Nevada 2025 Regular Session Status: Enacted

AB 56 — Revises provisions relating to the licensing of certain providers of health care. (BDR 54-255)

Last action — Chapter 18.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced November 20, 2024. Enacted.

Signed by Governor Joe Lombardo (Republican) on May 26, 2025.

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Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

High

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  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

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Bill Text

What changed in the latest version

1063 added · 1127 removed

1063 line(s) added, 1127 removed.

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REQUIRES TWO-THIRDS MAJORITY VOTE (§§ 2-4, 18) (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.
Assembly Bill No.
56 ASSEMBLY BILL NO .
56–Committee on Commerce and Labor CHAPTER..........
56–COMMITTEE ON C OMMERCE AND LABOR (ON BEHALF OF THE B OARD OF M EDICAL EXAMINERS ) PREFILED N OVEMBER 20, 2024 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to the licensing of certain providers of health care.
(BDR 54-255) FISCAL NOTE:
EfEffect on the State:
Yes.
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Medical Examiners and the State Board of Osteopathic Medicine to complete Board of certain continuing education as a condition to the renewal of the license.
Existing law requires certain providers of health care licensed by the Board of Medical Examiners and the State Board of Osteopathic Medicine to complete certain continuing education as a condition to the renewal of the license.
(NRS 630.253, 633.471) Section 1 of this bill eliminates provisions requiring the Board of Medical Examiners to require the completion of a course of instruction relating - *AB56_R1* – 2 – weapon of mass destruction.
(NRS 630.253, 633.471) Section 1 of this bill eliminates provisions requiring the Board to the medical consequences of an act of terrorism that involves the use of aating weapon of mass destruction.
Existing law requires the Board of Medical Examiners to adopt regulations regarding the licensure of a physician assistant.
Existing law requires the Board of Medical Examiners to adopt regulations establishes a biennial registration fee for a physician assistant licensed by the Board.
(NRS 630.275) Existing law establishes a biennial registration fee for a physician assistant licensed by the Board.
(NRS 630.268) Under existing law, the Board is required to exempt a physician assistant on inactive status from paying the biennial registration fee.
(NRS 630.268) Under existing law, the Board is required to exempt a (NRS 630.255) Section 2 of this bill eliminates that exception.
(NRS 630.255) Section 2 of this bill eliminates that exception.
Section 3 of this bill sets forth the maximum amount of that fee.
Section 3 of this bill sets forth the maximum amount of tSection 3 revises provisions setting forth the maximum amount of various fees charged by the Board.
Section 3 revises provisions setting forth the maximum amount of various fees charged by the Board.
Existing law authorizes the Board to keep certain information confidential, proof submitted in support of or to verify the contents of an application for ar license.
Existing law authorizes the Board to keep certain information confidential, proof submitted in support of or to verify the contents of an application for ar - 83rd Session (2025) – 2 – license.
(NRS 630.336) Section 6 of this bill requires the Board, if authorized by a licensee, to provide to an employer of the licensee or an entity credentialing the licensee copies of any documents or other information obtained by the Board during the application process for the issuance of the license of the licensee, including, without limitation, copies of documents and other information verifying the completion by the licensee of any educational program related to licensure and verifying certain other matters concerning the licensee.
(NRS 630.336) Section 6 of this bill requires the Board, if authorized by a licensee, to provide to an employer of the licensee or an entity credentialing the licensee copies of any documents or other information obtained by the Board during the application process for the issuance of the license of the licensee, including, without limitation, copies of documents and other information verifying the completion by the licensee of any educational program related to licensure and veriExisting law sets forth the requirements for the issuance by the State Board of Osteopathic Medicine of a license to practice osteopathic medicine, including, among other requirements, the requirement that an applicant must:
Existing law sets forth the requirements for the issuance by the State Board of among other requirements, the requirement that an applicant must:
(1) have graduated from a school of osteopathic medicine before 1995 and completed a hospital internship or certain postgraduate training;
(1) haveing, graduated from a school of osteopathic medicine before 1995 and completed a hospital internship or certain postgraduate training;
(NRS 633.311) Section 6.7 of this bill revises the requirements for a person who is a resident enrolled in a postgraduate training program to obtain a training program in the United States or Canada that is approved by the Board orraduate certain other organizations who has completed 24 months of the program and who has committed, in writing, that he or she will complete the program.
(NRS 633.311) Section 6.7 of this bill revises the requirements for a person who is a resident enrolled in a postgraduate training program to obtain a license to allow a license to be issued to a resident who is enrolled in a postgraduate training program in the United States or Canada that is approved by the Board or certain other organizations who has completed 24 months of the program and who has committed, in writing, that he or she will complete the program.
Section 6.7 also provides that if, after issuing a license to practice osteopathic medicine, the Board obtains information that differs from the information provided by the applicant or otherwise received by the Board, the Board may take certain action against the applicant.
Section 6.7 also provides that if, after issuing a license to practice osteopathic medicine, the applicant or otherwise received by the Board, the Board may take certain action against the applicant.
Section 6.3 of this bill provides that obtaining, maintaining or renewing or attempting to obtain, maintain or renew a license to practice osteopathic medicine incomplete statement constitutes grounds for the Board to initiate disciplinaryor action against a licensee and to deny licensure to an applicant.
Section 6.3 of this bill provides that obtaining, maintaining or renewing or attempting to obtain, maintain or renew a license to practice osteopathic medicine by bribery, fraud or misrepresentation or by any false, misleading, inaccurate or incomplete statement constitutes grounds for the Board to initiate disciplinary action against a licensee and to deny licensure to an applicant.
Existing law, with certain exceptions, provides for the annual renewal of a license to practice osteopathic medicine issued by the State Board of Osteopathic Medicine and sets forth a renewal date for such a license as January 1 of each - *AB56_R1* – 3 – for the biennial renewal of such a license and establishes the renewal date for such a license as December 31 of each even-numbered year.
Existing law, with certain exceptions, provides for the annual renewal of a license to practice osteopathic medicine issued by the State Board of Osteopathic Medicine and sets forth a renewal date for such a license as January 1 of each calendar year.
(NRS 633.471) Section 12 instead provides, with certain exceptions, for the biennial renewal of such a license and establishes the renewal date for such a license as December 31 of each even-numbered year.
Existing law provides for the biennial renewal of a license as an anesthesiologist assistant issued by the Board.
Existing law provides for the biennial 633.4254) Section 7 of this bill establishes a renewal date for such a license as December 31 of each odd-numbered year.
(NRS 633.4254) Section 7 of this bill establishes a renewal date for such a license as DecSection 20 of this bill sets forth certain requirements for the renewal of certain licenses issued by the Board which are held by a licensee on December 31, 2025.
Section 20 of this bill sets forth certain requirements for the renewal of certain licenses issued by the Board which are held by a licensee on December 31, 2025.
(NRS 630.2677, 630.26835, 630.2684, 630.26845, 630.2735, 630.2755, 633.4256, 633.4258, 633.426, 633.4332, 633.438, 633.4718) Under existing law, a person who is licensed as a physician assistant or anesthesiologist assistant by the State Board of Osteopathic Medicine and who wishes to be simultaneously licensed by both the required to:
(NRS 630.2677, 630.26835, 630.2684, 630.26845, 630.2735, 630.2755, 633.4256, 633.4258, 633.426, 633.4332, 633.438, 633.4718) Under existing law, a person who is licensed as a physician assistant or anesthesiologist assistant by the State Board of Osteopathic Medicine and who wishes to be simultaneously licensed by both the - 83rd Session (2025) – 3 – required to:
and (3) if the person is applying for simultaneous licensure while renewing his or her license, apply to renew his or her license and indicate in the 633.438, 633.4718) Sections 8, 11 and 15 of this bill instead require such a person to pay to the State Board of Osteopathic Medicine a biennial simultaneous license renewal fee, rather than an annual or biennial simultaneous license registration fee.
and (3) if the person is applying for simultaneous licensure while application that he or she wishes to hold a simultaneous license.
(NRS 633.426,the 633.438, 633.4718) Sections 8, 11 and 15 of this bill instead require such a person to pay to the State Board of Osteopathic Medicine a biennial simultaneous license renewal fee, rather than an annual or biennial simultaneous license registration fee.
and (2) update the list at least annually with information received from licensees who renewed their licenses Board to instead update the list at least biennially with such information from licensees who renewed their licenses during the preceding biennium.
and (2) update the list at least during the preceding year.
(NRS 633.4715) Section 13 of this bill requires the Board to instead update the list at least biennially with such information from licensees who renewed their licenses during the preceding biennium.
(2) increases the amount of certain fees to account for the change from an annual to a biennial period of licensure for certain osteopathic physicians and biennial simultaneous license renewal fee for an anesthesiologist assistant.
(2) increases the amount of certain fees to account for the change from physician assistants;
a - *AB56_R1* – 4 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
and (3) establishes a biennial license renewal fee and a and biennial simultaneous license renewal fee for an anesthesiologist assistant.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
(a) May provide for the completion of one or more courses of instruction relating to risk management in the performance of medical services.
- 83rd Session (2025) – 4 – instruction relating to risk management in the performance ofof medical services.
(4) Syndromic surveillance and reporting procedures for acts of terrorism that involve biological agents;
(4) Syndromic surveillance and reporting procedures for acts of terr(5) An overview of the information available on, and the use of, the Health Alert Network.
and of, the Health Alert Network.information available on, and the use (c)] Must provide for the completion by a holder of a license to practice medicine of a course of instruction within 2 years after initial licensure that provides at least 2 hours of instruction on evidence-based suicide prevention and awareness as described in subsection [6.] 5.
(c)] Must provide for the completion by a holder of a license to practice medicine of a course of instruction within 2 years after initial licensure that provides at least 2 hours of instruction on evidence-based suicide prevention and awareness as described in subsection [6.] 5.
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[(e)] (d) Must provide for the biennial completion by each psychiatrist and each physician assistant practicing under the supervision of a psychiatrist of one or more courses of instruction - *AB56_R1* – 5 – that provide at least 2 hours of instruction relating to cultural competency and diversity, equity and inclusion.
[(e)] (d) Must provide for the biennial completion by each psychiatrist and each physician assistant practicing under the supervision of a psychiatrist of one or more courses of instruction that provide at least 2 hours of instruction relating to cultural compete(1) May include the training provided pursuant to NRStion:
Such instruction:
449.103, where applicable.
(1) May include the training provided pursuant to NRS 449.103, where applicable.
(III) Lesbian, gay, bisexual, transgender and questioning persons;
- 83rd Session (2025) – 5 – (III) Lesbian, gay, bisexual, transgender and questioning persons;
(VI) Persons with a mental illness;
(VII) Personswith awithtal anlnessintellectual disability, developmental disability or physical disability;
(VII) Persons with an intellectual disability, developmental disability or physical disability;
[(g)] (f) Must provide for the completion by a physician or physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care of at least 2 hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency virus within 2 years after beginning to provide or supervise the provision of such services or care.
[(g)] (f) Must provide for the completion by a physician or physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care of at least hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency virus within 2 years after beginning to provide or supervise the provision of such services or care.
[The Board may determine whether to include in a program of continuing education courses of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction in addition to the course of instruction required by paragraph (b) of subsection 2.
[The Board may determine whether to include in a program of continuing education courses of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction in addition to the course of instruction req4.] The Board shall encourage each holder of a license who treats or cares for persons who are more than 60 years of age to receive, as a portion of their continuing education, education in geriatrics and gerontology, including such topics as:
4.] The Board shall encourage each holder of a license who treats or cares for persons who are more than 60 years of age to receive, as a portion of their continuing education, education in geriatrics and gerontology, including such topics as:
- *AB56_R1* – 6 – (b) Approaches to providing health care to older persons, including both didactic and clinical approaches;
(b) Approaches to providing health care to older persons, including both didactic and clinical approaches;
The Board shall encourage each holder of a license to practice medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about how to effectively manage medications, including, without limitation, the ability of the patient to request to have the symptom or purpose for which a drug is prescribed included on the label attached to the container of the drug.
The Board shall encourage each holder of a license to practice medicine to receive, as a portion of his or her continuing education, training concerning methods for educating patients about - 83rd Session (2025) – 6 – limitation, the ability of the patient to request to have the symptom or purpose for which a drug is prescribed included on the label attached to the container of the drug.
The Board shall encourage each holder of a license to practice medicine or as a physician assistant to receive, as a portion of his or her continuing education, training and education in the diagnosis of rare diseases, including, without limitation:
The Board shall encourage each holder of a license to of his or her continuing education, training and education in thertion diagnosis of rare diseases, including, without limitation:
Except as otherwise provided in NRS 630.2535, a holder of a license to practice medicine may substitute not more than 2 hours of continuing education credits in pain management, care for persons with an addictive disorder or the screening, brief intervention and referral to treatment approach to substance use disorder for the purposes of satisfying an equivalent requirement for continuing education in ethics.
Except as otherwise provided in NRS 630.2535, a holder of a license to practice medicine may substitute not more than 2 hours of continuing education credits in pain management, care for persons with an addictive disorder or the screening, brief disorder for the purposes of satisfying an equivalent requirement for continuing education in ethics.
- *AB56_R1* – 7 – [10.] 9.
[10.] 9.
(d) “Primary] , “primary care” means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
- 83rd Session (2025) – 7 – (d) “Primary] , “primary care” means the practice of family medicine, pediatrics, internal medicine, obstetrics and gynecology and midwifery.
[(e) “Radioactive agent” has the meaning ascribed to it in NRS 202.4437.
[(e) “Radioactive agent” has the meaning ascribed to it in NRS(f) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.] Sec.
(f) “Weapon of mass destruction” has the meaning ascribed to it in NRS 202.4445.] Sec.
In addition to the requirements of subsection 2, any licensee who changes the location of his or her practice of medicine from this State to another state or country shall maintain an electronic mail address with the Board to which all communications from the Board to him or her may be sent.
In addition to the requirements of subsection 2, any licensee this State to another state or country shall maintain an electronic mail address with the Board to which all communications from the Board to him or her may be sent.
- *AB56_R1* – 8 – 5.
5.
(a) Notify the Board in writing of his or her intent to resume the practice of medicine or practice as a physician assistant, as applicable, in this State;
- 83rd Session (2025) – 8 – (a) Notify the Board in writing of his or her intent to resume the practice of medicine or practice as a physician assistant, as applicable, in this State;
(b) File an affidavit with the Board describing the activities of the licensee during the period of inactive status;
(b) File an affidavit with the Board describing the activities of the(c) Complete the form for registration for active status;
(c) Complete the form for registration for active status;
For application for and issuance of a license to practice as a physician, including a license as an administrative physician or a license by endorsement .....................................................[$600] $800 For application for and issuance of a temporary, locum tenens, limited, restricted, authorized facility, special, special purpose or special event license...................................................................[400] 600 For renewal of a limited, restricted, authorized facility or special license......................................[400] 600 For application for and issuance of a license as a physician assistant, including a license by endorsement and any temporary license.............[400] 600 For application for and issuance of a simultaneous license as a physician assistant......................................200 For biennial registration of a physician assistant................800 For biennial simultaneous registration of a physician assistant.........................................................400 For biennial registration of a physician..................[800] 1,000 - *AB56_R1* – 9 – For application for and issuance of a license as a perfusionist or practitioner of respiratory care including any temporary license to practice perfusion and any temporary license to provide respiratory care as an intern...........................[$400] $600 For biennial renewal of a license as a perfusionist.............600 For application for and issuance of a license or temporary license to practice as an anesthesiologist assistant......................................[400] 600 For application for and initial issuance of a simultaneous license as an anesthesiologist assistant................................................................[200] 400 For biennial registration of an anesthesiologist assistant.........................................................................800 For biennial simultaneous registration of an anesthesiologist assistant...............................................400 For biennial registration of a practitioner of respiratory care..............................................................600 For biennial registration for a physician who is on inactive status................................................................600 For biennial registration for a physician assistant who is on inactive status...............................................400 For written verification of licensure............................[50] 100 [For a duplicate identification card......................................25] For a duplicate [license] wall certificate.....................[50] 100 [For computer printouts or labels.......................................500 For verification of a listing of physicians, per hour ............20] For furnishing a custom list of [new physicians] licensees or a list of newly licensed licensees..............100 2.
For application for and issuance of a license to practice as a physician, including a license as an administrative physician or a license by endorsement .....................................................[$600] $800 For application for and issuance of a temporary, locum tenens, limited, restricted, authorized facility, special, special purpose or special event license...................................................................[400] 600 For renewal of a limited, restricted, authorized For application for and issuance of a license as a..................[400] 600 physician assistant, including a license by endorsement and any temporary license.............[400] 600 For application for and issuance of a simultaneous license as a physician assistant......................................200 For biennial registration of a physician assistant................800 For biennial simultaneous registration of a physician assistant.........................................................400 For biennial registration of a physician..................[800] 1,000 For application for and issuance of a license as a perfusionist or practitioner of respiratory care including any temporary license to practice perfusion and any temporary license to provide respiratory care as an intern...............................[400] 600 For biennial renewal of a license as a perfusionist.............600 - 83rd Session (2025) – 9 – For application for and issuance of a license or temporary license to practice as an anesthesiologist assistant..................................[$400] $600 For application for and initial issuance of a assistant................................................................[200] 400 For biennial registration of an anesthesiologist assistant.........................................................................800 For biennial simultaneous registration of an anesthesiologist assistant...............................................400 For biennial registration of a practitioner of respiratory care..............................................................600 For biennial registration for a physician who is on inactive status................................................................600 For biennial registration for a physician assistant who is on inactive status...............................................400 For written verification of licensure............................[50] 100 [For a duplicate identification card......................................25] For a duplicate [license] wall certificate.....................[50] 100 [For computer printouts or labels.......................................500 For verification of a listing of physicians, per hour ............20] For furnishing a custom list of [new physicians] licensees or a list of newly licensed licensees..............100 2.
Except as otherwise provided in subsections 4 and 5, in addition to the fees prescribed in subsection 1, the Board shall charge and collect necessary and reasonable fees for the expedited processing of a request or for any other incidental service the Board provides.
Except as otherwise provided in subsections 4 and 5, in addition to the fees prescribed in subsection 1, the Board shall charge and collect necessary and reasonable fees for the expedited provides.g of a request or for any other incidental service the Board 3.
3.
(a) NRS 630.1607, and the applicant is an active member of, or the spouse of an active member of, the Armed Forces of the United - *AB56_R1* – 10 – States, a veteran or the surviving spouse of a veteran, the Board shall collect not more than one-half of the fee set forth in subsection 1 for the initial issuance of the license.
(a) NRS 630.1607, and the applicant is an active member of, or the spouse of an active member of, the Armed Forces of the United States, a veteran or the surviving spouse of a veteran, the Board shall collect not more than one-half of the fee set forth in subsection for the initial issuance of the license.
(b) NRS 630.2752, the Board shall collect not more than one- half of the fee set forth in subsection 1 for the initial issuance of the license.
- 83rd Session (2025) – 10 – half of the fee set forth in subsection 1 for the initial issuance of the license.
3.
licenses.
The procedures for applications for and the issuance of licenses.
procedures for applications for and the issuance of 4.
4.
(a) Shall not require a physician assistant to receive or maintain certification by the National Commission on Certification of Physician Assistants, or its successor organization, or by any other nationally recognized organization for the accreditation of physician assistants to satisfy any continuing education requirements for the renewal of licenses.
certification by the National Commission on Certification of maintain Physician Assistants, or its successor organization, or by any other nationally recognized organization for the accreditation of physician assistants to satisfy any continuing education requirements for the renewal of licenses.
- *AB56_R1* – 11 – 8.
8.
9.
- 83rd Session (2025) – 11 – 9.
A physician assistant’s use of equipment that transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, without limitation, through telehealth, from within or outside this State or the United States.
A physician assistant’s use of equipment that transfers information concerning the medical condition of a patient in this without limitation, through telehealth, from within or outside this State or the United States.
(a) Any statement, evidence, credential or other proof submitted in support of or to verify the contents of an application;
(a) Any statement, evidence, credential or other proof submitted in (b) Any report concerning the fitness of any person to receive or hold a license to practice medicine, perfusion or respiratory care;
(b) Any report concerning the fitness of any person to receive or hold a license to practice medicine, perfusion or respiratory care;
- *AB56_R1* – 12 – 5.
- 83rd Session (2025) – 12 – to initiate disciplinary action and all documents and information considered by the Board when determining whether to impose discipline are public records.
The formal complaint or other document filed by the Board to initiate disciplinary action and all documents and information considered by the Board when determining whether to impose discipline are public records.
(a) The completion by the licensee of any educational program related to licensure, including, without limitation, academic transcripts.
related to licensure, including, without limitation, academicram transcripts.
Sec.
633.311 1.NRS 6Except as otherwise provided in NRS 633.315:
6.7.
and 633.381 to 633.419, inclusive, an applicant for a license to practice osteopathic medicine may be issued a license by the Board if:
NRS 633.311 is hereby amended to read as follows:
633.311 1.
Except as otherwise provided in NRS 633.315 and 633.381 to 633.419, inclusive, an applicant for a license to practice osteopathic medicine may be issued a license by the Board if:
(1) Has graduated from a school of osteopathic medicine before 1995 and has completed:
- 83rd Session (2025) – 13 – before 1995 and has completed:a school of osteopathic medicine (I) A hospital internship;
(I) A hospital internship;
or (II) One year of postgraduate training that complies with the standards of intern training established by the American Osteopathic Association;
or - *AB56_R1* – 13 – (II) One year of postgraduate training that complies with the standards of intern training established by the American Osteopathic Association;
or (3) Is a resident who is enrolled in a postgraduate training program in [this State,] the United States or Canada that is approved by the Board, the Bureau of Professional Education of the American Osteopathic Association, the Accreditation Council for Graduate Medical Education or, as applicable, their successor organizations, has completed 24 months of the program and has committed, in writing, that he or she will complete the program;
or (3) Is a resident who is enrolled in a postgraduate training program in [this State,] the United States or Canada that is approved by the Board, the Bureau of Professional Education of the American Osteopathic Association, the Accreditation Council for Graduate Medical Education or, as applicable, their successor committed, in writing, that he or she will complete the program;
(f) The applicant pays the fees provided for in this chapter;
(g) The applicant submits all information required to completeand an application for a license.
and (g) The applicant submits all information required to complete an application for a license.
(a) In one or more approved postgraduate programs, which may be conducted at one or more facilities in this State or, except for a resident who is enrolled in a postgraduate training program in this State pursuant to subparagraph (3) of paragraph (c) of subsection 1, in the District of Columbia or another state or territory of the United States;
(a) In one or more approved postgraduate programs, which may be conducted at one or more facilities in this State or, except for a resident who is enrolled in a postgraduate training program in this State pursuant to subparagraph (3) of paragraph (c) of subsection 1, - 83rd Session (2025) – 14 – in the District of Columbia or another state or territory of the United States;
and (d) At any time before receiving his or her license.
and 3.) Notwithstanding any provision of this chapter to the contrary, if, after issuing a license to practice osteopathic medicine, the Board obtains information from a primary or other source of information and that information differs from the information provided by the applicant or otherwise received by the Board, the Board may:
- *AB56_R1* – 14 – 3.
Notwithstanding any provision of this chapter to the contrary, if, after issuing a license to practice osteopathic medicine, the Board obtains information from a primary or other source of information and that information differs from the information provided by the applicant or otherwise received by the Board, the Board may:
(4) Suspending the license for a specified period or until further order of the Board;
further order of the Board;cense for a specified period or until (5) Requiring the licensee to participate in a program to correct an alcohol or other substance use disorder;
(5) Requiring the licensee to participate in a program to correct an alcohol or other substance use disorder;
4.
- 83rd Session (2025) – 15 – 4.
If the Board determines after reviewing the differing information to declare the license void, its action shall be deemed a disciplinary action and shall be reportable to national databases.
If the Board determines after action shall be deemed a disciplinary action and shall bee void, its reportable to national databases.
- *AB56_R1* – 15 – Sec.
Sec.
(e) Pays the application fee for the application for and issuance of a license as an anesthesiologist assistant required by NRS 633.501;
(e) Pays the application fee for the application for and issuance 633.501;
and (f) Meets the qualifications prescribed by the regulations adopted by the Board pursuant to NRS 633.4252 to assist in the practice of medicine under the supervision of a supervising osteopathic anesthesiologist.
and as an anesthesiologist assistant required by NRS (f) Meets the qualifications prescribed by the regulations adopted by the Board pursuant to NRS 633.4252 to assist in the practice of medicine under the supervision of a supervising osteopathic anesthesiologist.
Sec.
- 83rd Session (2025) – 16 – Sec.
633.426 If a person licensed as an anesthesiologist assistant pursuant to the provisions of this chapter is not applying to renew his or her license and wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to the provisions of chapter 630 of NRS, the person must:
633.426 If a person licensed as an anesthesiologist assistant pursuant to the provisions of this chapter is not applying to renew his or her license and wishes to hold a simultaneous license as an of NRS, the person must:nt pursuant to the provisions of chapter 630 1.
1.
- *AB56_R1* – 16 – (a) The [fee for] biennial simultaneous [registration of] license renewal fee for an anesthesiologist assistant pursuant to NRS 633.501;
(a) The [fee for] biennial simultaneous [registration of] license renewal fee for an anesthesiologist assistant pursuant to NRS 633.501;
633.434 The Board shall adopt regulations regarding the licensure of a physician assistant, including, without limitation:
633.434 The Board shall adopt regulations regarding the lic1.
1.
The educational and other qualifications of applicants.tion:
The educational and other qualifications of applicants.
The medical services which a physician assistant may perform, except that a physician assistant may not perform osteopathic manipulative therapy or those specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, doctors of Oriental medicine, naprapaths, podiatric physicians, optometrists and hearing aid specialists under chapters 631, 634, 634A, 634B, 635, 636 and 637B, respectively, of NRS.
The medical services which a physician assistant may perform, except that a physician assistant may not perform osteopathic manipulative therapy or those specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, doctors of Oriental medicine, naprapaths, podiatric physicians, optometrists and hearing aid specialists under - 83rd Session (2025) – 17 – NRS.ters 631, 634, 634A, 634B, 635, 636 and 637B, respectively, of 7.
7.
- *AB56_R1* – 17 – 1.
1.
and (b) The fee for application for and issuance of a simultaneous license as a physician assistant pursuant to NRS 630.268.
and license as a physician assistant pursuant to NRS 630.268.ltaneous Sec.
Sec.
(d) Subject to subsection 14, submitting evidence to the Board that in the [year] biennium preceding the application for renewal the holder has attended courses or programs of continuing education approved by the Board in accordance with regulations adopted by the Board totaling a number of hours established by the Board which must not be less than [35] 40 hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;
(d) Subject to subsection 14, submitting evidence to the Board holder has attended courses or programs of continuing educational the approved by the Board in accordance with regulations adopted by the Board totaling a number of hours established by the Board which must not be less than [35] 40 hours nor more than that set in the requirements for continuing medical education of the American Osteopathic Association;
2.
- 83rd Session (2025) – 18 – requirements for renewal not less than 30 days before the date ofe renewal.
The Secretary of the Board shall notify each licensee of the requirements for renewal not less than 30 days before the date of renewal.
- *AB56_R1* – 18 – 4.
4.
The Board shall require each holder of a license to practice osteopathic medicine to complete a course of instruction within 2 years after initial licensure that provides at least 2 hours of instruction on evidence-based suicide prevention and awareness as described in subsection 9.
The Board shall require each holder of a license to practice years after initial licensure that provides at least 2 hours of 2 instruction on evidence-based suicide prevention and awareness as described in subsection 9.
(a) Recognizing the symptoms of pediatric cancer;
(b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
and (b) Interpreting family history to determine whether such symptoms indicate a normal childhood illness or a condition that requires additional examination.
The Board shall require, as part of the continuing education requirements approved by the Board, the biennial completion by a holder of a license to practice osteopathic medicine of at least 2 hours of continuing education credits in ethics, pain management, care of persons with addictive disorders or the screening, brief intervention and referral to treatment approach to substance use disorder.
The Board shall require, as part of the continuing education requirements approved by the Board, the biennial completion by a holder of a license to practice osteopathic medicine of at least 2 hours of continuing education credits in ethics, pain management, care of persons with addictive disorders or the screening, brief - 83rd Session (2025) – 19 – intervention and referral to treatment approach to substance use disorder.
The continuing education requirements approved by the Board must allow the holder of a license as an osteopathic physician, physician assistant or anesthesiologist assistant to receive credit toward the total amount of continuing education required by the Board for the completion of a course of instruction relating to genetic counseling and genetic testing.
The continuing education requirements approved by the Board must allow the holder of a license as an osteopathic credit toward the total amount of continuing education required byceive the Board for the completion of a course of instruction relating to genetic counseling and genetic testing.
and - *AB56_R1* – 19 – (c) The detection of suicidal thoughts and ideations and the prevention of suicide.
and (c) The detection of suicidal thoughts and ideations and the prevention of suicide.
The Board shall require each holder of a license to practice osteopathic medicine to complete at least 2 hours of training in the screening, brief intervention and referral to treatment approach to substance use disorder within 2 years after initial licensure.
The Board shall require each holder of a license to practice osteopathic medicine to complete at least 2 hours of training in the substance use disorder within 2 years after initial licensure.ch to 12.
12.
(3) Lesbian, gay, bisexual, transgender and questioning persons;
- 83rd Session (2025) – 20 – persons;) Lesbian, gay, bisexual, transgender and questioning (4) Children and senior citizens;
(4) Children and senior citizens;
The Board shall require each holder of a license to practice osteopathic medicine or as a physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care to complete at least 2 hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency virus within 2 years after beginning to provide or supervise the provision of such services or care.
The Board shall require each holder of a license to practice osteopathic medicine or as a physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care to complete at least 2 hours of training in the stigma, discrimination and unrecognized bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency provision of such services or care.g to provide or supervise the 14.
- *AB56_R1* – 20 – 14.
633.4715 1.
The Board shall:
and (2) If the applicant has received training in the treatment of mental and emotional trauma immediately following an emergency or disaster, describe the training and indicate if he or she is willing to respond immediately should an emergency or disaster arise at any location in this State;
and (2) If the applicant has received training in the treatment of mental and emotional trauma immediately following an emergency - 83rd Session (2025) – 21 – to respond immediately should an emergency or disaster arise at anyling location in this State;
and (d) Provide the lists maintained pursuant to paragraphs (b) and (c) upon request to a governmental entity responding to a state of emergency or declaration of a disaster by the Governor or the Legislature pursuant to NRS 414.070.
and (d) Provide the lists maintained pursuant to paragraphs (b) and (c) upon request to a governmental entity responding to a state of Legislature pursuant to NRS 414.070.er by the Governor or the 2.
2.
The Board shall not deny the renewal of a license as an osteopathic physician or physician assistant solely because the applicant has failed to comply with the requirements of paragraph (a) of subsection 1.
The Board shall not deny the renewal of a license as an osteopathic physician or physician assistant solely because the - *AB56_R1* – 21 – applicant has failed to comply with the requirements of paragraph (a) of subsection 1.
The applicant shall provide to the Department all the information included in the request.
The applicant shall provide to the Dep2.
2.
An applicant for biennial [registration or] renewal of a license who refuses or fails to complete a data request pursuant to subsection 1 is not subject to disciplinary action, including, without limitation, refusal to [issue the biennial registration or] renew the license, for such refusal or failure.
An applicant for biennial [registration or] renewal of a license who refuses or fails to complete a data request pursuant to subsection 1 is not subject to disciplinary action, including, without - 83rd Session (2025) – 22 – license, for such refusal or failure.nnial registration or] renew the 4.
4.
and (b) For a license to practice as a physician assistant to the Board of Medical Examiners pursuant to chapter 630 of NRS;
and (b) For a license to practice as a physician assistant to the Board of 3.dicPay all applicable fees, including, without limitation:
and 3.
Pay all applicable fees, including, without limitation:
- *AB56_R1* – 22 – Sec.
Sec.
If the license is not renewed within 15 days after receiving notice, the license expires automatically without any further notice or a hearing and the Board shall file a copy of the notice with the Drug Enforcement Administration of the United States Department of Justice or its successor agency.
If the license is not renewed within 15 days after receiving notice, the license expires automatically without any further notice or a hearing and the Board shall file a copy of the notice with the Drug Enforcement successor agency.
2.
the United States Department of Justice or its 2.
3.
- 83rd Session (2025) – 23 – 3.
(b) Producing verified evidence satisfactory to the Board of completion of the total number of hours of continuing education required for the [year] biennium preceding the renewal date and for each [year] biennium succeeding the date of expiration;
completion of the total number of hours of continuing education required for the [year] biennium preceding the renewal date and for each [year] biennium succeeding the date of expiration;
- *AB56_R1* – 23 – (a) Twenty-five hours if the licensee has been retired 1 year or less.
(a) Twenty-five hours if the licensee has been retired 1 year or les(b) Fifty hours within 12 months of the date of the application if the licensee has been retired for more than 1 year.
(b) Fifty hours within 12 months of the date of the application if the licensee has been retired for more than 1 year.
(b) Except as otherwise provided in subsection 6, shall [annually] biennially pay the inactive license fee prescribed by NRS 633.501.
- 83rd Session (2025) – 24 – (b) Except as otherwise provided in subsection 6, shall [annually] biennially pay the inactive license fee prescribed by NRS 633.501.
(c) Shall not practice osteopathic medicine or practice as a physician assistant in this State.
(c) Shall not practice osteopathic medicine or practice as a phy5.ciaA physician assistant whose license has been placed on inactive status shall not practice as a physician assistant.
5.
A physician assistant whose license has been placed on inactive status shall not practice as a physician assistant.
(b) Provide to the Board an affidavit stating that the applicant has not withheld from the Board any information which would constitute grounds for disciplinary action pursuant to this chapter.
(b) Provide to the Board an affidavit stating that the applicant constitute grounds for disciplinary action pursuant to this chapter.
- *AB56_R1* – 24 – (c) Comply with all other requirements for renewal.
(c) Comply with all other requirements for renewal.
(a) Application and initial license fee for an osteopathic physician....................................................[$800] $1,600 (b) [Annual] Biennial license renewal fee for an osteopathic physician........................................................[500] 1,000 (c) Temporary license fee.......................................................500 (d) Special or authorized facility license fee ........................$200 (e) Special event license fee ...................................................200 (f) Special or authorized facility license renewal fee....................................................................................200 (g) Reexamination fee ............................................................200 (h) Late payment fee...............................................................300 (i) Application and initial license fee for a physician assistant................................................................[400] 800 (j) Application and initial simultaneous license fee for a physician assistant.................................................[200] 400 (k) [Annual registration] Biennial license renewal fee for a physician assistant...................................[400] 800 (l) [Annual] Biennial simultaneous [registration] license renewal fee for a physician assistant.......................[200] 400 (m) Inactive license fee..................................................[200] 400 (n) Application and initial license fee for an anesthesiologist assistant ..............................................................400 (o) Application and initial simultaneous license fee for an anesthesiologist assistant..............................................200 (p) Biennial license renewal fee for an anesthesiologist assistant.............................................................400 (q) Biennial simultaneous license renewal fee for an anesthesiologist assistant..................................................200 2.
(a) Application and initial license fee for an osteopathic physician....................................................[$800] $1,600 (b) [Annual] Biennial license renewal fee for an osteopathic physician........................................................[500] 1,000 (c) Temporary license fee.......................................................500 (d) Special or authorized facility license fee ..........................200 (e) Special event license fee ...................................................200 (f) Special or authorized facility license renewal fee....................................................................................200 - 83rd Session (2025) – 25 – (g) Reexamination fee ..........................................................$200 (h) Late payment fee...............................................................300 (i) Application and initial license fee for a physician assistant................................................................[400] 800 fee for a physician assistant.................................................[200] 400 (k) [Annual registration] Biennial license renewal fee for a physician assistant...................................[400] 800 (l) [Annual] Biennial simultaneous [registration] license renewal fee for a physician assistant.......................[200] 400 (m) Inactive license fee..................................................[200] 400 (n) Application and initial license fee for an anesthesiologist assistant ..............................................................400 (o) Application and initial simultaneous license fee for an anesthesiologist assistant..............................................200 (p) Biennial license renewal fee for an anesthesiologist assistant.............................................................400 (q) Biennial simultaneous license renewal fee for an anesthesiologist assistant..................................................200 2.
The Board may prorate the initial license fee for a new license issued pursuant to paragraph (a) , [or] (i) or (n) of subsection 1 which expires less than [6] 12 months after the date of issuance.
The Board may prorate the initial license fee for a new license issued pursuant to paragraph (a) , [or] (i) or (n) of subsection which expires less than [6] 12 months after the date of issuance.
Such a special meeting must not be called until the person or entity requesting the meeting has paid a cash deposit with the Board sufficient to defray all expenses of the meeting.
Such a special meeting must not be called until the person or entity requesting the meeting has paid a meeting.osit with the Board sufficient to defray all expenses of the 4.
4.
- *AB56_R1* – 25 – (a) NRS 633.399 or 633.400 and is an active member of, or the spouse of an active member of, the Armed Forces of the United States, a veteran or the surviving spouse of a veteran, the Board shall collect not more than one-half of the fee set forth in subsection 1 for the initial issuance of the license.
(a) NRS 633.399 or 633.400 and is an active member of, or the spouse of an active member of, the Armed Forces of the United States, a veteran or the surviving spouse of a veteran, the Board shall collect not more than one-half of the fee set forth in subsection for the initial issuance of the license.
1.
- 83rd Session (2025) – 26 – 1.
The renewal date of a license issued by the State Board of Osteopathic Medicine pursuant to the provisions of chapter 633 of NRS, as those provisions existed before January 1, 2026, except a license as a physician assistant, a license as an anesthesiologist assistant, a temporary license or a special license, and which is held by a person on December 31, 2025, remains January 1, 2026.
The renewal date of a license issued by the State Board of Osteopathic Medicine pursuant to the provisions of chapter 633 of NRS, as those provisions existed before January 1, 2026, except a license as a physician assistant, a license as an anesthesiologist by a person on December 31, 2025, remains January 1, 2026.
Such a license may be renewed in accordance with the applicable provisions of chapter 633 of NRS, as those provisions existed before January 1, 2026, and the regulations adopted pursuant thereto.
Such a held license may be renewed in accordance with the applicable provisions of chapter 633 of NRS, as those provisions existed before January 1, 2026, and the regulations adopted pursuant thereto.
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tasks that are necessary to carry out the provisions of this act;
(a) Upon passage and approval for the purpose of adopting any regulations and performing any other preparatory administrative tas(b) On January 1, 2026, for all other purposes.ns of this act;
and (b) On January 1, 2026, for all other purposes.
and ~~~~~ 25 - 83rd Session (2025)
H - *AB56_R1*
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Amendments

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Action History

  1. Chapter 18.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. In Assembly. To enrollment.

  5. Read third time. Passed. Title approved. (Yeas: 19, Nays: 1, Excused: 1.) To Assembly.

  6. Read second time.

  7. From committee: Do pass.

  8. In Senate. Read first time. Referred to Committee on Commerce and Labor. To committee.

  9. From printer. To engrossment. Engrossed. First reprint. To Senate.

  10. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 40, Nays: 2.) To printer.

  11. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 108.) Dispensed with reprinting.

  12. Read first time. To committee.

  13. From printer.

  14. Prefiled. Referred to Committee on Commerce and Labor. To printer.

Sponsors

  • Assembly Committee on Commerce and Labor · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 66 not signed on

Sponsors (1)

  • Assembly Committee on Commerce and Labor

Co-sponsors (0)

None.

Not signed on (66)

66 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare
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AB 56 is sponsored by Assembly Committee on Commerce and Labor.
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