuant to NRS 439.942, an intermediary service organization shall maintain a current list of its employees, employees of a temporary employment service and independent contractors on the Internet website.

Upon receiving information from the Central Repository for Nevada Records of Criminal History pursuant to section 81 of this act, or evidence from any other source, that an employee, employee of a temporary employment service or independent contractor of an intermediary service organization has been convicted of a crime listed in subsection 1 of section 85 of this act, the holder of the certificate to operate the intermediary service organization shall terminate the employment or contract of that person or notify the temporary employment service that its employee is prohibited from providing services for the intermediary service organization after allowing the person time to correctcor2.ctIf thean informationemployee, asemployee requiredof pursuanta totemporary subsectionemploymentn 2.

2.service or independent contractor believes that the information provided by the Central Repository is incorrect, the employee, employee of the temporary employment service or independent contractor may immediately inform the intermediary service organization.

If an employee, employee of a temporary employment service or independent contractor believes that the information provided by the Central Repository is incorrect, the employee, employee of the temporary employment service or independent - *AB519_R1* – 49 – contractor may immediately inform the intermediary service organization.

An intermediary service organization that has complied with section 81 of this act may not be held civilly or criminally liable based solely upon the ground that the intermediary service organization- allowed83rd Session (2025) – 51 – employment service or independent contractor to work:rary (a) Before it received the information concerning the employee, employee of the temporary employment service or independent contractor from the Central Repository, except that an employee, employee of a temporary employment service or independent contractor toshall work:not have contact with a child without supervision before such information is received;

(a) Before it received the information concerning the employee, employee of the temporary employment service or independent contractor from the Central Repository, except that an employee, employee of a temporary employment service or independent contractor shall not have contact with a child without supervision before such information is received;

or (d) AnyAn combinationintermediary thereof.service organization may be held liable for any other conduct determined to be negligent or unlawful.

 An intermediary service organization may be held liable for any other conduct determined to be negligent or unlawful.

(d) Prostitution, solicitation, lewdness or indecent exposure, or any other sexually related crime that is punished as aat -exposure, *AB519_R1*or – 50 – misdemeanor, if the conviction occurred within the immediately preceding 7 years;

(f) A violation of any federal or state law regulating the possession, distribution or use of any controlled substance or any dangerous drug as defined in chapter 454 of NRS, within the past 7 years;

- 83rd Session (2025) – 52 – (g) A violation of any provision of NRS 200.5099 or 200.50995;

(h) Any offense involving fraud, theft, embezzlement, burglary, robbery, fraudulent conversion or misappropriation of property, wit(i) Any other felony involving the use of a firearm or other deadly weapon, within the immediately preceding 7 years;

or (i) Any other felony involving the use of a firearm or other deadly weapon, within the immediately preceding 7 years;

(1) It determines that the intermediary service organization has corrected the violation and has management which is capable of ensuring continued compliance with the applicable statutes,statutes,e conditions, standards and regulations;

and - *AB519_R1* – 51 – (b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the administrative penalty.

The Division may require any intermediary service organization that violates any provision of sections 59 to 90, inclusive, of this act, or any condition, standard or regulation - 83rd Session (2025) – 53 – adopted by the Board, to make any improvements necessary to correct the violation.

Any money collected as administrative penalties pursuant to this section must be accounted for separately and used to protect the health or property of the persons for whom the intermediary service organization performs services in accordance with applicable federal standards.

The Board shall adopt regulations establishing the criteria for the imposition of each sanction prescribed by section 86 of this act.

In that case, the Division may order a summary suspension of a certificate or impose any sanction prescribed by section 86 of this act, pending proceedings for revocation or other action.

this act, pending proceedings for 2.

Except as otherwise provided in subsection 2 of section 62 of this act, the Division may bring an action in the name of the State to enjoin any person from operating or - *AB519_R1* – 52 – maintaining an intermediary service organization within the meaning of sections 59 to 90, inclusive, of this act:

or (b)- After83rd theSession person’s(2025) certificate– has54 been– revoked or suspended by the Division.Division.certificate has been revoked or 2.

2.

The Division may establish a secure Internet website which makes certain information available for a website client to conduct an investigation into the background and personal history of a person that is required pursuant to the provisions of this chapter or chapter 62B, 63, 424, 427A, 432, 432A, 432B, 433, 433B, 435 or 449 of NRS [.] or the chapter consisting of sections 2 to 90, inclusive, of this act.

the chapter consisting of sections 2 2.

and (4)are Notifyingauthorized theto Divisionuse ofthe anyInternet changewebsite.nge in the persons who are3. authorized to use the Internet website.

3.

Except as otherwise provided in this section and NRS 239.0115, information collected, maintained, stored, backed up or - *AB519_R1* – 53 – on file on the Internet website is confidential, not subject to subpoena- 83rd Session (2025) – 55 – public.a or discovery and is not subject to inspection by the general public.5.

5.

As used in this section, “licensing board” means any division or board empowered to adopt standards for the issuance or renewal of licenses, permits or certificates of registration pursuant to NRS 435.3305 to 435.339, inclusive, chapter 449, 625A, 630, 630A, 631, 632, 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640D, 641, 641A, 641B, 641C, 641D, 652, 653 or 654 of NRS [.] or the chapter consisting of sections 2 to 90,90,r inclusive, of this act.

3.notify the agency of the opinion of the Committee regarding theall advisability of adopting or revising the proposed regulation.

After reviewing a proposed regulation, the Committee shall notify the agency of the opinion of the Committee regarding the advisability of adopting or revising the proposed regulation.

449.030 Except as otherwise provided in NRS 449.03013 , [and 449.03017,] no person, state or local government or agency thereof may operate or maintain in this State any medical facility or - *AB519_R1*83rd Session (2025) – 5456 – facility for the dependent without first obtaining a license therefor as provided in NRS 449.029 to 449.2428, inclusive.

1.disorders;facility for the treatment of alcohol or other substance use 2.

A facility for the treatment of alcohol or other substance use disorders;

2.

449.0304employee 1.of a residential facility for groups [, an agency to provide personal care services in the home] or a facility for the care of adults during the day, with the consent of the person receiving services, to:

The Board shall adopt regulations authorizing an employee of a residential facility for groups [, an agency to provide personal care services in the home] or a facility for the care of adults during the day, with the consent of the person receiving services, to:

and (c) Using a device for monitoring blood glucose approved by the Food and Drug Administration for use in the home, conduct a blood glucose test on a person receiving services from the facility or - 83rd Session (2025) – 57 – agency or assist such a person to conduct a blood glucose test on himself or herself.

- *AB519_R1* – 55 – (a) Must require the tasks described in subsection 1 to be performed in conformance with the Clinical Laboratory Improvement Amendments of 1988, Public Law No.

100-578, 4242Laboratory U.S.C.

Except as otherwise provided in subsections 6 and 7 and NRS 449.067, each facility for intermediate care, facility for skilled nursing, residential facility for groups, home for individual residential care [, agency to provide personal care services in the home] and agency to provide nursing in the home shall, when applying for a license or renewing a license, file with the Administrator of the Division of Public and Behavioral Health a surety bond:

or (c) If the facility, agency [, organization] or home employs more thantha2.25 25A employees,bond infiled pursuant to this section must be executed by the amountfacility, ofagency $50,000.[, organization] or home as principal and by a surety company as surety.

2.

A bond filed pursuant to this section must be executed by the facility, agency [, organization] or home as principal and by a surety company as surety.

4.- 83rd Session (2025) – 58 – released after the surety gives 30 days’ written notice to they be Administrator of the Division of Public and Behavioral Health, but the release does not discharge or otherwise affect any claim filed by an older patient for property damaged as a result of any act or failure to act by the facility, agency [, organization] or home to protect the property of the older patient alleged to have occurred while the bond was in effect.

A surety on any bond filed pursuant to this section may be released after the surety gives 30 days’ written notice to the Administrator of the Division of Public and Behavioral Health, but the release does not discharge or otherwise affect any claim filed by an older patient for property damaged as a result of any act or failure to act by the facility, agency [, organization] or home to protect the - *AB519_R1* – 56 – property of the older patient alleged to have occurred while the bond was in effect.

The Administrator of the Division of Public and Behavioral Health shall give the facility, agency [, organization] or home at least 20 days’ written notice before the release of the surety or the substitute for the surety, to the effect that the license will be suspended by operation of law until another surety bond or substitute for the surety bond is filed in the same mannerman6. and amount as the bond or substitute being terminated.

6.

449.067pursuant 1.to NRS 449.065, a facility for intermediate care, a facility for skilled nursing, a residential facility for groups, a home for individual residential care [, an agency to provide personal care services in the home] and an agency to provide nursing in the home may deposit with any bank or trust company authorized to do business in this State, upon approval from the Administrator of the Division of Public and Behavioral Health:

As- a83rd substituteSession for(2025) the– surety59 bond– requiredsavings pursuantbank, tothrift NRScompany 449.065, a facility for intermediate care, a facility for skilled nursing, a residential facility for groups, a home for individual residential care [, an agency to provide personal care services in the home] and an agency to provide nursing in the home may deposit with any bank or trustcredit companyunion authorizedlicensed to do business in this State,State; upon approval from the Administrator of the Division of Public and Behavioral Health:

(a) An obligation of a bank, savings and loan association, savings bank, thrift company or credit union licensed to do business in this State;

- *AB519_R1* – 57 – 2.

With the approval of the Administrator of the Division of Public and Behavioral Health, the depositor may substitute other suitable obligations for those deposited, which must be assigned to the Aging and Disability Services Division of the Department of Health and Human Services and are negotiable only upon approval by the Administrator of the Aging and Disability Services Division.

(a) Satisfactorily complied with the provisions of NRS 449.029 tothe 449.2428,Board;8, inclusive, or the standards and regulations adopted by (b) Obtained the Board;approval of the Director of the Department of Health and Human Services before undertaking a project, if such approval is required by NRS 439A.100 or 439A.102;

(b) Obtained the approval of the Director of the Department of Health and Human Services before undertaking a project, if such approval is required by NRS 439A.100 or 439A.102;

Each reapplication for [an agency to provide personal care services in the home,] an agency to provide nursing in the home, a community health worker pool, a facility for intermediate care, a facility for skilled nursing, a provider of community-based living arrangement- services,83rd Session (2025) – 60 – 1395ww(d)(1)(B)(iv), a psychiatric hospital describedthat inprovides inpatient services to children, a psychiatric residential treatment facility, a residential facility for groups, a program of hospice care, a home for individual residential care, a facility for the care of adults during the day, a facility for hospice care, a nursing pool, the distinct part of a hospital which meets the requirements of a skilled nursing facility or nursing facility pursuant to 42 U.S.C.C.F.R.

§ 1395ww(d)(1)(B)(iv), a psychiatric hospital that provides inpatient services to children, a psychiatric residential treatment facility, a residential facility for groups, a program of hospice care, a home for individual residential care, a facility for the care of adults during the day, a facility for hospice care, a nursing pool, the distinct part of a hospital which meets the requirements of a skilled nursing facility or nursing facility pursuant to 42 C.F.R.

§ 482.58 or, if residential services are provided to children, a medical facility or facility for the treatment of alcohol or other substance use disorders must include, without limitation, a statement that the facility, - *AB519_R1* – 58 – hospital, agency, program, pool or home is in compliance with the provisions of NRS 449.115 to 449.125, inclusive, and 449.174.

Each reapplication for [an agency to provide personal care services in the home,] a community health worker pool, a facility for intermediate care, a facility for skilled nursing, a facility for the care of adults during the day, a residential facility for groups or a home for individual residential care must include, without limitation, aame statement that the holder of the license to operate, and the administrator or other person in charge and employees of, the facility, [agency,] pool or home are in compliance with the provisions of NRS 449.093.

An applicant for a license to operate a facility for intermediate care, facility for skilled nursing, [agency to provide personal care services in the home,] facility for the care of adults during the day, residential facility for groups or home for individual residential care must receive training to recognize and prevent the abuse of older persons before a license to operate such a facility [, agency] or home is issued to the applicant.

- 83rd Session (2025) – 61 – 2.

A licensee who holds a license to operate a facility for intermediate care, facility for skilled nursing, [agency to provide personal care services in the home,] facility for the care of adults during the day, residential facility for groups or home for individual residential care must annually receive training to recognize and prevent the abuse of older persons before the license to operate such a facility [, agency] or home may be renewed.

An administrator or other person in charge of a facility for intermediate care, facility for skilled nursing, [agency to provide personal care services in the home,] facility for the care of adults - *AB519_R1* – 59 – during the day, residential facility for groups or home for individual residential care must receive training to recognize and prevent the abuse of older persons before the facility [, agency] or home provides care to a person and annually thereafter.

(a)abuse Recognizingand violations of NRS 200.5091 to 200.50995, inclusive;al (b) Responding to reports of the alleged abuse of older persons, including sexual abuse and violations of NRS 200.5091 to 200.50995, inclusive;

(b) Responding to reports of the alleged abuse of older persons, including sexual abuse and violations of NRS 200.5091 to 200.50995, inclusive;

The facility for intermediate care, facility for skilled nursing, [agency to provide personal care services in the home,] facility for the care of adults during the day, residential facility for groups or home- for83rd individualSession residential(2025) care– is62 responsible– for the costs related to the training required by this section.section.le for the costs 8.

8.

The holder of a license to operate a facility for intermediate care, facility for skilled nursing, [agency to provide personal care services in the home,] facility for the care of adults during the day, residential facility for groups or home for individual residential care shall ensure that each person who is required to comply with the requirements for training pursuant to this section complies with such - *AB519_R1* – 60 – requirements.

The Division may, for any violation of this section, takepursuant disciplinaryto actionNRS against449.160 aand facility449.163.acility [, agency] or home pursuantSec. to NRS 449.160 and 449.163.

Sec.

§ 1395ww(d)(1)(B)(iv), a psychiatric hospital that provides inpatient services to children, a psychiatric residential treatment facility, a residential facility for groups, a program of hospice care, a home for individual residential care, a facility for the care of adults during the day, a facility for hospice care, a nursing pool, the distinct part of a hospital which meets the requirements of a skilled nursing facility or nursing facility pursuant to 42 C.F.R.

In addition to the grounds listed in NRS 449.160, the Division may deny a license to operate a facility, hospital, agency, program or home to an applicant or may suspend or revoke the- license83rd ofSession a(2025) licensee– 63 – program or home if:censee to operate such a facility, hospital, agency, program(a) The applicant or homelicensee if:has been convicted of:

(a) The applicant or licensee has been convicted of:

- *AB519_R1* – 61 – (8) A violation of any federal or state law regulating the possession, distribution or use of any controlled substance or any dangerous drug as defined in chapter 454 of NRS, within the immediately preceding 7 years;

(12) A criminal offense under the laws governing Medicaid or Medicare,Medi(13) Any offense involving fraud, theft, embezzlement, burglary, robbery, fraudulent conversion or misappropriation of property, within the immediately preceding 7 years;

(13) Any offense involving fraud, theft, embezzlement, burglary, robbery, fraudulent conversion or misappropriation of property, within the immediately preceding 7 years;

(b)- The83rd licenseeSession has,(2025) in– violation64 of– NRS 449.125, continued to employ a person who has been convicted of a crime listed ininnued to paragraph (a);

(b)meaning “Facility,ascribed hospital,to agency,it programin NRS 449.119.ogram or home” has the (c) “Medicaid” has the meaning ascribed to it in NRS 449.119.439B.120.

(c)(d) “Medicaid”“Medicare” has the meaning ascribed to it in NRS 439B.120.439B.130.

- *AB519_R1* – 62 – (d) “Medicare” has the meaning ascribed to it in NRS 439B.130.

If a patient is released by a hospital to his or her residence to receive care from an [agency to provide personal care services in the home or any other] entity licensed pursuant to this chapter that provides care to the patient in his or her residence, the [agency to provide personal care services in the home or other] entity shall consult with a dietitian, as appropriate, to ensure that the patient or the person with primary responsibility for the care of the patient understands the dietary needs of the patient.

- 83rd Session (2025) – 65 – 1.

Has successfully completed the training requirements of a course in basic emergency care of a person in cardiac arrest conducted in accordance with the standards of the American Heart Association;

449A.031 “Facility for the dependent” has the meaning ascribed to it in NRS 449.0045 and additionally includes an agency to provide personal care services in the home, as defined in section 3 of this act.

- *AB519_R1* – 63 – (a) Prescribe the form and manner in which the information on cases of cancer and other neoplasms must be reported;

(c) Prescribe other information to be included in each such report, for example, the patient’s name and address, the pathological findings, the stage of the disease, the environmental and occupational factors, the methods of treatment, the incidence of cancer or other neoplasms in the patient’s family, and the places where the patient has resided;

(3)- The83rd renewalSession of(2025) a– license66 to– operate a surgical center for ambulatory patients, facility for the treatment of irreversible renal disease, facility for hospice care, program of hospice care, hospital, facility for intermediate care, facility for skilled nursing [, agency to provide personal care services in the home] or rural clinic pursuant to NRS 449.089;

For the purposes of this subsection, the fee for the renewal of a license to operate a facility described in subparagraph (3) of paragraph (e)(e)e of subsection 1 does not include any fee that is imposed per bed in the facility.

- *AB519_R1* – 64 – Sec.

(b) In case of other personal property, by posting a similar notice in three public places of the township or city where the sale is to take place, not less than 5 or more than 10 days before the sale, and, in case of sale on execution issuing out of a district court, by the publication of a copy of the notice in a newspaper, if there is one in the county, at least twice, the first publication being not less than 10 days before the date of the sale.

(1) Personal service upon each judgment debtor or by registered mail to the last known address of each judgment debtor and,- if83rd theSession property(2025) of– the67 judgment– debtor is operated as a facility licensed under chapter 449 of NRS [,] or an entity licensed ororacility certified under the chapter consisting of sections 2 to 90, inclusive, of this act, upon the State Board of Health;

Notice of the sale of property on execution upon a judgment for any sum less than $500, exclusive of costs, must be given only by postingthe incourthouse;e three public places in the county, one of which must be (4) Recording a copy of the courthouse;notice in the office of the county recorder;

(4) Recording a copy of the notice in the office of the county recorder;

and - *AB519_R1* – 65 – (6) In the case of a foreclosure sale, depositing in the United States mail an envelope, registered or certified, return receipt requested and with postage prepaid, containing a copy of the notice, addressed to:

(I) Each person who, in accordance with subsection 1 of NRS 107.090, has recorded a request for a copy of a notice of default or notice of sale with respect to the mortgage or other lien being foreclosed;

of sale with respect to the mortgage or other lien (II) Each other person with an interest in the real property whose interest or claimed interest is subordinate to the mortgage or other lien being foreclosed;

(a)- 83rd Session (2025) – 68 – (b) The physicalcontact addressinformation of the property;party who is authorized to provide information relating to the foreclosure status of the property.

and (b) The contact information of the party who is authorized to provide information relating to the foreclosure status of the property.

- *AB519_R1* – 66 – After the date of the sale, you may be evicted if you fail to pay rent or live up to your other obligations to the successful bidder, in accordance with chapter 118A of the Nevada Revised Statutes.

6 Under the Nevada Revised Statutes, eviction proceedings may begin against you after you have been given a notice to surrender.

If- the83rd propertySession is(2025) sold– and69 you– pay rent by the month or any other period of time that is 1 month or longer, you shouldshouldny generally receive notice at least 60 days in advance.

(1)summons Youand willcomplaint;en be given at least 10 days to answer a summons(2) andIf complaint;you do not file an answer, an order evicting you by default may be obtained against you;

(2) If you do not file an answer, an order evicting you by default may be obtained against you;

The sheriff shall not conduct a sale of the property on execution or deliver the judgment debtor’s property to the judgment creditor if the judgment debtor or any other person entitled to notice - *AB519_R1* – 67 – has not been properly notified as required in this section and NRS 21.075 and 21.076.

5.

As used in this section:

Except as otherwise provided in NRS 106.210, 107.0805, 107.085 and 107.086, if any transfer in trust of any estate in- real83rd propertySession is(2025) made– after70 March– 29, 1927, to secure the performance of an obligation or the payment of any debt, a power of sale is hereby conferred upon the trustee to be exercised after a breach of the obligation for which the transfer is security.

or (2) On or after July 1, 1957, the grantor, the person who holds the title of record, a beneficiary under a subordinate deed of trust or any other person who has a subordinate lien or encumbrance of record on the property has, for a period of 35 days, computed as prescribed in subsection 3, failed to make good the deficiency in performanceper(b) The beneficiary, the successor in interest of the beneficiary or payment.the trustee first executes and causes to be recorded in the office of the recorder of each county wherein the trust property, or any part thereof, is situated a notice of the breach and of the election to sell or cause to be sold the property to satisfy the obligation.

(b) The beneficiary, the successor in interest of the beneficiary or the trustee first executes and causes to be recorded in the office of the recorder of each county wherein the trust property, or any part thereof, is situated a notice of the breach and of the election to sell or cause to be sold the property to satisfy the obligation.

The 15- or 35-day period provided in paragraph (a) of subsection 2 commences on the first day following the day upon which the notice of default and election to sell is recorded in the office of the county recorder of each county in which the property is located and a copy of the notice of default and election to sell is - *AB519_R1* – 68 – mailed by registered or certified mail, return receipt requested and with postage prepaid to the grantor or, to the person who holds thethed title of record on the date the notice of default and election to sell is recorded, and, if the property is operated as a facility licensed under chapter 449 of NRS [,] or an entity licensed or certified under the chapter consisting of sections 2 to 90, inclusive, of this act, to the State Board of Health, at their respective addresses, if known, otherwise to the address of the trust property or, if authorized by the parties, delivered by electronic transmission.

The notice of default and election to sell must describe the deficiency in performance or payment- and83rd maySession contain(2025) a– notice71 of– intent to declare the entire unpaid balance due if acceleration is permitted by the obligation secured by the deed of trust, but acceleration must not occur if the deficiency in performance or payment is made good and any costs, fees and expenses incident to the preparation or recordation of the notice and incident to the making good of the deficiency in performance or payment are paid within the time specified in subsection 2.

(a) Providing the notice to each trustor, any other person entitled to notice pursuant to this section and, if the property is operated as a facility licensed under chapter 449 of NRS [,] or an entity licensed or certified under the chapter consisting of sections 2 to 90, inclusive, of this act, the State Board of Health, by personal service, by electronic transmission if authorized by the parties or by mailing the notice by registered or certified mail to the last known address of the trustor and any other person entitled to such notice pursuant to this section;

Every sale made under the provisions of this section and other sections of this chapter vests in the purchaser the title of the grantor and any successors in interest without equity or right ofoff -the *AB519_R1* – 69 – redemption.

(b) Except as otherwise provided in subsection 6, an action is commenced in the county where the sale took place within 30 days after the date on which the trustee’s deed upon sale is recorded pursuant- to83rd subsectionSession 10(2025) in– the72 office– of the county recorder of each county in which the property is located;

andandunty recorder of (c) A notice of lis pendens providing notice of the pendency of the action is recorded in the office of the county recorder of each county where the sale took place within 5 days after commencement of the action.

Upon expiration of the time for commencing an action which is set forth in subsections 5 and 6, any failure to comply with the provisions of this section or any other provision of this chapter does not affect the rights of a bona fide purchaser as described in NRSNRS8.11.If, 111.180.in an action brought by the grantor or the person who holds title of record in the district court in and for any county in which the real property is located, the court finds that the beneficiary, the successor in interest of the beneficiary or the trustee did not comply with any requirement of subsection 2, 3 or 4, the court must award to the grantor or the person who holds title of record:

8.

If, in an action brought by the grantor or the person who holds title of record in the district court in and for any county in which the real property is located, the court finds that the beneficiary, the successor in interest of the beneficiary or the trustee did not comply with any requirement of subsection 2, 3 or 4, the court must award to the grantor or the person who holds title of record:

The remedy provided in this subsection 5.ubsection is in addition to the remedy provided9. in subsection 5.

9.The sale or assignment of a proprietary lease in a cooperative vests in the purchaser or assignee title to the ownership interest and votes in the cooperative association which accompany the proprietary lease.

The sale or assignment of a proprietary lease in a cooperative vests in the purchaser or assignee title to the ownership - *AB519_R1* – 70 – interest and votes in the cooperative association which accompany the proprietary lease.

(a)- Within83rd 30Session days(2025) after– the73 date– of the sale, record the trustee’s deed upon sale in the office of the county recorder of each county inins which the property is located;

If the successful bidder fails to record the trustee’s deed uponbidder:le sale pursuant to paragraph (b) of subsection 10, the successful bidder:(a) Is liable in a civil action to any party that is a senior lienholder against the property that is the subject of the sale in a sum of up to $500 and for reasonable attorney’s fees and the costs of bringing the action;

(a) Is liable in a civil action to any party that is a senior lienholder against the property that is the subject of the sale in a sum of up to $500 and for reasonable attorney’s fees and the costs of bringing the action;

The Account must be administered by the Interim Finance Committee and the money in the Account may be expended only for the purposepur(1) of:Supporting a program of foreclosure mediation;

(1) Supporting a program of foreclosure mediation;

The county recorder may direct that 1.5 percent of the fees collected - *AB519_R1* – 71 – by the county recorder pursuant to this paragraph be transferred into a special account for use by the office of the county recorder.

The county- treasurer83rd shallSession remit(2025) quarterly– to74 the– organization operating the program for legal services that receives the fees chargedchargederating pursuant to NRS 19.031 for the operation of programs for the indigent all the money received from the county recorder pursuant to this paragraph.

The county treasurer shall, on or before the 15th day of each month, remit the fees deposited by the county recorder pursuant to this subsection to the State Controller for credit to the StateSta15. General Fund or the Account as prescribed in subsection 13.

15.

2.person who is required by this section to obtain a work card and who complies with the requirements established by the sheriff for the issuance of such a card.

The sheriff of a county shall issue a work card to each person who is required by this section to obtain a work card and who complies with the requirements established by the sheriff for the issuance of such a card.

- *AB519_R1*83rd Session (2025) – 7275 – 3.of a county requires an applicant for a work card to be investigated:

Except as otherwise provided in subsection 4, if the sheriff of a county requires an applicant for a work card to be investigated:

The sheriff of a county shall not require an investigation of the criminal history of an employee or independent contractor of an agency , [or] facility or organization governed by NRS 449.122 to 449.125, inclusive, and 449.174 , sections 36 to 40, inclusive, and section 49 of this act, or sections 80 to 85, inclusive, of this act, as applicable, who has had his or her fingerprints submitted to the Central Repository for Nevada Records of Criminal History pursuant to NRS 449.123 or section 37 or 81 of this act, as applicable, for an investigation of his or her criminal history within the immediately preceding 6 months.

(d) Has been convicted of a battery punishable as a gross misdemeanor;

or convicted of a battery punishable as a gross (e) Within the immediately preceding 5 years:

- 83rd Session (2025) – 76 – (a) A person who holds a permit to engage in property management pursuant to chapter 645 of NRS.

- *AB519_R1* – 73 – (b) An independent contractor.

As used in this paragraph, “independent contractor” means a person who performs services for a fixed price according to the person’s own methods and without subjection to the supervision or control of the landlord, except as to the results of the work, and not as to the means by which the services are accomplished.

(b)NRS “Vulnerable200.5092.rable person” has the meaning ascribed to it in NRSSec. 200.5092.

Sec.

2.- 83rd Session (2025) – 77 – dealing with crime shall:iminal justice and any other agency (a) Collect and maintain records, reports and compilations of statistical data required by the Department;

Each agency of criminal justice and any other agency dealing with crime shall:

(a) Collect and maintain records, reports and compilations of statistical data required by the Department;

- *AB519_R1* – 74 – (1) In the manner approved by the Director of the Department;

(b)(c) OnIn athe mediummanner prescribed by the Director of magneticthe storage;Department,  within 60 days after the date of the disposition of the case.

or (c) In the manner prescribed by the Director of the Department,  within 60 days after the date of the disposition of the case.

and (c) Within the time prescribed by the Director of the Department.Dep5.

5.

(b)- When83rd practicable,Session use(2025) a– record78 of– the personal identifying information of a subject as the basis for any records maintainedmaintainedg regarding him or her.

- *AB519_R1* – 75 – 6.

and (c) Request of and receive from the Federal Bureau of Investigation information on the background and personal history of any person whose record of fingerprints or other biometric identifier the Central Repository submits to the Federal Bureau ofofric identifier Investigation and:

(4) For whom such information is required or authorized to be obtained pursuant to NRS 62B.270, 62G.223, 62G.353, 424.031, 432A.170, 432B.198, 433B.183 [,] and 449.123 and [449.4329;] sectionssectio(5) 37About andwhom 81any agency of thisthe act;State of Nevada or any political subdivision thereof is authorized by law to have accurate personal information for the protection of the agency or the persons within its jurisdiction.

or (5) About whom any agency of the State of Nevada or any political subdivision thereof is authorized by law to have accurate personal information for the protection of the agency or the persons within its jurisdiction.

(1)- 83rd Session (2025) – 79 – facility;) Booking the person into a city or county jail or detention facility;(2) Employment;

(2) Employment;

or (2) Criminal investigation, - *AB519_R1* – 76 –  from the agency of criminal justice or agency of the State of Nevada or any political subdivision thereof and submit the received data to the Federal Bureau of Investigation for its report.

(b)statistical Tabulatedata andreceived analyzepursuant allto records,this reportssection.d and compilations of (c) Disseminate to federal agencies engaged in the collection of statistical data receivedrelating pursuant to thiscrime section.information which is contained in the Central Repository.

(c) Disseminate to federal agencies engaged in the collection of statistical data relating to crime information which is contained in the Central Repository.

or (3) Is employed by or volunteers for a county school district, charter school or private school,  and immediately notify the superintendent of each county school district, the governing body of each charter school and the Superintendent of Public Instruction, or the administrator of each private school, as appropriate, if the investigation of the Central Repository indicates that the person has been convicted of a violation of NRS 200.508, 201.230, 453.3385, 453.3387 or 453.339, or convicted of a felony or any offense involving moral turpitude.

or (2)- Employed83rd bySession or(2025) volunteering– for80 a– county school district, charter school or private school whose fingerprints were sentsentstrict, previously to the Central Repository for investigation,  who the Central Repository’s records indicate have been convicted of a violation of NRS 200.508, 201.230, 453.3385, 453.3387 or 453.339, or convicted of a felony or any offense involving moral turpitude since the Central Repository’s initial investigation.

(f) Investigate the criminal history of each person who submits one or more fingerprints or other biometric identifier or has such - *AB519_R1* – 77 – data submitted pursuant to NRS 62B.270, 62G.223, 62G.353, 424.031, 432A.170, 432B.198, 433B.183, 449.122 [,] or 449.123 or [449.4329.] section 36, 37, 80 or 81 of this act.

(g) Provide an electronic means to access on the Central Repository’s Internet website statistical data relating to crime.

and (2) The methods by which a person may request the removal of his or her biometric identifiers from the Central Repository and any other agency where his or her biometric identifiers have beenbeennd stored.

The Central Repository may not collect such a fee from an agency of criminal- justice83rd orSession any(2025) other– agency81 dealing– with crime which is required to submit information pursuant to subsection 2.

- *AB519_R1* – 78 – (b) “Personal identifying information” means any information designed, commonly used or capable of being used, alone or in conjunctionincluding, withwithout anylimitation:ormation, other information, to identify a person, including,(1) withoutThe limitation:name, driver’s license number, social security number, date of birth and photograph or computer-generated image of a person;

(1) The name, driver’s license number, social security number, date of birth and photograph or computer-generated image of a person;

(b) “Fire-fighting agency” has the meaning ascribed to it in NRS(c) “Health care facility” means a facility licensed pursuant to chapter 449 of NRS, an entity licensed or certified pursuant to the chapter consisting of sections 2 to 90, inclusive, of this act, an office of a person listed in NRS 239B.020.629.031, a clinic or any other location, other than a residence, where health care is provided.

(c) “Health care facility” means a facility licensed pursuant to chapter 449 of NRS, an entity licensed or certified pursuant to the chapter consisting of sections 2 to 90, inclusive, of this act, an office of a person listed in NRS 629.031, a clinic or any other location, other than a residence, where health care is provided.

(2)- A83rd personSession employed(2025) in– a82 full-time– salaried occupation of fire fighting for the benefit or safety of the public;public;ccupation of (3) A member of a volunteer fire department;

(3) A member of a volunteer fire department;

(II)(III) PerformWear tasksidentification, relatedclothing toor a uniform that identifies the employee or volunteer as working or volunteering for the law enforcement;enforcement agency;

and - *AB519_R1* – 79 – (III) Wear identification, clothing or a uniform that identifies the employee or volunteer as working or volunteering for the law enforcement agency;

(II)(III) PerformWear tasksidentification, relatedclothing toor codea enforcement;uniform that identifies the employee or volunteer as working or volunteering for this State or a political subdivision of this State.

and (III) Wear identification, clothing or a uniform that identifies the employee or volunteer as working or volunteering for this State or a political subdivision of this State.

(1) A physician, a medical student, a perfusionist, an anesthesiologist assistant or a physician assistant licensed pursuant to chapter 630 of NRS, a practitioner of respiratory care, a homeopathic physician, an advanced practitioner of homeopathy, a homeopathic assistant, an osteopathic physician, a physician assistant- or83rd anesthesiologistSession assistant(2025) licensed– pursuant83 to– chapter 633 of NRS, a podiatric physician, a podiatry hygienist, a physicalphysicalr therapist, a medical laboratory technician, an optometrist, a chiropractic physician, a chiropractic assistant, a naprapath, a doctor of Oriental medicine, a nurse, a student nurse, a certified nursing assistant, a nursing assistant trainee, a medication aide - certified, a person who provides health care services in the home for compensation, a dentist, a dental student, a dental hygienist, a dental hygienist student, an expanded function dental assistant, an expanded function dental assistant student, a pharmacist, a pharmacy student, an intern pharmacist, an attendant on an ambulance or air ambulance, a psychologist, a social worker, a marriage and family therapist, a marriage and family therapist intern, a clinical professional counselor, a clinical professional counselor intern, a behavior analyst, an assistant behavior analyst, a registered behavior technician, a mental health technician, a licensed dietitian, the holder of a license or a limited license issued under the provisions of chapter 653 of NRS, a public safety officer at a health care facility, an emergency medical technician, an advancedadvancedt -a *AB519_R1*health – 80 – emergency medical technician, a paramedic or a participant in a program of training to provide emergency medical services;

(h)NRS “Sports41.630.rts official” has the meaning ascribed to it in (i) “Taxicab” has the meaning ascribed to it in NRS 41.630.706.8816.

(i) “Taxicab” has the meaning ascribed to it in NRS 706.8816.

(2)- Perform83rd tasksSession related(2025) to– the84 operation– of the public utility;

andanderform tasks related to the operation of the public (3) Wear identification, clothing or a uniform that identifies the employee as working for the public utility.

(I) An officer, a school employee, a taxicab driver, a transit operator or a utility worker who is performing his or her duty;

- *AB519_R1* – 81 – (II) A provider of health care while the provider of health care is performing his or her duty or is on the premises where he or she performs that duty;

and (2) The person charged knew or should have known that the victim was an officer, a provider of health care, a school employee, a taxicab driver, a transit operator, a utility worker or a sports official,  for a gross misdemeanor, unless the assault is made with the use of a deadly weapon or the present ability to use a deadly weapon, then for a category B felony by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not morefine thanand 6imprisonment.by years, or by a fine of not more than $5,000, or by both fine(d) andIf imprisonment.the assault:

(d) If the assault:

(II)- A83rd providerSession of(2025) health– care85 while– the provider of health care is performing his or her duty or is on the premises where he ororh she performs that duty;

200.5093who, 1.in a professional or occupational capacity, knows or hasd reasonable cause to believe that an older person or vulnerable person has been abused, neglected, exploited, isolated or abandoned shall:

Any(a) personExcept whoas isotherwise describedprovided in subsection 42, andreport who,the inabuse, aneglect, professionalexploitation, orisolation occupational capacity, knows or hasabandonment reasonableof causethe to believe that an older person or vulnerable person hasto: been abused, neglected, exploited, isolated or abandoned shall:

- *AB519_R1* – 82 – (a) Except as otherwise provided in subsection 2, report the abuse, neglect, exploitation, isolation or abandonment of the older person or vulnerable person to:

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 believeneglected, thatexploited, theisolated older person or vulnerableabandoned.person person has been abused, neglected,2. exploited, isolated or abandoned.

2.

3.- 83rd Session (2025) – 86 – a copy of the report to the Aging and Disability Services Division ofd the Department of Health and Human Services and the Unit for the Investigation and Prosecution of Crimes.

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 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, 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.

- *AB519_R1* – 83 – (b) Any personnel of a hospital or similar institution engaged in the admission, examination, care or treatment of persons or an administrator, manager or other person in charge of a hospital or similar institution upon notification of the suspected abuse, neglect, exploitation, isolation or abandonment of an older person or vulnerable person by a member of the staff of the hospital.

(e) Every person who maintains or is employed by an agency to pro(f) Every person who operates, who is employed by or who contracts to provide nursingservices for an intermediary service organization as defined in the[NRS home.449.4304.] section 59 of this act.

(f)(g) EveryAny personemployee whoof operates,the whoDepartment isof employedHealth byand orHuman whoServices, contractsexcept the State Long-Term Care Ombudsman appointed pursuant to provideNRS services427A.125 forand anany intermediaryof servicehis organizationor asher definedadvocates inor [NRSvolunteers 449.4304.]where sectionprohibited 59from ofmaking thissuch act.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.

(h)- Any83rd employeeSession of(2025) a– law87 enforcement– agency or a county’s office for protective services or an adult or juvenile probation officer.

(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 communitycom(n) healthEvery worker,person aswho definedis inenrolled 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 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.

If a person who is required to make a report pursuant to subsection 1 knows or has reasonable cause to believe that an older person or vulnerable person has died as a result of abuse, neglect, - *AB519_R1* – 84 – isolation or abandonment, the person shall, as soon as reasonably practicable, report this belief to the appropriate medical examiner or coroner, who shall investigate the cause of death of the older person or vulnerable person and submit to the appropriate local law enforcement agencies, the appropriate prosecuting attorney, the Aging and Disability Services Division of the Department of Health and Human Services and the Unit for the Investigation and Prosecutionfindings ofmust Crimesinclude histhe orinformation herrequired writtenpursuant findings.to the provisions of NRS 200.5094, when possible.

The written findings must include the information required pursuant to the provisions of NRS 200.5094, when possible.

(a)- Aging83rd andSession Disability(2025) Services– Division;88 – (b) Repository for Information Concerning Crimes Against Older Persons or Vulnerable Persons created by NRS 179A.450;

(b) Repository for Information Concerning Crimes Against Older Persons or Vulnerable Persons created by NRS 179A.450;

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 inNRS the228.265.e Office of the Attorney General created pursuant to NRSSec. 228.265.

Sec.