SENATE BILL NO. 91 COMMITTEE ON COMMERCE AND LABOR

FEBRUARY 8, 2001
____________

Referred to Committee on Commerce and Labor

SUMMARY Makes various changes to provisions governing practice of medicine and respiratory care. (BDR
54?290)

FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Yes.

EXPLANATION Matter in bolded italics is new; matter between brackets [omitted material] is material to be
omitted.
Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

AN ACT relating to medicine; changing the designation of physician’s assistant; revising the scope of authority and
duties of the board of medical examiners; providing for the issuance of special purpose licenses; requiring the board
of medical examiners to regulate the practice of respiratory care; requiring practitioners of respiratory care to be
licensed by the board of medical examiners; revising the qualifications and requirements relating to licensure of
physicians and physicians’ assistants; revising the duties and scope of authority of persons licensed by the board of
medical examiners; making certain actions subject to disciplinary action by the board of medical examiners; revising
provisions governing the imposition of disciplinary action against licensees; establishing and revising certain fees;
increasing certain penalties; and providing other matters properly relating thereto.

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT
AS FOLLOWS:

1-1 Section 1. Chapter 630 of NRS is hereby amended by adding thereto
1-2 the provisions set forth as sections 2 to 9, inclusive, of this act.

1-3 Sec. 2. “Practice of respiratory care” includes:
1-4 1. Therapeutic and diagnostic use of medical gases, humidity and
1-5 aerosols and the maintenance of associated apparatus;
1-6 2. The administration of drugs and medications to the
1-7 cardiopulmonary system;
1-8 3. The provision of ventilatory assistance and control;
1-9 4. Postural drainage and percussion, breathing exercises and other
1-10 respiratory rehabilitation procedures;
1-11 5. Cardiopulmonary resuscitation and maintenance of natural
1-12 airways and the insertion and maintenance of artificial airways;
1-13 6. Carrying out the written orders of a physician, physician assistant
1-14 or an advanced practitioner of nursing relating to respiratory care;

2-1 7. Techniques for testing to assist in diagnosis, monitoring, treatment
2-2 and research related to respiratory care, including the measurement of
2-3 ventilatory volumes, pressures and flows, collection of blood and other
2-4 specimens, testing of pulmonary functions and hemodynamic and other
2-5 related physiological monitoring of the cardiopulmonary system; and
2-6 8. Training relating to the practice of respiratory care.

2-7 Sec. 3. “Practitioner of respiratory care” means a person who is:
2-8 1. Certified to engage in the practice of respiratory care by the
2-9 National Board for Respiratory Care or its successor organization; and
2-10 2. Licensed by the board.

2-11 Sec. 4. “Respiratory care” means the treatment, management,
2-12 diagnostic testing, control and care of persons with deficiencies and
2-13 abnormalities associated with the cardiopulmonary system. The term
2-14 includes inhalation and respiratory therapy.

2-15 Sec. 5. For the purposes of this chapter, any act that constitutes the
2-16 practice of medicine shall be deemed to occur at the place where the
2-17 patient is located at the time the act is performed.

2-18 Sec. 6. The practice of respiratory care must be performed under the
2-19 direction of or pursuant to a prescription from a physician licensed to
2-20 practice in this state, any other state, any territory of the United States or
2-21 the District of Columbia.

2-22 Sec. 7. 1. Every person who wishes to practice respiratory care in
2-23 this state must:
2-24 (a) Have a high school diploma or general equivalency diploma;
2-25 (b) Complete an educational program for respiratory care which has
2-26 been approved by the National Board for Respiratory Care or its
2-27 successor organization;
2-28 (c) Pass the examination as an entry-level or advanced practitioner of
2-29 respiratory care administered by the National Board for Respiratory Care
2-30 or its successor organization;
2-31 (d) Be certified by the National Board for Respiratory Care or its
2-32 successor organization; and
2-33 (e) Be licensed to practice respiratory care by the board and have paid
2-34 the required fee for licensure.
2-35 2. Except as otherwise provided in subsection 3, a person shall not:
2-36 (a) Practice respiratory care; or
2-37 (b) Hold himself out as qualified to practice respiratory care,
2-38 in this state without complying with the provisions of subsection 1.
2-39 3. Any person who has completed the educational requirements set
2-40 forth in paragraphs (a) and (b) of subsection 1 may practice respiratory
2-41 care pursuant to a program of practical training as an intern in
2-42 respiratory care for not more than 12 months after completing those
2-43 educational requirements.

2-44 Sec. 8. An application for a license as a practitioner of respiratory
2-45 care must include the social security number of the applicant.

2-46 Sec. 9. The board shall adopt regulations regarding the licensure of
2-47 practitioners of respiratory care, including, without limitation:
2-48 1. Educational and other qualifications of applicants;

3-1 2. Required academic programs which applicants must successfully
3-2 complete;
3-3 3. Procedures for applying for and issuing licenses;
3-4 4. Tests or examinations of applicants by the board;
3-5 5. The types of medical services that a practitioner of respiratory care
3-6 may perform, except that a practitioner of respiratory care may not
3-7 perform those specific functions and duties delegated or otherwise
3-8 restricted by specific statute to persons licensed as dentists, chiropractors,
3-9 podiatric physicians, optometrists, physicians, osteopathic physicians or
3-10 hearing aid specialists pursuant to this chapter or chapter 631, 633, 634,
3-11 635, 636 or 637A of NRS, as appropriate;
3-12 6. The duration, renewal and termination of licenses; and
3-13 7. The grounds and procedures for disciplinary actions against
3-14 practitioners of respiratory care.

3-15 Sec. 10. NRS 630.003 is hereby amended to read as follows:
3-16 630.003 The legislature finds and declares that it is among the
3-17 responsibilities of state government to ensure, as far as possible, that only
3-18 competent persons practice medicine and respiratory care within this state.
3-19 For this purpose, the legislature delegates to the board of medical
3-20 examiners the duty of determining the initial and continuing competence of
3-21 doctors of medicine , physician assistants and practitioners of respiratory
3-22 care in this state. The powers conferred upon the board by this chapter
3-23 must be liberally construed to carry out this purpose.

3-24 Sec. 11. NRS 630.005 is hereby amended to read as follows:
3-25 630.005 As used in this chapter, unless the context otherwise requires,
3-26 the words and terms defined in NRS 630.010 to 630.025, inclusive, and
3-27 sections 2, 3 and 4 of this act have the meanings ascribed to them in those
3-28 sections.

3-29 Sec. 12. NRS 630.015 is hereby amended to read as follows:
3-30 630.015 [“Physician’s] “Physician assistant” means a person who is a
3-31 graduate of an academic program approved by the board or who, by
3-32 general education, practical training and experience determined to be
3-33 satisfactory by the board, is qualified to perform medical services under the
3-34 supervision of a supervising physician and who has been issued a license
3-35 by the board.

3-36 Sec. 13. NRS 630.025 is hereby amended to read as follows:
3-37 630.025 “Supervising physician” means an active physician licensed
3-38 in the State of Nevada [who cosigns the application for licensure of a
3-39 physician’s assistant and] who employs and supervises [the physician’s] a
3-40 physician assistant.

3-41 Sec. 14. NRS 630.045 is hereby amended to read as follows:
3-42 630.045 The purpose of licensing physicians [and physicians’] ,
3-43 physician assistants and practitioners of respiratory care is to protect the
3-44 public health and safety and the general welfare of the people of this state.
3-45 Any license issued pursuant to this chapter is a revocable privilege and no
3-46 holder of such a license acquires thereby any vested right.

3-47 Sec. 15. NRS 630.047 is hereby amended to read as follows:
3-48 630.047 1. This chapter does not apply to:

4-1 (a) A medical officer or practitioner of respiratory care of the armed
4-2 services or a medical officer or practitioner of respiratory care of any
4-3 division or department of the United States in the discharge of his official
4-4 duties ; [for which a license is not required;]
4-5 (b) Physicians who are called into this state, other than on a regular
4-6 basis, for consultation with or assistance to a physician licensed in this
4-7 state, and who are legally qualified to practice in the state where they
4-8 reside;
4-9 (c) Physicians who are legally qualified to practice in the state where
4-10 they reside and come into this state on an irregular basis to:
4-11 (1) Obtain medical training approved by the board from a physician
4-12 who is licensed in this state; or
4-13 (2) Provide medical instruction or training approved by the board to
4-14 physicians licensed in this state; [and]
4-15 (d) Any person permitted to practice any other healing art under this
4-16 Title who does so within the scope of that authority, or healing by faith or
4-17 Christian Science [.] ;
4-18 (e) The practice of respiratory care by a student as part of a program
4-19 of study in respiratory care that is approved by the board, or is
4-20 recognized by a national organization which is approved by the board to
4-21 review such programs, if the student is enrolled in the program and
4-22 provides respiratory care only under the supervision of a practitioner of
4-23 respiratory care;
4-24 (f) The practice of respiratory care by a student who:
4-25 (1) Is enrolled in a clinical program of study in respiratory care
4-26 which has been approved by the board;
4-27 (2) Is employed by a medical facility, as defined in NRS 449.0151;
4-28 and
4-29 (3) Provides respiratory care to patients who are not in a critical
4-30 medical condition or, in an emergency, to patients who are in a critical
4-31 medical condition and a practitioner of respiratory care is not
4-32 immediately available to provide that care and the student is directed by a
4-33 physician to provide respiratory care under his supervision until a
4-34 practitioner or respiratory care is available;
4-35 (g) The practice of respiratory care by a person on himself or
4-36 gratuitous respiratory care provided to a friend or a member of a
4-37 person’s family if the provider of the care does not represent himself as a
4-38 practitioner of respiratory care;
4-39 (h) A cardiopulmonary perfusionist who is under the supervision of a
4-40 surgeon or an anesthesiologist;
4-41 (i) A person who is employed by a physician and provides respiratory
4-42 care under the supervision of that physician;
4-43 (j) The maintenance of medical equipment for respiratory care that is
4-44 not attached to a patient; and
4-45 (k) A person who installs medical equipment for respiratory care that
4-46 is used in the home and gives instructions regarding the use of that
4-47 equipment if the person is trained to provide such services and is
4-48 supervised by a provider of health care who is acting within the
4-49 authorized scope of his practice.

5-1 2. This chapter does not repeal or affect any statute of Nevada
5-2 regulating or affecting any other healing art.
5-3 3. This chapter does not prohibit:
5-4 (a) Gratuitous services outside of a medical school or medical facility
5-5 by a person who is not a physician , physician assistant or practitioner of
5-6 respiratory care in cases of emergency.
5-7 (b) The domestic administration of family remedies.

5-8 Sec. 16. NRS 630.120 is hereby amended to read as follows:
5-9 630.120 1. The board shall procure a seal.
5-10 2. All licenses issued to physicians [and physicians’] , physician
5-11 assistants and practitioners of respiratory care must bear the seal of the
5-12 board and the signatures of its president and secretary-treasurer.

5-13 Sec. 17. NRS 630.160 is hereby amended to read as follows:
5-14 630.160 1. Every person desiring to practice medicine must, before
5-15 beginning to practice, procure from the board a license authorizing him to
5-16 practice.
5-17 2. Except as otherwise provided in NRS 630.161 or 630.164, a license
5-18 may be issued to any person who:
5-19 (a) Is a citizen of the United States or is lawfully entitled to remain and
5-20 work in the United States;
5-21 (b) Has received the degree of Doctor of Medicine from a medical
5-22 school:
5-23 (1) Approved by the Liaison Committee on Medical Education of the
5-24 American Medical Association and Association of American Medical
5-25 Colleges; or
5-26 (2) Which provides a course of professional instruction equivalent to
5-27 that provided in medical schools in the United States approved by the
5-28 Liaison Committee on Medical Education;
5-29 (c) Has passed:
5-30 (1) All parts of the examination given by the National Board of
5-31 Medical Examiners;
5-32 (2) All parts of the Federation Licensing Examination;
5-33 (3) All parts of the United States Medical Licensing Examination;
5-34 (4) All parts of a licensing examination given by any state or territory
5-35 of the United States, if the applicant is certified by a specialty board of the
5-36 American Board of Medical Specialties;
5-37 (5) All parts of the examination to become a licentiate of the Medical
5-38 Council of Canada; or
5-39 (6) Any combination of the examinations specified in subparagraphs
5-40 (1), (2) and (3) that the board determined to be sufficient;
5-41 (d) Has completed [3 years of:
5-42 (1) Graduate education] 36 months of progressive postgraduate:
5-43 (1) Education as a resident in the United States or Canada in a
5-44 program approved by the board, the Accreditation Council for Graduate
5-45 Medical Education of the American Medical Association or the
5-46 Coordinating Council of Medical Education of the Canadian Medical
5-47 Association; or

6-1 (2) Fellowship training in the United States or Canada approved by
6-2 the board or the Accreditation Council for Graduate Medical Education;
6-3 and
6-4 (e) Passes a written or oral examination, or both, as to his qualifications
6-5 to practice medicine and provides the board with a description of the
6-6 clinical program completed demonstrating that the applicant’s clinical
6-7 training met the requirements of paragraph (b) of this subsection.

6-8 Sec. 18. NRS 630.164 is hereby amended to read as follows:
6-9 630.164 1. A board of county commissioners may petition the board
6-10 of medical examiners to waive the [requirements] requirement of
6-11 paragraph (d) of subsection 2 of NRS 630.160 for any applicant intending
6-12 to practice medicine in a medically underserved area of that county as that
6-13 term is defined by regulation by the [officer of rural health of the
6-14 University of Nevada School of Medicine.] board of medical examiners.
6-15 The board of medical examiners may waive that requirement and issue a
6-16 license if the applicant:
6-17 (a) Has completed at least 1 year of training as a resident in the United
6-18 States or Canada in a program approved by the board, the Accreditation
6-19 Council for Graduate Medical Education of the American Medical
6-20 Association or the Coordinating Council of Medical Education of the
6-21 Canadian Medical Association, respectively;
6-22 (b) Has a minimum of 5 years of practical medical experience as a
6-23 licensed allopathic physician or such other equivalent training as the board
6-24 deems appropriate; and
6-25 (c) Meets all other conditions and requirements for a license to practice
6-26 medicine.
6-27 2. Any person licensed pursuant to subsection 1 must be issued a
6-28 license to practice medicine in this state restricted to practice in the
6-29 medically underserved area of the county which petitioned for the waiver
6-30 only. He may apply to the board of medical examiners for renewal of that
6-31 restricted license every 2 years after he is licensed.
6-32 3. Any person holding a restricted license pursuant to subsection 1
6-33 who completes 3 years of [such] full-time practice under the restricted
6-34 license may apply to the board for an unrestricted license. In considering
6-35 an application for an unrestricted license pursuant to this subsection, the
6-36 board shall require the applicant to meet all statutory requirements for
6-37 licensure in effect at the time of application except the [requirements]
6-38 requirement of paragraph (d) of subsection 2 of NRS 630.160.

6-39 Sec. 19. NRS 630.197 is hereby amended to read as follows:
6-40 630.197 1. An applicant for the issuance or renewal of a license to
6-41 practice medicine , [or] to practice as a [physician’s] physician assistant or
6-42 to practice as a practitioner of respiratory care shall submit to the board
6-43 the statement prescribed by the welfare division of the department of
6-44 human resources pursuant to NRS 425.520. The statement must be
6-45 completed and signed by the applicant.
6-46 2. The board shall include the statement required pursuant to
6-47 subsection 1 in:
6-48 (a) The application or any other forms that must be submitted for the
6-49 issuance or renewal of the license; or

7-1 (b) A separate form prescribed by the board.
7-2 3. A license to practice medicine , [or] to practice as a [physician’s]
7-3 physician assistant or to practice as a practitioner of respiratory care may
7-4 not be issued or renewed by the board if the applicant:
7-5 (a) Fails to submit the statement required pursuant to subsection 1; or
7-6 (b) Indicates on the statement submitted pursuant to subsection 1 that he
7-7 is subject to a court order for the support of a child and is not in
7-8 compliance with the order or a plan approved by the district attorney or
7-9 other public agency enforcing the order for the repayment of the amount
7-10 owed pursuant to the order.
7-11 4. If an applicant indicates on the statement submitted pursuant to
7-12 subsection 1 that he is subject to a court order for the support of a child and
7-13 is not in compliance with the order or a plan approved by the district
7-14 attorney or other public agency enforcing the order for the repayment of
7-15 the amount owed pursuant to the order, the board shall advise the applicant
7-16 to contact the district attorney or other public agency enforcing the order to
7-17 determine the actions that the applicant may take to satisfy the arrearage.

7-18 Sec. 20. NRS 630.253 is hereby amended to read as follows:
7-19 630.253 The board shall, as a prerequisite for the:
7-20 1. Renewal of a license as a [physician’s] physician assistant; or
7-21 2. Biennial registration of the holder of a license to practice medicine,
7-22 require each holder to comply with the requirements for continuing
7-23 education adopted by the board. These requirements may provide for the
7-24 completion of one or more courses of instruction relating to risk
7-25 management in the performance of medical services.

7-26 Sec. 21. NRS 630.261 is hereby amended to read as follows:
7-27 630.261 1. [The board may, unless] Except as otherwise provided in
7-28 [this section or] NRS 630.161, the board may issue : [, renew or modify:]
7-29 (a) A locum tenens license, to be effective not more than 3 months after
7-30 issuance, to any physician who is licensed and in good standing in another
7-31 state , who meets the requirements for licensure in this state and who is of
7-32 good moral character and reputation. The purpose of this license is to
7-33 enable an eligible physician to serve as a substitute for another physician
7-34 who is licensed to practice medicine in this state and who is absent from
7-35 his practice for reasons deemed sufficient by the board. A license issued
7-36 pursuant to the provisions of this paragraph is not renewable.
7-37 (b) A special license to a licensed physician of another state to come
7-38 into this state to care for or assist in the treatment of his own patient in
7-39 association with a physician licensed in this state. A special license issued
7-40 pursuant to the provisions of this paragraph is limited to the care of a
7-41 specific patient. The physician licensed in this state has the primary
7-42 responsibility for the care of that patient.
7-43 (c) A restricted license for a specified period if the board determines the
7-44 applicant needs supervision or restriction.
7-45 (d) A temporary license for a specified period if the physician is
7-46 licensed and in good standing in another state and meets the requirements
7-47 for licensure in this state, and if the board determines that it is necessary
7-48 in order to provide medical services for a community without adequate

8-1 medical care. A temporary license issued pursuant to the provisions of this
8-2 paragraph is not renewable.
8-3 (e) A special purpose license to a physician who is licensed in another
8-4 state to permit the use of equipment that transfers information
8-5 concerning the medical condition of a patient in this state across state
8-6 lines electronically, telephonically or by fiber optics if the physician:
8-7 (1) Holds a full and unrestricted license to practice medicine in that
8-8 state;
8-9 (2) Has not had any disciplinary or other action taken against him
8-10 by any state or other jurisdiction; and
8-11 (3) Meets the requirement set forth in paragraph (d) of subsection 2
8-12 of NRS 630.160.
8-13 2. Except as otherwise provided in this section, the board may renew
8-14 or modify any license issued pursuant to subsection 1.
8-15 3. Every physician who is licensed pursuant to [the provisions of]
8-16 subsection 1 and who accepts the privilege of practicing medicine in this
8-17 state pursuant to the provisions of the license shall be deemed to have
8-18 given his consent to the revocation of the license at any time by the board
8-19 for any of the grounds provided in NRS 630.161 or 630.301 to 630.3065,
8-20 inclusive.

8-21 Sec. 22. NRS 630.265 is hereby amended to read as follows:
8-22 630.265 1. Except as otherwise provided in NRS 630.161, the board
8-23 may issue to a qualified applicant a limited license to practice medicine as
8-24 a resident physician in a graduate program approved by the Accreditation
8-25 Council for Graduate Medical Education if he is:
8-26 (a) A graduate of an accredited medical school in the United States or
8-27 Canada; or
8-28 (b) A graduate of a foreign medical school and has received the
8-29 standard certificate of the Educational Commission for Foreign Medical
8-30 Graduates or a written statement from that commission that he passed the
8-31 examination given by it.
8-32 2. The medical school or other institution sponsoring the program shall
8-33 provide the board with written confirmation that the applicant has been
8-34 appointed to a position in the program and is a citizen of the United States
8-35 or lawfully entitled to remain and work in the United States. Such a license
8-36 remains valid only while the licensee is actively practicing medicine in the
8-37 residency program and is legally entitled to work and remain in the United
8-38 States.
8-39 3. The board may issue such a limited license for not more than 1 year
8-40 but may renew the license [.] if the applicant for the limited license meets
8-41 the requirements set forth by the board by regulation.
8-42 4. The holder of a limited license may practice medicine only in
8-43 connection with his duties as a resident physician or under such conditions
8-44 as are approved by the director of the program and the board.
8-45 5. [A] The holder of a limited license granted pursuant to this section
8-46 may be [revoked] disciplined by the board at any time for any of the
8-47 grounds provided in NRS 630.161 or 630.301 to 630.3065, inclusive.

9-1 Sec. 23. NRS 630.271 is hereby amended to read as follows:
9-2 630.271 1. A [physician’s] physician assistant may perform such
9-3 medical services as he is authorized to perform [pursuant to the terms of a
9-4 license issued to him by the board, if those services are rendered under the
9-5 supervision and control of a] by his supervising physician.
9-6 2. The board and supervising physician shall limit the authority of a
9-7 [physician’s] physician assistant to prescribe controlled substances to those
9-8 schedules of controlled substances [which his] that the supervising
9-9 physician is authorized to prescribe pursuant to state and federal law.

9-10 Sec. 24. NRS 630.273 is hereby amended to read as follows:
9-11 630.273 The board may issue a license to an applicant who is qualified
9-12 under the regulations of the board to perform medical services under the
9-13 supervision of a supervising physician. The application for a license as a
9-14 [physician’s] physician assistant must include the social security number
9-15 of the applicant . [and be cosigned by the supervising physician.]

9-16 Sec. 25. NRS 630.275 is hereby amended to read as follows:
9-17 630.275 The board shall adopt regulations regarding the licensure of a
9-18 [physician’s] physician assistant, including, but not limited to:
9-19 1. The educational and other qualifications of applicants.
9-20 2. The required academic program for applicants.
9-21 3. The procedures for applications for and the issuance of licenses.
9-22 4. The tests or examinations of applicants by the board.
9-23 5. The medical services which a [physician’s] physician assistant may
9-24 perform, except that he may not perform those specific functions and duties
9-25 delegated or restricted by law to persons licensed as dentists, chiropractors,
9-26 podiatric physicians and optometrists under chapters 631, 634, 635 and
9-27 636, respectively, of NRS, or as hearing aid specialists.
9-28 6. The duration, renewal and termination of licenses.
9-29 7. The grounds and procedures respecting disciplinary actions against
9-30 [physicians’] physician assistants.
9-31 8. The supervision of medical services of a [physician’s] physician
9-32 assistant by a supervising physician.

9-33 Sec. 26. NRS 630.288 is hereby amended to read as follows:
9-34 630.288 1. Each holder of a license to practice medicine must, on or
9-35 before July 1 of each alternate year:
9-36 (a) Submit the statement required pursuant to NRS 630.197; and
9-37 (b) Pay to the secretary-treasurer of the board the applicable fee for
9-38 biennial registration. This fee must be collected for the period for which a
9-39 physician is licensed.
9-40 2. When a holder of a license fails to pay the fee for biennial
9-41 registration and submit the statement required pursuant to NRS 630.197
9-42 after they become due, his license to practice medicine in this state is
9-43 automatically suspended. The holder may, within 2 years after the date his
9-44 license is suspended, upon payment of twice the amount of the current fee
9-45 for biennial registration to the secretary-treasurer and submission of the
9-46 statement required pursuant to NRS 630.197 and after he is found to be in
9-47 good standing and qualified under the provisions of this chapter, be
9-48 reinstated to practice.

10-1 3. The board shall make such reasonable attempts as are practicable
10-2 to notify a licensee:
10-3 (a) At least once that his fee for biennial registration and the statement
10-4 required pursuant to NRS 630.197 are due; and
10-5 (b) That his license is suspended.
10-6 A copy of this notice must be sent to the Drug Enforcement Administration
10-7 of the United States Department of Justice or its successor agency.

10-8 Sec. 27. NRS 630.290 is hereby amended to read as follows:
10-9 630.290 1. The board shall charge and collect not more than the
10-10 following fees:
10-11 For application for and issuance of a license [by written
10-12 examination, in addition to the actual cost to the board of
10-13 the examination] to practice as a physician………….. $600
10-14 For application for and issuance of a temporary, locum
10-15 tenens, limited, restricted , special or special purpose
10-16 license…………….. [300] 400
10-17 For renewal of a limited, restricted or special license……………………….. [200] 400
10-18 For application for and issuance of a license as a
10-19 [physician’s] physician assistant…………….. [300] 400
10-20 For [renewal of a license as a physician’s] biennial
10-21 registration of a physician assistant…………….. [300] 800
10-22 For biennial registration of a physician…………………… 800
10-23 For application for and issuance of a license as a
10-24 practitioner of respiratory care………………………….. 400
10-25 For biennial registration of a practitioner of respiratory
10-26 care………………………… 800
10-27 For biennial registration for a physician who is [retired,]
10-28 on inactive status [or not practicing medicine in Nevada…………………………. 200] 400
10-29 For written verification of licensure………………………. 50
10-30 For a duplicate identification card……………………………. 25
10-31 For a duplicate license….. 50
10-32 For computer printouts or labels………………… [300] 500
10-33 For verification of a listing of physicians, per hour………. 20
10-34 For furnishing a list of new physicians……………. [50] 100
10-35 2. In addition to the fees prescribed in subsection 1, the board shall
10-36 charge and collect [:
10-37 (a) A fee to reimburse it for the cost of the United States Medical
10-38 Licensing Examination; and
10-39 (b) Necessary] necessary and reasonable fees for its other services.
10-40 3. The cost of any special meeting called at the request of a [licensed
10-41 physician,] licensee, an institution, an organization, a state agency or an
10-42 applicant for licensure must be paid for by the person or entity requesting
10-43 the special meeting. Such a special meeting must not be called until the
10-44 person or entity requesting it has paid a cash deposit with the board
10-45 sufficient to defray all expenses of the meeting.

10-46 Sec. 28. NRS 630.301 is hereby amended to read as follows:
10-47 630.301 The following acts, among others, constitute grounds for
10-48 initiating disciplinary action or denying licensure:

11-1 1. Conviction of a felony, any offense involving moral turpitude or any
11-2 offense relating to the practice of medicine or the ability to practice
11-3 medicine. A plea of nolo contendere is a conviction for the purposes of this
11-4 subsection.
11-5 2. Conviction of violating any of the provisions of NRS 616D.200,
11-6 616D.220, 616D.240, 616D.300, 616D.310, or 616D.350 to 616D.440,
11-7 inclusive.
11-8 3. The revocation, suspension, modification or limitation of the license
11-9 to practice any type of medicine by any other jurisdiction or the surrender
11-10 of the license or discontinuing the practice of medicine while under
11-11 investigation by any licensing authority, a medical facility, a branch of the
11-12 Armed Services of the United States, an insurance company, an agency of
11-13 the Federal Government or an employer.
11-14 4. Malpractice, which may be evidenced by claims settled against a
11-15 practitioner.
11-16 5. The engaging by a practitioner in any sexual activity with a patient
11-17 who is currently being treated by the practitioner.
11-18 6. Disruptive behavior or interaction with physicians, hospital
11-19 personnel, patients, members of the families of patients or any other
11-20 persons if the behavior or interaction interferes with patient care or
11-21 would be reasonably expected to have an adverse impact on the quality of
11-22 care rendered to the patients.
11-23 7. The engaging in conduct that violates the trust of a patient and
11-24 exploits the relationship between the physician and the patient for
11-25 financial or other personal gain.
11-26 8. The failure to offer appropriate procedures or studies, to protest
11-27 inappropriate denials by organizations for managed care, to provide
11-28 necessary services or to refer a patient to an appropriate provider, when
11-29 such a failure occurs for the sole purpose of positively influencing the
11-30 financial well-being of the practitioner or an insurer.
11-31 9. The engaging in conduct calculated to bring, or having the effect
11-32 of bringing, the medical profession into disrepute, including, without
11-33 limitation, conduct that violates any provision of a national code of ethics
11-34 adopted by the board by regulation.
11-35 10. The engaging in sexual contact with the surrogate of a patient or
11-36 other key persons related to a patient, including, without limitation, a
11-37 spouse, parent or legal guardian, which exploits the relationship between
11-38 the physician and the patient in a sexual manner.

11-39 Sec. 29. NRS 630.3062 is hereby amended to read as follows:
11-40 630.3062 The following acts, among others, constitute grounds for
11-41 initiating disciplinary action or denying licensure:
11-42 1. Failure to maintain timely, legible, accurate and complete medical
11-43 records relating to the diagnosis, treatment and care of a patient.
11-44 2. Altering medical records of a patient.
11-45 3. Making or filing a report which the licensee knows to be false,
11-46 failing to file a record or report as required by law or willfully obstructing
11-47 or inducing another to obstruct such filing.
11-48 4. Failure to make the medical records of a patient available for
11-49 inspection and copying as provided in NRS 629.061.

12-1 5. Failure to report any claim for malpractice or negligence filed
12-2 against the licensee and the subsequent disposition thereof within 90 days
12-3 after the:
12-4 (a) Claim is filed; and
12-5 (b) Disposition of the claim.
12-6 6. Failure to report any person the licensee knows, or has reason to
12-7 know, is in violation of the provisions of this chapter or the regulations of
12-8 the board.

12-9 Sec. 30. NRS 630.3066 is hereby amended to read as follows:
12-10 630.3066 A physician is not subject to disciplinary action solely for
12-11 prescribing or administering to a patient under his care [:
12-12 1. Amygdalin (laetrile), if the patient has consented in writing to the
12-13 use of the substance.
12-14 2. Procaine hydrochloride with preservatives and stabilizers (Gerovital
12-15 H3).
12-16 3. A] a controlled substance which is listed in schedule II, III, IV or V
12-17 by the state board of pharmacy pursuant to NRS 453.146, if the controlled
12-18 substance is lawfully prescribed or administered for the treatment of
12-19 intractable pain in accordance with [accepted standards for the practice of
12-20 medicine.] regulations adopted by the board.

12-21 Sec. 31. NRS 630.307 is hereby amended to read as follows:
12-22 630.307 1. Any person, medical school or medical facility that
12-23 becomes aware that a person practicing medicine or respiratory care in
12-24 this state has, is or is about to become engaged in conduct which
12-25 constitutes grounds for initiating disciplinary action shall forthwith file a
12-26 written complaint with the board.
12-27 2. Any hospital, clinic or other medical facility licensed in this state, or
12-28 medical society, shall forthwith report to the board any change in a
12-29 physician’s privileges to practice medicine while the physician is under
12-30 investigation and the outcome of any disciplinary action taken by that
12-31 facility or society against the physician concerning the care of a patient or
12-32 the competency of the physician.
12-33 3. The clerk of every court shall forthwith report to the board any
12-34 finding, judgment or other determination of the court that a physician [:] ,
12-35 physician assistant or practitioner of respiratory care:
12-36 (a) Is mentally ill;
12-37 (b) Is mentally incompetent;
12-38 (c) Has been convicted of a felony or any law governing controlled
12-39 substances or dangerous drugs;
12-40 (d) Is guilty of abuse or fraud under any state or federal program
12-41 providing medical assistance; or
12-42 (e) Is liable for damages for malpractice or negligence.

12-43 Sec. 32. NRS 630.329 is hereby amended to read as follows:
12-44 630.329 If the board issues an order suspending the license of a
12-45 physician , physician assistant or practitioner of respiratory care pending
12-46 proceedings for disciplinary action, the court shall not stay that order.

13-1 Sec. 33. NRS 630.333 is hereby amended to read as follows:
13-2 630.333 1. In addition to any other remedy provided by law, the
13-3 board, through its president or, secretary-treasurer or the attorney general,
13-4 may apply to any court of competent jurisdiction:
13-5 (a) To enjoin any prohibited act or other conduct of a [physician]
13-6 licensee which is harmful to the public;
13-7 (b) To enjoin any person who is not licensed under this chapter from
13-8 practicing medicine [;] or respiratory care;
13-9 (c) To limit the [physician’s] practice of a physician, physician
13-10 assistant or practitioner of respiratory care, or suspend his license to
13-11 practice ; [medicine;] or
13-12 (d) To enjoin the use of the title M.D. , P.A., P.A.-C, R.C.P. or any
13-13 other word, combination of letters or other designation intended to imply
13-14 or designate a person as a physician, physician assistant or practitioner
13-15 of respiratory care, when not licensed by the board pursuant to this
13-16 chapter, unless the use is otherwise authorized by a specific statute.
13-17 2. The court in a proper case may issue a temporary restraining order
13-18 or a preliminary injunction for the purposes set forth in subsection 1:
13-19 (a) Without proof of actual damage sustained by any person;
13-20 (b) Without relieving any person from criminal prosecution for
13-21 engaging in the practice of medicine without a license; and
13-22 (c) Pending proceedings for disciplinary action by the board.

13-23 Sec. 34. NRS 630.336 is hereby amended to read as follows:
13-24 630.336 1. Any proceeding of a committee of the board investigating
13-25 complaints is not subject to the requirements of NRS 241.020, unless the
13-26 licensee under investigation requests that the proceeding be subject to those
13-27 requirements. Any deliberations conducted or vote taken by:
13-28 (a) The board or panel regarding its decision; or
13-29 (b) The board or any investigative committee of the board regarding its
13-30 ordering of a physician , physician assistant or practitioner of respiratory
13-31 care to undergo a physical or mental examination or any other examination
13-32 designated to assist the board or committee in determining the fitness of a
13-33 physician, physician assistant or practitioner of respiratory care,
13-34 are not subject to the requirements of NRS 241.020.
13-35 2. Except as otherwise provided in subsection 3, all applications for a
13-36 license to practice medicine [,] or respiratory care, any charges filed by the
13-37 board, financial records of the board, formal hearings on any charges heard
13-38 by the board or a panel selected by the board, records of such hearings and
13-39 any order or decision of the board or panel must be open to the public.
13-40 3. Except as otherwise provided in NRS 630.352 and 630.368, the
13-41 following may be kept confidential:
13-42 (a) Any statement, evidence, credential or other proof submitted in
13-43 support of or to verify the contents of an application;
13-44 (b) All investigations and records of investigations;
13-45 (c) Any report concerning the fitness of any person to receive or hold a
13-46 license to practice medicine [;] or respiratory care;
13-47 (d) Any communication between:
13-48 (1) The board and any of its committees or panels; and

14-1 (2) The board or its staff, investigators, experts, committees, panels,
14-2 hearing officers, advisory members or consultants and counsel for the
14-3 board; and
14-4 (e) Any other information or records in the possession of the board.
14-5 4. This section does not prevent or prohibit the board from
14-6 communicating or cooperating with any other licensing board or agency or
14-7 any agency which is investigating a licensee, including a law enforcement
14-8 agency. Such cooperation may include , without limitation, providing the
14-9 board or agency with minutes of a closed meeting, transcripts of oral
14-10 examinations and the results of oral examinations.

14-11 Sec. 35. NRS 630.344 is hereby amended to read as follows:
14-12 630.344 1. Service of process [made] under this chapter must be
14-13 made on [the person] a licensee personally, or by registered or certified
14-14 mail with return receipt requested [,] addressed to the [physician] licensee
14-15 at his last known address. If personal service cannot be made and if notice
14-16 by mail is returned undelivered, the secretary-treasurer of the board shall
14-17 cause notice to be published once a week for 4 consecutive weeks in a
14-18 newspaper published in the county of the [physician’s] last known address
14-19 of the licensee or, if no newspaper is published in that county, then in a
14-20 newspaper widely distributed in that county.
14-21 2. Proof of service of process or publication of notice made under this
14-22 chapter must be filed with the board and recorded in the minutes of the
14-23 board.

14-24 Sec. 36. NRS 630.346 is hereby amended to read as follows:
14-25 630.346 In any disciplinary hearing:
14-26 1. The board, a panel of the members of the board and a hearing
14-27 officer are not bound by formal rules of evidence and a witness must not be
14-28 barred from testifying solely because he was or is incompetent.
14-29 2. Proof of actual injury need not be established.
14-30 3. A certified copy of the record of a court or a licensing agency
14-31 showing a conviction or plea of nolo contendere or the suspension,
14-32 revocation, limitation, modification, denial or surrender of a license to
14-33 practice medicine or respiratory care is conclusive evidence of its
14-34 occurrence.

14-35 Sec. 37. NRS 630.352 is hereby amended to read as follows:
14-36 630.352 1. Any member of the board, except for an advisory
14-37 member serving on a panel of the board hearing charges, may participate in
14-38 the final order of the board. If the board, after a formal hearing, determines
14-39 from a preponderance of the evidence that a violation of the provisions of
14-40 this chapter or of the regulations of the board has occurred, it shall issue
14-41 and serve on the physician charged an order, in writing, containing its
14-42 findings and any sanctions.
14-43 2. If the board determines that no violation has occurred, it shall
14-44 dismiss the charges, in writing, and notify the physician that the charges
14-45 have been dismissed. If the disciplinary proceedings were instituted against
14-46 the physician as a result of a complaint filed against him, the board may
14-47 provide the physician with a copy of the complaint . [, including the name
14-48 of the person, if any, who filed the complaint.]

15-1 3. Except as otherwise provided in subsection 4, if the board finds that
15-2 a violation has occurred, it may by order:
15-3 (a) Place the person on probation for a specified period on any of the
15-4 conditions specified in the order;
15-5 (b) Administer to him a public reprimand;
15-6 (c) Limit his practice or exclude one or more specified branches of
15-7 medicine from his practice;
15-8 (d) Suspend his license for a specified period or until further order of
15-9 the board;
15-10 (e) Revoke his license to practice medicine;
15-11 (f) Require him to participate in a program to correct alcohol or drug
15-12 dependence or any other impairment;
15-13 (g) Require supervision of his practice;
15-14 (h) Impose a fine not to exceed $5,000;
15-15 (i) Require him to perform public service without compensation;
15-16 (j) Require him to take a physical or mental examination or an
15-17 examination testing his competence;
15-18 (k) Require him to fulfill certain training or educational requirements;
15-19 and
15-20 (l) Require him to pay all costs incurred by the board relating to his
15-21 disciplinary proceedings.
15-22 4. If the board finds that the physician has violated the provisions of
15-23 NRS 439B.425, the board shall suspend his license for a specified period or
15-24 until further order of the board.

15-25 Sec. 38. NRS 630.355 is hereby amended to read as follows:
15-26 630.355 1. If a person, in a proceeding before the board [:] , a
15-27 hearing officer or a panel of the board:
15-28 (a) Disobeys or resists a lawful order ; [of the board;]
15-29 (b) Refuses to take an oath or affirmation as a witness ; [before the
15-30 board;]
15-31 (c) Refuses to be examined ; [before the board;] or
15-32 (d) Engages in conduct during a hearing or so near the place thereof as
15-33 to obstruct the proceeding,
15-34 the board , hearing officer or panel may certify the facts to the district
15-35 court of the county in which the proceeding is being conducted. Such a
15-36 certification operates as a stay of all related disciplinary proceedings .
15-37 [before the board.] The court shall issue an order directing the person to
15-38 appear before the court and show cause why he should not be held in
15-39 contempt.
15-40 2. A copy of the statement of the board , hearing officer or panel, and
15-41 the order of the district court issued pursuant to subsection 1 must be
15-42 served on the person. Thereafter, the court has jurisdiction of the matter.
15-43 3. The same proceedings must be had, the same penalties may be
15-44 imposed and the person may purge himself of the contempt in the same
15-45 way as in the case of a person who has committed a contempt in the trial of
15-46 a civil action.

15-47 Sec. 39. NRS 630.356 is hereby amended to read as follows:
15-48 630.356 1. Any person aggrieved by a final order of the board is
15-49 entitled to judicial review of the board’s order.

16-1 2. Every order [of the board which limits the practice of medicine or
16-2 suspends or revokes a license] that imposes a sanction against a licensee
16-3 pursuant to subsection 3 or 4 of NRS 630.352 or any regulation of the
16-4 board is effective from the date the secretary-treasurer certifies the order
16-5 until the date the order is modified or reversed by a final judgment of the
16-6 court. The court shall not stay the order of the board pending a final
16-7 determination by the court.
16-8 3. The district court shall give a petition for judicial review of the
16-9 board’s order priority over other civil matters which are not expressly
16-10 given priority by law.

16-11 Sec. 40. NRS 630.358 is hereby amended to read as follows:
16-12 630.358 1. Any person:
16-13 (a) Whose practice of medicine or respiratory care has been limited; or
16-14 (b) Whose license to practice medicine or respiratory care has been:
16-15 (1) Suspended until further order; or
16-16 (2) Revoked,
16-17 by an order of the board, may apply to the board for removal of the
16-18 limitation or restoration of his license.
16-19 2. In hearing the application, the board:
16-20 (a) May require the person to submit to a mental or physical
16-21 examination or an examination testing his competence to practice medicine
16-22 or respiratory care by physicians or practitioners of respiratory care, as
16-23 appropriate, or other examinations it designates and submit such other
16-24 evidence of changed conditions and of fitness as it deems proper;
16-25 (b) Shall determine whether under all the circumstances the time of the
16-26 application is reasonable; and
16-27 (c) May deny the application or modify or rescind its order as it deems
16-28 the evidence and the public safety warrants.
16-29 3. The licensee has the burden of proving by clear and convincing
16-30 evidence that the requirements for restoration of the license or removal of
16-31 the limitation have been met.
16-32 4. The board shall not restore a license unless it is satisfied that the
16-33 person has complied with all of the terms and conditions set forth in the
16-34 final order of the board and that the person is capable of practicing
16-35 medicine or respiratory care in a safe manner.
16-36 5. To restore a license that has been revoked by the board, the
16-37 applicant must apply for a license and take an examination as though he
16-38 had never been licensed under this chapter.

16-39 Sec. 41. NRS 630.366 is hereby amended to read as follows:
16-40 630.366 1. If the board receives a copy of a court order issued
16-41 pursuant to NRS 425.540 that provides for the suspension of all
16-42 professional, occupational and recreational licenses, certificates and
16-43 permits issued to a person who is the holder of a license to practice
16-44 medicine , [or] to practice as a [physician’s assistant,] physician assistant
16-45 or to practice as a practitioner of respiratory care, the board shall deem
16-46 the license issued to that person to be suspended at the end of the 30th day
16-47 after the date on which the court order was issued unless the board receives
16-48 a letter issued to the holder of the license by the district attorney or other
16-49 public agency pursuant to NRS 425.550 stating that the holder of the

17-1 license has complied with the subpoena or warrant or has satisfied the
17-2 arrearage pursuant to NRS 425.560.
17-3 2. The board shall reinstate a license to practice medicine , [or] to
17-4 practice as a [physician’s] physician assistant or to practice as a
17-5 practitioner of respiratory care that has been suspended by a district court
17-6 pursuant to NRS 425.540 if the board receives a letter issued by the district
17-7 attorney or other public agency pursuant to NRS 425.550 to the person
17-8 whose license was suspended stating that the person whose license was
17-9 suspended has complied with the subpoena or warrant or has satisfied the
17-10 arrearage pursuant to NRS 425.560.

17-11 Sec. 42. NRS 630.368 is hereby amended to read as follows:
17-12 630.368 [1.] To institute a disciplinary action against a [physician’s
17-13 assistant,] physician assistant or practitioner of respiratory care, a written
17-14 complaint, specifying the charges, must be filed with the board by:
17-15 [(a) The board ;
17-16 (b)] 1. The board or a committee designated by the board to
17-17 investigate a complaint;
17-18 2. Any member of the board; or
17-19 [(c)] 3. Any other person who is aware of any act or circumstance
17-20 constituting a ground for disciplinary action set forth in the regulations
17-21 adopted by the board.
17-22 [2. Before taking any formal action on a complaint filed against a
17-23 physician’s assistant by his supervising physician or by an osteopathic
17-24 physician supervising the physician’s assistant pursuant to NRS 630.274,
17-25 the board shall provide the physician’s assistant with a copy of the
17-26 complaint.
17-27 3. If, pursuant to disciplinary procedures set forth in the regulations
17-28 adopted by the board, the board finds that the charges in the complaint
17-29 against the physician’s assistant are false, the board may provide the
17-30 physician’s assistant with a copy of the complaint, including the name of
17-31 the person, if any, who filed the complaint.]

17-32 Sec. 43. NRS 630.390 is hereby amended to read as follows:
17-33 630.390 In seeking injunctive relief against any person for an alleged
17-34 violation of this chapter by practicing medicine or respiratory care without
17-35 a license, it is sufficient to allege that he did, upon a certain day, and in a
17-36 certain county of this state, engage in the practice of medicine or
17-37 respiratory care without having a license to do so, without alleging any
17-38 further or more particular facts concerning the same.

17-39 Sec. 44. NRS 630.400 is hereby amended to read as follows:
17-40 630.400 A person who:
17-41 1. Presents to the board as his own the diploma, license or credentials
17-42 of another;
17-43 2. Gives either false or forged evidence of any kind to the board;
17-44 3. Practices medicine or respiratory care under a false or assumed
17-45 name or falsely personates another licensee;
17-46 4. Except as otherwise provided by specific statute, practices medicine
17-47 or respiratory care without being licensed under this chapter;

18-1 5. Holds himself out as a [physician’s] physician assistant or [who]
18-2 uses any other term indicating or implying that he is a [physician’s]
18-3 physician assistant without being licensed by the board; [or]
18-4 6. Holds himself out as a practitioner of respiratory care or uses any
18-5 other term indicating or implying that he is a practitioner of respiratory
18-6 care without being licensed by the board; or
18-7 7. Uses the title M.D., when not licensed by the board pursuant to this
18-8 chapter, unless otherwise authorized by a specific statute,
18-9 is guilty of a category D felony and shall be punished as provided in NRS
18-10 193.130.

18-11 Sec. 45. NRS 632.472 is hereby amended to read as follows:
18-12 632.472 1. The following persons shall report in writing to the
18-13 executive director of the board any conduct of a licensee or holder of a
18-14 certificate which constitutes a violation of the provisions of this chapter:
18-15 (a) Any physician, dentist, dental hygienist, chiropractor, optometrist,
18-16 podiatric physician, medical examiner, resident, intern, professional or
18-17 practical nurse, nursing assistant, [physician’s] physician assistant,
18-18 psychiatrist, psychologist, marriage and family therapist, alcohol or drug
18-19 abuse counselor, driver of an ambulance, advanced emergency medical
18-20 technician or other person providing medical services licensed or certified
18-21 to practice in this state.
18-22 (b) Any personnel of a medical facility or facility for the dependent
18-23 engaged in the admission, examination, care or treatment of persons or an
18-24 administrator, manager or other person in charge of a medical facility or
18-25 facility for the dependent upon notification by a member of the staff of the
18-26 facility.
18-27 (c) A coroner.
18-28 (d) Any person who maintains or is employed by an agency to provide
18-29 nursing in the home.
18-30 (e) Any employee of the department of human resources.
18-31 (f) Any employee of a law enforcement agency or a county’s office for
18-32 protective services or an adult or juvenile probation officer.
18-33 (g) Any person who maintains or is employed by a facility or
18-34 establishment that provides care for older persons.
18-35 (h) Any person who maintains, is employed by or serves as a volunteer
18-36 for an agency or service which advises persons regarding the abuse, neglect
18-37 or exploitation of an older person and refers them to persons and agencies
18-38 where their requests and needs can be met.
18-39 (i) Any social worker.
18-40 2. Every physician who, as a member of the staff of a medical facility
18-41 or facility for the dependent, has reason to believe that a nursing assistant
18-42 has engaged in conduct which constitutes grounds for the denial,
18-43 suspension or revocation of a certificate shall notify the superintendent,
18-44 manager or other person in charge of the facility. The superintendent,
18-45 manager or other person in charge shall make a report as required in
18-46 subsection 1.
18-47 3. A report may be filed by any other person.

19-1 4. Any person who in good faith reports any violation of the provisions
19-2 of this chapter to the executive director of the board pursuant to this section
19-3 is immune from civil liability for reporting the violation.

19-4 Sec. 46. NRS 632.473 is hereby amended to read as follows:
19-5 632.473 1. A nurse licensed pursuant to the provisions of this
19-6 chapter, while working at an institution of the department of prisons, may
19-7 treat patients, including the administration of a dangerous drug, poison or
19-8 related device, pursuant to orders given by a [physician’s] physician
19-9 assistant if those orders are given pursuant to a protocol approved by the
19-10 board of medical examiners and the supervising physician. The orders must
19-11 be cosigned by the supervising physician or another physician within 72
19-12 hours after treatment.
19-13 2. A copy of the protocol under which orders are given by a
19-14 [physician’s] physician assistant must be available at the institution for
19-15 review by the nurse.
19-16 3. This section does not authorize a [physician’s] physician assistant to
19-17 give orders for the administration of any controlled substance.
19-18 4. For the purposes of this section:
19-19 (a) [“Physician’s] “Physician assistant” means a [physician’s]
19-20 physician assistant licensed by the board of medical examiners pursuant to
19-21 chapter 630 of NRS who:
19-22 (1) Is employed at an institution of the department of prisons;
19-23 (2) Has been awarded a bachelor’s degree from a college or
19-24 university recognized by the board of medical examiners; and
19-25 (3) Has received at least 40 hours of instruction regarding the
19-26 prescription of medication as a part of either his basic educational
19-27 qualifications or a program of continuing education approved by the board
19-28 of medical examiners.
19-29 (b) “Protocol” means the written directions for the assessment and
19-30 management of specified medical conditions, including the drugs and
19-31 devices the [physician’s] physician assistant is authorized to order, which
19-32 the [physician’s] physician assistant and the supervision have agreed upon
19-33 as a basis for their practice.
19-34 (c) “Supervising physician” has the meaning ascribed to it in NRS
19-35 630.025.

19-36 Sec. 47. NRS 639.0125 is hereby amended to read as follows:
19-37 639.0125 “Practitioner” means:
19-38 1. A physician, dentist, veterinarian or podiatric physician who holds a
19-39 valid license to practice his profession in this state;
19-40 2. A hospital, pharmacy or other institution licensed, registered or
19-41 otherwise permitted to distribute, dispense, conduct research with respect
19-42 to or administer drugs in the course of professional practice or research in
19-43 this state;
19-44 3. An advanced practitioner of nursing who has been authorized to
19-45 prescribe poisons, dangerous drugs and devices; or
19-46 4. A physician assistant who:
19-47 (a) Holds a license issued by the board of medical examiners; and

20-1 (b) Is authorized by the board to possess, administer, prescribe or
20-2 dispense controlled substances, poisons, dangerous drugs or devices
20-3 under the supervision of a physician as required by chapter 630 of NRS.
20-4 5. An osteopathic physician’s assistant who:
20-5 (a) Holds a [license issued by the board of medical examiners or]
20-6 certificate issued by the state board of osteopathic medicine; and
20-7 (b) Is authorized by the board to possess, administer, prescribe or
20-8 dispense controlled substances, poisons, dangerous drugs or devices under
20-9 the supervision of [a physician or] an osteopathic physician as required by
20-10 chapter [630 or] 633 of NRS.

20-11 Sec. 48. NRS 639.1373 is hereby amended to read as follows:
20-12 639.1373 1. A physician assistant or an osteopathic physician’s
20-13 assistant may, if authorized by the board, possess, administer, prescribe or
20-14 dispense controlled substances, or possess, administer, prescribe or
20-15 dispense poisons, dangerous drugs or devices in or out of the presence of
20-16 his supervising physician only to the extent and subject to the limitations
20-17 specified in the registration certificate issued to the physician assistant or
20-18 osteopathic physician’s [assistant’s certificate as issued] assistant, as
20-19 appropriate, by the board [.] pursuant to this section.
20-20 2. Each physician assistant and osteopathic physician’s assistant who
20-21 is authorized by his [physician’s] physician assistant’s license issued by
20-22 the board of medical examiners or certificate issued by the state board of
20-23 osteopathic medicine to possess, administer, prescribe or dispense
20-24 controlled substances, or to possess, administer, prescribe or dispense
20-25 poisons, dangerous drugs or devices must apply for and obtain a
20-26 registration certificate from the board, pay a fee to be set by regulations
20-27 adopted by the board and pass an examination administered by the board
20-28 on the law relating to pharmacy before he can possess, administer,
20-29 prescribe or dispense controlled substances, or possess, administer,
20-30 prescribe or dispense poisons, dangerous drugs or devices.
20-31 3. The board shall consider each application separately and may, even
20-32 though the [physician’s] physician assistant’s license issued by the board
20-33 of medical examiners or the osteopathic physician’s assistant’s certificate
20-34 issued by the state board of osteopathic medicine authorizes the physician
20-35 assistant or osteopathic physician’s assistant , as appropriate, to possess,
20-36 administer, prescribe or dispense controlled substances, or to possess,
20-37 administer, prescribe or dispense poisons, dangerous drugs and devices:
20-38 (a) Refuse to issue a registration certificate;
20-39 (b) Issue a registration certificate limiting the authority of the physician
20-40 assistant or osteopathic physician’s [assistant’s authority] assistant, as
20-41 appropriate, to possess, administer, prescribe or dispense controlled
20-42 substances, or to possess, administer, prescribe or dispense poisons,
20-43 dangerous drugs or devices, the area in which the physician assistant or
20-44 osteopathic physician’s assistant may possess controlled substances,
20-45 poisons, dangerous drugs and devices, or the kind and amount of controlled
20-46 substances, poisons, dangerous drugs and devices; or
20-47 (c) Issue a registration certificate imposing other limitations or
20-48 restrictions which the board feels are necessary and required to protect the
20-49 health, safety and welfare of the public.

21-1 4. If the registration of the physician assistant or osteopathic
21-2 physician’s assistant is suspended or revoked, the physician’s controlled
21-3 substance registration may also be suspended or revoked.
21-4 5. The board shall adopt regulations controlling the maximum amount
21-5 to be administered, possessed and dispensed, and the storage, security,
21-6 recordkeeping and transportation of controlled substances and the
21-7 maximum amount to be administered, possessed, prescribed and dispensed
21-8 and the storage, security, recordkeeping and transportation of poisons,
21-9 dangerous drugs and devices by physician assistants and osteopathic
21-10 physicians’ assistants. In the adoption of those regulations, the board shall
21-11 consider, but is not limited to, the following:
21-12 (a) The area in which the physician assistant or osteopathic physician’s
21-13 assistant is to operate;
21-14 (b) The population of that area;
21-15 (c) The experience and training of the physician assistant or
21-16 osteopathic physician’s assistant;
21-17 (d) The distance to the nearest hospital and physician; and
21-18 (e) The effect on the health, safety and welfare of the public.
21-19 6. For the purposes of this section, the term [“physician’s assistant”
21-20 includes an osteopathic physician’s assistant and the term] “supervising
21-21 physician” includes an employing osteopathic physician as defined in
21-22 chapter 633 of NRS.

21-23 Sec. 49. NRS 652.210 is hereby amended to read as follows:
21-24 652.210 No person other than a licensed physician, a licensed
21-25 optometrist, a licensed practical nurse, a registered nurse, a licensed [or]
21-26 physician assistant, a certified osteopathic physician’s assistant, a certified
21-27 intermediate emergency medical technician, a certified advanced
21-28 emergency medical technician or a licensed dentist may manipulate a
21-29 person for the collection of specimens, except that technical personnel of a
21-30 laboratory may collect blood, remove stomach contents, perform certain
21-31 diagnostic skin tests or field blood tests or collect material for smears and
21-32 cultures.

21-33 Sec. 50. NRS 200.5093 is hereby amended to read as follows:
21-34 200.5093 1. Any person who is described in subsection 4 and who,
21-35 in his professional or occupational capacity, knows or has reasonable cause
21-36 to believe that an older person has been abused, neglected, exploited or
21-37 isolated shall:
21-38 (a) Except as otherwise provided in subsection 2, report the abuse,
21-39 neglect, exploitation or isolation of the older person to:
21-40 (1) The local office of the aging services division of the department
21-41 of human resources;
21-42 (2) A police department or sheriff’s office;
21-43 (3) The county’s office for protective services, if one exists in the
21-44 county where the suspected action occurred; or
21-45 (4) A toll-free telephone service designated by the aging services
21-46 division of the department of human resources; and
21-47 (b) Make such a report as soon as reasonably practicable but not later
21-48 than 24 hours after the person knows or has reasonable cause to believe
21-49 that the older person has been abused, neglected, exploited or isolated.

22-1 2. If a person who is required to make a report pursuant to subsection 1
22-2 knows or has reasonable cause to believe that the abuse, neglect,
22-3 exploitation or isolation of the older person involves an act or omission of
22-4 the aging services division, another division of the department of human
22-5 resources or a law enforcement agency, the person shall make the report to
22-6 an agency other than the one alleged to have committed the act or
22-7 omission.
22-8 3. Each agency, after reducing a report to writing, shall forward a copy
22-9 of the report to the aging services division of the department of human
22-10 resources.
22-11 4. A report must be made pursuant to subsection 1 by the following
22-12 persons:
22-13 (a) Every physician, dentist, dental hygienist, chiropractor, optometrist,
22-14 podiatric physician, medical examiner, resident, intern, professional or
22-15 practical nurse, [physician’s] physician assistant, psychiatrist,
22-16 psychologist, marriage and family therapist, alcohol or drug abuse
22-17 counselor, driver of an ambulance, advanced emergency medical
22-18 technician or other person providing medical services licensed or certified
22-19 to practice in this state, who examines, attends or treats an older person
22-20 who appears to have been abused, neglected, exploited or isolated.
22-21 (b) Any personnel of a hospital or similar institution engaged in the
22-22 admission, examination, care or treatment of persons or an administrator,
22-23 manager or other person in charge of a hospital or similar institution upon
22-24 notification of the suspected abuse, neglect, exploitation or isolation of an
22-25 older person by a member of the staff of the hospital.
22-26 (c) A coroner.
22-27 (d) Every clergyman, practitioner of Christian Science or religious
22-28 healer, unless he acquired the knowledge of abuse, neglect, exploitation or
22-29 isolation of the older person from the offender during a confession.
22-30 (e) Every person who maintains or is employed by an agency to provide
22-31 nursing in the home.
22-32 (f) Every attorney, unless he has acquired the knowledge of abuse,
22-33 neglect, exploitation or isolation of the older person from a client who has
22-34 been or may be accused of such abuse, neglect, exploitation or isolation.
22-35 (g) Any employee of the department of human resources.
22-36 (h) Any employee of a law enforcement agency or a county’s office for
22-37 protective services or an adult or juvenile probation officer.
22-38 (i) Any person who maintains or is employed by a facility or
22-39 establishment that provides care for older persons.
22-40 (j) Any person who maintains, is employed by or serves as a volunteer
22-41 for an agency or service which advises persons regarding the abuse,
22-42 neglect, exploitation or isolation of an older person and refers them to
22-43 persons and agencies where their requests and needs can be met.
22-44 (k) Every social worker.
22-45 (l) Any person who owns or is employed by a funeral home or
22-46 mortuary.
22-47 5. A report may be made by any other person.
22-48 6. If a person who is required to make a report pursuant to subsection 1
22-49 knows or has reasonable cause to believe that an older person has died as a

23-1 result of abuse, neglect or isolation, the person shall, as soon as reasonably
23-2 practicable, report this belief to the appropriate medical examiner or
23-3 coroner, who shall investigate the cause of death of the older person and
23-4 submit to the appropriate local law enforcement agencies, the appropriate
23-5 prosecuting attorney and the aging services division of the department of
23-6 human resources his written findings. The written findings must include
23-7 the information required pursuant to the provisions of NRS 200.5094,
23-8 when possible.
23-9 7. A division, office or department which receives a report pursuant to
23-10 this section shall cause the investigation of the report to commence within
23-11 3 working days. A copy of the final report of the investigation conducted
23-12 by a division, office or department, other than the aging services division
23-13 of the department of human resources, must be forwarded to the aging
23-14 services division within 90 days after the completion of the report.
23-15 8. If the investigation of a report results in the belief that an older
23-16 person is abused, neglected, exploited or isolated, the aging services
23-17 division of the department of human resources or the county’s office for
23-18 protective services may provide protective services to the older person if he
23-19 is able and willing to accept them.
23-20 9. A person who knowingly and willfully violates any of the
23-21 provisions of this section is guilty of a misdemeanor.

23-22 Sec. 51. NRS 223.550 is hereby amended to read as follows:
23-23 223.550 1. The office for consumer health assistance is hereby
23-24 established in the office of the governor. The governor shall appoint the
23-25 director. The director must:
23-26 (a) Be:
23-27 (1) A physician, as that term is defined in NRS 0.040;
23-28 (2) A registered nurse, as that term is defined in NRS 632.019;
23-29 (3) An advanced practitioner of nursing, as that term is defined in
23-30 NRS 453.023; or
23-31 (4) A [physician’s] physician assistant, as that term is defined in NRS
23-32 630.015; and
23-33 (b) Have expertise and experience in the field of advocacy.
23-34 2. The cost of carrying out the provisions of NRS 223.500 to 223.580,
23-35 inclusive, must be paid as follows:
23-36 (a) That portion of the cost related to providing assistance to consumers
23-37 and injured employees concerning workers’ compensation must be paid
23-38 from the assessments levied pursuant to NRS 232.680.
23-39 (b) The remaining cost must be provided by direct legislative
23-40 appropriation from the state general fund and be paid out on claims as
23-41 other claims against the state are paid.

23-42 Sec. 52. NRS 244.1605 is hereby amended to read as follows:
23-43 244.1605 The boards of county commissioners may:
23-44 1. Establish, equip and maintain limited medical facilities in the
23-45 outlying areas of their respective counties to provide outpatient care and
23-46 emergency treatment to the residents of and those falling sick or being
23-47 injured or maimed in those areas.
23-48 2. Provide a full-time or part-time staff for the facilities which may
23-49 include a physician, a licensed [physician’s] physician assistant, a

24-1 registered nurse or a licensed practical nurse, a certified emergency
24-2 medical technician and such other personnel as the board deems necessary
24-3 or appropriate to ensure adequate staffing commensurate with the needs of
24-4 the area in which the facility is located.
24-5 3. Fix the charges for the medical and nursing care and medicine
24-6 furnished by the facility to those who are able to pay for them, and to
24-7 provide that care and medicine free of charge to those persons who qualify
24-8 as medical indigents under the county’s criteria of eligibility for medical
24-9 care.
24-10 4. Purchase, equip and maintain, either in connection with a limited
24-11 medical facility as authorized in this section or independent therefrom,
24-12 ambulances and ambulance services for the benefit of the residents of and
24-13 those falling sick or being injured or maimed in the outlying areas.

24-14 Sec. 53. NRS 244.382 is hereby amended to read as follows:
24-15 244.382 The legislature finds that:
24-16 1. Many of the less populous counties of the state have experienced
24-17 shortages of physicians, surgeons, anesthetists, dentists, other medical
24-18 professionals and [physicians’] physician assistants.
24-19 2. Some of the more populous counties of the state have also
24-20 experienced shortages of physicians, surgeons, anesthetists, dentists, other
24-21 medical professionals and [physicians’] physician assistants in their rural
24-22 communities.
24-23 3. By granting county scholarships to students in such medical
24-24 professions who will agree to return to the less populous counties or the
24-25 rural communities of the more populous counties for residence and
24-26 practice, these counties can alleviate the shortages to a degree and thereby
24-27 provide their people with needed health services.

24-28 Sec. 54. NRS 244.3821 is hereby amended to read as follows:
24-29 244.3821 1. In addition to the powers elsewhere conferred upon all
24-30 counties, except as otherwise provided in subsection 2, any county may
24-31 establish a medical scholarship program to induce students in the medical
24-32 professions to return to the county for practice.
24-33 2. Any county whose population is 100,000 or more may only
24-34 establish a medical scholarship program to induce students in the medical
24-35 professions to return to the less populous rural communities of the county
24-36 for practice.
24-37 3. Students in the medical professions for the purposes of NRS
24-38 244.382 to 244.3823, inclusive, include persons studying to be
24-39 [physicians’] physician assistants.
24-40 4. The board of county commissioners of a county that has established
24-41 a medical scholarship program may appropriate money from the general
24-42 fund of the county for medical scholarship funds and may accept private
24-43 contributions to augment the scholarship funds.

24-44 Sec. 55. NRS 397.0605 is hereby amended to read as follows:
24-45 397.0605 The provisions of NRS 397.0615, 397.0645 and 397.0653 to
24-46 the contrary notwithstanding, the Western Interstate Commission for
24-47 Higher Education may adopt regulations which require as a condition of
24-48 placement of a student in an educational program for [physicians’]
24-49 physician assistants and receipt of the related financial support that the

25-1 student submit to the director of the Western Interstate Commission for
25-2 Higher Education:
25-3 1. A written statement from a licensed provider of health care who
25-4 practices his profession in a rural area of this state that he agrees to employ
25-5 the student for the term necessary to fulfill the requirements of NRS
25-6 397.0645 upon the completion of the student’s education, examination and
25-7 licensure.
25-8 2. A written statement from the student that in lieu of repayment of all
25-9 state contributions for the stipend he received he will practice his
25-10 profession in a rural area of this state in accordance with the schedule set
25-11 forth in subsection 1 of NRS 397.0645.

25-12 Sec. 56. NRS 397.0617 is hereby amended to read as follows:
25-13 397.0617 1. The provisions of this section apply only to support fees
25-14 received by a student on or after July 1, 1997.
25-15 2. The three commissioners from the State of Nevada, acting jointly,
25-16 may require a student who is certified to study to practice in a profession
25-17 which could benefit a medically underserved area of this state, as that term
25-18 is defined by the officer of rural health of the University of Nevada School
25-19 of Medicine, to practice in such an area or to practice in an area designated
25-20 by the Secretary of Health and Human Services:
25-21 (a) Pursuant to 42 U.S.C.  254c, as containing a medically underserved
25-22 population; or
25-23 (b) Pursuant to 42 U.S.C.  254e, as a health professional shortage area,
25-24 as a condition to receiving a support fee.
25-25 3. If a person agrees to practice in a medically underserved area of this
25-26 state pursuant to subsection 2 for at least 2 years, the three commissioners
25-27 from the State of Nevada, acting jointly, may forgive the portion of the
25-28 support fee designated as the loan of the person.
25-29 4. If a person returns to this state but does not practice in a medically
25-30 underserved area of this state pursuant to subsection 2 for at least 2 years,
25-31 the three commissioners from the State of Nevada, acting jointly, shall
25-32 assess a default charge in an amount not less than three times the portion of
25-33 the support fee designated as the loan of the person, plus interest.
25-34 5. As used in this section, a “profession which could benefit a
25-35 medically underserved area of this state” includes, without limitation,
25-36 dentistry, physical therapy, pharmacy and practicing as a [physician’s]
25-37 physician assistant.

25-38 Sec. 57. NRS 432B.220 is hereby amended to read as follows:
25-39 432B.220 1. Any person who is described in subsection 3 and who,
25-40 in his professional or occupational capacity, knows or has reasonable cause
25-41 to believe that a child has been abused or neglected shall:
25-42 (a) Except as otherwise provided in subsection 2, report the abuse or
25-43 neglect of the child to an agency which provides protective services or to a
25-44 law enforcement agency; and
25-45 (b) Make such a report as soon as reasonably practicable but not later
25-46 than 24 hours after the person knows or has reasonable cause to believe
25-47 that the child has been abused or neglected.

26-1 2. If a person who is required to make a report pursuant to subsection 1
26-2 knows or has reasonable cause to believe that the abuse or neglect of the
26-3 child involves an act or omission of:
26-4 (a) A person directly responsible or serving as a volunteer for or an
26-5 employee of a public or private home, institution or facility where the child
26-6 is receiving child care outside of his home for a portion of the day, the
26-7 person shall make the report to a law enforcement agency.
26-8 (b) An agency which provides protective services or a law enforcement
26-9 agency, the person shall make the report to an agency other than the one
26-10 alleged to have committed the act or omission, and the investigation of the
26-11 abuse or neglect of the child must be made by an agency other than the one
26-12 alleged to have committed the act or omission.
26-13 3. A report must be made pursuant to subsection 1 by the following
26-14 persons:
26-15 (a) A physician, dentist, dental hygienist, chiropractor, optometrist,
26-16 podiatric physician, medical examiner, resident, intern, professional or
26-17 practical nurse, [physician’s] physician assistant, psychiatrist,
26-18 psychologist, marriage and family therapist, alcohol or drug abuse
26-19 counselor, advanced emergency medical technician or other person
26-20 providing medical services licensed or certified in this state;
26-21 (b) Any personnel of a hospital or similar institution engaged in the
26-22 admission, examination, care or treatment of persons or an administrator,
26-23 manager or other person in charge of a hospital or similar institution upon
26-24 notification of suspected abuse or neglect of a child by a member of the
26-25 staff of the hospital;
26-26 (c) A coroner;
26-27 (d) A clergyman, practitioner of Christian Science or religious healer,
26-28 unless he has acquired the knowledge of the abuse or neglect from the
26-29 offender during a confession;
26-30 (e) A social worker and an administrator, teacher, librarian or counselor
26-31 of a school;
26-32 (f) Any person who maintains or is employed by a facility or
26-33 establishment that provides care for children, children’s camp or other
26-34 public or private facility, institution or agency furnishing care to a child;
26-35 (g) Any person licensed to conduct a foster home;
26-36 (h) Any officer or employee of a law enforcement agency or an adult or
26-37 juvenile probation officer;
26-38 (i) An attorney, unless he has acquired the knowledge of the abuse or
26-39 neglect from a client who is or may be accused of the abuse or neglect; and
26-40 (j) Any person who maintains, is employed by or serves as a volunteer
26-41 for an agency or service which advises persons regarding abuse or neglect
26-42 of a child and refers them to persons and agencies where their requests and
26-43 needs can be met.
26-44 4. A report may be made by any other person.
26-45 5. If a person who is required to make a report pursuant to subsection 1
26-46 knows or has reasonable cause to believe that a child has died as a result of
26-47 abuse or neglect, the person shall, as soon as reasonably practicable, report
26-48 this belief to the appropriate medical examiner or coroner, who shall
26-49 investigate the report and submit to an agency which provides protective

27-1 services his written findings. The written findings must include, if
27-2 obtainable, the information required pursuant to the provisions of
27-3 subsection 2 of NRS 432B.230.

27-4 Sec. 58. NRS 441A.110 is hereby amended to read as follows:
27-5 441A.110 “Provider of health care” means a physician, nurse,
27-6 [physician’s] physician assistant or veterinarian licensed in accordance
27-7 with state law.

27-8 Sec. 59. NRS 442.003 is hereby amended to read as follows:
27-9 442.003 As used in this chapter, unless the context requires otherwise:
27-10 1. “Advisory board” means the advisory board on maternal and child
27-11 health.
27-12 2. “Department” means the department of human resources.
27-13 3. “Director” means the director of the department of human resources.
27-14 4. “Fetal alcohol syndrome” includes fetal alcohol effects.
27-15 5. “Health division” means the health division of the department of
27-16 human resources.
27-17 6. “Obstetric center” has the meaning ascribed to it in NRS 449.0155.
27-18 7. “Provider of health care or other services” means:
27-19 (a) A person who has been certified as a counselor or an administrator
27-20 of an alcohol and drug abuse program pursuant to chapter 458 of NRS;
27-21 (b) A physician or a [physician’s] physician assistant who is licensed
27-22 pursuant to chapter 630 of NRS and who practices in the area of obstetrics
27-23 and gynecology, family practice, internal medicine, pediatrics or
27-24 psychiatry;
27-25 (c) A licensed nurse;
27-26 (d) A licensed psychologist;
27-27 (e) A licensed marriage and family therapist;
27-28 (f) A licensed social worker; or
27-29 (g) A holder of a certificate of registration as a pharmacist.

27-30 Sec. 60. NRS 442.119 is hereby amended to read as follows:
27-31 442.119 As used in NRS 442.119 to 442.1198, inclusive, unless the
27-32 context otherwise requires:
27-33 1. “Health officer” includes a local health officer, a city health officer,
27-34 a county health officer and a district health officer.
27-35 2. “Medicaid” has the meaning ascribed to it in NRS 439B.120.
27-36 3. “Medicare” has the meaning ascribed to it in NRS 439B.130.
27-37 4. “Provider of prenatal care” is limited to:
27-38 (a) A physician who is licensed in this state and certified in obstetrics
27-39 and gynecology, family practice, general practice or general surgery.
27-40 (b) A certified nurse midwife who is licensed by the state board of
27-41 nursing.
27-42 (c) An advanced practitioner of nursing who has specialized skills and
27-43 training in obstetrics or family nursing.
27-44 (d) A [physicians’] physician assistant who has specialized skills and
27-45 training in obstetrics or family practice.

27-46 Sec. 61. NRS 449.0175 is hereby amended to read as follows:
27-47 449.0175 “Rural clinic” means a facility located in an area that is not
27-48 designated as an urban area by the Bureau of the Census, where medical

28-1 services are provided by a [physician’s] physician assistant or an advanced
28-2 practitioner of nursing under the supervision of a licensed physician.

28-3 Sec. 62. NRS 450B.160 is hereby amended to read as follows:
28-4 450B.160 1. The health authority may issue licenses to attendants
28-5 and to firemen employed by or serving as volunteers with a fire-fighting
28-6 agency.
28-7 2. Each license must be evidenced by a card issued to the holder of the
28-8 license, is valid for a period not to exceed 2 years and is renewable.
28-9 3. An applicant for a license must file with the health authority:
28-10 (a) A current, valid certificate evidencing his successful completion of a
28-11 program or course for training in emergency medical technology, if he is
28-12 applying for a license as an attendant, or, if a volunteer attendant, at a level
28-13 of skill determined by the board.
28-14 (b) A current valid certificate evidencing his successful completion of a
28-15 program for training as an intermediate emergency medical technician or
28-16 advanced emergency medical technician if he is applying for a license as a
28-17 fireman with a fire-fighting agency.
28-18 (c) A signed statement showing:
28-19 (1) His name and address;
28-20 (2) His employer’s name and address; and
28-21 (3) A description of his duties.
28-22 (d) Such other certificates for training and such other items as the board
28-23 may specify.
28-24 4. The board shall adopt such regulations as it determines are
28-25 necessary for the issuance, suspension, revocation and renewal of licenses.
28-26 5. Each operator of an ambulance or air ambulance and each fire-
28-27 fighting agency shall annually file with the health authority a complete list
28-28 of the licensed persons in its service.
28-29 6. Licensed physicians, registered nurses and licensed [physicians’]
28-30 physician assistants may serve as attendants without being licensed under
28-31 the provisions of this section. A registered nurse who performs advanced
28-32 emergency care in an ambulance or air ambulance must perform the care in
28-33 accordance with the regulations of the state board of nursing. A licensed
28-34 [physicians’] physician assistant who performs advanced emergency care
28-35 in an ambulance or air ambulance must perform the care in accordance
28-36 with the regulations of the [state] board of medical examiners.
28-37 7. Each licensed physician, registered nurse and licensed [physicians’]
28-38 physician assistant who serves as an attendant must have current
28-39 certification of completion of training in:
28-40 (a) Advanced life-support procedures for patients who require cardiac
28-41 care;
28-42 (b) Life-support procedures for pediatric patients who require cardiac
28-43 care; or
28-44 (c) Life-support procedures for patients with trauma that are
28-45 administered before the arrival of those patients at a hospital.
28-46 The certification must be issued by the board of medical examiners for a
28-47 physician or licensed [physician’s] physician assistant or by the state board
28-48 of nursing for a registered nurse.

29-1 8. The board of medical examiners and the state board of nursing shall
29-2 issue a certificate pursuant to subsection 7 if the licensed physician,
29-3 licensed [physician’s] physician assistant or registered nurse attends:
29-4 (a) A course offered by a national organization which is nationally
29-5 recognized for issuing such certification;
29-6 (b) Training conducted by the operator of an ambulance or air
29-7 ambulance; or
29-8 (c) Any other course or training,
29-9 approved by the board of medical examiners or the state board of nursing,
29-10 whichever is issuing the certification. The board of medical examiners and
29-11 the state board of nursing may require certification of training in all three
29-12 areas set forth in subsection 7 for a licensed physician, licensed
29-13 [physician’s] physician assistant or registered nurse who primarily serves
29-14 as an attendant in a county whose population is 400,000 or more.

29-15 Sec. 63. NRS 453.038 is hereby amended to read as follows:
29-16 453.038 “Chart order” means an order entered on the chart of a
29-17 patient:
29-18 1. In a hospital, facility for intermediate care or facility for skilled
29-19 nursing which is licensed as such by the health division of the department;
29-20 or
29-21 2. Under emergency treatment in a hospital by a physician, dentist or
29-22 podiatric physician, or on the written or oral order of a physician,
29-23 [physician’s] physician assistant, dentist or podiatric physician authorizing
29-24 the administration of a drug to the patient.

29-25 Sec. 64. NRS 453.091 is hereby amended to read as follows:
29-26 453.091 1. “Manufacture” means the production, preparation,
29-27 propagation, compounding, conversion or processing of a substance, either
29-28 directly or indirectly by extraction from substances of natural origin, or
29-29 independently by means of chemical synthesis, or by a combination of
29-30 extraction and chemical synthesis, and includes any packaging or
29-31 repackaging of the substance or labeling or relabeling of its container.
29-32 2. “Manufacture” does not include the preparation or compounding of
29-33 a substance by a person for his own use or the preparation, compounding,
29-34 packaging or labeling of a substance by a physician, [physician’s]
29-35 physician assistant, dentist, podiatric physician or veterinarian:
29-36 (a) As an incident to his administering or dispensing of a substance in
29-37 the course of his professional practice; or
29-38 (b) By his authorized agent under his supervision, for the purpose of, or
29-39 as an incident to, research, teaching or chemical analysis and not for sale.

29-40 Sec. 65. NRS 453.126 is hereby amended to read as follows:
29-41 453.126 “Practitioner” means:
29-42 1. A physician, dentist, veterinarian or podiatric physician who holds a
29-43 license to practice his profession in this state and is registered pursuant to
29-44 this chapter.
29-45 2. An advanced practitioner of nursing who holds a certificate from the
29-46 state board of nursing and a certificate from the state board of pharmacy
29-47 authorizing him to dispense controlled substances.
29-48 3. A scientific investigator or a pharmacy, hospital or other institution
29-49 licensed, registered or otherwise authorized in this state to distribute,

30-1 dispense, conduct research with respect to, to administer, or use in teaching
30-2 or chemical analysis, a controlled substance in the course of professional
30-3 practice or research.
30-4 4. A euthanasia technician who is licensed by the Nevada state board
30-5 of veterinary medical examiners and registered pursuant to this chapter,
30-6 while he possesses or administers sodium pentobarbital pursuant to his
30-7 license and registration.
30-8 5. A [physician’s] physician assistant who:
30-9 (a) Holds a license from the board of medical examiners ; [or a
30-10 certificate from the state board of osteopathic medicine;] and
30-11 (b) Is authorized by the board to possess, administer, prescribe or
30-12 dispense controlled substances under the supervision of a physician [or
30-13 osteopathic physician] as required by chapter 630 [or 633] of NRS.
30-14 6. An osteopathic physician’s assistant who:
30-15 (a) Holds a certificate from the state board of osteopathic medicine;
30-16 and
30-17 (b) Is authorized by the board to possess, administer, prescribe or
30-18 dispense controlled substances under the supervision of an osteopathic
30-19 physician as required by chapter 633 of NRS.
30-20 7. An optometrist who is certified by the Nevada state board of
30-21 optometry to prescribe and administer therapeutic pharmaceutical agents
30-22 pursuant to NRS 636.288, when he prescribes or administers therapeutic
30-23 pharmaceutical agents within the scope of his certification.

30-24 Sec. 66. NRS 453.128 is hereby amended to read as follows:
30-25 453.128 1. “Prescription” means:
30-26 (a) An order given individually for the person for whom prescribed,
30-27 directly from a physician, osteopathic physician’s assistant, physician
30-28 assistant, dentist, podiatric physician, optometrist or veterinarian, or his
30-29 agent, to a pharmacist or indirectly by means of an order signed by the
30-30 practitioner or an electronic transmission from the practitioner to a
30-31 pharmacist; or
30-32 (b) A chart order written for an inpatient specifying drugs which he is to
30-33 take home upon his discharge.
30-34 2. The term does not include a chart order written for an inpatient for
30-35 use while he is an inpatient.

30-36 Sec. 67. NRS 453.226 is hereby amended to read as follows:
30-37 453.226 1. Every practitioner or other person who dispenses any
30-38 controlled substance within this state or who proposes to engage in the
30-39 dispensing of any controlled substance within this state shall obtain
30-40 biennially a registration issued by the board in accordance with its
30-41 regulations.
30-42 2. A person registered by the board in accordance with the provisions
30-43 of NRS 453.011 to 453.552, inclusive, to dispense or conduct research with
30-44 controlled substances may possess, dispense or conduct research with those
30-45 substances to the extent authorized by the registration and in conformity
30-46 with the other provisions of those sections.
30-47 3. The following persons are not required to register and may lawfully
30-48 possess and distribute controlled substances pursuant to the provisions of
30-49 NRS 453.011 to 453.552, inclusive:

31-1 (a) An agent or employee of a registered dispenser of a controlled
31-2 substance if he is acting in the usual course of his business or employment;
31-3 (b) A common or contract carrier or warehouseman, or an employee
31-4 thereof, whose possession of any controlled substance is in the usual course
31-5 of business or employment;
31-6 (c) An ultimate user or a person in possession of any controlled
31-7 substance pursuant to a lawful order of a physician, osteopathic
31-8 physician’s assistant, physician assistant, dentist, podiatric physician or
31-9 veterinarian or in lawful possession of a schedule V substance; or
31-10 (d) A physician who:
31-11 (1) Holds a locum tenens license issued by the board of medical
31-12 examiners or a temporary license issued by the state board of osteopathic
31-13 medicine; and
31-14 (2) Is registered with the Drug Enforcement Administration at a
31-15 location outside this state.
31-16 4. The board may waive the requirement for registration of certain
31-17 dispensers if it finds it consistent with the public health and safety.
31-18 5. A separate registration is required at each principal place of business
31-19 or professional practice where the applicant dispenses controlled
31-20 substances.
31-21 6. The board may inspect the establishment of a registrant or applicant
31-22 for registration in accordance with the board’s regulations.

31-23 Sec. 68. NRS 453.336 is hereby amended to read as follows:
31-24 453.336 1. A person shall not knowingly or intentionally possess a
31-25 controlled substance, unless the substance was obtained directly from, or
31-26 pursuant to, a prescription or order of a physician, osteopathic physician’s
31-27 assistant, physician assistant, dentist, podiatric physician, optometrist or
31-28 veterinarian while acting in the course of his professional practice, or
31-29 except as otherwise authorized by the provisions of NRS 453.011 to
31-30 453.552, inclusive.
31-31 2. Except as otherwise provided in subsections 3, 4 and 5 and in NRS
31-32 453.3363, and unless a greater penalty is provided in NRS 212.160,
31-33 453.3385, 453.339 or 453.3395, a person who violates this section shall be
31-34 punished:
31-35 (a) For the first or second offense, if the controlled substance is listed in
31-36 schedule I, II, III or IV, for a category E felony as provided in NRS
31-37 193.130.
31-38 (b) For a third or subsequent offense, if the controlled substance is listed
31-39 in schedule I, II, III or IV, or if the offender has previously been convicted
31-40 two or more times in the aggregate of any violation of the law of the
31-41 United States or of any state, territory or district relating to a controlled
31-42 substance, for a category D felony as provided in NRS 193.130, and may
31-43 be further punished by a fine of not more than $20,000.
31-44 (c) For the first offense, if the controlled substance is listed in schedule
31-45 V, for a category E felony as provided in NRS 193.130.
31-46 (d) For a second or subsequent offense, if the controlled substance is
31-47 listed in schedule V, for a category D felony as provided in NRS 193.130.
31-48 3. Unless a greater penalty is provided in NRS 212.160, 453.337 or
31-49 453.3385, a person who is convicted of the possession of flunitrazepam or

32-1 gamma-hydroxybutyrate, or any substance for which flunitrazepam or
32-2 gamma-hydroxybutyrate is an immediate precursor, is guilty of a category
32-3 B felony and shall be punished by imprisonment in the state prison for a
32-4 minimum term of not less than 1 year and a maximum term of not more
32-5 than 6 years.
32-6 4. Unless a greater penalty is provided in NRS 212.160, a person who
32-7 is less than 21 years of age and is convicted of the possession of less than 1
32-8 ounce of marijuana:
32-9 (a) For the first and second offense, is guilty of a category E felony and
32-10 shall be punished as provided in NRS 193.130.
32-11 (b) For a third or subsequent offense, is guilty of a category D felony
32-12 and shall be punished as provided in NRS 193.130, and may be further
32-13 punished by a fine of not more than $20,000.
32-14 5. Before sentencing under the provisions of subsection 4 for a first
32-15 offense, the court shall require the parole and probation officer to submit a
32-16 presentencing report on the person convicted in accordance with the
32-17 provisions of NRS 176A.200. After the report is received but before
32-18 sentence is pronounced the court shall:
32-19 (a) Interview the person convicted and make a determination as to the
32-20 possibility of his rehabilitation; and
32-21 (b) Conduct a hearing at which evidence may be presented as to the
32-22 possibility of rehabilitation and any other relevant information.
32-23 6. As used in this section, “controlled substance” includes
32-24 flunitrazepam, gamma-hydroxybutyrate and each substance for which
32-25 flunitrazepam or gamma-hydroxybutyrate is an immediate precursor.

32-26 Sec. 69. NRS 453.371 is hereby amended to read as follows:
32-27 453.371 As used in NRS 453.371 to 453.552, inclusive:
32-28 1. “Medical intern” means a medical graduate acting as an assistant in
32-29 a hospital for the purpose of clinical training.
32-30 2. “Physician,” [“physician’s] “physician assistant,” “dentist,”
32-31 “podiatric physician,” “veterinarian,” “pharmacist” and “euthanasia
32-32 technician” mean persons authorized by a valid license to practice their
32-33 respective professions in this state who are registered with the board.

32-34 Sec. 70. NRS 453.375 is hereby amended to read as follows:
32-35 453.375 A controlled substance may be possessed and administered by
32-36 the following persons:
32-37 1. A practitioner.
32-38 2. A registered nurse licensed to practice professional nursing or
32-39 licensed practical nurse, at the direction of a physician, [physician’s]
32-40 physician assistant, dentist, podiatric physician or advanced practitioner of
32-41 nursing, or pursuant to a chart order, for administration to a patient at
32-42 another location.
32-43 3. An advanced emergency medical technician:
32-44 (a) As authorized by regulation of:
32-45 (1) The state board of health in a county whose population is less
32-46 than 100,000; or
32-47 (2) A county or district board of health in a county whose population
32-48 is 100,000 or more; and
32-49 (b) In accordance with any applicable regulations of:

33-1 (1) The state board of health in a county whose population is less
33-2 than 100,000;
33-3 (2) A county board of health in a county whose population is 100,000
33-4 or more; or
33-5 (3) A district board of health created pursuant to NRS 439.370 in any
33-6 county.
33-7 4. A respiratory therapist, at the direction of a physician or
33-8 [physician’s] physician assistant.
33-9 5. A medical student, student in training to become a [physician’s]
33-10 physician assistant or student nurse in the course of his studies at an
33-11 approved college of medicine or school of professional or practical
33-12 nursing, at the direction of a physician or [physician’s] physician assistant
33-13 and:
33-14 (a) In the presence of a physician, [physician’s] physician assistant or a
33-15 registered nurse; or
33-16 (b) Under the supervision of a physician, [physician’s] physician
33-17 assistant or a registered nurse if the student is authorized by the college or
33-18 school to administer the substance outside the presence of a physician,
33-19 [physician’s] physician assistant or nurse.
33-20 A medical student or student nurse may administer a controlled substance
33-21 in the presence or under the supervision of a registered nurse alone only if
33-22 the circumstances are such that the registered nurse would be authorized to
33-23 administer it personally.
33-24 6. An ultimate user or any person whom the ultimate user designates
33-25 pursuant to a written agreement.
33-26 7. Any person designated by the head of a correctional institution.
33-27 8. A veterinary technician at the direction of his supervising
33-28 veterinarian.
33-29 9. In accordance with applicable regulations of the state board of
33-30 health, an employee of a residential facility for groups, as defined in NRS
33-31 449.017, pursuant to a written agreement entered into by the ultimate user.
33-32 10. In accordance with applicable regulations of the state board of
33-33 pharmacy, an animal control officer, a wildlife biologist or an employee
33-34 designated by a federal, state or local governmental agency whose duties
33-35 include the control of domestic, wild and predatory animals.

33-36 Sec. 71. NRS 453.381 is hereby amended to read as follows:
33-37 453.381 1. In addition to the limitations imposed by NRS 453.256, a
33-38 physician, [physician’s] physician assistant, dentist or podiatric physician
33-39 may prescribe or administer controlled substances only for a legitimate
33-40 medical purpose and in the usual course of his professional practice, and he
33-41 shall not prescribe, administer or dispense a controlled substance listed in
33-42 schedule II for himself, his spouse or his children except in cases of
33-43 emergency.
33-44 2. A veterinarian, in the course of his professional practice only, and
33-45 not for use by a human being, may prescribe, possess and administer
33-46 controlled substances, and he may cause them to be administered by a
33-47 veterinary technician under his direction and supervision.
33-48 3. A euthanasia technician, within the scope of his license, and not for
33-49 use by a human being, may possess and administer sodium pentobarbital.

34-1 4. A pharmacist shall not fill an order which purports to be a
34-2 prescription if he has reason to believe that it was not issued in the usual
34-3 course of the professional practice of a physician, [physician’s] physician
34-4 assistant, dentist, podiatric physician or veterinarian.
34-5 5. Any person who has obtained from a physician, [physician’s]
34-6 physician assistant, dentist, podiatric physician or veterinarian any
34-7 controlled substance for administration to a patient during the absence of
34-8 the physician, [physician’s] physician assistant, dentist, podiatric physician
34-9 or veterinarian shall return to him any unused portion of the substance
34-10 when it is no longer required by the patient.
34-11 6. A manufacturer, wholesale supplier or other person legally able to
34-12 furnish or sell any controlled substance listed in schedule II shall not
34-13 provide samples of such a controlled substance to registrants.
34-14 7. A salesman of any manufacturer or wholesaler of pharmaceuticals
34-15 shall not possess, transport or furnish any controlled substance listed in
34-16 schedule II.
34-17 8. A person shall not dispense a controlled substance in violation of a
34-18 regulation adopted by the board.

34-19 Sec. 72. NRS 453.391 is hereby amended to read as follows:
34-20 453.391 A person shall not:
34-21 1. Unlawfully take, obtain or attempt to take or obtain a controlled
34-22 substance or a prescription for a controlled substance from a manufacturer,
34-23 wholesaler, pharmacist, physician, [physician’s] physician assistant,
34-24 dentist, veterinarian or any other person authorized to administer, dispense
34-25 or possess controlled substances.
34-26 2. While undergoing treatment and being supplied with any controlled
34-27 substance or a prescription for any controlled substance from one
34-28 practitioner, knowingly obtain any controlled substance or a prescription
34-29 for a controlled substance from another practitioner without disclosing this
34-30 fact to the second practitioner.

34-31 Sec. 73. NRS 454.00958 is hereby amended to read as follows:
34-32 454.00958 “Practitioner” means:
34-33 1. A physician, dentist, veterinarian or podiatric physician who holds a
34-34 valid license to practice his profession in this state.
34-35 2. A pharmacy, hospital or other institution licensed or registered to
34-36 distribute, dispense, conduct research with respect to or to administer a
34-37 dangerous drug in the course of professional practice in this state.
34-38 3. When relating to the prescription of poisons, dangerous drugs and
34-39 devices:
34-40 (a) An advanced practitioner of nursing who holds a certificate from the
34-41 state board of nursing and a certificate from the state board of pharmacy
34-42 permitting him so to prescribe; or
34-43 (b) A [physician’s] physician assistant who holds a license from the
34-44 [state] board of medical examiners and a certificate from the state board of
34-45 pharmacy permitting him so to prescribe.
34-46 4. An optometrist who is certified to prescribe and administer
34-47 dangerous drugs pursuant to NRS 636.288 when he prescribes or
34-48 administers dangerous drugs which are within the scope of his certification.

35-1 Sec. 74. NRS 454.213 is hereby amended to read as follows:
35-2 454.213 A drug or medicine referred to in NRS 454.181 to 454.371,
35-3 inclusive, may be possessed and administered by:
35-4 1. A practitioner.
35-5 2. A [physician’s] physician assistant at the direction of his
35-6 supervising physician or a licensed dental hygienist acting in the office of
35-7 and under the supervision of a dentist.
35-8 3. Except as otherwise provided in subsection 4, a registered nurse
35-9 licensed to practice professional nursing or licensed practical nurse, at the
35-10 direction of a prescribing physician, dentist, podiatric physician or
35-11 advanced practitioner of nursing, or pursuant to a chart order, for
35-12 administration to a patient at another location.
35-13 4. In accordance with applicable regulations of the board, a registered
35-14 nurse licensed to practice professional nursing or licensed practical nurse
35-15 who is:
35-16 (a) Employed by a health care agency or health care facility that is
35-17 authorized to provide emergency care, or to respond to the immediate
35-18 needs of a patient, in the residence of the patient; and
35-19 (b) Acting under the direction of the medical director of that agency or
35-20 facility who works in this state.
35-21 5. An intermediate emergency medical technician or an advanced
35-22 emergency medical technician, as authorized by regulation of the state
35-23 board of pharmacy and in accordance with any applicable regulations of:
35-24 (a) The state board of health in a county whose population is less than
35-25 100,000;
35-26 (b) A county board of health in a county whose population is 100,000 or
35-27 more; or
35-28 (c) A district board of health created pursuant to NRS 439.370 in any
35-29 county.
35-30 6. A respiratory therapist employed in a health care facility. The
35-31 therapist may possess and administer respiratory products only at the
35-32 direction of a physician.
35-33 7. A dialysis technician, under the direction or supervision of a
35-34 physician or registered nurse only if the drug or medicine is used for the
35-35 process of renal dialysis.
35-36 8. A medical student or student nurse in the course of his studies at an
35-37 approved college of medicine or school of professional or practical
35-38 nursing, at the direction of a physician and:
35-39 (a) In the presence of a physician or a registered nurse; or
35-40 (b) Under the supervision of a physician or a registered nurse if the
35-41 student is authorized by the college or school to administer the drug or
35-42 medicine outside the presence of a physician or nurse.
35-43 A medical student or student nurse may administer a dangerous drug in the
35-44 presence or under the supervision of a registered nurse alone only if the
35-45 circumstances are such that the registered nurse would be authorized to
35-46 administer it personally.
35-47 9. Any person designated by the head of a correctional institution.
35-48 10. An ultimate user or any person designated by the ultimate user
35-49 pursuant to a written agreement.

36-1 11. A nuclear medicine technologist, at the direction of a physician
36-2 and in accordance with any conditions established by regulation of the
36-3 board.
36-4 12. A radiologic technologist, at the direction of a physician and in
36-5 accordance with any conditions established by regulation of the board.
36-6 13. A chiropractic physician, but only if the drug or medicine is a
36-7 topical drug used for cooling and stretching external tissue during
36-8 therapeutic treatments.
36-9 14. A physical therapist, but only if the drug or medicine is a topical
36-10 drug which is:
36-11 (a) Used for cooling and stretching external tissue during therapeutic
36-12 treatments; and
36-13 (b) Prescribed by a licensed physician for:
36-14 (1) Iontophoresis; or
36-15 (2) The transmission of drugs through the skin using ultrasound.
36-16 15. In accordance with applicable regulations of the state board of
36-17 health, an employee of a residential facility for groups, as defined in NRS
36-18 449.017, pursuant to a written agreement entered into by the ultimate user.
36-19 16. A veterinary technician at the direction of his supervising
36-20 veterinarian.
36-21 17. In accordance with applicable regulations of the board, a registered
36-22 pharmacist who:
36-23 (a) Is trained in and certified to carry out standards and practices for
36-24 immunization programs;
36-25 (b) Is authorized to administer immunizations pursuant to written
36-26 protocols from a physician; and
36-27 (c) Administers immunizations in compliance with the “Standards of
36-28 Immunization Practices” recommended and approved by the United States
36-29 Public Health Service Advisory Committee on Immunization Practices.

36-30 Sec. 75. NRS 454.215 is hereby amended to read as follows:
36-31 454.215 A dangerous drug may be dispensed by:
36-32 1. A registered pharmacist upon the legal prescription from a
36-33 practitioner or to a pharmacy in a correctional institution upon the written
36-34 order of the prescribing practitioner in charge;
36-35 2. A pharmacy in a correctional institution, in case of emergency, upon
36-36 a written order signed by the chief medical officer;
36-37 3. A practitioner, or a [physician’s] physician assistant if authorized by
36-38 the board;
36-39 4. A registered nurse, when the nurse is engaged in the performance of
36-40 any public health program approved by the board;
36-41 5. A medical intern in the course of his internship;
36-42 6. An advanced practitioner of nursing who holds a certificate from the
36-43 state board of nursing and a certificate from the state board of pharmacy
36-44 permitting him to dispense dangerous drugs;
36-45 7. A registered nurse employed at an institution of the department of
36-46 prisons to an offender in that institution; or
36-47 8. A registered pharmacist from an institutional pharmacy pursuant to
36-48 regulations adopted by the board,

37-1 except that no person may dispense a dangerous drug in violation of a
37-2 regulation adopted by the board.

37-3 Sec. 76. NRS 454.221 is hereby amended to read as follows:
37-4 454.221 1. A person who furnishes any dangerous drug except upon
37-5 the prescription of a practitioner is guilty of a category D felony and shall
37-6 be punished as provided in NRS 193.130, unless the dangerous drug was
37-7 obtained originally by a legal prescription.
37-8 2. The provisions of this section do not apply to the furnishing of any
37-9 dangerous drug by:
37-10 (a) A practitioner to his patients;
37-11 (b) A [physician’s] physician assistant if authorized by the board;
37-12 (c) A registered nurse while participating in a public health program
37-13 approved by the board, or an advanced practitioner of nursing who holds a
37-14 certificate from the state board of nursing and a certificate from the state
37-15 board of pharmacy permitting him to dispense dangerous drugs;
37-16 (d) A manufacturer or wholesaler or pharmacy to each other or to a
37-17 practitioner or to a laboratory under records of sales and purchases that
37-18 correctly give the date, the names and addresses of the supplier and the
37-19 buyer, the drug and its quantity;
37-20 (e) A hospital pharmacy or a pharmacy so designated by a county health
37-21 officer in a county whose population is 100,000 or more, or by a district
37-22 health officer in any county within its jurisdiction or, in the absence of
37-23 either, by the state health officer or his designated medical director of
37-24 emergency medical services, to a person or agency described in subsection
37-25 3 of NRS 639.268 to stock ambulances or other authorized vehicles or
37-26 replenish the stock; or
37-27 (f) A pharmacy in a correctional institution to a person designated by
37-28 the director of the department of prisons to administer a lethal injection to a
37-29 person who has been sentenced to death.

37-30 Sec. 77. NRS 484.393 is hereby amended to read as follows:
37-31 484.393 1. The results of any blood test administered under the
37-32 provisions of NRS 484.383 or 484.391 are not admissible in any hearing or
37-33 criminal action arising out of acts alleged to have been committed by a
37-34 person who was driving or in actual physical control of a vehicle while
37-35 under the influence of intoxicating liquor or a controlled substance or who
37-36 was engaging in any other conduct prohibited by NRS 484.379 or
37-37 484.3795 unless:
37-38 (a) The blood tested was withdrawn by a physician, [physician’s]
37-39 physician assistant, registered nurse, licensed practical nurse, emergency
37-40 medical technician or a technician, technologist or assistant employed in a
37-41 medical laboratory;
37-42 (b) The test was performed on whole blood, except if the sample was
37-43 clotted when it was received by the laboratory, the test may be performed
37-44 on blood serum or plasma; and
37-45 (c) The person who withdrew the blood was authorized to do so by the
37-46 appropriate medical licensing or certifying agency.
37-47 2. The limitation contained in paragraph (a) of subsection 1 does not
37-48 apply to the taking of a chemical test of the urine, breath or other bodily
37-49 substance.

38-1 3. No person listed in paragraph (a) of subsection 1 incurs any civil or
38-2 criminal liability as a result of the administering of a blood test when
38-3 requested by a police officer or the person to be tested to administer the
38-4 test.

38-5 Sec. 78. NRS 630.256, 630.272, 630.274 640B.010, 640B.020,
38-6 640B.030, 640B.040, 640B.050, 640B.080, 640B.100, 640B.110 and
38-7 640B.150 are hereby repealed.

38-8 Sec. 79. A person who, on July 1, 2001, holds a license as a
38-9 physician’s assistant issued by the board of medical examiners shall be
38-10 deemed to hold a license as a physician assistant until his license as a
38-11 physician’s assistant is renewed as a license as a physician assistant,
38-12 expires or is revoked, whichever occurs first.

38-13 Sec. 80. Notwithstanding the amendatory provisions of section 44 of
38-14 this act to the contrary, a practitioner of respiratory care who, on July 1,
38-15 2001, is certified to practice respiratory care in this state pursuant to
38-16 chapter 640B of NRS may continue to practice respiratory care in this state
38-17 pursuant to the certification, but must obtain a license from the board of
38-18 medical examiners before January 1, 2002. On and after January 1, 2002, a
38-19 person shall not practice respiratory care in this state unless he holds a
38-20 license issued by the board of medical examiners.

38-21 Sec. 81. 1. This section becomes effective upon passage and
38-22 approval.
38-23 2. Sections 1 to 80, inclusive, and 82 of this act become effective upon
38-24 passage and approval for the purpose of adopting regulations and taking
38-25 such other actions as necessary to regulate practitioners of respiratory care,
38-26 and on July 1, 2001, for all other purposes.
38-27 3. The amendatory provisions of sections 8, 19, 24, 26 and 41 of this
38-28 act expire by limitation on the date on which the provisions of 42 U.S.C. 
38-29 666 requiring each state to establish procedures under which the state has
38-30 authority to withhold or suspend, or to restrict the use of professional,
38-31 occupational and recreational licenses of persons who:
38-32 (a) Have failed to comply with a subpoena or warrant relating to a
38-33 proceeding to determine the paternity of a child or to establish or enforce
38-34 an obligation for the support of a child; or
38-35 (b) Are in arrears in the payment for the support of one or more
38-36 children,
38-37 are repealed by the Congress of the United States.

38-38 Sec. 82. 1. Except as otherwise provided in subsection 2, the
38-39 legislative counsel shall:
38-40 (a) In preparing the reprint and supplements to the Nevada Revised
38-41 Statutes, appropriately change any references to physician’s assistant or
38-42 any variation thereof, to physician assistant, or any appropriate variation
38-43 thereof.
38-44 (b) In preparing supplements to the Nevada Administrative Code,
38-45 appropriately change any references to physician’s assistant or any
38-46 variation thereof, to physician assistant, or any appropriate variation
38-47 thereof.

39-1 2. The legislative counsel shall not, pursuant to subsection 1, change
39-2 any references to osteopathic physician’s assistant or any variation thereof
39-3 that appear in the Nevada Revised Statutes or the Nevada Administrative
39-4 Code.
39-5 LEADLINES OF REPEALED SECTIONS
39-6 630.256 Retired licensees: Duties; requirements for reinstatement.
39-7 630.272 Physician’s assistant employed at institution of
39-8 department of prisons: Authorized services.
39-9 630.274 Physician’s assistant: Supervision by osteopathic
39-10 physician.
39-11 640B.010 Legislative declaration.
39-12 640B.020 Definitions.
39-13 640B.030 “Practice of respiratory care” defined.
39-14 640B.040 “Practitioner of respiratory care” defined.
39-15 640B.050 “Respiratory care” defined.
39-16 640B.080 Applicability of chapter.
39-17 640B.100 Prescription required.
39-18 640B.110 Qualifications; certification required; prohibited acts;
39-19 practice as intern.
39-20 640B.150 Unlawful acts; penalty.

39-21 H