AB 319 — Makes revisions relating to providers of health care. (BDR 54-791)

Section 50 also requires that a charging document for charges -against *AB319_R1*a –physician 4assistant, –anesthesiologist of respiratory care be filed by the Board.ogist assistant, perfusionist or practitioner Sectionof 57respiratory removescare abe requirementfiled thatby the BoardBoard. hold a hearing on a report from the Attorney General that a licensee has violated certain laws prohibiting industrial insurance fraud.

from the Attorney General that a licensee has violated certain laws prohibiting industrial insurance fraud.

(NRS 630.311) In certain circumstances that create doubt about the fitness of a physician, physician assistant, practitioner of respiratory care or perfusionist to practice, existing law authorizes the Board to require such a licensee to undergo certaince,certain examinations to determine his or her fitness to practice.

and - 83rd Session (2025) – 4 – (2) provides that the failure to submit to such an examination is grounds for the summary suspension of a license pending further disciplinary proceedings.

otherSection governmental56: entities investigating a person;

and(1) (2)makes authorizesrevisions therelating Board,d with authorization from a licensee, to cooperatecollaboration withbetween the employerBoard ofand a licensee or any other persongovernmental orentities entityinvestigating responsible for credentialing a licensee.person;

and (2) authorizes the Board, with authorization from a licensee, to cooperate with the employer of a licensee or any other person or entity responsible for credentialing a licensee.

Section 59 removes a requirement that the Board allowbill removes the ability for any person other than the respondent or a complainantwitness to participatebe held in contempt for certain conduct in a disciplinary proceedings.proceeding.

Section 6062 of this bill removes theauthorization ability for anya person otherwhose thanlicense thehas respondentbeen orrevoked aby witnessthe Board to bereinstate heldhis inor contempther forlicense certainwithout conductapplying infor a disciplinarynew proceeding.license.

Section 62 reinstate his or her license without applying for a new license.d by the Board to Existing law prohibits the Board from investigating or disciplining a physician for:

Existing law prohibits a physician from administering or supervising the administration of general anesthesia, moderate sedation or deep sedation:

and (2) administering or supervising the administration of tumescent anesthesia, except where authorized by - *AB319_R1* – 5 – regulation of the Board.

Sections 7, 68 and 72 of this bill require a physician,physician,by physician assistant, advanced practice registered nurse or osteopathic physician who performs a physical examination of a person who is at least 12 years of age but notExistingnot lawmore authorizes:than 18 years of age to screen the person for certain health conditions.

Existing law provides for the registration and regulation of certified registered nurse anesthetists.

(NRS 632.2395) Existing law authorizes a certified registered nurse anesthetist working under the supervision of a physician licensed to practice medicine or osteopathic medicine in this State to order, prescribe, possess and administer controlled substances, poisons, dangerous drugs and devices to treat a patient under the care of a licensed physician before, during and after surgery or childbirth only in a critical access hospital.

(NRS 632.2397) Section 70.5 of this - 83rd Session (2025) – 5 – bill further authorizes a certified registered nurse anesthetist to perform such tasks in a hospital located in a city whose population is less than 25,000 (currently all cities except Carson City, Henderson, Las Vegas, North Las Vegas, Reno and SparExisting law authorizes:

EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

(a)- Is83rd subjectSession to(2025) the– laws6 and– jurisdiction of the State of Nevada, including, without limitation, any regulations adopted by ananof Nevada, occupational licensing board in this State, regardless of the location - *AB319_R1* – 6 – from which the provider of health care provides services through telehealth.

A provider of health care who is located at an originating site and is conducting a forensic medical examination of an apparent victim of sexual assault or strangulation may use telehealth to connect to an appropriately trained physician, physician assistant or registeredobtaining nurseinstructions whoand isguidance locatedon atconducting athe distantexamination.of siteThe forprovisions of this subsection must not be construed to prohibit the purposeuse of obtainingtelehealth instructionsfor andcommunication guidancebetween onproviders conductingof thehealth examination.care in other circumstances authorized by law.

The provisions of this subsection must not be construed to prohibit the use of telehealth for communication between providers of health care in other circumstances authorized by law.

(e) “Telehealth” means the delivery of services from a provider of health care to a patient at a different location through the use of information and audio-visual communication technology, not including facsimile or electronic mail.

- 83rd Session (2025) – 7 – (1) Synchronous interaction or an asynchronous system of storing and forwarding information;

-thereto *AB319_R1*the –provisions 7set –forth Sec.as sections 3 to 7, inclusive, of this act.

2.

Chapter 630 of NRS is hereby amended by adding thereto the provisions set forth as sections 3 to 7, inclusive, of this act.

(b) The Board shall deem a program of postgraduate education or training approved by the Accreditation Council for Graduate Medical Education, including, without limitation, such a program that includes 1 year or more of scientific or clinical research, to be progressive if the person who completes the program does so in the format that was approved by the Accreditation Council for Graduate Medical Education.

- 83rd Session (2025) – 8 – Sec.

Each time a physician or physician assistant performs a routine physical examination of a person who is at least 12 years of age but not more than 18 years of age, the physician or physician assistant shall ask the person the questions prescribed in:in the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form.

- *AB319_R1* – 8 – 1.

The Medical History Form and the Physical Examination Form of the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form;

and 2.

The 14-point evaluation for heart disease in young people prescribed by the American Heart Association, or any successor evaluation.

6.assistant, anesthesiologist assistant, certified registered nurse anesthetist or an advanced practice registered nurse relating to respiratory care;

Carrying out the written orders of a physician, physician assistant, anesthesiologist assistant, certified registered nurse anesthetist or an advanced practice registered nurse relating to respiratory care;

(a) A medical officer or perfusionist or practitioner of respiratory care of the Armed Forces or a medical officer or perfusionist- or83rd practitionerSession of(2025) respiratory– care9 of– any division or department of the United States in the discharge of his or her official - *AB319_R1* – 9 – duties, including, without limitation, providing medical care in a hospital in accordance with an agreement entered into pursuant to NRS 449.2455;

(d) Physicians who are temporarily exempt from licensure pursuant to NRS 630.2665 and are practicing medicine within the sco(e) Any person permitted to practice any other healing art under this title who does so within the scope of thethat exemption;authority, or healing by faith or Christian Science;

(e) Any person permitted to practice any other healing art under this title who does so within the scope of that authority, or healing by faith or Christian Science;

(2) Is employed by a medical facility, as defined in NRS 449.0151;449.015(3) Provides respiratory care to patients who are not in a critical medical condition or, in an emergency, to patients who are in a critical medical condition and a practitioner of respiratory care is not immediately available to provide that care and the student is directed by a physician to provide respiratory care under the supervision of the physician until a practitioner of respiratory care is available;

and(h) (3)The Providespractice of respiratory care toby patients who are not in a criticalperson medicalon conditionhimself or,or inherself anor emergency,gratuitous to patients who are in a critical medical condition and a practitioner of respiratory care isprovided not immediately available to providea thatfriend careor and the student is directed by a physician- to83rd provideSession respiratory(2025) care– under10 the– supervisionrepresent ofhimself theor physicianherself untilas a practitioner of respiratory carecare; is available;

(h)(i) TheA practiceperson ofwho respiratoryis careemployed by a personphysician onand himselfprovides or herself or gratuitous respiratory care provided to a friend or aservices memberas of a person’sperfusionist familyunder if the providersupervision of thethat carephysician; does not represent himself or herself as a practitioner of respiratory care;

- *AB319_R1* – 10 – (i) A person who is employed by a physician and provides respiratory care or services as a perfusionist under the supervision of that physician;

and (m) A physician assistant of any division or department of the United States in the discharge of his or her official duties unless licensure by a state is required by the division or department of the United States.

(a) Enforce the provisions of this chapter;

- 83rd Session (2025) – 11 – 2.

-biennium *AB319_R1*against –any 11licensee –for (a)malpractice Disciplinaryor actionnegligence;vious taken(b) byInformation reported to the Board during the previous biennium againstpursuant anyto licenseeNRS for630.3067, malpractice630.3068, orsubsections negligence;3 and 6 of NRS 630.307 and NRS 690B.250;

(b) Information reported to the Board during the previous biennium pursuant to NRS 630.3067, 630.3068, subsections 3 and 6 of NRS 630.307 and NRS 690B.250;

2.shall share information as necessary to enforce the provisions of NRS 630.26835, 630.2684, 630.26845, 633.4256, 633.4258 and 633.426.

The Board and the State Board of Osteopathic Medicine shall share information as necessary to enforce the provisions of NRS 630.26835, 630.2684, 630.26845, 633.4256, 633.4258 and 633.426.

- 83rd Session (2025) – 12 – 2.

(a) Has received the degree of doctor of medicine from a medicalmedica(1) school:Approved by the Liaison Committee on Medical Education of the American Medical Association and Association of American Medical Colleges;

- *AB319_R1* – 12 – (1) Approved by the Liaison Committee on Medical Education of the American Medical Association and Association of American Medical Colleges;

or (6) Any combination of the examinations specified in subparagraphs (1), (2) and (3) that the Board determines to be sufficient;

and1), (2) and (3) that the Board determines to be (c) Is currently certified by a specialty board of the American Board of Medical Specialties in the specialty of emergency medicine, preventive medicine or family medicine and who agrees to maintain certification in at least one of these specialties for the duration of the licensure, or:

(I) Education as a resident in the United States or [Canada] an equivalent foreign country in a program approved by the Board, a governmental entity that regulates medical education in an equivalent foreign country, the Accreditation Council for Graduate Medical Education, [the Royal College of Physicians and Surgeons of Canada, the Collège des médecins du Québec or the College of Family Physicians of Canada, or, as applicable, their] or its successor [organizations;] organization, or an organization that accredits- graduate83rd medicalSession education(2025) in– an13 equivalent– foreign country and is nationally recognized in that country;

ororreign (II) Fellowship training in the United States or [Canada] an equivalent foreign country approved by the Board or the Accreditation Council for Graduate Medical Education;

(2) Has completed at least 36 months of postgraduate education, not less than 24 months of which must have been - *AB319_R1* – 13 – completed as a resident after receiving a medical degree from a combined dental and medical degree program approved by the Board;

or (3) Is a resident who is enrolled in a progressive postgraduate training program in the United States or [Canada] an equivalent foreign country approved by the Board, the Accreditation Council for Graduate Medical Education, [the Royal College of Physicians and Surgeons of Canada, the Collège des médecins du Québec or the College of Family Physicians of Canada, or, as applicable, their] its successor [organizations,] organization, or an organization that accredits graduate medical education in an equivalent foreign country and is nationally recognized in that country, hashaseign [completed at least 24] less than 12 months [of] remaining before he or she completes the program and has committed, in writing, to the Board that he or she will complete the program .

If any information is verified by a source other than the primary source of the information, the Board may require subsequent verification of the information by the primarypri4.ry sourceIf the Board requires an applicant for a license to practice medicine to pass an examination required pursuant to paragraph (b) of subsection 2 within a prescribed number of attempts, the information.Board may, by regulation, allow an applicant who is currently certified by a specialty board of the American Board of Medical Specialties more attempts to pass such an examination than the Board allows to an applicant who does not hold such a certification, if the applicant agrees to maintain his or her certification for the duration of the licensure.

4.- 83rd Session (2025) – 14 – contrary, if, after issuing a license to practice medicine, the Board obtains information from a primary or other source of information and that information differs from the information provided by the applicant or otherwise received by the Board, the Board may:

If the Board requires an applicant for a license to practice medicine to pass an examination required pursuant to paragraph (b) of subsection 2 within a prescribed number of attempts, the Board may, by regulation, allow an applicant who is currently certified by a specialty board of the American Board of Medical Specialties more attempts to pass such an examination than the Board allows to an applicant who does not hold such a certification, if the applicant agrees to maintain his or her certification for the duration of the licensure.

5.

Notwithstanding any provision of this chapter to the contrary, if, after issuing a license to practice medicine, the Board obtains information from a primary or other source of information and that information differs from the information provided by the applicant or otherwise received by the Board, the Board may:

- *AB319_R1* – 14 – (c) Declare the license void if the Board or a committee appointed by the Board determines that the information submitted by the applicant was false, fraudulent or intended to deceive the Board;

(1)with Placingspecified theconditions;ensee licensee on probation for a specified period with(2) specifiedAdministering conditions;a public reprimand;

(2) Administering a public reprimand;

(10) Requiring the licensee to complete any training or educational requirements specified by the Board;

andandraining or (11) Requiring the licensee to submit a corrected application, including the payment of all appropriate fees and costs incident to submitting an application.

If the Board determines after reviewing the differing information to declare the license void, its action shall be deemed- a83rd disciplinarySession (2025) – 15 – databases.isciplinary action and shall be reportable to national databases.Sec.

Sec.

- *AB319_R1* – 15 – (b) The applicant:

(3) Meets all of the statutory requirements for licensure to practice[the] :e medicine in effect at the time of application except for [the](I) :The requirements set forth in paragraph (c) of subsection 2 of NRS 630.160;

(I) The requirements set forth in paragraph (c) of subsection 2 of NRS 630.160;

630.1607the 1.Board may issue a license by endorsement to practice medicine to an applicant who is an active member of, or the spouse of an active member of, the Armed Forces of the United States, a veteran or the surviving spouse of a veteran and who meets the requirements set forth in this section.

Except as otherwise provided in NRS 630.161, the Board may issue a license by endorsement to practice medicine to an applicant who is an active member of, or the spouse of an active member of, the Armed Forces of the United States, a veteran or the surviving spouse of a veteran and who meets the requirements set forth in this section.

and - 83rd Session (2025) – 16 – (b) Is certified in a specialty recognized by the American Board of Medical Specialties .

(a) Proof(1) satisfactorySatisfies to the Boardrequirements thatof thesubsection applicant:1;ant:

(1) Satisfies the requirements of subsection 1;

and - *AB319_R1* – 16 – (3) Has not been held civilly or criminally liable for malpractice in the District of Columbia or any state or territory of the United States;

Unless the Board denies the application for good cause, including, without limitation, failure to comply with any requirement imposed by the Board pursuant to NRS 630.257, the Board shall approve the application and issue a license by endorsementend(a) toForty-five practicedays medicineafter toreceiving all the applicantadditional notinformation laterrequired than:by the Board to complete the application;

(a) Forty-five days after receiving all the additional information required by the Board to complete the application;

At any time before making a final decision on an application for a license by endorsement pursuant to this section, the Board may - 83rd Session (2025) – 17 – grant a provisional license authorizing an applicant to practice medicine in accordance with regulations adopted by the Board.

Sec.630.165 1.RS 63Except as otherwise provided in subsection 2, an applicant for a license to practice medicine must submit to the Board, on a form provided by the Board, an application in writing, accompanied by an affidavit stating that:

17.

NRS 630.165 is hereby amended to read as follows:

630.165 1.

Except as otherwise provided in subsection 2, an applicant for a license to practice medicine must submit to the Board, on a form provided by the Board, an application in writing, accompanied by an affidavit stating that:

and - *AB319_R1* – 17 – (b) The information contained in the application and any accompanying material is complete and correct.

4.may require such further evidence of the mental, physical, medicaloard or other qualifications of the applicant as it considers necessary.

In addition to the other requirements for licensure, the Board may require such further evidence of the mental, physical, medical or other qualifications of the applicant as it considers necessary.

In addition to any other requirements set forth in this chapter, each applicant for a license to practice medicine, including, without limitation, an expedited license pursuant to NRS [630.1606 or] 630.1607 or chapter 629A of NRS, and each applicant for a license to practice as a perfusionist, to practice as a physician assistant, to practice as an anesthesiologist assistant or to practice respiratory care shall submit to the Board a complete set of fingerprints and written permission authorizing the Board to forward the fingerprints to the Central Repository for Nevada Records of Criminal History for submission to the Federal Bureau of Investigation- 83rd Session (2025) – 18 – for itsthis report.service pursuant to NRS 630.268 are not refundable.he Board 2.

Any fees or costs charged by the Board for this service pursuant to NRS 630.268 are not refundable.

2.

630.170 In addition to the other requirements for licensure, an applicant for a license to practice medicine who is a graduate of a medical school located in the United States or [Canada] an - *AB319_R1* – 18 – equivalent foreign country shall submit to the Board proof that the applicant has received the degree of doctor of medicine from a medical school which, at the time of graduation, was accredited by the Liaison Committee on Medical Education or [the Committee for the Accreditation of Canadian Medical Schools.] an organizationorganizationr that accredits medical schools in an equivalent foreign country and is nationally recognized in that country.

and (b) The standard certificate of the Educational Commission for Foreign Medical Graduates or a written statement from thatthation for Commission that the applicant passed the examination given by the Commission.

- 83rd Session (2025) – 19 – Sec.

A licensee who changes his or her permanent mailing address or electronic mail address shall notify the Board in writing of the new permanent mailing address within 30 days after the change.

- *AB319_R1* – 19 – (a) Notify the Board in writing of this occurrence within 14 days after the closure;

In addition to the requirements of subsection 1, any licensee who performs any of the acts described in subsection 3 of NRS 630.020 from outside this State or the United States shall maintain an electronic mail address with the Board to which all communicationscomSec. from the Board to the licensee may be sent.] Sec.

or 2.- 83rd Session (2025) – 20 – medicine, perfusion or respiratory therapy, practice as a physician assistant or assist in the practice of medicine, as applicable.

Otherwise demonstrate his or her competency to practice medicine, perfusion or respiratory therapy, practice as a physician assistant or assist in the practice of medicine, as applicable.

(b) Proof that the physician previously has been issued an unrestricted license to practice medicine in any state of the United States and that the physician has never been the subject of disciplinary action by a medical board in any jurisdiction;

- *AB319_R1* – 20 – (c) Proof that the physician satisfies the requirements for licensure set forth in NRS 630.160 or the requirements for licensure by endorsement set forth in NRS 630.1605 [, 630.1606] or 630.1607;

and (e) Acknowledgment that the physician will not receive any payment or compensation, either direct or indirect, or have the expectation of any payment or compensation, for providing medical care under the special volunteer medical license, except for payment by a medical facility at which the physician provides volunteer medical services of the expenses of the physician for necessary travel, continuing education, malpractice insurance or fees of the State Board of Pharmacy.

If the Board finds that the application of a physician satisfies the requirements of subsection 2 and that the retired physician is - 83rd Session (2025) – 21 – competent to practice medicine, the Board [must] may issue a special volunteer medical license to the physician.

The license may be renewed pursuant to this section, and any license that is renewed expires 2 years after the date of issuance of the renewed license.

A person may apply to the Board to be licensed as an administrative physician if the person meets all of the statutory requirements for licensure in effect at the time of application except - *AB319_R1* – 21 – [the] for such requirements [of paragraph (c) of subsection 2 of NRS 630.160.] as are specified by regulation of the Board.

A person who is licensed as an administrative physician pursuantpur(a) toMay thisnot section:engage in the practice of clinical medicine;

(a) May not engage in the practice of clinical medicine;

The purpose of this license is to enable an eligible physician to serve as a substitute for another physician who is licensed to practice medicine in this State and who is absent from his or her practice for reasons deemed- sufficient83rd bySession (2025) – 22 – provisions of this paragraph is not renewable.ed pursuant to the Board.(b) [A special license to a licensed physician of another state to come into this State to care for or assist in the treatment of his or her own patient in association with a physician licensed in this State.

A license issued pursuant to the provisions of this paragraph is not renewable.

(b) [A special license to a licensed physician of another state to come into this State to care for or assist in the treatment of his or her own patient in association with a physician licensed in this State.

[(e)] (c) A [special purpose] telemedicine license to a physician who is licensed in another state to perform any of the acts described in subsections 1 and 2 of NRS 630.020 by using equipment thatthatescribed transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, without limitation, through telehealth, from within or outside this State or the United States.

- *AB319_R1* – 22 – (1) Except as otherwise provided by specific statute or regulation, shall comply with the provisions of this chapter and the regulations of the Board;

(a)another Holdstate;full a full and unrestricted license to practice medicine in another(b) state;Not have had any disciplinary or other action taken against him or her by any state or other jurisdiction;

(b) Not have had any disciplinary or other action taken against him or her by any state or other jurisdiction;

Sec.- 83rd Session (2025) – 23 – 630.263 1.RS 630If the Governor determines that there are critically unmet needs with regard to the number of physicians who are practicing a medical specialty within this State, the Governor may declare that a state of critical medical need exists for that medical specialty.

26.

NRS 630.263 is hereby amended to read as follows:

630.263 1.

If the Governor determines that there are critically unmet needs with regard to the number of physicians who are practicing a medical specialty within this State, the Governor may declare that a state of critical medical need exists for that medical specialty.

and (c) Any other factors relating to the medical specialty that may adverselygeographic affectarea thewithin deliverythis ofState.ealth health care within this State or any geographic3. area within this State.

3.

(b) Has completed at least 1 year of training as a resident in the United States or [Canada] an equivalent foreign country in a program approved by the Board, the Accreditation Council for - *AB319_R1* – 23 – Graduate Medical Education, [the Royal College of Physicians and Surgeons of Canada, the Collège des médecins du Québec or the College of Family Physicians of Canada,] or [their] its successor [organizations, respectively;] organization, or an organization that accredits graduate medical education in an equivalent foreign country and is nationally recognized in that country;

foreign (c) Has a minimum of 5 years of practical medical experience as a licensed allopathic physician or such other equivalent training as the Board deems appropriate;

Any license issued pursuant to this section is a restricted license, and the person who holds the restricted license may practice - 83rd Session (2025) – 24 – medicine in this State only in the medical specialties and geographic areas for which the restricted license is issued.

Any person who holds a restricted license issued pursuant to this section and who completes 3 years of full-time practice under the restricted license may apply to the Board for an unrestricted license.

(b) Has a minimum of 5 years of practical medical experience as a licensed allopathic physician or such other equivalent training as the Board deems appropriate;

- *AB319_R1* – 24 – 2.

In considering an application for an unrestricted license pursuant to this subsection, the Board shall require the applicant to meet all statutory- requirements83rd forSession licensure(2025) in– effect25 at– the time of application except the requirements of paragraph (c) of subsection 2 of NRS 630.160.

2.program shall provide the Board with written confirmation that the applicant has been appointed to a position in the program.

The medical school or other institution sponsoring the program shall provide the Board with written confirmation that the applicant has been appointed to a position in the program.

- *AB319_R1* – 25 – Sec.

29.

NRS 630.2677 is hereby amended to read as follows:

[(a)]- (1)83rd ToSession renew(2025) a– license26 to– practice as a physician assistant to the Board pursuant to this chapter;

andande as a physician assistant [(b)] (2) For a license to practice as a physician assistant to the State Board of Osteopathic Medicine pursuant to chapter 633 of NRS;

If an applicant to renew a license to practice as a physician assistant pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license to practice as a physician assistant pursuant to the provisions of chapter 633 of NRS and pays the fee for biennial simultaneous registration of a physician assistant established pursuant to NRS 630.268 but does not pay the application and initial simultaneous license fee for a physician assistant established pursuant to NRS 633.501 within 1 year after the renewal of his or her license pursuant to thisthisn 1 chapter:

and (b) The physician assistant shall pay to the Board of Medical Examiners the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

- *AB319_R1* – 26 – For application for and issuance of a license to practice as a physician, including a license by endorsement ...........................................................$600 For application for and issuance of a temporary, locum tenens, limited, restricted, authorized facility,special,facility, [special, special purposepurpose] telemedicine or special event license........................400license............................................................................400 - 83rd Session (2025) – 27 – For renewal of a limited, restricted,restricted [,] or authorized facility or[or specialspecial] license...............................................400license.........................$400 For application for and issuance of a license as a physician assistant, including a license by endorsement ..................................................................400 For application for and issuance of aa............................................400 simultaneous license as a physician assistant.........................................................................200 For biennial registration of a physician assistant.........................................................................800 For biennial simultaneous registration of a physician assistant.........................................................400 For biennial registration of a physician..............................800 For application for and issuance of a license as a perfusionist or practitioner of respiratory care................................................................................400 For biennial renewal of a license as a perfusionist....................................................................600 For application for and issuance of a license or temporary license to practice as an anesthesiologist assistant...............................................400 For application for and initial issuance of a simultaneous license as an anesthesiologist assistant.........................................................................200 For biennial registration of an anesthesiologist assistant.........................................................................800 For biennial simultaneous registration of an anesthesiologist assistant...............................................400 For biennial registration of a practitioner ofof..............................400 respiratory care..............................................................600 For biennial registration for a physician who is on inactive status...........................................................400 For written verification of licensure.....................................50 [For a duplicate identification card......................................25] For a duplicate license..........................................................50 [For computer printouts or labels.......................................500 For verification of a listing of physicians, per hour ................................................................................20] - *AB319_R1* – 27 – For furnishing a list of new physicians.............................$100physicians...............................100 3 2.

Except as otherwise provided in subsections 4 and 5, in addition to the fees [prescribed in] established pursuant to subsection 1, the Board shall charge and collect necessary and reasonable- fees83rd forSession the(2025) expedited– processing28 of– a request or for any other incidental service the Board provides.

of a request or for any 3.

(b) NRS] or 630.2752, the Board shall collect not more than one-half of the license.the fee set forth in subsection 1 for the initial issuance of the5. license.

5.

[1.] (a) Indicate in the application that he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to thethe[2.] provisions(b) ofApply chapterfor 633a oflicense NRS;to practice as an anesthesiologist assistant to:

[2.] (b) Apply for a license to practice as an anesthesiologist assistant to:

- *AB319_R1* – 28 – [(a)] (1) The fee for application for and issuance of a simultaneous license as an anesthesiologist assistant established pursuant to NRS 630.268;

and [(b)]- (2)83rd TheSession application(2025) and– initial29 simultaneous– license fee for an anesthesiologist assistant established pursuant to NRS 633.501.633.501.for 2.

2.

(1) The fee for application for and issuance of a license to practice as an anesthesiologist assistant established pursuant to NRS 63(2) The fee for application for and initial issuance of a simultaneous license as an anesthesiologist assistant established pursuant to NRS 630.268;

and (2) The fee for application for and initial issuance of a simultaneous license as an anesthesiologist assistant established pursuant to NRS 630.268;

[(a)] (1) To renew an anesthesiologist assistant license to the Board pursuant to this chapter;

andandlogist assistant license to the [(b)] (2) For an anesthesiologist assistant license to the State Board of Osteopathic Medicine pursuant to chapter 633 of NRS;

- *AB319_R1*83rd Session (2025) – 2930 – 2.

If an applicant to renew an anesthesiologist assistant license pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to the provisions of chapter 633 of NRS and pays the fee for biennial simultaneous registration of an anesthesiologist assistant established pursuant to NRS 630.268 but does not pay the application and initial simultaneous license fee for an anesthesiologist assistant established pursuant to NRS 633.501 within 1 year after the renewal of his or her license pursuant to this chapter:

If a person licensed as an anesthesiologist assistant pursuant to the provisions of this chapter is not applying to renew his or her license and wishes to hold a simultaneous license asof anNRS, anesthesiologistthe assistantperson must:tant pursuant to the provisions of chapter 633[1.] of(a) NRS,Apply for an anesthesiologist assistant license to the personState must:Board of Osteopathic Medicine pursuant to chapter 633 of NRS;

[1.] (a) Apply for an anesthesiologist assistant license to the State Board of Osteopathic Medicine pursuant to chapter 633 of NRS;

If a person licensed as an anesthesiologist assistant pursuant to the provisions of this chapter pays the fee for biennial simultaneous registration of an anesthesiologist assistant established pursuant to NRS 630.268 in accordance with subparagraph (1) of paragraph (b) of subsection 1 but does not pay the application and initial simultaneous license fee for an - 83rd Session (2025) – 31 – anesthesiologist assistant established pursuant to NRS 633.501 - *AB319_R1* – 30 – within 1 year after the next time the person renews his or her license pursuant to this chapter:

(a) The Board of Medical Examiners shall notify the anesthesiologistBoard assistantthe thatdifference between:at he or she is required to pay to the Board(1) theThe differencefee between:for biennial registration of an anesthesiologist assistant established pursuant to NRS 630.268;

(1) The fee for biennial registration of an anesthesiologist assistant established pursuant to NRS 630.268;

4.] The [fees] fee for [examination and for] the reinstatement of expired[5.] licenses;4.

[5.] 4.

[by the date established by the Board;] 4.- 83rd Session (2025) – 32 – approved by the Board, which must:d a perfusion education program (a) Have been approved by the Committee on Allied Health Education and Accreditation of the American Medical Association before June 1, 1994;

Have successfully completed a perfusion education program approved by the Board, which must:

- *AB319_R1* – 31 – (a) Have been approved by the Committee on Allied Health Education and Accreditation of the American Medical Association before June 1, 1994;

Each license issued pursuant to NRS 630.2694 expires on June 30, or if June 30 is a Saturday, Sunday or legal holiday, on the next business day after June 30, of every odd- numbered year and may be renewed if, before the license expires, the holder of the license submits to the Board:

A license that expires pursuant to this section not more than 2 years before an application for renewal is made may be reinstated only if the applicant:

(1) For the reinstatement of an expired license, prescribed by regulationsregula(2) adoptedFor byeach biennium that the Boardlicense pursuantwas toexpired, NRSfor 630.269;the renewal of the license.

and (2) For each biennium that the license was expired, for the renewal of the license.

- 83rd Session (2025) – 33 – 4.

630.2696practice 1.perfusion in this State to a person who has not yet [completed the examination] obtained the certification required pursuant to NRS [630.2692] 630.2691 but who:

The Board may issue a temporary license to practice perfusion in this State to a person who has not yet - *AB319_R1* – 32 – [completed the examination] obtained the certification required pursuant to NRS [630.2692] 630.2691 but who:

[1.] (a) Indicate in the application that he or she wishes to hold ato simultaneousthe licenseprovisions toof practicechapter as633 aof physicianNRS;physician assistant pursuant to[2.] the(b) provisionsApply offor chaptera 633license ofto NRS;practice as a physician assistant to:

[2.] (b) Apply for a license to practice as a physician assistant to:

If a person who applies for a license to practice as a physician assistant pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license to practice- as83rd aSession physician(2025) assistant– pursuant34 to– the provisions of chapter 633 of NRS and pays the fee for application for andands of issuance of a simultaneous license as a physician assistant established pursuant to NRS 630.268 but does not pay the application and initial simultaneous license fee for a physician assistant established pursuant to NRS 633.501 within 1 year after the issuance of his or her license pursuant to this chapter:

- *AB319_R1* – 33 – (a) The Board of Medical Examiners shall notify the person that he or she is required to pay to the Board the difference between:

and (b) The person shall pay to the Board of Medical Examiners the amount required by paragraph (a) not later than 30 days after thetheSec. date of the notice provided pursuant to paragraph (a).

Sec.

The medical services which a physician assistant may perform, except that a physician assistant may not perform those specific functions and duties delegated or restricted by law to persons licensed as dentists, chiropractic physicians, naprapaths, podiatric physicians and optometrists under chapters 631, 634,634,ths, 634B, 635 and 636, respectively, of NRS, or as hearing aid specialists.

[The Board shall not require a physician assistant to receive or maintain certification by the National Commission on Certification of Physician Assistants, or its successor organization, or by any other nationally recognized organization- for83rd theSession accreditation(2025) of– physician35 assistants– to satisfy any continuing education requirements for the renewal of licenses.]licenses.]fy 8.

A physician assistant’s use of equipment that transfers information concerning the medical condition of a patient in this State electronically, telephonically or by fiber optics, including, - *AB319_R1* – 34 – without limitation, through telehealth, from within or outside this State or the United States.

An applicant may submit to the Board an application for such a license if the applicant holds a corresponding valid and unrestricted license to practice as a physicianterritory assistantof in the DistrictUnited States.rict of Columbia or any state or territory2. of the United States.

2.

[and (3) Has not been held civilly or criminally liable for malpractice in the District of Columbia or any state or territory of the United States;] (b) A complete set of fingerprints and written permission authorizing the Board to forward the fingerprints in the manner providedpro(c) An affidavit stating that the information contained in NRSthe 630.167;application and any accompanying material is true and correct;

(c) An affidavit stating that the information contained in the application and any accompanying material is true and correct;

Unless the Board denies the application for good cause, including, without limitation, failure to comply with any- requirement83rd imposedSession by(2025) the– Board36 pursuant– to NRS 630.257, the Board shall approve the application and issue a license by endorsement to practice as a physician assistant to the applicant not later than:

or (c) Ten days after the Board receives proof that the applicant has complied with any requirement imposed by the Board pursuant to NRS 630.257, if applicable, - *AB319_R1* – 35 –  whichever occurs later.

630.2752to 1.practice as a physician assistant to an applicant who meets the requirements set forth in this section.

The Board may issue a license by endorsement to practice as a physician assistant to an applicant who meets the requirements set forth in this section.

and (2) Has not been disciplined [or] and is not currently being investigated by the corresponding regulatory authority of the District of Columbia or the state or territory in which the applicant holds a license to practice as a physician assistant;

[and[ande applicant (3) Has not been held civilly or criminally liable for malpractice in the District of Columbia or any state or territory of the United States;] (b) A complete set of fingerprints and written permission authorizing the Board to forward the fingerprints in the manner provided in NRS 630.167;

and - 83rd Session (2025) – 37 – (d) Any other information required by the Board.

Not later than 15 business days after receiving an application for a license by endorsement to practice as a physician assistant pursuant to this section, the Board shall provide written notice to the applicant of any additional information required by the Board to consider the application.

[or] - *AB319_R1* – 36 – (b) Ten days after the Board receives a report on the applicant’s background based on the submission of the applicant’s fingerprints [,] ;

At any time before making a final decision on an application for a license by endorsement pursuant to this section, the Board may grant a provisional license authorizing an applicant to practice as a physicianBoard.ian assistant in accordance with regulations adopted by the Board.6.

6.

and [(b)]- (2)83rd TheSession application(2025) and– initial38 simultaneous– license fee for a physician assistant established pursuant to NRS 633.501.633.501.nse fee for 2.

2.

and - *AB319_R1* – 37 – (2) The fee for biennial simultaneous registration of a physician assistant established pursuant to NRS 630.268;

and (b) The person shall pay to the Board of Medical Examiners the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

[(c)] (b) Pass the examination as an entry-level or advanced practitionerfor ofRespiratory respiratoryCare careor administeredits successor organization;e National Board [(d)] (c) Be certified by the National Board for Respiratory Care or its successor organization;

[(d)] (c) Be certified by the National Board for Respiratory Care or its successor organization;

or - 83rd Session (2025) – 39 – (b) Hold himself or herself out as qualified to practice respiratory care,  in this State without complying with the provisions of subsection 1.

3.set forth in [paragraphs] paragraph (a) [and (b)] of subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in respiratory care for not more than 12 months after completing those educational requirements.

Any person who has completed the educational requirements set forth in [paragraphs] paragraph (a) [and (b)] of subsection 1 may practice respiratory care pursuant to a program of practical training as an intern in respiratory care for not more than 12 months after completing those educational requirements.

- *AB319_R1* – 38 – 3.

4.against a practitioner, but only if the malpractice is established by a preponderance of the evidence.

Malpractice, which may be evidenced by claims settled against a practitioner, but only if the malpractice is established by a preponderance of the evidence.

7.- 83rd Session (2025) – 40 – and exploits the relationship between the physician and the patient for financial or other personal gain.

The engaging in conduct that violates the trust of a patient and exploits the relationship between the physician and the patient for financial or other personal gain.

11.

Conviction of:

- *AB319_R1* – 39 – (c) Assault with intent to kill or to commit sexual assault or mayhem;

(a) Inability to practice medicine with reasonable skill and safety because of illness, a mental or physical condition or the use ofofsafety alcohol, drugs, narcotics or any other substance.

or (3) Which is in violation of a provision of chapter 639 of NRS, or a regulation adopted by the State Board of Pharmacy pursuant- thereto,83rd thatSession is(2025) applicable– to41 a– licensee who is a practitioner, as defined in NRS 639.0125.

licensee who is a (c) Administering, dispensing or prescribing any controlled substance, or any dangerous drug as defined in chapter 454 of NRS, to or for himself or herself or to others except as authorized by law.

(g) Continual failure to exercise the skill or diligence or use the methods ordinarily exercised under the same circumstances by physicians in good standing practicing in the same specialty or field.

- *AB319_R1* – 40 – (k) Failure by a licensee or applicant to report in writing, within 30 days, any disciplinary action taken against the licensee or applicant by another state, the Federal Government or a foreign country, including, without limitation, the revocation, suspension or surrender of a license to practice medicine in another jurisdiction.

(l) Failure by a licensee or applicant to report in writing, within 30 days, any arrest or criminal [action taken or] conviction [obtained against] of the licensee or applicant, other than a minor traffic violation, in this State or any other state or by the Federal Government, a branch of the Armed Forces of the United States or any local or federal jurisdiction of a foreign country.

or - 83rd Session (2025) – 42 – (2) An act or omission occurs which results in the suspension or revocation of the license pursuant to NRS 449.160.

(o) Failure to comply with the requirements of NRS 630.373.

- *AB319_R1* – 41 – (t) Failure to obtain any training required by the Board pursuant to (u) Failure to comply with the provisions of NRS 630.2535.454.217 or 629.086.

(u) Failure to comply with the provisions of NRS 454.217 or 629.086.

- 83rd Session (2025) – 43 – Sec.

(a) Any action for malpractice against the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist not later than 45 days after the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist receives service of a summons and complaint for the action;

The Board shall report any failure to comply with subsection 1 by an insurer licensed in this State to the Division of Insurance of the Department of Business and Industry.

3.an insurer pursuant to this section is a public record.t made by Sec.

Except where otherwise required by law, a report made by an insurer pursuant to this section is a public record.

- *AB319_R1* – 42 – Sec.

- 83rd Session (2025) – 44 – (c) Any settlement, award, judgment or other disposition of any action or claim described in paragraph (a) or (b) not later than 45 days after the settlement, award, judgment or other disposition, including, without limitation, any amount paid to resolve the claim;

andand(d) (d) Any sanctions imposed against the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist that are reportable to the National Practitioner Data Bank not later than 45 days after the sanctions are imposed.

630.3069 If the Board receives a report pursuant to the provisions of NRS 630.3067, 630.3068 or 690B.250 indicating that a judgment has been rendered or an award has been made against a physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist regarding an action or claim for malpractice or that such an action or claim against the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist has been resolved by settlement, the Board shall conduct an investigation to determinedetermined by whether to impose disciplinary action against the physician, physician assistant, anesthesiologist assistant, practitioner of - *AB319_R1* – 43 – respiratory care or perfusionist regarding the action or claim, unless the Board has already commenced or completed such an investigation regarding the action or claim before it receives the report.

If a complaint is submitted anonymously, the Board may accept the complaint but may refuse to consider the complaint if the lack of the - 83rd Session (2025) – 45 – identity of the complainant makes processing the complaint impossible or unfair to the person who is the subject of the complaint.

Any licensee, medical school or medical facility that becomes aware that a person practicing medicine, perfusion or respiratory care or assisting in the practice of medicine in this State has, is or is about to become engaged in conduct which constitutes grounds for initiating disciplinary action shall file a written complaint with the Board within 30 days after becoming aware of the conduct.

A hospital, clinic or other medical facility licensed in this State, or medical society, shall report to the Board within 5 days after a change in the privileges of a physician, perfusionist, physicianrespiratory assistant,care anesthesiologistto assistantpractice that is based on:t or practitioner of respiratory(a) careAn toinvestigation practiceof thatthe ismental, basedmedical on:or psychological competency of the physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care;

(a)or An(b) investigationSuspected ofor thealleged mental,substance medicalabuse orin psychologicalany competencyform ofby the physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care;care.

or - *AB319_R1* – 44 – (b) Suspected or alleged substance abuse in any form by the physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care.

The Board shall report any failure to comply with subsection 3 or 4 by a hospital, clinic or other medical facility licensed in this State to the Division of Public and Behavioral Health of the Department of Health and Human Services.

If, after a hearing, the Division of Public and Behavioral Health determines that any such facility or society failed to comply with the requirements of subsection 3 or 4, the Division may impose an administrative fine of not more than $10,000 against the facility or society for each such - 83rd Session (2025) – 46 – failure to report.

The clerk of every court shall report to the Board any finding,physician,udgperfusionist, judgmentdephysicianon oroassistant,t other determination of the court that a physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care:

1.investigate a complaint .

The][;mmittee the Board or a committee designated by the Board to investigate2. a complaint .

[;

2.

Any other person who is aware of any act or circumstance constituting a ground for disciplinary action set forth in the regulations adopted by the Board.] - *AB319_R1* – 45 – Sec.

- 83rd Session (2025) – 47 – 2.

If, after conducting an investigation, the committee determines that there is a reasonable basis for the complaint and that a violation of any provision of this chapter has occurred, the committee may file a formal [complaint] charging document with thethe3. Board.

3.

If the Board or any investigative committee of the Board has reason to believe that the conduct of any physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist has raised a reasonable question as to his or her competence to practice medicine, respiratory care or perfusion , [or] practice as a physician assistant [,] or assist in the practice of medicine, as applicable, with reasonable skill and safety to patients, or if the Board has received a report pursuant to the provisions of NRS 630.3067, 630.3068 or 690B.250 indicating that a judgment has been rendered or an award has been made against a physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist regarding an action or claim for malpractice or that such an action or claim against the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist has been resolved by settlement, the Board or committee may order that the physician,physician,ed by physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist undergo a mental or physical examination, an examination testing his or her competence to practice medicine, respiratory care or perfusion , [or] practice as a physician assistant [,] or assist in the practice of medicine, as applicable, or any other examination designated by the Board to - *AB319_R1* – 46 – assist the Board or committee in determining the fitness of the physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist to practice medicine, respiratory care or perfusion , [or] practice as a physician assistant [,] or assist in the practice of medicine, as applicable.

(a) Every physician, physician assistant, anesthesiologist assistant, practitioner of respiratory care or perfusionist who applies - 83rd Session (2025) – 48 – for a license or who is licensed under this chapter shall be deemed to have given consent to submit to a mental or physical examination or an examination testing his or her competence to practice medicine, respiratory care or perfusion , [or] practice as a physician assistant [,] or assist in the practice of medicine, as applicable, when ordered to do so in writing by the Board or an investigative committee of thethed Board.

The Executive Director of the Board or his or her designee shall review and evaluate any complaint or information received from the Investigation Division of the Department of Public Safety or the State Board of Pharmacy, including, without limitation, information provided pursuant to NRS 453.164, or from a law enforcement agency, professional licensing board or any other source indicating that:

- *AB319_R1* – 47 – (b) A pattern of prescriptions issued by a licensee indicates that the licensee has issued prescriptions in the manner described in paragraph (a);

If the Executive Director of the Board or his or her designee receives information described in subsection 1 concerning the licensee,- the83rd ExecutiveSession Director(2025) or– his49 or– her designee must notify the licensee as soon as practicable after receiving the information.

If, after conducting an investigation and a hearing in accordance with the provisions of this chapter, the Board determines that the licensee issued a fraudulent, illegal, unauthorized or otherwise inappropriate prescription,pre5.ripWhen thedeemed Boardappropriate, mustthe imposeExecutive appropriateDirector disciplinaryof action.thection.

5.Board may:

When deemed appropriate, the Executive Director of the Board may:

(a) Adopt regulations providing for disciplinary action against a licensee for inappropriately prescribing a controlled substance listed in schedule II, III or IV or violating the provisions of NRS 639.2391 to 639.23916, inclusive, and any regulations adopted by the StateState2391 Board of Pharmacy pursuant thereto.

Such disciplinary action must include, without limitation, requiring the licensee to complete - *AB319_R1* – 48 – additional continuing education concerning prescribing controlled substances listed in schedules II, III and IV.

(b) Develop and disseminate to each physician and physician assistant licensed pursuant to this chapter or make available on the Internet website of the Board an explanation or a technical advisory bulletin to inform those physicians and physician assistants of the - 83rd Session (2025) – 50 – requirements of this section and NRS [630.324,] 639.23507 and 639.2391 to 639.23916, inclusive, and any regulations adopted pursuant thereto.

The Board shall update the explanation or bulletin as necessary to include any revisions to those provisions of law or regulations.limitation, an explanation of the requirements that apply to specific controlled substances or categories of controlled substances.

The explanation or bulletin must include, without limitation, an explanation of the requirements that apply to specific controlled substances or categories of controlled substances.

2.issues an order summarily suspending the license of a physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care pursuant to subsection 1, the Board shall hold a hearing not later than 60 days after the date on which the order is issued, unless the Board and the licensee mutually agree to a longer period, to determine whether a reasonable basis exists to continue the suspension of the license pending the conclusion of a hearing to consider a formal complaint against the licensee.

[If the Board or an investigative committee of the Board issues an order summarily suspending the license of a physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care pursuant to subsection 1, the Board shall hold a hearing not later than 60 days after the date on which the order is issued, unless the Board and the licensee mutually agree to a longer period, to determine whether a reasonable basis exists to continue the suspension of the license pending the conclusion of a hearing to consider a formal complaint against the licensee.

- *AB319_R1* – 49 – 3.] If the Board or an investigative committee of the Board issues an order summarily suspending the license of a licensee or restricting the practice of a licensee pursuant to subsection 1 and the Board requires the licensee to submit to a mental or physical - 83rd Session (2025) – 51 – examination or an examination testing his or her competence to practice, the examination must be conducted and the results obtained not later than 30 days after the order is issued.

630.329license329of IfIa thethphysician,sueperfusionist,mmphysicianpendassistant, Board issues an order summarily suspending the license of a physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care or summarily restricting the practice of a physician, perfusionist, physician assistant, anesthesiologist assistant or practitioner of respiratory care pending proceedings for disciplinary action, [including, without limitation, a summary suspension pursuant to NRS 233B.127,] the court shall not stay that order.

Except as otherwise provided in subsection 3 or 4, all applications for a license to practice medicine, perfusion or respiratory care, any charges filed by the Board, financial records of the Board, formal hearings on any charges heard by the Board or a panel selected by the Board, records of such hearings and any order or decision3.cisExcept ofas theotherwise Boardprovided orin panelNRS must239.0115, bethelic. open to the public.

3.following may be kept confidential:

Except as otherwise provided in NRS 239.0115, the following may be kept confidential:

- *AB319_R1* – 50 – 4.

Except as otherwise provided in subsection 5 and NRS 239.0115, a complaint filed with the Board pursuant to NRS 630.307, all documents and other information filed with the complaint- and83rd allSession documents(2025) and– other52 information– compiled as a result of an investigation conducted to determine whether to initiate disciplinary action are confidential.

7.Board may communicate with, cooperate with or provide anynsee, the documents to the employer of a licensee or any other person or entity responsible for credentialing a licensee to provide health care on behalf of the person or entity.

To the extent practicable and authorized by a licensee, the Board may communicate with, cooperate with or provide any documents to the employer of a licensee or any other person or entity responsible for credentialing a licensee to provide health care on behalf of the person or entity.

The formal [complaint] charging document must specify any applicable law or regulation that the respondent is alleged to have violated.

The formal [complaint][complaint]e charging document may be signed by the chair of the investigative committee or the legal counsel for the Board.

An answer must state in concise and plain language the respondent’s defenses to each charge set forth in the [complaint] charging document and must admit or deny the averments stated in the [complaint.] - *AB319_R1*83rd Session (2025) – 5153 – mustprescribed, admitthe party shall be deemed to have denied generally theime allegations of the formal [complaint] charging document and the Board or denyan investigative committee of the avermentsBoard statedmay proceed pursuant to this section in the [complaint.]same chargingmanner document.as if the answer were timely filed.

If a party fails to file an answer within the time prescribed, the party shall be deemed to have denied generally the allegations of the formal [complaint] charging document and the Board or an investigative committee of the Board may proceed pursuant to this section in the same manner as if the answer were timely filed.

(2)must Bybe whichfiled;which all prehearing motions and responses thereto must(3) beOn filed;which to hold the prehearing conference;

(3) On which to hold the prehearing conference;

5.]the Aearly formalcase hearingconference mustby:t be held at the time and date set at the(a) earlyThe caseBoard; conference by:

(a) The Board;

(e)- A83rd hearingSession officer(2025) together– with54 not– more than one member of the Board designated by an investigative committee of the Board or the Board;

or - *AB319_R1* – 52 – (f) A hearing officer together with a panel of members of the Board designated by an investigative committee of the Board or the Board.

(c) In consultation with each member of the Board, make rulings concerning any motions made during or after the hearing;

andandulings (d) Within 30 days after the conclusion of the hearing, prepare and file with the Board written findings of fact and conclusions of law in accordance with the determinations made by each member of the Board.] Sec.

If personal service cannot be made and if notice by mail is returned undelivered, the President or Secretary-Treasurer of the Board shall cause notice to be published once a week for 4 consecutive weeks in a newspaper published in the county of the last known address of the licensee or, if no newspaper is published in that county, then in a newspaper widely distributed in that county.] , as indicated in the records of the Board.

- 83rd Session (2025) – 55 – 2.

In lieu of the methods of service of process set forth in subsection 1, if the Board obtains written consent from the licensee, service of process under this chapter may be made by electronic mail on the licensee at an electronic mail address designated by the licenseeoutside inof the writtenUnited consent.States must consent to service of process by electronic mail.

A licensee with a mailing address - *AB319_R1* – 53 – outside of the United States must consent to service of process by electronic mail.

and (b) The respondent or counsel of the respondent to present a disciplinary recommendation and argument in support of the disciplinary recommendation .

andandment in support of the (c) The complainant in the matter to make a statement to the Board regarding the disciplinary recommendations by the parties and to address the effect of the respondent’s conduct upon the complainant or the patient involved, if other than the complainant.]  The Board may limit the time within which the parties [and the complainant] may make their arguments and statements.

If, in the findings of fact and conclusions of law, the Board, hearing officer or panel of the Board determines that no violation - 83rd Session (2025) – 56 – has occurred, the Board shall dismiss the charges, in writing, and notify the respondent that the charges have been dismissed.

Except as otherwise provided in subsection 5, if the Board finds that a violation has occurred, it shall by order take one or more of (a) Place the followingperson actions:on probation for a specified period on any of the conditions specified in the order;

(a) Place the person on probation for a specified period on any of the conditions specified in the order;

- *AB319_R1* – 54 – (c) Limit the person’s practice or exclude one or more specified branches of medicine from his or her practice;

6.Board finds that a violation has occurred.vate reprimand if the 7.

The Board shall not administer a private reprimand if the Board finds that a violation has occurred.

7.

or - 83rd Session (2025) – 57 – (d) Engages in conduct during a hearing or so near the place thereof as to obstruct the proceeding,  the Board, hearing officer or panel may certify the facts to the district court of the county in which the proceeding is being conducted.disciplinary proceedings.

Such a certification operates as a stay of all related disciplinary proceedings.

A copy of the statement of the Board, hearing officer or panel, and the order of the district court issued pursuant to - *AB319_R1* – 55 – subsection 1, must be served on the [person.] respondent or witness, as applicable.

The district court shall give a petition for judicial review of theexpressly Board’sgiven order priority overby otherlaw.other civil matters which are not expresslySec. given priority by law.

Sec.

- 83rd Session (2025) – 58 – (a) May require the person to submit to a mental or physical examination or an examination testing his or her competence to practice [medicine, perfusion or respiratory care by physicians, perfusionists or practitioners] as a physician, physician assistant, anesthesiologist assistant, perfusionist or practitioner of respiratory care, as appropriate, or other examinations it designatesdesignatesf and submit such other evidence of changed conditions and of fitness as it deems proper;

- *AB319_R1* – 56 – 3.

Sec.630.364 1.RS 630Any person or organization who furnishess:

63.information concerning an applicant for a license or a licensee in good faith in accordance with the provisions of this chapter is immune from any civil action for furnishing that information.

NRS 630.364 is hereby amended to read as follows:

630.364 1.

Any person or organization who furnishes information concerning an applicant for a license or a licensee in good faith in accordance with the provisions of this chapter is immune from any civil action for furnishing that information.

- 83rd Session (2025) – 59 – 3.

(a) Disclosing to a governmental entity in good faith a violation of any law, rule or regulation by an applicant for a license [to practice medicine] or by a [physician;] licensee;

or license [to (b) Cooperating in good faith with a governmental entity that is conducting an investigation, hearing or inquiry into such a violation, including, without limitation, providing testimony concerning the violation.

A [physician] licensee who discloses information to or cooperates with a governmental entity pursuant to subsection 3 with respect to the violation of any law, rule or regulation by the [physician] licensee is subject to investigation and any other - *AB319_R1* – 57 – administrative or disciplinary action by the Board under the provisions of this chapter for such violation.

(3) A federal, state or local representative, member or employeeother political subdivision or civil division of athe legislativeState;r bodyany (4) A federal, state or alocal county,law town,enforcement villageagency or anyprosecutorial otheroffice, politicalor subdivisionany member or civilemployee divisionthereof, ofor thepolice State;or peace officer;

(4) A federal, state or local law enforcement agency or prosecutorial office, or any member or employee thereof, or police or peace officer;

630.371 Laser surgery or intense pulsed light therapy on the globe of the eye of a patient may be performed only by a licensed physician who has completed a program of progressive postgraduate education in ophthalmology as a resident in the United States or [Canada] an equivalent foreign country in a program approved by the Board, the Accreditation Council for Graduate Medical Education , or [the Council on Medical Education of the Canadian Medical Association.] its successor organization, or an - 83rd Session (2025) – 60 – organization that accredits graduate medical education in an equivalent foreign country and is nationally recognized in that country.

630.3732, 1.a physician , physician assistant or anesthesiologist assistant shall not administer or supervise directly the administration of general anesthesia, tumescent anesthesia, conscious sedation or deep sedation to patients unless the general anesthesia, tumescent anesthesia, conscious sedation or deep sedation is administered:

[A] Except as otherwise provided in subsection 2, a physician , physician assistant or anesthesiologist assistant shall not administer or supervise directly the administration of general anesthesia, tumescent anesthesia, conscious sedation or deep sedation to patients unless the general anesthesia, tumescent anesthesia, conscious sedation or deep sedation is administered:

or - *AB319_R1* – 58 – (d) Outside of this State.

(c)NRS “General449.438.ral anesthesia” has the meaning ascribed to it in NRS(d) 449.438.“Tumescent anesthesia” means local anesthesia caused by the subcutaneous injection of a dilute mixture that includes, without limitation, local anesthetic and epinephrine.

(d) “Tumescent anesthesia” means local anesthesia caused by the subcutaneous injection of a dilute mixture that includes, without limitation, local anesthetic and epinephrine.

- 83rd Session (2025) – 61 – Sec.

Each time an advanced practice registered nurse performs a routine physical examination of a person who is at least 12 years of age but not more than 18 years of age, the advanced practice registered nurse shall ask the person the questionsPhysical prescribedExamination in:Form of the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form.

1.Sec.

The Medical History Form and the Physical Examination Form of the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form;

and 2.

The 14-point evaluation for heart disease in young people prescribed by the American Heart Association, or any successor evaluation.

- *AB319_R1* – 59 – Sec.

(4) For the psychiatric training and experience necessary for an advanced practice registered nurse to be authorized to make thether diagnoses, evaluations and examinations described in NRS 432B.6078, 432B.60816, 433A.162, 433A.240, 433A.335, 433A.390, 433A.430, 484C.300 and 484C.320 to 484C.350, inclusive, the certifications described in NRS 432B.6075, 432B.60814, 433A.170, 433A.195 and 433A.200 and the sworn statements or declarations described in NRS 433A.210 and 433A.335.

(e)- Develop83rd andSession disseminate(2025) annually– to62 each– registered nurse who cares for children information concerning the signs andandnurse symptoms of pediatric cancer.

- *AB319_R1* – 60 – 3.

(a)applicants Investigatingfor licenseesa license or holderscertificate ofunder athis certificatechapter;and and(b) applicantsEvaluating forthe aprofessional licensecompetence of licensees or certificateholders underof thisa chapter;certificate;

(b) Evaluating the professional competence of licensees or holders of a certificate;

6.inconsistent with state or federal law, as are necessary to enable it to administer the provisions of this chapter.

The Board may adopt such other regulations, not inconsistent with state or federal law, as are necessary to enable it to administer the provisions of this chapter.

70.5.

NRS 632.2397 is hereby amended to read as follows:

632.2397 1.

A certified registered nurse anesthetist may:

(a) Under the supervision of a physician licensed pursuant to chapter 630 or 633 of NRS, order, prescribe, possess and administer controlled substances, poisons, dangerous drugs and devices to treat a patient under the care of a licensed physician in a critical access - 83rd Session (2025) – 63 – than 25,000 in preparation for surgery or childbirth, during surgery or childbirth and while a patient recovers from surgery or childbirth.

(b) Possess and administer controlled substances, poisons, dangerous drugs and devices in other circumstances under which a registered nurse is authorized to possess and administer controlled substances, poisons, dangerous drugs and devices.

2.

A certified registered nurse anesthetist shall not order or prescribe a controlled substance, poison, dangerous drug or device except as authorized by paragraph (a) of subsection 1.

3.

As used in this section, “critical access hospital” means a hospital which has been certified as a critical access hospital by the Secretary of Health and Human Services pursuant to 42 U.S.C.

1395i-4(e).

Sec.

The Board may deny, revoke or suspend any license or certificate applied for or issued pursuant to this chapter, or take other disciplinary action against a licensee or holder of a certificate, upon determining that the licensee or certificate holder:

(e) Uses any controlled substance, dangerous drug as defined in chapter 454 of NRS, or intoxicating liquor to an extent or in a manner which is dangerous or injurious to any other person or a which impairs his or her ability to conduct the practice authorized by the license or certificate.

- *AB319_R1* – 61 – (f) Is a person with mental incompetence.

- 83rd Session (2025) – 64 – (2) Impersonating any applicant or acting as proxy for an applicant in any examination required pursuant to this chapter for the issuance of a license or certificate.

(3) Impersonating another licensed practitioner or holder of a certificate.certifi(4) Permitting or allowing another person to use his or her license or certificate to practice as a licensed practical nurse, registered nurse, nursing assistant or medication aide - certified.

(4) Permitting or allowing another person to use his or her license or certificate to practice as a licensed practical nurse, registered nurse, nursing assistant or medication aide - certified.

(l) Has knowingly procured or administered a controlled substance or a dangerous drug as defined in chapter 454 of NRS that is not approved by the United States Food and Drug Administration,Administration,t unless the unapproved controlled substance or dangerous drug:

or - *AB319_R1* – 62 – (4) Is an individualized investigational treatment or investigational drug or biological product prescribed to a patient pursuant to NRS 630.3735 or 633.6945.

(m) Has been disciplined in another state in connection with a license to practice nursing or a certificate to practice as a nursing - 83rd Session (2025) – 65 – assistant or medication aide - certified, or has committed an act in another state which would constitute a violation of this chapter.

(o)order Hasof willfullythe Board.y failed to comply with a regulation, subpoena or order(p) ofHas theoperated Board.a medical facility at any time during which:

(p) Has operated a medical facility at any time during which:

(v) Has failed to comply with the provisions of NRS 441A.315 or any(w) regulationsHas adoptedfailed to supervise adequately a medical assistant pursuant thereto.to the regulations of the Board.

(w) Has failed to supervise adequately a medical assistant pursuant to the regulations of the Board.

- *AB319_R1* – 63 – (b) “Investigational drug or biological product” has the meaning ascribed to it in NRS 454.351.

- 83rd Session (2025) – 66 – thereto a new section to read as follows:amended by adding Each time an osteopathic physician or physician assistant performs a routine physical examination of a person who is at least 12 years of age but not more than 18 years of age, the physician or physician assistant shall ask the person the questions prescribed in the Medical History Form and the Physical Examination Form of the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form.

72.

Chapter 633 of NRS is hereby amended by adding thereto a new section to read as follows:

Each time an osteopathic physician or physician assistant performs a routine physical examination of a person who is at least 12 years of age but not more than 18 years of age, the physician or physician assistant shall ask the person the questions prescribed in:

1.

The Medical History Form and the Physical Examination Form of the Preparticipation Physical Evaluation Form developed jointly by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Sports Medicine, the American Medical Society for Sports Medicine, the American Orthopaedic Society for Sports Medicine and the American Osteopathic Academy of Sports Medicine, or any successor form;

and 2.

The 14-point evaluation for heart disease in young people prescribed by the American Heart Association, or any successor evaluation.

Sec.

On or before the last day of each quarter, the Board shall provide the Board of Medical Examiners a list of all anesthesiologistane2.heThe assistantsBoard licensedand bythe Board of Medical Examiners shall share information as necessary to enforce the Board.provisions of NRS 630.26835, 630.2684, 630.26845 and 633.4256.

2.

The Board and the Board of Medical Examiners shall share information as necessary to enforce the provisions of NRS 630.26835, 630.2684, 630.26845 and 633.4256.

The Board and the Board of Medical Examiners shall share information as necessary to enforce the provisions of NRS 630.2677, 630.2735, 630.2755, 633.4332, 633.438, 633.4718.633.4718.f NRS Sec.

Sec.

A person applying for a license to practice as an anesthesiologist assistant pursuant to the provisions of this chapter who wishes to hold a simultaneous license to practice as an - *AB319_R1* – 64 – anesthesiologist assistant pursuant to the provisions of chapter 630 of NRS must:

[1.]- (a)83rd IndicateSession in(2025) the– application67 that– he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant totold the provisions of chapter 630 of NRS;

and [(b)] (2) The Board of Medical Examiners pursuant to chapter 630 of NRS;

If a person who applies for an anesthesiologist assistant license pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to the provisions of chapter 630 of NRS andandogist pays the application and initial simultaneous license fee for an anesthesiologist assistant established pursuant to NRS 633.501 and the person does not pay the fee for application for and issuance of a simultaneous license as an anesthesiologist assistant established pursuant to NRS 630.268 within 1 year after the issuance of his or her license pursuant to this chapter:

andand(b) (b) The person shall pay to the State Board of Osteopathic Medicine the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

- *AB319_R1*83rd –Session 65(2025) – [1.]68 (a)– Indicate in the application that he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant totold the provisions of chapter 630 of NRS;

If an applicant to renew an anesthesiologist assistant license pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to the provisions of chapter 630 of NRS and pays the fee for biennial simultaneous renewal of ananof NRS and anesthesiologist assistant license established pursuant to NRS 633.501 but does not pay the application and initial simultaneous license fee for an anesthesiologist assistant established pursuant to NRS 630.268 within 1 year after the renewal of his or her license pursuant to this chapter:

and (b) The anesthesiologist assistant shall pay to the State Board of Osteopathic Medicine the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

If a person licensed as an anesthesiologist assistant pursuant to the provisions of this chapter is not applying to renew his or her license and wishes to hold a simultaneous license as an anesthesiologist assistant pursuant to the provisions of chapter 630 of NRS, the person must:

[1.]- (a)83rd ApplySession for(2025) an– anesthesiologist69 assistant– license to the Board of Medical Examiners pursuant to chapter 630 of NRS;

and the [2.] (b) Pay all applicable fees, including, without limitation:

- *AB319_R1* – 66 – [(a)] (1) The fee for biennial simultaneous [registration] renewal of an anesthesiologist assistant license established pursuant to NRS 633.501;

(a) The State Board of Osteopathic Medicine shall notify the anesthesiologist assistant that he or she is required to pay to the Board the difference between:

A person applying for a license to practice as a physician assistant pursuant to the provisions of this chapter who wishes to hold a simultaneous license to practice as a physician ass[1.] (a) Indicate in the application that he or she wishes to hold a simultaneous license to practice as a physician assistant pursuant to the provisions of chapter 630 of NRSNRS; must:

[1.] (a) Indicate in the application that he or she wishes to hold a simultaneous license to practice as a physician assistant pursuant to the provisions of chapter 630 of NRS;

and [(b)] (2) The Board of Medical Examiners pursuant to chapter 630 of NRS;

[(a)]- (1)83rd TheSession application(2025) and– initial70 simultaneous– license fee for a physician assistant established pursuant to NRS 633.501;

andandfee for [(b)] (2) The fee for application for and issuance of a simultaneous license as a physician assistant established pursuant to NRS 630.268.

- *AB319_R1* – 67 – 2.

(a) The State Board of Osteopathic Medicine shall notify the person that he or she is required to pay to the Board the difference between:betwee(1) The application and initial license fee for a physician assistant established pursuant to NRS 633.501;

(1) The application and initial license fee for a physician assistant established pursuant to NRS 633.501;

and (b) The person shall pay to the State Board of Osteopathic Medicine the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

[1.] (a) Apply for a license to practice as a physician assistant to theand Board of Medical Examiners pursuant to chapter 630 of NRS;

and [2.] (b) Pay all applicable fees, including, without limitation:

If a person licensed as a physician assistant pursuant to the provisions of this chapter pays the annual simultaneous registration- fee83rd forSession a(2025) physician– assistant71 established– pursuant to NRS 633.501 in accordance with subparagraph (1) of paragraphparagraphant to (b) of subsection 1 but does not pay the fee for application for and issuance of a simultaneous license as a physician assistant established pursuant to NRS 630.268 within 1 year after the next time the person renews his or her license pursuant to this chapter:

- *AB319_R1* – 68 – (a) The State Board of Osteopathic Medicine shall notify the person that he or she is required to pay to the Board the difference between:

and (b) The person shall pay to the State Board of Osteopathic Medicine the amount required by paragraph (a) not later than 30 days after the date of the notice provided pursuant to paragraph (a).

Sec.

81.

NRS 633.4718 is hereby amended to read as follows:

and [(b)] (2) The fee for application for and issuance of a simultaneous license as a physician assistant established pursuant to NRS 630.268.

If an applicant to renew a license to practice as a physician assistant pursuant to the provisions of this chapter indicates that he or she wishes to hold a simultaneous license to practice as a physician assistant pursuant to the provisions of chapter 630 of NRS and pays the annual simultaneous registration fee for a physician assistant established pursuant to NRS 633.501 but does not pay the fee for application for and issuance of a simultaneous license- as83rd aSession physician(2025) assistant– established72 pursuant– to NRS 630.268 within 1 year after the renewal of his or her license pursuant to this chapter:

and - *AB319_R1* – 69 – (2) The annual simultaneous registration fee for a physician assistant established pursuant to NRS 633.501;

Except as otherwise provided in [subsection] subsections 2 and 3 and NRS 126.121 and 652.186, no person other than a licensed physician, a licensed optometrist, a licensed practical nurse, a registered nurse, a perfusionist, a physician assistantassistantactical licensed pursuant to chapter 630 or 633 of NRS, a certified advanced emergency medical technician, a certified paramedic, a practitioner of respiratory care licensed pursuant to chapter 630 of NRS, a licensed anesthesiologist assistant, a licensed dentist or a registered pharmacist may manipulate a person for the collection of specimens.

[The] Except as otherwise provided in subsection 2, the persons described in this subsection may perform any laboratory test which is classified as a waived test pursuant to Subpart A of Part 493 of Title 42 of the Code of Federal Regulations without obtaining certification as an assistant in a medical laboratory pursuant to NRS 652.127.

In addition to the laboratory tests authorized by subsection 1, a practitioner of respiratory care licensed pursuant to chapter 630 of NRS may perform any laboratory test which is classified as a waived test pursuant to Subpart A of Part 493 of Title 42 of the Code of Federal Regulations without obtaining certification as anane assistant in a medical laboratory pursuant to NRS 652.127 if:

- 83rd Session (2025) – 73 – Sec.

A special purposelicense or a restricted license issued pursuant to NRS 630.261 expires on January 1, 2026.

A special purpose license issued pursuant to NRS 630.261 before January 1, 2026, shall be deemed equivalent to a telemedicine license issued pursuant to NRS 630.261, as amended by section 25 of this act, on or after January 1, 2026.

amended 3.

The amendatory provisions of sections 29, 31, 32, 33, 38 and 42 of this act apply to any person who has indicated to the Board of Medical Examiners that he or she intends to apply to the State Board of Osteopathic Medicine for a simultaneous license as a physician - *AB319_R1* – 70 – assistant or anesthesiologist assistant, as applicable, before, on or after January 1, 2026.

Sec.effective upon passage and approval.ion 70.5 of this act become 2.

85.Sections 1 to 70, inclusive, 71, 72, 75, 76 and 79 to 84, inclusive, of this act become effective:

1.

This section becomes effective upon passage and approval.

2.

Sections 1 to 72, inclusive, 75, 76 and 79 to 84, inclusive, of this act become effective:

and (b) On January 1, 2026, for all other purposes,  if and only if no bill is enacted by the Legislature and approved by the Governor this session to authorize the State Board of Osteopathic- Medicine83rd toSession charge(2025) fees– for74 the– renewal and simultaneous renewal of a license as an anesthesiologist assistant.

-~~~~~ *AB319_R1*25 –- 7183rd –Session LEADLINES(2025) OF REPEALED SECTIONS 630.1606 Expedited license by endorsement to practice medicine:

Requirements;

procedure for issuance.

630.2693 Waiver of examination for certain applicants.

630.324 Summary suspension of licensee’s authority to prescribe, administer or dispense certain controlled substances;

issuance of order;

formal hearing and decision.

H - *AB319_R1*