SB378
AN ACT relating to health care; revising requirements governing the electronic maintenance, transmittal and exchange of health information; establishing a program to increase awareness of information concerning independent centers for emergency medical care; requiring certain facilities that are owned or operated by, or otherwise part of, hospitals to be licensed as independent centers for emergency medical care; requiring certain independent centers for emergency medical care to provide urgent care services under certain conditions; authorizing the review of certain sealed records to determine the suitability of a person to provide services under Medicaid; requiring Medicaid to include a system of value-based payments for independent centers for emergency medical care; requiring a provider of services under Medicaid to maintain certain records; authorizing audits of such records, the review and denial of claims under Medicaid and the recovery of money paid under Medicaid under certain circumstances; prohibiting a noncompetition covenant from applying to a patient-facing provider of health care; requiring a custodian of health records to furnish health records within a specified period of time and without charging a fee under certain circumstances; making an appropriation; and providing other matters properly relating thereto. Close title AN ACT relating to health care; revising requirements governing the electronic maintenance, transmittal and exchange of health information; establishing a program to increase awareness of information concerning independent centers for emergency medical care; requiring certain facilities that are owned or operated by, or otherwise part of, hospitals to be licensed as independent centers for emergency medical care; requiring certain independent centers for emergency medical care to provide urgent care services under certain conditions; authorizing the review of certain sealed records to determine the suitability of a person to provide services under Medicaid; requiring Medicaid to include a system of value-based payments for independent centers for emergency medical care; requiring a provider of services under Medicaid to maintain certain records; authorizing audits of such records, the review and denial of claims under Medicaid and the recovery of money paid under Medicaid under certain circumstances; prohibiting a noncompetition covenant from applying to a patient-facing provider of health care; requiring a custodian of health records to furnish health records within a specified period of time and without charging a fee under certain circumstances; making an appropriation; and providing other matters properly relating thereto.
Introduction Date
Monday, March 17, 2025
Primary Sponsor
?
Public exhibits
19
Support 0 · Opp 9 · Neutral 9
Auditor findings
0
recusal 0 · QPQ 0
AN ACT relating to health care; revising requirements governing the electronic maintenance, transmittal and exchange of
Existing law requires the Director of the Department of Health and Human Services to prescribe by regulation a framework for the electronic maintenance, transmittal and exchange of electronic health records, prescriptions, health-related information and electronic signatures and requirements for electronic equivalents of written entries or written approvals. With certain exceptions, existing law requires various entities involved in health care, including persons and facilities that provide health care, to maintain, transmit and exchange health information in accordance with those regulations. (NRS 439.589) Section 5 of this bill prohibits those regulations from authorizing such a person or entity to comply with that requirement by connecting with a health information exchange or utilizing any other service that charges a fee for providing electronic health records to such a person or entity or a patient upon request. Section 33 of this bill: (1) requires a custodian of health care records to furnish electronic health records to a patient or a covered entity upon the request of a patient within 7 business days; and (2) prohibits a custodian of health care records from charging a fee to furnish health care records under such circumstances. Section 33 defines “covered entity” to refer to providers of health care who transmit health information in electronic form, health insurers and certain other entities involved in the processing of health information. (45 C.F.R. § 160.1
NELIS exhibits (19 on file)
Opposition (9)
- the Nevada Hosptial Association (Letter)
- Las Vegas Global Economic Alliance (Letter)
- U.S. Anesthesia Partners (Letter)
- (unnamed) (Testimony)
- (unnamed) (Testimony)
- Lisa Bari — Civitas Networks for Health (Letter)
- (6 letters) (Letters)
- Casiano Flaviano, MD (Letter)
- Rick McCann — 0001 (Testimony)
Neutral (9)
- Legal Division — Senator Donate (Testimony)
- (unattributed) (Testimony)
- (unattributed) (Testimony)
- Restoring Trust in the Health Care Setting — Nevada State Senator (Presentation)
- Pennie Echols .pdf (Letter)
- Nevada Hospital Association (Opposition Letter And Conceptual Amendments)
- (unnamed) (Testimony)
- (unattributed) (Testimony)
- Tahnee Forlini — PharmD (Letter)
Bill text + amendments: view on NELIS →