SB 24 — Provides for the certification and regulation of emergency medical responders. (BDR 40-292)

450B.020 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 450B.025 to 450B.110, inclusive, and section 2 of this act have the meanings ascribedascSec. to them in those sections.

-4.o *SB24*tNRS –450B.0605 5is –hereby Sec.amended to read as follows:

4.

NRS 450B.0605 is hereby amended to read as follows:

450B.0703 “Emergency response employee” means a firefighter, attendant, volunteer attendant, emergency medical responder, emergency medical technician, advanced emergency medical technician, emergency medical dispatcher, paramedic, law enforcement officer, correctional officer, other peace officer or person who is employed by an agency of criminal justice, including, without limitation, a law enforcement dispatcher, county coroner or medical examiner or any of their employees, any other public - 83rd Session (2025) – 5 – employee whose duties may require him or her to come into contact with human blood or bodily fluids or any other person who, in the course of his or her professional duties, responds to emergencies in this State.

Sec.450B.130 NR1.

6.

NRS 450B.130 is hereby amended to read as follows:

450B.130 1.

Any regulations adopted by the board pursuant to subsection 1 establishing reasonable minimum standards for a permit for the operation of an air ambulance or records to be maintained by an operator of an air ambulance must:

and (b) Not be based on economic factors, including, without limitation,services factorsof relatedan toair ambulance.o the prices, routes or nonmedical services3. of an air ambulance.

- *SB24* – 6 – 3.

A health officer may adopt regulations that impose additional requirements for the certification or licensure of persons - 83rd Session (2025) – 6 – who provide emergency medical care in the jurisdiction of the health officer, but the health officer must accept the certification or licensure of a person who provides emergency medical care from the jurisdiction of another health officer as proof that the person who provides emergency medical care has met the minimum requirements for certification or licensure.licensure.the minimum 5.

5.

(a) One member who is a physician licensed pursuant to chapter 630 or 633 of NRS and who has experience providing emergency medical services;

and who has experience providing emergency (b) One member who is a registered nurse and who has experience providing emergency medical services;

- *SB24* – 7 – (c) One member who is a volunteer for an organization that provides emergency medical services pursuant to this chapter;

- 83rd Session (2025) – 7 – (g) One member who is employed by an organization that provides emergency medical services in an air ambulance and whose duties are closely related to such emergency medical services;

(h) One member who is employed by or serves as a volunteer with a local governmental agency that provides emergency medical services but which is not a part of a fire-fighting agency or law enforcement agency;

(a) An employee of the Division, appointed by the Administrator of the Division, whose duties relate to administration and enforcement of the provisions of this chapter;

- *SB24* – 8 – (c) A physician who is a member of a committee which consists of directors of trauma centers in this State and who is nominated by that committee;

- 83rd Session (2025) – 8 – 7.

The State Board of Health shall not appoint to the Committee two persons who are employed by or volunteer with the same organization, except the State Board of Health may appoint a person who is employed by or volunteers with the same organizationemployee.ion of which a member who serves ex officio is an employee.8.

8.

A certificate is valid for a period not exceeding 2 years and may be renewed if the holder of the certificate complies with the provisions of this chapter and meets the qualifications set forth in the regulations and standards established by the board pursuant to this chapter.

- *SB24* – 9 – (1) An overview of acts of terrorism and weapons of mass destruction;

(4)- Syndromic83rd surveillanceSession and(2025) reporting– procedures9 for– acts of terrorism that involve biological agents;

andandprocedures for acts (5) An overview of the information available on, and the use of, the Health Alert Network.

Unless the certificate is suspended by the district court pursuant to NRS 425.540, the holder of the certificate may appealto theregulations suspensionadopted orby revocationthe ofboard.of his or her certificate pursuant to5. regulations adopted by the board.

5.

(a) “Act of terrorism” has the meaning ascribed to it in NRS(b) “Biological agent” has the meaning ascribed to it in NRS 202.4415.202.442.

(b) “Biological agent” has the meaning ascribed to it in NRS 202.442.

- *SB24* – 10 – (d) “Developmental disability” has the meaning ascribed to it in NRS 435.007.

- 83rd Session (2025) – 10 – (f) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.

A program of training for certification as an emergencymust be:y medical responder or emergency medical technician must(a) be:Supervised by a physician and approved by the health authority;

(a) Supervised by a physician and approved by the health authority;

TheThe(a) curriculumAt orthe educationallevel standardsof foradvanced trainingfirst mustaid; be:

(a)orraining Atmust thebe: level of advanced first aid;

or (b) At least equivalent to any curriculum or educational standards prepared by the Department of Transportation as a national standard for emergency medical responders or emergency medical technicians [.] , as applicable.

- *SB24*83rd Session (2025) – 11 – Sec.

450B.460 “Person who administers emergency medical services” means a paid or volunteer firefighter, law enforcement officer, emergency medical responder, emergency medical technician, advanced emergency medical technician, paramedic, ambulance attendant or other person trained to provide emergency medical services.

or (b) A person, other than an owner, employee or agent of the authorized entity, who is trained to recognize the symptoms of anaphylaxis and to administer auto-injectable epinephrine, who may include, without limitation, a provider of health care, a provider of emergency medical services, an athletic trainer or a family member of of a person who suffers from allergies capable of causing anaphylaxis.

Not later than 30 days after a dose of auto-injectable epinephrine maintained by an authorized entity is administered, the authorized entity shall report, on a form prescribed by the board, the - 83rd Session (2025) – 12 – circumstances surrounding such administration.

The board shall - *SB24* – 12 – publish an annual report summarizing and analyzing the information reported by authorized entities pursuant to this subsection.

(a)who “Provideris:“Provider of emergency medical services” means a person who(1) is:Licensed as an attendant or certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to this chapter;

(1) Licensed as an attendant or certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to this chapter;

2.license or certificate pursuant to subsection 1 is confidential and, except as required by subsection 1, must not be disclosed to any person or entity.

The information provided by an applicant for a renewal of a license or certificate pursuant to subsection 1 is confidential and, except as required by subsection 1, must not be disclosed to any person or entity.

Any such prescription must be regarded as being- issued83rd forSession a(2025) legitimate– 13 – professional practice.itimate medical purpose in the usual course of professional2. practice.

- *SB24* – 13 – 2.

(b) An emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic, as defined in chapter 450B of NRS, is authorized to administer an opi4.d aA person who, acting in good faith and with reasonable care, administers an opioid antagonist asto clinicallyanother indicated.person whom the person believes to be experiencing an opioid-related drug overdose is immune from criminal prosecution, sanction under any professional licensing statute and civil liability for such act.

4.

A person who, acting in good faith and with reasonable care, administers an opioid antagonist to another person whom the person believes to be experiencing an opioid-related drug overdose is immune from criminal prosecution, sanction under any professional licensing statute and civil liability for such act.

Except as otherwise provided in subsection 2, a peace officer, firefighter or emergency medical attendant may bring and maintain an action for damages for personal injury caused by the willful act of another person, or by another person’s lack of ordinary care or skill in the management of the person’s property, if the conduct causing the injury:

- 83rd Session (2025) – 14 – (1) Intended to protect the peace officer, firefighter or emergency medical attendant;

or (d)2. Was arson.

- *SB24* – 14 – 2.

41.1391 An attendant, firefighter employed by or serving as a volunteer with a fire-fighting agency, an emergency medical responder, emergency medical technician, advanced emergency medical technician, paramedic or a peace officer who has received the training required pursuant to NRS 289.605, 450B.160 or 450B.180 shall not be held to a higher standard of care and does not have a duty greater than had he or she not received the training with respectdevelopmental todisability.tion, the identification, diagnosis or treatment of a developmentalSec. disability.

Sec.

An emergency medical attendant, physician assistant, anesthesiologist assistant, registered nurse or licensed practical nurse who obeys an instruction given by a physician, physician assistant, anesthesiologist assistant, registered nurse or licensed practical nurse and thereby renders emergency care, at the scene of an- emergency83rd orSession while(2025) transporting– an15 ill– or injured person from the scene of an emergency, is not liable for any civil damages as a result of any act or omission, not amounting to gross negligence, in rendering that emergency care.

- *SB24* – 15 – (a) Licensed as an attendant or certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS;

Except as otherwise provided in NRS 193.169, any person who willfully violates any provision of NRS 200.030, 200.280, 200.310, 200.366, 200.380, 200.400, 200.460, NRS 200.471 which is punishable as a felony, NRS 200.481 which is punishable as a felony, NRS 205.0832 which is punishable as a felony, NRS 205.220, 205.226, 205.228, 205.270 or 206.150 because of the fact that the victim is a first responder may, in addition to the term of imprisonment prescribed by statute for the crime, be punished by imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 20 years.

 The court shall state on the record that it has considered the information described in paragraphs (a) to (e), inclusive, in determining the length of any additional penalty imposed.imposed., in 2.

2.

- 83rd Session (2025) – 16 – 4.

(a) “Emergency medical provider” [has the meaning ascribed to it in NRS 450B.199.] means an emergency medical responder, emergency medical technician, advanced emergency medicalmedicalr, technician or paramedic.

- *SB24* – 16 – (c) “Peace officer” has the meaning ascribed to it in NRS 169.125.

(d)(e) Any mitigatingother factorsrelevant presentedinformation.d by the person;

and (e) AnyThe othercourt relevantshall information.state on the record that it has considered the information described in paragraphs (a) to (e), inclusive, in determining the length of any additional penalty imposed.

 The court shall state on the record that it has considered the information described in paragraphs (a) to (e), inclusive, in determining the length of any additional penalty imposed.

- 83rd Session (2025) – 17 – (a) “Emergency medical provider” has the meaning ascribed to it in NRS [450B.199.] 193.1677.

(c)NRS “Peace169.125.e officer” has the meaning ascribed to it in NRSSec. 169.125.

Sec.

or - *SB24* – 17 – (2) Intentionally placing another person in reasonable apprehension of immediate bodily harm.

(5)subdivision of the United States or of this State;olitical (6) A prosecutingjustice attorneyof the Supreme Court, judge of anthe agencyCourt orof politicalAppeals, subdivisiondistrict judge, justice of the Unitedpeace, Statesmunicipal judge, magistrate, court commissioner, master or ofreferee, including a person acting pro tempore in a capacity listed in this State;subparagraph;

(6) A justice of the Supreme Court, judge of the Court of Appeals, district judge, justice of the peace, municipal judge, magistrate, court commissioner, master or referee, including a person acting pro tempore in a capacity listed in this subparagraph;

(9)- A83rd civilianSession employee(2025) or– a18 volunteer– of a fire-fighting agency whose official duties require the employee or volunteer to:

and - *SB24* – 18 – (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 or anesthesiologist assistant licensed pursuant to chapter 633 of NRS, a podiatric physician, a podiatry hygienist, a physical 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 responder, an emergency medical technician, an advanced emergency medical technician, a paramedic- or83rd aSession participant(2025) in– a19 program– of training to provide emergency medical services;

orora program of training to provide (2) An employee of or volunteer for a health care facility who:

- *SB24* – 19 – (i) “Taxicab” has the meaning ascribed to it in NRS 706.8816.

(j) “Taxicab driver” means a person who operates a taxicab.

(b) If the assault is made with the use of a deadly weapon or the present ability to use a deadly weapon, for a category B felony bybyhe imprisonment in the state prison for a minimum term of not less than 1 year and a maximum term of not more than 6 years, or by a fine of not more than $5,000, or by both fine and imprisonment.

(I)- An83rd officer,Session a(2025) school– employee,20 a– taxicab driver, a transit operator or a utility worker who is performing his or her 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 more than 6 years, or by a fine of not more than $5,000, or by both finefin(d) andIf imprisonment.the assault:

(d)(1) IfIs thecommitted assault:by a probationer, a prisoner who is in lawful custody or confinement or a parolee upon:

- *SB24* – 20 – (1) Is committed by a probationer, a prisoner who is in lawful custody or confinement or a parolee upon:

and (2) The probationer, prisoner or parolee 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 category D felony as provided in NRS 193.130, unless the assault is made with the use of a deadly weapon or the presentpresenthe 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 more than 6 years, or by a fine of not more than $5,000, or by both fine and imprisonment.

Establish, equip and maintain limited medical facilities in the outlying areas of their respective counties to provide outpatient care- and83rd emergencySession treatment(2025) to– the21 residents– of and those falling sick or being injured or maimed in those areas.areas.f and those falling 2.

2.

Purchase, equip and maintain, either in connection with a limited medical facility as authorized in this section or independent therefrom, ambulances and ambulance services for the benefit of thethent residents of and those falling sick or being injured or maimed in the outlying areas.

- *SB24* – 21 – Sec.

The Board of Regentsaccept shallgifts administerand grants for deposit in the Account.

The Board of Regents may accept gifts and grants for deposit in the Account.

3.- 83rd Session (2025) – 22 – (a) The amount of money in the Trust Account that is available:

Forto eachmake fiscalpayments year,pursuant theto Boardsubsection of1 Regentsfor shallthat estimate:fiscal year;

(a) The amount of money in the Trust Account that is available to make payments pursuant to subsection 1 for that fiscal year;

(b)NRS “Fire-fighting450B.072.fighting agency” has the meaning ascribed to it in NRS(c) 450B.072.“Local government” means a county, city, unincorporated town or metropolitan police department.

(c) “Local government” means a county, city, unincorporated town or metropolitan police department.

- *SB24* – 22 – (1) A member of a search and rescue organization in this State under the direct supervision of any county sheriff;

(3) A person certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS if the person is a salaried employee or volunteer of a public agency and is not retained under contract to perform services for the public agency;

orored under contract to perform services for the public (4) A volunteer attendant as that term is defined in NRS 450B.110.

(f) “Public agency” means an agency, bureau, commission, department or division of the State of Nevada or a political subdivision- of83rd theSession State(2025) of– Nevada23 that– rescue or emergency medical services.at provides police, firefighting, rescue(g) “Public employee” means any person who performs public duties for compensation paid by or emergencythrough medicalthe services.State, a county, city, local government or other political subdivision of the State or an agency thereof.

(g) “Public employee” means any person who performs public duties for compensation paid by or through the State, a county, city, local government or other political subdivision of the State or an agency thereof.

Sec.

23.

NRS 417.0194 is hereby amended to read as follows:

Each state agency and regulatory body shall submit such information for the immediately preceding fiscal year to the Council not later than November 30 of - *SB24* – 23 – each year and shall provide the information in aggregate and in digital form, and in a manner such that the data is capable of integration by the Council.

(b)home Theoperated numberby ofthe veteransState;ns who receive care at a veterans’ home(c) operatedThe number of interments and other services provided by the veterans’ cemeteries in this State;

(c) The number of interments and other services provided by the veterans’ cemeteries in this State;

(f)- The83rd amountSession of(2025) annual– payments24 in– the form of disability compensation and pension benefits made to veterans and the family members of veterans in this State as a result of claims filed by any veterans service officers employed or managed by the Department of Veterans Services;

(a) Descriptions of and the total amount of the grant dollars receivedrec(b) forThe veteran-specifictotal programs;combined number of veterans and, to the extent the information is available, widows and widowers of persons killed in the line of duty while on active duty in the Armed Forces of the United States, who are employed by each agency in the State;

(b) The total combined number of veterans and, to the extent the information is available, widows and widowers of persons killed in the line of duty while on active duty in the Armed Forces of the United States, who are employed by each agency in the State;

- *SB24* – 24 – (a) Expedited certification for the grade I certification examination for wastewater treatment plant operators based on their military experience;

(a) An annual overview of the monthly population of inmates in this State who are veterans;

and monthly population of inmates in (b) The success rates for any efforts developed by the Incarcerated Veterans Reintegration Council.

7.- 83rd Session (2025) – 25 – of dependents of service members enrolled in Nevada’s publiction schools.

The Department of Education shall provide the distribution of dependents of service members enrolled in Nevada’s public schools.

(a) The total number of veterans who have applied for and received certification as an Emergency Medical Responder,Responder,and Emergency Medical Technician , [-B,] Advanced Emergency Medical Technician and Paramedic through the State Emergency Medical Systems program;

and - *SB24* – 25 – (c) An overview of the data on veterans collected pursuant to NRS 483.292, 483.852 and 483.927.

(a) Members of the Nevada National Guard using waivers for each semester and identifying which schools accepted the waivers;

13.- 83rd Session (2025) – 26 – of veterans receiving tax exemptions pursuant to NRS 361.090,ber 361.091, 361.155, 371.103 and 371.104.

The Department of Taxation shall provide the total number of veterans receiving tax exemptions pursuant to NRS 361.090, 361.091, 361.155, 371.103 and 371.104.

(c) Renewed a license with the regulatory body.

(a) “Have you ever served on active duty in the Armed Forces of the United States and separated from such service under conditions other than dishonorable?” (b) “Have you ever been assigned to duty for a minimum of 6 continuous years in the National Guard or a reserve component of the Armed Forces of the United States and separated from such service under conditions other than dishonorable?” (c) “Have you ever served the Commissioned Corps of the United States Public Health Service or the Commissioned Corps of the National Oceanic and Atmospheric Administration of the United States in the capacity of a commissioned officer while on active - *SB24* – 26 – duty in defense of the United States and separated from such service under conditions other than dishonorable?” 18.

(b)- “Regulatory83rd Session (2025) – 27 – NRS 622.060.latory body” has the meaning ascribed to it in (c) “Service member” has the meaning ascribed to it in NRS 622.060.125C.0635.

(c) “Service member” has the meaning ascribed to it in NRS 125C.0635.

(a) Is responding to an emergency call or the peace officer is in pursuit of a suspected violator of the law;

ororhe peace officer is in (b) Determines that noncompliance with any such provision is necessary to carry out his or her duties.

“Accident benefits” means medical, surgical, hospital or other treatments, nursing, medicine, medical and surgical supplies, crutches and apparatuses, including prosthetic devices.devices.ical 2.

2.

- *SB24* – 27 – (a) Medical benefits as defined by NRS 617.130;

(c)- Preventive83rd treatmentSession administered(2025) as– a28 precaution– to a police officer, a salaried or volunteer firefighter or an arson investigator who:

or (2) Tests positive for exposure to tuberculosis or another contagious disease under the circumstances described in subsection 2 or 3 of NRS 616C.052;

(a)home;) Exercise equipment, a hot tub or a spa for an employee’s home;(b) Membership in an athletic or health club;

(b) Membership in an athletic or health club;

(b) “Emergency medical attendant” means a person licensed as an attendant or certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS, whose primary duties of employment are the provision of emergencyemergencyose medical services.

- *SB24* – 28 – (1) Tests to determine if an employee has contracted hepatitis or any other contagious disease to which the employee was exposed;

and - 83rd Session (2025) – 29 – (2) If an employee tests positive for exposure to tuberculosis under the circumstances described in NRS 616C.052, such medication and chest X-rays as are recommended by the Centers for Disease Control and Prevention of the United States Department of HealthHeaSec. and Human Services.

Sec.

An injury or disease caused by stress shall be deemed to arise out of and in the course of employment if the employee is a first responder and proves by clear and convincing medical ororis a psychiatric evidence that:

An injury or disease caused by stress shall be deemed to arise out of and in the course of employment, and shall not be - *SB24* – 29 – deemed the result of gradual mental stimulus, if the employee is - 83rd Session (2025) – 30 – employed by the State or any of its agencies or political subdivisions and proves by clear and convincing medical or psychiatric evidence that:

(a) The employee has a mental injury caused by extreme stress duedue(b) toThe theprimary employeecause respondingof tothe ainjury masswas casualtythe incident;employeeent;

and (b) The primary cause of the injury was the employee responding to the mass casualty incident during the course of his or her employment.

(c) “Mass casualty incident” means an event that, for the purposes of emergency response or operations, is designated as a mass casualty incident by one or more governmental agencies that are responsible for public safety or for emergency response.response.that Sec.

Sec.

and - *SB24*83rd –Session 30(2025) – (b)31 The– compensation provided in chapters 616A to 616D, inclusive, of NRS for the disability or death.death.16A to 616D, 3.

3.

Each employer shall provide a police officer, salaried firefighter or emergency medical attendant with the opportunity to be vaccinated for hepatitis A and hepatitis B upon employment and at other medically appropriate times duringduringitis B his or her employment.

(c) Apply to a police officer, firefighter or emergency medical attendant who is diagnosed with hepatitis after the termination of the employment if the diagnosis is made within 1 year after the last daydayhe of the employment.

and (b) Incapable of performing, with or without remuneration, work as a police officer, firefighter or emergency medical attendant, - may83rd electSession to(2025) receive– the32 benefits– provided pursuant to NRS 616C.440 for a permanent total disability.disability.ed pursuant to NRS 7.

7.

- *SB24* – 31 – (a) “Emergency medical attendant” means a person licensed as an attendant or certified as an emergency medical responder, emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS, whose primary duties of employment are the provision of emergency medical services.

(a)of ANRS;A physician licensed pursuant to chapter 630, 630A or 633 of(b) NRS;A physician assistant;

(b) A physician assistant;

(i)(j) AAn dispensingoptometrist;tician; optician;

(j) An optometrist;

- 83rd Session (2025) – 33 – (s) A licensed clinical professional counselor;

- *SB24* – 32 – (x) A doctor of Oriental medicine in any form;

(bb) An associate in social work, a social worker, a master social worker, an independent social worker or a clinical social worker licensedlic(cc) An alcohol and drug counselor or a problem gambling counselor who is certified pursuant to chapter 641B641C of NRS;

(cc) An alcohol and drug counselor or a problem gambling counselor who is certified pursuant to chapter 641C of NRS;

H~~~~~ 25 - *SB24*83rd Session (2025)