Struck = removed from the bill ·
added = the amendment's new text.
AssemblySession Bill(83rd) A AB454 390 Amendment No.
454–Assemblymembers390 Nadeem;Assembly Amendment to Assembly Bill No.
Dalia,454 D’Silva,(BDR Jackson,34-1029) Karris,Proposed Nguyenby: and Orentlicher CHAPTER..........
Assembly Committee on Education Amends:
Summary:
No Title:
Yes Preamble:
No Joint Sponsorship:
No Digest:
Yes Adoption of this amendment will REMOVE the unfunded mandate from A.B.
454.
ASSEMBLY ACTION Initial and Dat| SENATE ACTION Initial and Date Adopted Lost | Adopted Lost Concurred In Not | Concurred In Not Receded Not | Receded Not EXPLANATION:
Matter in (1) blue bold italics is new language in the original bill;
(2) variations of green bold underlining is language proposed to be added in this amendment;
(3) red strikethrough is deleted language in the original bill;
(4) purple double strikethrough is language proposed to be deleted in this amendment;
(5) orange double underlining is deleted language in the original bill proposed to be retained in this amendment.
CBN/BJF - Date:
4/20/2025 A.B.
No.
454—Enacts a Smart Heart Law for public and private schools.
(BDR 34-1029) Page 1 of 14 *A_AB454_390* Assembly Amendment No.
390 to Assembly Bill No.
454 Page 3 A SSEMBLY B ILLNO .
454–[SSEMBLYMEMBER ] ASSEMBLYMEMBERS N ADEEM ;
D ALIA, D’SILVA,JACKSON , KARRIS, NGUYEN AND ORENTLICHER M ARCH 17,2025 _______________ Referred to Committee on Education SUMMARY—Enacts a Smart Heart Law for public and private schools.
(BDR 34-1029) FISCAL NOTE:
Effect on Local Government:
May have Fiscal Impact.
Effect on the State:
No.
[CONTAINS UNFUNDED MANDATE (§§ 2,6) (NOTR EQUESTED BYAFFECTED LOCAL GOVERNMENT )] ~ EXPLANATION – Matter in bolded italics is new;
matter between brackets [omitted material] is material to be omitted.
[providing for the development, review and updating of athletic] requiring an emergency [action plans] operations plan development committee for [use by] public and private [high] schools [in responding to serious or life-threatening injuries sustained by pupils participating in certain school athletic activities;] to create a plan for responding to certain medical emergencies relating to the heart;
authorizing the board of trustees of a school district, the governing body of a charter school or the governing body of a private school to include certaina providersphysician ofor healthother caremedical professional as membersa member of such a committee;
requiringestablishing therequirements governingfor bodycertain oftraining aand chartercertification school to establish a plan for certaincoaches, personnelmanagers to obtain training and certification[other inpersons theassociated administrationwith ofsuch cardiopulmonaryschool resuscitation;athletic activities;
establishing requirements for certainmaintaining trainingan andautomated certificationexternal defibrillator at each public or private high school in this State for coaches,use managersduring andthe school day or during certain school athletic activities;] athletic trainers;
LegiExistingLegislative lawCounsel’s requiresDigest: the board of trustees of each school district to establish a plan for teachers and other licensed educational personnel in the school district who teach or supervise pupils in physical education to obtain training and certification in the administration of cardiopulmonary resuscitation.
(NRS[Existing 391.092)law Sectionrequires 1.5the board of thistrustees billof additionallyeach requiresschool thedistrict governingin bodya ofcounty awhose charterpopulation schoolis 100,000 or more (currently Clark County School District and Washoe County School District) to establishprovide suchat aleast plan.one automated external defibrillator at each high school within the school district.
Section(NRS 1.4450B.600) ofExisting thislaw billadditionally makesauthorizes: a conforming change to indicate the applExisting regulations require coaches of a school team participating in an interscholastic activity or event governed by the Nevada Interscholastic Activities Association to be certified in cardiopulmonary resuscitation and to complete certain training in administering first aid.
(NAC(1) 385B.798)the Sectionboard 1.5of requirestrustees of each coach,school managerdistrict in a county whose population is 100,000 or athleticmore trainerto provide an automated external defibrillator in aeach school districtin orthe atschool district, other than a charterhigh schoolschool, whoand isat noteach aathletic pupilfacility tomaintained obtainby trainingthe andschool certificationdistrict that is in thea administrationseparate oflocation cardiopulmonaryfrom resuscitation.a public school;
Sectionand 5(2) of this bill applies this requirement to eachExisting law requires the board of trustees of eachany schoolother district, the governing body of each charter school anddistrict the governing body of each private school to establishprovide an emergencyautomated operationsexternal plandefibrillator developmentin committeeeach toschool developin athe planschool fordistrict respondingand toat certaineach emergenciesAssembly inAmendment eachNo. school.
(NRS390 388.241, 388.243, 394.1685, 394.1687) Sections 1.3 and 8.7 of this bill require a plan developed by such a committee for a public school or private school, respectively, to includeAssembly aBill planNo. for immediately responding to an emergency involving the heart, including, that the membership of such a committee at a public school or private school,ll provide respectively, may include a provider of health care who has specific skills, training and experience in responding to medical emergencies involving the heart.
-454 83rdPage Session4 (2025)athletic –facility 2maintained –by EXPLANATIONthe –school Matterdistrict that is in boldeda italicsseparate islocation new;from a public school.
matter(NRS between450B.620) bracketsSection [omitted6 material]of isthis materialbill: to be omitted.
THE(1) PEOPLEextends OFto THEall STATEpublic OFand NEVADA,private REPRESENTEDhigh INschools SENATEin ANDthis ASSEMBLY,State DOthe ENACTrequirement ASto FOLLOWS:maintain an automated external defibrillator and requires an automated external defibrillator to be accessible during the school day and during all school athletic activities;
and (2) requires each coach, manager or other person who is associated with such a school athletic activity to complete training in the operation and use of interscholastic activity or event governed by the Nevada Interscholastic Activities Association or any other interscholastic athletic activity or event involving an organized athletic game or competition against another team, club or entity;
or (2) any practice or preparation for any such interscholastic activity or event.
Section 7 of this bill makes a conforming change to reflect that the requirement to maintain an automated external defibrillator is extended to all public and private high schools.
Sections 2 and 4 of this bill require the establishment of athletic emergency action plans for use by public and private high schools in responding to serious or life-threatening injuries sustained by pupils participating in school athletic activities.
Under section 2, the board of trustees of each school district and the governing body of each charter school is required to develop a model for such a plan and provide the model to each principal of a high school or charter high school.
Section 2 requires the principal of each high school or charter high school to use the model to develop a site-specific plan for the high school or charter high school, as identifying the personnel in each school who are responsible for carrying out the plan;
(2) identifying providers of health care who may provide medical care during the activities;
(3) identifying equipment and supplies that may be needed to respond to a medical emergency at such activities;
(4) describing procedures to be followed after a serious or life-threatening injury;
and (5) providing contact information for emergency medical services and directions to assist emergency medical personnel in accessing the location of the activity.
Finally, section 2 requires each coach, manager or other person who is associated with a school athletic activity to attend training on the athletic emergency action plan for his or her school, which must include, without limitation, a rehearsal of actions required under the plan to respond to a serious or life-threatening injury to a pupil participating in a school athletic activity.
Section 4 requires the governing body of a private school that operates as a high school to develop an athletic emergency action plan for the school and imposes the same requirements related to such a plan as are set forth in section 2 for public schools.] teachers and other licensed educational personnel in the school district who teach or supervise pupils in physical education to obtain training and certification in the administration of cardiopulmonary resuscitation.
(NRS 391.092) Existing regulations require coaches of a school team participating in an interscholastic activity or event governed by the Nevada Interscholastic Activities Association to be certified in cardiopulmonary resuscitation and to complete certain training in administering first aid.
(NAC 385B.798) Section [1] 1.5 of this bill requires each coach, manager or [other person who is associated with any school athletic activity] athletic trainer in a school district to obtain training and certification in the administration of cardiopulmonary resuscitation.
Section 5 of this bill applies this requirement to each coach, manager or [person who is associated with any school athletic activity or event] athletic trainer at a private school.
Existing law requires the board of trustees of each school district, the governing body of each charter school and the governing body of each private school to establish to certain emergencies in each school.
(NRS 388.241, 388.243, 394.1685, 394.1687)ng Sections 1.3 and 8.7 of this bill require a plan developed by such a committee for a public school or private school, respectively, to include a plan for immediately responding to an emergency involving the heart, including, without limitation, a person in cardiac arrest.
Sections 1 and 8.3 of this bill provide that the membership of such a committee at a public school or private school, respectively, may include a physician or other medical professional.
Assembly Amendment No.
390 to Assembly Bill No.
454 Page 5 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
development2. committee must consist of:perations plan (a) At least one member of the board of trustees or of the governing body that established the committee;
The membership of an emergency operations plan development committee must consist of:
(a) At least one member of the board of trustees or of the governing body that established the committee;
(f)in Atwhich leastthe oneschool representativedistrict ofor acharter localschool lawis enforcementlocated;ment agency in the county in(g) whichAt least one school police officer, including, without limitation, a chief of school police of the school district orif charterthe school isdistrict located;has school police officers;
(g) At least one school police officer, including, without limitation, a chief of school police of the school district if the school district has school police officers;
(i) At least one representative of the county or district board of health in the county in which the school district or charter school is located, designated by the county or district board of health;
andland is (j) At least one mental health professional, including, without limitation:
- 83rd Session (2025) – 3 – (1) A counselor of a school in the school district or of the charter school;
or or(3) ofA thelicensed chartersocial school.al worker of a school in the school district 3.or of the charter school.
3.
and (c) A providerphysician ofor healthother care who has specific skills, training and experience in responding to medical emergenciesprofessional. involving the heart.
4.Assembly Amendment No.
390 to Assembly Bill No.
454 Page 6 4.
5.
As used in this section, “provider of health care” means:
(a) A physician or physician assistant licensed pursuant to cha(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 established by the board of trustees of a school district shall develop one plan, which constitutes the minimum requirements of a plan, to be used by all the public schools other than the charter schools in the school district in responding to a crisis, emergency or - 83rd Session (2025) – 4 – suicide and all other hazards.
Each emergency operations plan development committee established by the governing body of a charter school shall develop a plan, which constitutes the minimum requirements of a plan, to be used by the charter school in Eachresponding to a crisis, emergency operationsor plansuicide developmentand committeeall shall,hazards.other hazards.
Each emergency operations plan development committee shall, when developing the plan:
(g) Determine which persons and organizations in the community, including, without limitation, a provider of mentalnmental the health services which is operated by a state or local agency, that could be made available to assist pupils and staff in recovering from a crisis, emergency or suicide.
(c) A procedure for enforcing discipline within a school in the school district or the charter school and for obtaining and -maintaining 83rd Session (2025) – 5 – emergency;g a safe and orderly environment during a crisis or an (d)emergency; 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;
(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;
(f)Assembly AAmendment procedureNo. for responding to a crisis or an emergency that occurs during an extracurricular activity which takes place on school grounds;
390 to Assembly Bill No.
454 Page 7 (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,ibilitycrisis, emergency or suicide;
(1) Pupils who have experienced a crisis or emergency by using trauma-informedtrauma- informed and age-appropriate resources;
(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,ghincluding, 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 thattthat established the committee or the governing body of the charter school that established the committee.
[Section 1.] Sec.
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 districtdistrict: [:] 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[other trainerperson inwho theis schoolassociated districtwith ora charter school whoathletic isactivity] notathletic atrainer pupil;in the school district;
and -(b) 83rdMay Sessionestablish (2025)a –plan 8for –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 activitiesAssembly otherAmendment thanNo. 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.
390 to Assembly Bill No.
454 Page 8 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,nglimitation, 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 (2) A course of study or an activity that the board of trustees of the school atdistrict in which the person is employed has identified as involvingterinvolving 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 trusteestrustees. [.] 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 ofresuscitation trusteesin oraccordance governingwith body,the asplan applicable.ablishedestablished by the board 6.of trustees.
The6. 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.
As used in this section, “school athletic activity” [has the meaning ascribed to it in section 6 of this act.] means:
(a) An interscholasticinterscholasticactivity activity or event governed by the Nevada Interscholastic Activities Association pursuant to chapter 385B of NRS;
(b) Any other interscholastic athletic activity or event involving an organized athletic game or competition against another teamteam, club or entity;
(Deleted[Chapter 392 of NRS is hereby amended by amendment.)adding Sec.thereto a new section to read as follows:
1.
The board of trustees of each school district and the governing body of each charter school shall develop, annually review and, as necessary, update a model athletic emergency action plan for use by each public school that provides instruction to pupils enrolled in a high school grade level in responding to Assembly Amendment No.
390 to Assembly Bill No.
454 Page 9 serious or life-threatening injuries sustained by pupils participating in school athletic activities.
2.
A model athletic emergency action plan must:
(a) Integrate nationally recognized, evidence-based core elements or standards;
(b) Be developed in consultation with local emergency medical services personnel;
and (c) For a plan developed or updated by:
(1) The board of trustees of a school district, be provided by the board of trustees of each school district to the principal of each public high school within the school district, other than a charter school;
or (2) The governing body of a charter school that provides instruction to pupils enrolled in a high school grade level, be provided by the principal of the charter school.
Based on the model athletic emergency action plan developed or updated pursuant to subsection 1, the principal of each high school and the principal of each charter school that provides instruction to pupils enrolled in a high school grade level shall, in consultation with local emergency medical services personnel, develop a site-specific athletic emergency action plan for a school year, which must, at a minimum:
(a) Identify the address or venue of each school athletic activity for the applicable school year;
(b) Be memorialized as a written document, specific to the sites under control of the school where a school athletic activity is conducted;
(c) Identify the personnel in the school who are responsible for carrying out the athletic emergency action plan, including, without limitation, the responsibilities assigned to that person and the designated chain of command;
(d) Identify any providers of health care who may provide medical care during school athletic activities;
(e) Identify any equipment and supplies that may be needed to respond to a medical emergency at a school athletic activity, including, without limitation, the location of each item;
(f) Describe the proper procedures to be followed after a serious or life- threatening injury occurs, including, without limitation, responding to the injured person, summoning emergency medical care, assisting emergency medical responders and documenting the actions taken during the emergency;
and (g) Provide contact information for emergency medical services and directions to assist emergency medical personnel in accessing the location of a school athletic activity.
4.
The board of trustees of each school district and the governing body of each charter school that provides instruction to pupils enrolled in a high school grade level shall require each coach, manager or other person who is associated with a school athletic activity to attend, at least once each school year, a training on the athletic emergency action plan of the high school or charter school, as applicable, for which the coach, manager or other person is working in connection with a school athletic activity.
The training must include, without limitation, a rehearsal of actions that must be taken under the athletic emergency action plan of the high school or charter school, as applicable, to respond to serious or life-threatening injuries sustained by a pupil participating in a school athletic activity.
5.
As used in this section, “school athletic activity” has the meaning ascribed to it in section 6 of this act.] (Deleted by amendment.) Assembly Amendment No.
390 to Assembly Bill No.
454 Page 10 Sec.
3.
(Deleted[1. by amendment.) Sec.
The governing body of each private school that operates as a high school shall develop, annually review and, as necessary, update an athletic emergency action plan for use by the private school in responding to serious or life-threatening injuries sustained by pupils participating in school athletic activities.
2.
An athletic emergency action plan must:
(a) Integrate nationally recognized, evidence-based core elements or standards;
(b) Be developed in consultation with local emergency medical services personnel;
and (c) Be specific to the site of the private school.
3.
At a minimum, an athletic emergency action plan must:
(a) Identify the address or venue of each school athletic activity for the applicable school year;
(b) Be memorialized as a written document, specific to the sites under control of the school where a school athletic activity is conducted;
(c) Identify the personnel in the school who are responsible for carrying out the athletic emergency action plan, including, without limitation, the responsibilities assigned to that person and the designated chain of command;
(d) Identify any providers of health care who may provide medical care during school athletic activities;
(e) Identify any equipment and supplies that may be needed to respond to a medical emergency at a school athletic activity, including, without limitation, the location of each item;
(f) Describe the proper procedures to be followed after a serious or life- threatening injury occurs, including, without limitation, responding to the injured person, summoning emergency medical care, assisting emergency medical responders and documenting the actions taken during the emergency;
and (g) Provide contact information for emergency medical services and directions to assist emergency medical personnel in accessing the location of a school athletic activity.
4.
The governing body of each private school that operates as a high school shall require each coach, manager and any other person who is associated with a school athletic activity for the private school to attend, at least once each school year, a training on the athletic emergency action plan of the private school.
The training must include, without limitation, a rehearsal of actions that must be taken under the athletic emergency action plan of the private school to respond to serious or life-threatening injuries sustained by a pupil participating in a school athletic activity.
As used in this section, “school athletic activity” has the meaning ascribed to it in section 6 of this act.] (Deleted by amendment.) Sec.
5.
The governing body of each private school that operates as a high school shall establish a plan for each coach, manager or [other person who is associated with a school athletic activity] athletic trainer of the private school whoto isreceive notthe atraining pupilwhich administrationis ofnecessary cardiopulmonaryfor resuscitation.ertificationcertification in the 2.administration of cardiopulmonary resuscitation.
2.
(a)Assembly ComplyAmendment withNo. the guidelines established by the American National Red Cross or the American Heart Association for the certification of persons in the administration of cardiopulmonary resuscitation;
and390 (b) Set forth an estimation of the time and resources necessary for coaches, managers and other persons associated with a school athletic activity of the private school who are not pupils to obtainAssembly certificationBill inNo. the administration of cardiopulmonary resuscitation.
454 Page 11 (a) Comply with the guidelines established by the American National Red Cross or the American Heart Association for the certification of persons in the administration of cardiopulmonary resuscitation;
and (b) Set forth an estimation of the time and resources necessary for coaches, managers and other persons associated with a school athletic activity of the private school 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 83rdof Sessioncardiopulmonary (2025)resuscitation –in 10accordance – with the plan established by the governing body of the private school.
As used in this section, “school athletic activity” [has the meaning ascribed to it in section 6 of this act.] means:
(b) Any other interscholastic athletic activity or event involving an organized athletic game or competition against another teamteam, club or entity;
Secs.Sec.
6-8.6.
(Deleted[Chapter 450B of NRS is hereby amended by amendment.)adding 394.1685thereto 1.a new section to read as follows:
The1. governing body of each private school shall:
establishThe anboard emergencyof operationstrustees planof developmenteach committeeschool todistrict, developthe agoverning planbody toof beeach usedcharter byschool and the governing body of each private school in respondingthis toState ashall crisis,maintain emergencyan orautomated suicideexternal defibrillator that is accessible during the school day at each school in which any of the grades 9 to 12, inclusive, are taught, and during all otherschool hazards.athletic activities in which pupils in any of the grades 9 to 12, inclusive, are participating.
During a school athletic activity, an automated external defibrillator must be located on-site at the school athletic activity or placed and made available in an unlocked location that allows for the automated external defibrillator to be used on a person who may experience a sudden cardiac arrest event while the person is on-site at the school athletic activity.
3.
The board of trustees of each school district, the governing body of each charter school and the governing body of each private school in this State shall:
(a) Ensure that an automated external defibrillator maintained pursuant to subsection 1 is appropriate for use on children and adults and is inspected and maintained on a regular basis;
and (b) Require any employee who will use a defibrillator, and each coach, manager or other person who is associated with a school athletic activity, to complete the training requirements of a course in basic emergency care of a person in cardiac arrest that includes training in the operation and use of an automated external defibrillator and is conducted in accordance with standards of the American Heart Association, the American National Red Cross or any similar organization.
4.
The board of trustees of a school district or the governing body of a charter school may:
(a) Use an automated external defibrillator placed at a school pursuant to subsection 1 of NRS 450B.600 or subsection 1 of 450B.620 to comply with the requirements of subsection 1.
(b) Accept:
Assembly Amendment No.
390 to Assembly Bill No.
454 Page 12 (1) The donation of an automated external defibrillator that complies with the standards established by the United States Food and Drug Administration;
and (2) Gifts, grants and donations for use in obtaining, inspecting and maintaining an automated external defibrillator.
5.
As used in this section, “school athletic activity” means:
(a) An interscholastic activity or event governed by the Nevada Interscholastic Activities Association pursuant to chapter 385B of NRS;
(b) Any other interscholastic athletic activity or event involving an organized athletic game or competition against another team, club or entity;
or (c) Any practice or preparation for an interscholastic activity or event described in paragraph (a) or (b).] (Deleted by amendment.) Sec.
7.
[NRS 450B.620 is hereby amended to read as follows:
450B.620 1.
Except as otherwise provided in NRS 450B.600 [,] and section 6 of this act, the board of trustees of each school district in this State, to the extent that money is available, may provide for the placement of an automated external defibrillator in each public school in the school district and at each athletic facility maintained by the school district at a location that is separate from a public school.
Each defibrillator must be appropriate for use on children and adults and be limited to use on school property and at school events.
The board of trustees may accept:
(a) The donation of a defibrillator that complies with the standards established by the United States Food and Drug Administration;
and (b) Gifts, grants and donations for use in obtaining, inspecting and maintaining a defibrillator.
2.
Each medical facility and health club in this State may provide for the placement of an automated external defibrillator in a central location at the medical facility or health club.
3.
Each school district, medical facility and health club that provides for the placement of one or more automated external defibrillators pursuant to this section shall:
(a) Ensure that each defibrillator is inspected and maintained on a regular basis;
and (b) Require any employee who will use a defibrillator to complete the training requirements of a course in basic emergency care of a person in cardiac arrest that includes training in the operation and use of an automated external defibrillator and is conducted in accordance with the standards of the American Heart Association, the American National Red Cross or any similar organization.
4.
As used in this section:
(a) “Health club” has the meaning ascribed to it in NRS 598.9415.
(b) “Medical facility” means:
(1) A facility for hospice care as defined in NRS 449.0033;
(2) A facility for intermediate care as defined in NRS 449.0038;
(3) A facility for skilled nursing as defined in NRS 449.0039;
(4) A hospital as defined in NRS 449.012;
(5) An independent center for emergency medical care as defined in NRS 449.013;
or (6) A surgical center for ambulatory patients as defined in NRS 449.019.
(c) “School property” has the meaning ascribed to it in NRS 701B.350.] (Deleted by amendment.) Sec.
8.
[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.] (Deleted by amendment.) Sec.
8.3.
NRS 394.1685 is hereby amended to read as follows:
Assembly Amendment No.
390 to Assembly Bill No.
454 Page 13 394.1685 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.
2.
and emergency(g) management.epresentativeAt least one representative of a state or local organization for 3.emergency management.
3.
- 83rd Session (2025) – 11 – (d) A pupil in grade 10 or higher of the school if the school includes grade 10 or higher;
and and(f) experienceA inphysician respondingor toother medical emergenciesprofessional. 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 Eachresponding to a crisis, emergency operationsor plansuicide developmentand committeeall shall,hazards.other 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)Assembly AAmendment procedureNo. for enforcing discipline within the school and a crisis or an emergency [.] ;
andfe390 and orderly environment during (d) A plan for immediately responding to aAssembly medicalBill emergencyNo. involving the heart, including, without limitation, a person in cardiac arrest.
454 Page 14 (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 [.] ;
and (d) A plan for immediately responding to a medical emergency involving the heart, including, without limitation, a person in cardiac arrest.
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.
~~~~~ 25 - 83rd Session (2025)