AB 454 — Enacts a Smart Heart Law for public and private schools. (BDR 34-1029)

(d) The names of persons and organizations in the community, including, without limitation, a provider of mental health services which is operated by a state or local agency, that are available to provide counseling and other services to pupils and staff of the school to assist them in recovering from a crisis, emergency or suicide;

- *AB454_R1* – 5 – (f) A procedure for responding to a crisis or an emergency that occurs during an extracurricular activity which takes place on school grounds;

(h) A description of the organizational structure which ensures there is a clearly defined hierarchy of authority and responsibility used by the school for the purpose of responding to a crisis,crisis,ibility emergency or suicide;

(l) A plan to ensure that members of the faculty and staff and a pupil’s parents or legal guardians are notified of the occurrence, development and conclusion of a crisis or an emergency through any communication method established by a school, including,including,gh without limitation, communicating through text message or electronic mail;

and - 83rd Session (2025) – 6 – (n) A plan for immediately responding to a medical emergency involving the heart, including, without limitation, a person in cardiac arrest.

Each emergency operations plan development committee shall provide for review a copy of the plan that it develops pursuant to this section to the board of trustees of the school district thatthatt established the committee or the governing body of the charter school that established the committee.

- *AB454_R1* – 6 – 5.

1.4.

NRS 389.021 is hereby amended to read as follows:

389.021 1.

The State Board shall adopt regulations establishing courses of study and the grade levels for which the cou(a) The academic subjects set forth in NRS 389.018.

A course of study in health prescribed pursuant to paragraph (c) of subsection 3 of NRS 389.018 must, for pupils enrolled in middle school, junior high school or high school, including, without limitation, pupils enrolled in those grade levels at a charter school, include instruction in:

(1) The administration of hands-only or compression-only cardiopulmonary resuscitation, including a psychomotor skill-based component, according to the guidelines of the American Red Cross or American Heart Association;

(2) The use of an automated external defibrillator;

and (3) Organ and tissue donation, including, without limitation:

(I) How to register as a donor and the rules governing donor gifts in this State pursuant to NRS 451.500 to 451.598, inclusive;

- 83rd Session (2025) – 7 – (II) The societal and individual benefits of organ and tissue donation;

and (III) Facts about organ and tissue donation.

(b) Citizenship and physical training for pupils enrolled in high sch(c) Physiology, hygiene and, except as otherwise prescribed by paragraph (a), cardiopulmonary resuscitation.

(d) The prevention of suicide.

(e) Instruction relating to child abuse.

(f) The economics of the American system of free enterprise.

(g) American Sign Language.

(h) Environmental education.

(i) Adult roles and responsibilities.

 A course of study established for paragraph (a) may include one or more of the subjects listed in paragraphs (b) to (i), inclusive.

2.

A teacher who provides instruction pursuant to subparagraphs (1) and (2) of paragraph (a) of subsection 1 is not required to hold certification in the administration of cardiopulmonary resuscitation unless required by the board of trustees of the school district [pursuant to NRS 391.092] or [by] the governing body of the charter school [.] pursuant to NRS 391.092.

3.

The board of trustees of the school district, the governing body of the charter school or the governing body of the university school for profoundly gifted pupils may collaborate with entities to assist in the provision of the instruction required pursuant to paragraph (a) of subsection 1 and the provision of equipment necessary for the instruction, including, without limitation, fire agencies.ts, hospitals, colleges and universities and public health 4.

A pupil who is enrolled in a course of study in health through a program of distance education or a pupil with a disability who cannot perform the tasks included in the instruction required pursuant to paragraph (a) of subsection 1 is not required to complete the instruction to pass the course of study in health.

Sec.

The board of trustees of each school district:district [:] and the governing body of each charter school:

(a) Shall establish a plan for the teachers and other licensed educational personnel in the school district or charter school, as applicable, who teach or supervise pupils in physical education [;] and each coach, manager or athletic trainer in the school district;district or charter school who is not a pupil;

and (b)- May83rd establishSession a(2025) plan– for8 the– teachers and other licensed educational personnel in the school district or charter school, as applicable, who teach or supervise pupils in courses of study or activities other than physical education which involve a high risk that cardiopulmonary resuscitation will need to be administered during the course of study or activity,  to receive the training which is necessary for certification in the administration of cardiopulmonary resuscitation.

(b) Set forth the courses of study and activities offered at schools within the district or the charter school, as applicable, other than physical education which involve a high risk that cardiopulmonary resuscitation will need to be administered during the course of study or activity, including, without limitation,limitation,ng laboratory sciences, vocational education, special education, competitive sports and the transportation of pupils;

and (c) Set forth an estimation of the time and resources necessary for all personnel of the district or charter school, as applicable, to obtain certification in the administration of cardiopulmonary resuscitation.

The board of trustees of each school district and the governing body of each charter school shall submit to the State Board any plan that it establishes pursuant to subsection 1.

or - *AB454_R1* – 7 – (2) A course of study or an activity that the board of trustees of the school districtat in which the person is employed has identified as involvinginvolvingter a high risk that cardiopulmonary resuscitation will need to be administered during the course of study or activity and for which the board of trustees or governing body, as applicable, has established a plan pursuant to subsection 1,  shall establish and maintain current certification in the administration of cardiopulmonary resuscitation in accordance with the plan established by the board of trustees.trustees [.] or governing body, as applicable.

- 83rd Session (2025) – 9 – 5.

A coach, manager or other person who is associated with a school athletic activity in the school district or charter school and who is not a pupil shall establish and maintain current certification in the administration of cardiopulmonary resuscitationof intrustees accordanceor withgoverning thebody, planas establishedapplicable.ablished by the board of6. trustees.

6.The board of trustees of a school district or the governing body of a charter school may enter into an agreement with a local fire department, a local law enforcement agency or a nonprofit organization to provide the training and certification required by the plan.

The board of trustees of a school district may enter into an agreement with a local fire department, a local law enforcement agency or a nonprofit organization to provide the training and certification required by the plan.

(b) Any other interscholastic athletic activity or event involving an organized athletic game or competition against another team,team club or entity;

The governing body of each private school that operates as a high school shall establish a plan for each coach, manager or athletic trainer of the private school towho receiveis thenot traininga whichpupil isadministration necessaryof forcardiopulmonary certificationresuscitation.ertification in the administration2. of cardiopulmonary resuscitation.

2.

and (b) Set forth an estimation of the time and resources necessary for coaches, managers and other persons associated with a school - *AB454_R1* – 8 – athletic activity of the private school who are not pupils to obtain certification in the administration of cardiopulmonary resuscitation.

A coach, manager or other person who is associated with a school athletic activity of the private school and who is not a pupil shall establish and maintain current certification in the administration- of83rd cardiopulmonarySession resuscitation(2025) in– accordance10 – with the plan established by the governing body of the private school.

(b) Any other interscholastic athletic activity or event involving an organized athletic game or competition against another team,team club or entity;

Sec.Secs.

6.6-8.

(Deleted by amendment.) Sec.394.1685 1.

7.The governing body of each private school shall:

(Deletedestablish an emergency operations plan development committee to develop a plan to be used by amendment.)the Sec.private school in responding to a crisis, emergency or suicide and all other hazards.

8.

(Deleted by amendment.) Sec.

8.3.

NRS 394.1685 is hereby amended to read as follows:

394.1685 1.

The governing body of each private school shall establish an emergency operations plan development committee to develop a plan to be used by the private school in responding to a crisis, emergency or suicide and all other hazards.

and (g)emergency Atmanagement.epresentative least one representative of a state or local organization for emergency3. management.

3.

- *AB454_R1* – 9 – (a) A counselor of the school;

- 83rd Session (2025) – 11 – (d) A pupil in grade 10 or higher of the school if the school includes grade 10 or higher;

and (f)and Aexperience physicianin orresponding otherto medical professional.emergencies involvingining the heart.

5.

As used in this section, “provider of health care” means:

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

(b) A licensed nurse;

or (c) A person who holds a license as an attendant or who is certified as an emergency medical technician, advanced emergency medical technician or paramedic pursuant to chapter 450B of NRS or authorized to practice as an emergency medical technician, advanced emergency medical technician or paramedic in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145.

Each emergency operations plan development committee shall develop a plan to be used by its school in respondingEach to a crisis, emergency oroperations suicideplan anddevelopment allcommittee othershall,hazards. hazards.

Each emergency operations plan development committee shall, when developing the plan:

(b) A procedure for immediately responding to a crisis or an emergency and for responding during the period after a crisis or an - 83rd Session (2025) – 12 – emergency has concluded, including, without limitation, a crisis or an emergency that results in immediate physical harm to a pupil or employee of the school;

[and] (c) A procedure for enforcing discipline within the school and for obtaining and maintaining a safe and orderly environment during a crisis or an emergency [.] ;

andfe and orderly environment during (d) A plan for immediately responding to a medical emergency involving the heart, including, without limitation, a person in cardiac arrest.

- *AB454_R1* – 10 – 4.

Except as otherwise provided in NRS 394.1691 and for394.1692, iteach pursuantprivate toschool thismust section.st comply with the plan developed Sec.for it pursuant to this section.

Sec.

8.9.

The provisions of NRS 354.599 do not apply to any additional expenses of a local government that are related to the provisions of this act.

Sec.

H~~~~~ 25 - *AB454_R1*83rd Session (2025)