Nevada 2025 Regular Session Status: Enacted

AB 50 — Revises provisions relating to victims of a mass casualty incident. (BDR 20-466)

Last action — Chapter 16.

  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 19, 2024. Enacted.

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

Prognosis

Advancing 50% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

687 added · 734 removed

687 line(s) added, 734 removed.

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(Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B.
Assembly Bill No.
50 ASSEMBLY BILL NO .
50–Committee on Government Affairs CHAPTER..........
50–COMMITTEE ON GOVERNMENT AFFAIRS (O N BEHALF OF CLARK COUNTY ) PREFILED N OVEMBER 19, 2024 ____________ Referred to Committee on Government Affairs SUMMARY—Revises provisions relating to victims of a mass casualty incident.
(BDR 20-466) FISCAL NOTE:
Effect on Local Government:
No.
Effect on the State:
No.
~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
Legislative Counsel’s Digest:
LegiSection 1 of this bill authorizes a board of county commissioners to establish and maintain an electronic database containing information concerning victims of mass casualty incidents to coordinate the provision of reunification and identification services and long-term support services for such victims.
Section 1 of this bill authorizes a board of county commissioners to establish and maintain an electronic database containing information concerning victims of mass casualty incidents to coordinate the provision of reunification and identification services and long-term support services for such victims.
Section 1 sets forth certain requirements for such an electronic database and requires a board of county commissioners that establishes such an electronic database to determine of certain information to the database and the persons and governmental entitiesing that may participate in the database.
Section 1 of county commissioners that establishes such an electronic database to determineard certain matters concerning the information contained in the database, the reporting of certain information to the database and the persons and governmental entities that may participate in the database.
Under sections 1 and 2 of this bill, the information contained in the electronic database is confidential and may be disclosed only by participants in the database for certain purposes.
Under sections 1 and 2 of this bill, the - *AB50_R1* – 2 – information contained in the electronic database is confidential and may be disclosed only by participants in the database for certain purposes.
Additionally, section 1 requires that, except for a victim of a mass casualty incident who has provided written authorization for his or her information to remain in the database for the purpose of receiving long-term support services, all information contained after all victims of the mass casualty incident have been identified and reunified.
Additionally, section 1 requires that, except for a victim of a mass casualty incident who has provided written authorization for his or her information to remain in the database for the purpose of receiving long-term support services, all information contained in the database concerning a victim of a mass casualty incident must be deleted after all victims of the mass casualty incident have been identified and reunified.
Section 1 grants a county in which the board of county commissioners has established such an electronic database and the officers, employees and agents of the county immunity from civil liability for any act or omission related to the establishment or maintenance of the database not amounting to willful misconduct, gross negligence or bad faith.
established such an electronic database and the officers, employees and agents of the county immunity from civil liability for any act or omission related to the establishment or maintenance of the database not amounting to willful misconduct, gross negligence or bad faith.
Existing law provides for the licensure and regulation of medical facilities, Division of Public and Behavioral Health of the Department of Health and Human Services.
Existing law provides for the licensure and regulation of medical facilities, including hospitals and independent centers for emergency medical care, by the Division of Public and Behavioral Health of the Department of Health and Human Services.
(Chapter 449 of NRS) Section 3 of this bill requires a hospital or independent center for emergency medical care located in a county in which an electronic database is established pursuant to section 1 and which is notified or becomes aware of a mass casualty incident to report to the database certain information about a victim of the mass casualty incident.
(Chapter 449 of NRS) Section 3 of this bill requires a hospital or electronic database is established pursuant to section 1 and which is notified or becomes aware of a mass casualty incident to report to the database certain information about a victim of the mass casualty incident.
Section 3 additionally whether such a victim wishes to receive long-term support services and, if so,nquire - 83rd Session (2025) – 2 – request that the victim provide written authorization for his or her information to remain in the electronic database;
Section 3 additionally requires a hospital or independent center for emergency medical care to:
and (2) include a unique identifier in the medical record of such a victim.
(1) inquire whether such a victim wishes to receive long-term support services and, if so, request that the victim provide written authorization for his or her information to remain in the electronic database;
Section 3 grants a hospital, an independent center for liability for any such report made in good faith and for any unauthorized acquisition of the information reported that may occur after a report was made by the hospital or independent center for emergency medical care in accordance with the requirements of section 3.
and (2) include a unique identifier in the medical emergency medical care and their agents and employees immunity from civiler for liability for any such report made in good faith and for any unauthorized acquisition of the information reported that may occur after a report was made by the hospital or independent center for emergency medical care in accordance with the requirements of section 3.
Sections 4-6 of this bill make conforming changes to provide for the administration of the requirements of section 3 in the same manner medical care by existing law, except for the penalties imposed for violation of those requirements.
Sections 4-6 of this bill make conforming changes to provide for the administration of the requirements of section 3 in the same manner as other requirements imposed on hospitals and independent centers for emergency medical care by existing law, except for the penalties imposed for violation of those independent center for emergency medical care that fails to comply with the or requirements of section 3 is not subject to any penalty for that failure.
(NRS 449.029, 449.0301, 449.0302) Under section 3, a hospital or independent center for emergency medical care that fails to comply with the requirements of section 3 is not subject to any penalty for that failure.
Sections 7-9 of this bill make conforming changes so that the penalties imposed for violations of other requirements imposed on hospitals and independent centers for emergency medical care by existing law do not apply to a failure to comply with the provisions of section 3.
Sections 7-9 of this bill make conforming changes so that the penalties imposed for violations of medical care by existing law do not apply to a failure to comply with the provisions of section 3.
EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
- *AB50_R1* – 3 – 2.
2.
(c) Each person or governmental entity that may participate in the electronic database, which must include, without limitation, each person or governmental entity in the county whose duties or responsibilities include the support of carrying out emergency functions, as determined by the county emergency manager.
(c) Each person or governmental entity that may participate in the electronic database, which must include, without limitation, each person or governmental entity in the county whose duties or - 83rd Session (2025) – 3 – responsibilities include the support of carrying out emergency functions, as determined by the county emergency manager.
(d) The extent to which a person or governmental entity described in paragraph (c) may participate in the electronic database, including, without limitation, whether the person or governmental entity may input information into the electronic database and the type of information contained in the electronic database to which the person or governmental entity has access.
(d) The extent to which a person or governmental entity described in paragraph (c) may participate in the electronic governmental entity may input information into the electronicr database and the type of information contained in the electronic database to which the person or governmental entity has access.
Any information contained in an electronic database established pursuant to subsection 1 is confidential and may only be disclosed by a participant in the database as necessary for the provision of reunification and identification services and long- term support services for victims of mass casualty incidents.
Any information contained in an electronic database established pursuant to subsection 1 is confidential and may only be disclosed by a participant in the database as necessary for the term support services for victims of mass casualty incidents.ng- Except for a victim of a mass casualty incident who has provided a written authorization for his or her information to remain in the electronic database for the purpose of receiving long-term support services, all information contained in the database concerning a victim of a mass casualty incident must be deleted after all victims of the mass casualty incident have been identified and reunified.
Except for a victim of a mass casualty incident who has provided a - *AB50_R1* – 4 – written authorization for his or her information to remain in the electronic database for the purpose of receiving long-term support services, all information contained in the database concerning a victim of a mass casualty incident must be deleted after all victims of the mass casualty incident have been identified and reunified.
An electronic database established pursuant to subsection 1 and the disclosure of information therefrom must comply with the applicable provisions of the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended, and the applicable regulations adopted pursuant thereto.
An electronic database established pursuant to subsection and the disclosure of information therefrom must comply with the applicable provisions of the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended, and the applicable regulations adopted pursuant thereto.
A county in which the board of county commissioners has established an electronic database pursuant to subsection 1 and any officer, employee or agent of the county are immune from civil liability for any act or omission related to the establishment or maintenance of the database not amounting to willful misconduct, gross negligence or bad faith.
A county in which the board of county commissioners has established an electronic database pursuant to subsection 1 and any officer, employee or agent of the county are immune from - 83rd Session (2025) – 4 – civil liability for any act or omission related to the establishment or maintenance of the database not amounting to willful misconduct, gross negligence or bad faith.
(a) “Hospital” has the meaning ascribed to it in NRS 449.012.
(b) “Independent center for emergency medical care” has the2.
(b) “Independent center for emergency medical care” has the meaning ascribed to it in NRS 449.013.
meaning ascribed to it in NRS 449.013.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.0397, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119A.677, 119B.370, 119B.382, 120A.640, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 164.041, 172.075, 172.245, 176.01334, 176.01385, 176.015, 176.0625, 176.09129, 176.156, 176A.630, 178.39801, 178.4715, 178.5691, 178.5717, 179.495, 179A.070, 179A.165, 179D.160, 180.600, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3923, 209.3925, 209.419, 209.429, 209.521, 211A.140, 213.010, 213.040, - *AB50_R1* – 5 – 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 218G.615, 224.240, 226.462, 226.796, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1285, 231.1473, 232.1369, 233.190, 237.300, 239.0105, 239.0113, 239.014, 239B.026, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 239C.420, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.545, 247.550, 247.560, 250.087, 250.130, 250.140, 250.145, 250.150, 268.095, 268.0978, 268.490, 268.910, 269.174, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 284.4086, 286.110, 286.118, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.5757, 293.870, 293.906, 293.908, 293.909, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 338.1725, 338.1727, 348.420, 349.597, 349.775, 353.205, 353A.049, 353A.085, 353A.100, 353C.240, 353D.250, 360.240, 360.247, 360.255, 360.755, 361.044, 361.2242, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.0075, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.033, 391.035, 391.0365, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 393.045, 394.167, 394.16975, 394.1698, 394.447, 394.460, 394.465, 396.1415, 396.1425, 396.143, 396.159, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 414.280, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 427A.940, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.4018, 432B.407, 432B.430, 432B.560, 432B.5902, 432C.140, 432C.150, 433.534, 433A.360, 439.4941, 439.4988, 439.5282, 439.840, 439.914, 439A.116, 439A.124, 439B.420, 439B.754, 439B.760, 439B.845, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 442.774, 445A.665, 445B.570, 445B.7773, 449.209, 449.245, 449.4315, 449A.112, 450.140, 450B.188, 450B.805, 453.164, 453.720, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 463.790, 467.1005, 480.535, 480.545, 480.935, 480.940, 481.063, 481.091, 481.093, 482.170, 482.368, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484A.469, 484B.830, 484B.833, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 598A.420, 599B.090, 603.070, 603A.210, 604A.303, 604A.710, 604D.500, 604D.600, 612.265, 616B.012, 616B.015, 616B.315, - *AB50_R1* – 6 – 616B.350, 618.341, 618.425, 622.238, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.043, 629.047, 629.069, 630.133, 630.2671, 630.2672, 630.2673, 630.2687, 630.30665, 630.336, 630A.327, 630A.555, 631.332, 631.368, 632.121, 632.125, 632.3415, 632.3423, 632.405, 633.283, 633.301, 633.427, 633.4715, 633.4716, 633.4717, 633.524, 634.055, 634.1303, 634.214, 634A.169, 634A.185, 634B.730, 635.111, 635.158, 636.262, 636.342, 637.085, 637.145, 637B.192, 637B.288, 638.087, 638.089, 639.183, 639.2485, 639.570, 640.075, 640.152, 640A.185, 640A.220, 640B.405, 640B.730, 640C.580, 640C.600, 640C.620, 640C.745, 640C.760, 640D.135, 640D.190, 640E.225, 640E.340, 641.090, 641.221, 641.2215, 641A.191, 641A.217, 641A.262, 641B.170, 641B.281, 641B.282, 641C.455, 641C.760, 641D.260, 641D.320, 642.524, 643.189, 644A.870, 645.180, 645.625, 645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.126, 652.228, 653.900, 654.110, 656.105, 657A.510, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 670B.680, 671.365, 671.415, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 678A.470, 678C.710, 678C.800, 679B.122, 679B.124, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.060, 687A.115, 687B.404, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 1 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Except as otherwise provided in this section and NRS 1.4683, 1.4687, 1A.110, 3.2203, 41.0397, 41.071, 49.095, 49.293, 62D.420, 62D.440, 62E.516, 62E.620, 62H.025, 62H.030, 62H.170, 62H.220, 62H.320, 75A.100, 75A.150, 76.160, 78.152, 80.113, 81.850, 82.183, 86.246, 86.54615, 87.515, 87.5413, 87A.200, 87A.580, 87A.640, 88.3355, 88.5927, 88.6067, 88A.345, 88A.7345, 89.045, 89.251, 90.730, 91.160, 116.757, 116A.270, 116B.880, 118B.026, 119.260, 119.265, 119.267, 119.280, 119A.280, 119A.653, 119A.677, 119B.370, 119B.382, 120A.640, 120A.690, 125.130, 125B.140, 126.141, 126.161, 126.163, 126.730, 127.007, 127.057, 127.130, 127.140, 127.2817, 128.090, 130.312, 130.712, 136.050, 159.044, 159A.044, 164.041, 172.075, 172.245, 176A.630, 178.39801, 178.4715, 178.5691, 178.5717, 179.495,, 179A.070, 179A.165, 179D.160, 180.600, 200.3771, 200.3772, 200.5095, 200.604, 202.3662, 205.4651, 209.392, 209.3923, 209.3925, 209.419, 209.429, 209.521, 211A.140, 213.010, 213.040, 213.095, 213.131, 217.105, 217.110, 217.464, 217.475, 218A.350, 218E.625, 218F.150, 218G.130, 218G.240, 218G.350, 218G.615, 224.240, 226.462, 226.796, 228.270, 228.450, 228.495, 228.570, 231.069, 231.1285, 231.1473, 232.1369, 233.190, 237.300, 239.0105, 239.0113, 239.014, 239B.026, 239B.030, 239B.040, 239B.050, 239C.140, 239C.210, 239C.230, 239C.250, 239C.270, 239C.420, 240.007, 241.020, 241.030, 241.039, 242.105, 244.264, 244.335, 247.540, 247.545, 247.550, 247.560, 250.087, 250.130, 250.140, 250.145, 250.150, 268.095, 268.0978, 268.490, 268.910, 269.174, 271A.105, 281.195, 281.805, 281A.350, 281A.680, 281A.685, 281A.750, 281A.755, 281A.780, 284.4068, 284.4086, - 83rd Session (2025) – 5 – 286.110, 286.118, 287.0438, 289.025, 289.080, 289.387, 289.830, 293.4855, 293.5002, 293.503, 293.504, 293.558, 293.5757, 293.870, 293.906, 293.908, 293.909, 293.910, 293B.135, 293D.510, 331.110, 332.061, 332.351, 333.333, 333.335, 338.070, 338.1379, 338.1593, 353A.049, 353A.085, 353A.100, 353C.240, 353D.250, 360.240,53.205, 360.247, 360.255, 360.755, 361.044, 361.2242, 361.610, 365.138, 366.160, 368A.180, 370.257, 370.327, 372A.080, 378.290, 378.300, 379.0075, 379.008, 379.1495, 385A.830, 385B.100, 387.626, 387.631, 388.1455, 388.259, 388.501, 388.503, 388.513, 388.750, 388A.247, 388A.249, 391.033, 391.035, 391.0365, 391.120, 391.925, 392.029, 392.147, 392.264, 392.271, 392.315, 392.317, 392.325, 392.327, 392.335, 392.850, 393.045, 394.167, 394.16975, 394.1698, 394.447, 394.460, 394.465, 396.1415, 396.1425, 396.143, 396.159, 396.3295, 396.405, 396.525, 396.535, 396.9685, 398A.115, 408.3885, 408.3886, 408.3888, 408.5484, 412.153, 414.280, 416.070, 422.2749, 422.305, 422A.342, 422A.350, 425.400, 427A.1236, 427A.872, 427A.940, 432.028, 432.205, 432B.175, 432B.280, 432B.290, 432B.4018, 432B.407, 432B.430, 432B.560, 432B.5902, 432C.140, 432C.150, 433.534, 433A.360, 439.4941, 439.4988, 439.5282, 439.840, 439.914, 439A.116, 439A.124, 439B.420, 439B.754, 439B.760, 439B.845, 440.170, 441A.195, 441A.220, 441A.230, 442.330, 442.395, 442.735, 442.774, 445A.665, 445B.570, 445B.7773, 449.209, 449.245, 449.4315, 449A.112, 450.140, 450B.188, 450B.805, 453.164, 453.720, 458.055, 458.280, 459.050, 459.3866, 459.555, 459.7056, 459.846, 463.120, 463.15993, 463.240, 463.3403, 463.3407, 481.091, 481.093, 482.170, 482.368, 482.5536, 483.340, 483.363, 483.575, 483.659, 483.800, 484A.469, 484B.830, 484B.833, 484E.070, 485.316, 501.344, 503.452, 522.040, 534A.031, 561.285, 571.160, 584.655, 587.877, 598.0964, 598.098, 598A.110, 598A.420, 599B.090, 603.070, 603A.210, 604A.303, 604A.710, 604D.500, 604D.600, 612.265, 616B.012, 616B.015, 616B.315, 616B.350, 618.341, 618.425, 622.238, 622.310, 623.131, 623A.137, 624.110, 624.265, 624.327, 625.425, 625A.185, 628.418, 628B.230, 628B.760, 629.043, 629.047, 629.069, 630.133, 630.2671, 630.2672, 630.2673, 630.2687, 630.30665, 630.336, 630A.327, 630A.555, 631.332, 631.368, 632.121, 632.125, 632.3415, 632.3423, 632.405, 633.283, 633.301, 633.427, 633.4715, 633.4716, 633.4717, 633.524, 634.055, 634.1303, 634.214, 634A.169, 634A.185, 634B.730, 635.111, 635.158, 636.262, 636.342, 637.085, 637.145, 637B.192, 637B.288, 638.087, 638.089, 639.183, - 83rd Session (2025) – 6 – 639.2485, 639.570, 640.075, 640.152, 640A.185, 640A.220, 640B.405, 640B.730, 640C.580, 640C.600, 640C.620, 640C.745, 640C.760, 640D.135, 640D.190, 640E.225, 640E.340, 641.090, 641.221, 641.2215, 641A.191, 641A.217, 641A.262, 641B.170, 642.524,, 6643.189, 64644A.870,41C645.180, 645.625,41D.3645A.050, 645A.082, 645B.060, 645B.092, 645C.220, 645C.225, 645D.130, 645D.135, 645G.510, 645H.320, 645H.330, 647.0945, 647.0947, 648.033, 648.197, 649.065, 649.067, 652.126, 652.228, 653.900, 654.110, 656.105, 657A.510, 661.115, 665.130, 665.133, 669.275, 669.285, 669A.310, 670B.680, 671.365, 671.415, 673.450, 673.480, 675.380, 676A.340, 676A.370, 677.243, 678A.470, 678C.710, 678C.800, 679B.122, 679B.124, 679B.152, 679B.159, 679B.190, 679B.285, 679B.690, 680A.270, 681A.440, 681B.260, 681B.410, 681B.540, 683A.0873, 685A.077, 686A.289, 686B.170, 686C.306, 687A.060, 687A.115, 687B.404, 687C.010, 688C.230, 688C.480, 688C.490, 689A.696, 692A.117, 692C.190, 692C.3507, 692C.3536, 692C.3538, 692C.354, 692C.420, 693A.480, 693A.615, 696B.550, 696C.120, 703.196, 704B.325, 706.1725, 706A.230, 710.159, 711.600, and section 1 of this act, sections 35, 38 and 41 of chapter 478, Statutes of Nevada 2011 and section 2 of chapter 391, Statutes of Nevada 2013 and unless otherwise declared by law to be confidential, all public books and public records of a governmental entity must be open at all times during office hours to inspection by any person, and may be fully copied or an abstract or memorandum may be prepared from those public books and public records.
Any such copies, abstracts or memoranda may be used to supply the general public with copies, abstracts or memoranda of the records or may be used in any other way to the advantage of the governmental entity or of the general public.
Any such copies, abstracts or memoranda may be used to supply the may be used in any other way to the advantage of the governmental or entity or of the general public.
- *AB50_R1* – 7 – 3.
3.
A governmental entity that has legal custody or control of a public book or record shall not deny a request made pursuant to subsection 1 to inspect or copy or receive a copy of a public book or record on the basis that the requested public book or record contains information that is confidential if the governmental entity can redact, delete, conceal or separate, including, without limitation, electronically, the confidential information from the information included in the public book or record that is not otherwise confidential.
A governmental entity that has legal custody or control of a public book or record shall not deny a request made pursuant to subsection 1 to inspect or copy or receive a copy of a public book or record on the basis that the requested public book or record contains information that is confidential if the governmental entity can redact, delete, conceal or separate, including, without limitation, electronically, the confidential information from the information - 83rd Session (2025) – 7 – included in the public book or record that is not otherwise confidential.
If requested, a governmental entity shall provide a copy of a public record in an electronic format by means of an electronic medium.
If requested, a governmental entity shall provide a copy of a public record in an electronic format by means of an electronic to provide a copy of a public record in an electronic format or by means of an electronic medium if:
Nothing in this subsection requires a governmental entity to provide a copy of a public record in an electronic format or by means of an electronic medium if:
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Chapter 449 of NRS is hereby amended by adding thereto a new section to read as follows:
Chapter 449 of NRS is hereby amended by adding the1.to If a hospital or an independent center for emergency medical care is located in a county in which the board of county commissioners has established an electronic database pursuant to section 1 of this act and is notified or otherwise becomes aware of a mass casualty incident, the hospital or independent center for emergency medical care shall, as soon as possible but not later than 24 hours after receiving and registering a victim of the mass casualty incident as a patient at the hospital or independent center for emergency medical care, report to the electronic database the following information concerning the victim in accordance with C.F.R.
1.
If a hospital or an independent center for emergency medical care is located in a county in which the board of county commissioners has established an electronic database pursuant to section 1 of this act and is notified or otherwise becomes aware of a mass casualty incident, the hospital or independent center for emergency medical care shall, as soon as possible but not later than 24 hours after receiving and registering a victim of the mass casualty incident as a patient at the hospital or independent center for emergency medical care, report to the electronic database the following information concerning the victim in accordance with - *AB50_R1* – 8 – 45 C.F.R.
2.
- 83rd Session (2025) – 8 – 2.
(a) Include in the medical record of each patient who is the victim of a mass casualty incident a unique identifier established by the hospital or independent center for emergency medical care which allows the hospital or center to identify the patient as a victim of a mass casualty incident in the event that the patient wishes to receive long-term support services after discharge from the hospital or center;
(a) Include in the medical record of each patient who is the victim of a mass casualty incident a unique identifier established which allows the hospital or center to identify the patient as a victim of a mass casualty incident in the event that the patient wishes to receive long-term support services after discharge from the hospital or center;
(a) “Long-term support services” has the meaning ascribed to it in section 1 of this act.
it in section 1 of this act.rvices” has the meaning ascribed to (b) “Mass casualty incident” has the meaning ascribed to the term “mass casualty event” in 34 U.S.C.
(b) “Mass casualty incident” has the meaning ascribed to the term “mass casualty event” in 34 U.S.C.
- *AB50_R1* – 9 – 1.
1.
Any facility conducted by and for the adherents of any church or religious denomination for the purpose of providing facilities for the care and treatment of the sick who depend solely upon spiritual means through prayer for healing in the practice of the religion of the church or denomination, except that such a facility shall comply with all regulations relative to sanitation and safety applicable to other facilities of a similar category.
Any facility conducted by and for the adherents of any church or religious denomination for the purpose of providing facilities for the care and treatment of the sick who depend solely upon spiritual means through prayer for healing in the practice of - 83rd Session (2025) – 9 – the religion of the church or denomination, except that such a facility shall comply with all regulations relative to sanitation and safety applicable to other facilities of a similar category.
3.
which is otherwise required by the regulations adopted by the Boardy pursuant to NRS 449.0303 to be licensed that is operated and maintained by the United States Government or an agency thereof.
Any medical facility, facility for the dependent or facility which is otherwise required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed that is operated and maintained by the United States Government or an agency thereof.
(d) Regulations establishing a procedure for the indemnification by the Division, from the amount of any surety bond or other obligation filed or deposited by a facility for refractive surgery pursuant to NRS 449.068 or 449.069, of a patient of the facility who has sustained any damages as a result of the bankruptcy of or any breach of contract by the facility.
(d) Regulations establishing a procedure for the indemnification by the Division, from the amount of any surety bond or other obligation filed or deposited by a facility for refractive surgery pursuant to NRS 449.068 or 449.069, of a patient of the facility who has sustained any damages as a result of the bankruptcy of or any bre(e) Regulations by thatfacprescribe the specific types of discrimination prohibited by NRS 449.101.
(e) Regulations that prescribe the specific types of discrimination prohibited by NRS 449.101.
and - *AB50_R1* – 10 – (b) Residential facilities for groups, which provide care to persons with Alzheimer’s disease or other severe dementia, as described in paragraph (a) of subsection 2 of NRS 449.1845.
and (b) Residential facilities for groups, - 83rd Session (2025) – 10 – severe dementia, as described in paragraph (a) of subsection 2 of NRS 449.1845.
5.
to NRS 449.093, the Board shall establish minimum qualificationsuant for administrators and employees of residential facilities for groups.
In addition to the training requirements prescribed pursuant to NRS 449.093, the Board shall establish minimum qualifications for administrators and employees of residential facilities for groups.
(c) A written plan of care by a physician or registered nurse has been established that:
been established that:of care by a physician or registered nurse has (1) Addresses possession and assistance in the administration of the medication;
(1) Addresses possession and assistance in the administration of the medication;
- *AB50_R1* – 11 – (e) The employee has successfully completed training and examination approved by the Division regarding the authorized manner of assistance.
- 83rd Session (2025) – 11 – examination approved by the Division regarding the authorized manner of assistance.
(1) Except as otherwise provided in subsection 8, contain toilet facilities;
(1) Except as otherwise provided in subsection 8, contain toilet (2) Contain a sleeping area or bedroom;
(2) Contain a sleeping area or bedroom;
(3) The facility provides a variety of creative and innovative services that emphasize the particular needs of each individual resident and the resident’s personal choice of lifestyle;
(3) The facility provides a variety of creative and innovative services that emphasize the particular needs of each individual residen(4) The operation of the facility and its interaction with its residents supports, to the maximum extent possible, each resident’s need for autonomy and the right to make decisions regarding his or her own life;
(4) The operation of the facility and its interaction with its residents supports, to the maximum extent possible, each resident’s need for autonomy and the right to make decisions regarding his or her own life;
(6) The facility is designed to minimize and is operated in a manner which minimizes the need for its residents to move out of - *AB50_R1* – 12 – the facility as their respective physical and mental conditions change over time;
- 83rd Session (2025) – 12 – manner which minimizes the need for its residents to move out ofin a the facility as their respective physical and mental conditions change over time;
(1) Cause substantial detriment to the health or welfare of any resident of the facility;
(1) Cause substantial detriment to the health or welfare of any res(2) Result in more than two residents sharing a toilet facility;
(2) Result in more than two residents sharing a toilet facility;
(c) Educating the residents of residential facilities for groups concerning the plans adopted pursuant to paragraphs (a) and (b);
concerning the plans adopted pursuant to paragraphs (a) and (b);
(a) Facilities that only provide a housing and living environment;
- 83rd Session (2025) – 13 – (a) Facilities that only provide a housing and living environment;
(b) Facilities that provide or arrange for the provision of supportive services for residents of the facility to assist the residents - *AB50_R1* – 13 – with reintegration into the community, in addition to providing a housing and living environment;
(b) Facilities that provide or arrange for the provision of supportive services for residents of the facility to assist the residents housing and living environment;
and (c) Facilities that provide or arrange for the provision of programs for alcohol and other substance use disorders, in addition to providing a housing and living environment and providing or arranging for the provision of other supportive services.
andty, in addition to providing a (c) Facilities that provide or arrange for the provision of programs for alcohol and other substance use disorders, in addition to providing a housing and living environment and providing or arranging for the provision of other supportive services.
(b) Exempt a person licensed or certified pursuant to title 54 of NRS from the requirements prescribed pursuant to paragraph (a) if the Board determines that the person is required to receive training and continuing education substantially equivalent to that prescribed pursuant to that paragraph;
(b) Exempt a person licensed or certified pursuant to title 54 of NRS from the requirements prescribed pursuant to paragraph (a) if the Board determines that the person is required to receive training pursuant to that paragraph;bstantially equivalent to that prescribed (c) Require a natural person responsible for the operation of a provider of community-based living arrangement services to receive training concerning the provisions of title 53 of NRS applicable to the provision of community-based living arrangement services;
(c) Require a natural person responsible for the operation of a provider of community-based living arrangement services to receive training concerning the provisions of title 53 of NRS applicable to the provision of community-based living arrangement services;
12.
- 83rd Session (2025) – 14 – licensing and operation of freestanding birthing centers.
The Board shall adopt separate regulations governing the licensing and operation of freestanding birthing centers.
Suche regulations must:
Such regulations must:
(a) Align with the standards established by the American Association of Birth Centers, or its successor organization, the accrediting body of the Commission for the Accreditation of Birth Centers, or its successor organization, or another nationally recognized organization for accrediting freestanding birthing centers;
(a) Align with the standards established by the American Association of Birth Centers, or its successor organization, the accrediting body of the Commission for the Accreditation of Birth Centers, or its successor organization, or another nationally - *AB50_R1* – 14 – recognized organization for accrediting freestanding birthing centers;
If the regulations adopted pursuant to this section require a physical examination to be performed on a patient or the medical history of a patient to be obtained before or after the patient is admitted to a hospital, those regulations must authorize a certified nurse-midwife to perform such a physical examination or obtain such a medical history before or after a patient is admitted to a hospital for the purpose of giving birth.
If the regulations adopted pursuant to this section require a physical examination to be performed on a patient or the medical history of a patient to be obtained before or after the patient is admitted to a hospital, those regulations must authorize a certified nurse-midwife to perform such a physical examination or obtain such a medical history before or after a patient is admitted to a hos14.
14.
As used in this section:ing birth.
As used in this section:
(a) Violation by the applicant or the licensee of any of the provisions of NRS 439B.410, 449.029 to 449.245, inclusive, and section 3 of this act or NRS 449A.100 to 449A.124, inclusive, and 449A.270 to 449A.286, inclusive, or of any other law of this State or of the standards, rules and regulations adopted thereunder.
(a) Violation by the applicant or the licensee of any of the section 3 of this act or NRS 449A.100 to 449A.124, inclusive, and 449A.270 to 449A.286, inclusive, or of any other law of this State or of the standards, rules and regulations adopted thereunder.
(d) Conduct or practice detrimental to the health or safety of the occupants or employees of the facility.
- 83rd Session (2025) – 15 – occupants or employees of the facility.to the health or safety of the (e) Failure of the applicant to obtain written approval from the Director of the Department of Health and Human Services as required by NRS 439A.100 or 439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and section 3 of this act and NRS 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the closure or conversion of any hospital in a county whose population is 100,000 or more that is owned by the licensee without approval pursuant to NRS 439A.102.
(e) Failure of the applicant to obtain written approval from the Director of the Department of Health and Human Services as required by NRS 439A.100 or 439A.102 or as provided in any regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, and section 3 of this act and NRS 449.435 to 449.531, inclusive, and chapter 449A of NRS if such approval is required, including, without limitation, the closure or conversion of any hospital in a - *AB50_R1* – 15 – county whose population is 100,000 or more that is owned by the licensee without approval pursuant to NRS 439A.102.
2.
may revoke a license to operate a facility for the dependent if, with respect to that facility, the licensee that operates the facility, or an agent or employee of the licensee:
In addition to the provisions of subsection 1, the Division may revoke a license to operate a facility for the dependent if, with respect to that facility, the licensee that operates the facility, or an agent or employee of the licensee:
(a) A summary of a complaint against the facility if the investigation of the complaint by the Division either substantiates the complaint or is inconclusive;
investigation of the complaint by the Division either substantiates the complaint or is inconclusive;
4.
- 83rd Session (2025) – 16 – 4.
(a) Any complaints included in the log maintained by the Division pursuant to subsection 3;
(a) Any complaints included in the log maintained by the Div(b) Any disciplinary actions taken by the Division pursuant to subsection 2.
and (b) Any disciplinary actions taken by the Division pursuant to subsection 2.
[In] Except as otherwise provided in section 3 of this act, in addition to the payment of the amount required by NRS 449.0308, if a medical facility, facility for the dependent or facility which is required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed violates any provision related to its - *AB50_R1* – 16 – licensure, including any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and section 3 of this act or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.165, may:
[In] Except as otherwise provided in section 3 of this act, in addition to the payment of the amount required by NRS 449.0308, if a medical facility, facility for the dependent or facility which is required by the regulations adopted by the Board pursuant to NRS 449.0303 to be licensed violates any provision related to its licensure, including any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and section 3 of this act or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.165, may:
(d) Except where a greater penalty is authorized by subsection 2, impose an administrative penalty of not more than $5,000 per day for each violation, together with interest thereon at a rate not to exceed 10 percent per annum;
impose an administrative penalty of not more than $5,000 per dayn 2, for each violation, together with interest thereon at a rate not to exceed 10 percent per annum;
If an off-campus location of a hospital fails to obtain a national provider identifier that is distinct from the national provider identifier used by the main campus and any other off-campus location of the hospital in violation of NRS 449.1818, the Division may impose against the hospital an administrative penalty of not more than $10,000 for each day of such failure, together with interest thereon at a rate not to exceed 10 percent per annum, in addition to any other action authorized by this chapter.
If an off-campus location of a hospital fails to obtain a national provider identifier that is distinct from the national provider identifier used by the main campus and any other off-campus location of the hospital in violation of NRS 449.1818, the Division - 83rd Session (2025) – 17 – may impose against the hospital an administrative penalty of not more than $10,000 for each day of such failure, together with interest thereon at a rate not to exceed 10 percent per annum, in addition to any other action authorized by this chapter.
4.
the Division may require any facility that violates any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and section 3 of this act or any condition, standard or regulation adopted by the Board to make any improvements necessary to correct the violation.
[The] Except as otherwise provided in section 3 of this act, the Division may require any facility that violates any provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and section 3 of - *AB50_R1* – 17 – Board to make any improvements necessary to correct the violation.
H - *AB50_R1*
~~~~~ 25 - 83rd Session (2025)
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Amendments

1 amendment

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Action History

  1. Chapter 16.

  2. Approved by the Governor.

  3. Enrolled and delivered to Governor.

  4. In Assembly. To enrollment.

  5. Read third time. Passed. Title approved. (Yeas: 20, Nays: None, Excused: 1.) To Assembly.

  6. Taken from General File. Placed on General File for next legislative day.

  7. Read second time.

  8. From committee: Do pass.

  9. In Senate. Read first time. Referred to Committee on Health and Human Services. To committee.

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

  11. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To printer.

  12. From committee: Amend, and do pass as amended. Placed on Second Reading File. Read second time. Amended. (Amend. No. 193.) Dispensed with reprinting.

  13. Read first time. To committee.

  14. From printer.

  15. Prefiled. Referred to Committee on Government Affairs. To printer.

Sponsors

  • Assembly Committee on Government Affairs · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Assembly Committee on Government Affairs

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.

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