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83rd Session bill

SB495

AN ACT relating to health care; revising requirements governing the electronic maintenance, transmittal and exchange of health information; making revisions relating to emergency medical care; prescribing certain requirements to expedite the credentialing and privileging of providers of health care; authorizing paramedics to serve as employees or volunteers in hospitals under certain circumstances; imposing certain requirements governing prior authorization for medical care and payment of health insurance claims; making various revisions relating to Medicaid; creating and prescribing the duties of the Office of Mental Health in the Department of Health and Human Services or the Nevada Health Authority, if it is created; prohibiting noncompetition covenants governing certain providers of health care; requiring the prioritization of certain applications for licensure as a physician or osteopathic physician; requiring certain providers of health care to provide certain data to the Department; requiring certain reports of the Board of Medical Examiners and the State Board of Osteopathic Medicine to include certain information; authorizing the establishment of an alternative pathway to licensure as a dental hygienist; establishing provisions to incentivize the provision of psychological services to rural patients; requiring the Patient Protection Commission to study academic medical centers; making appropriations; providing a penalty; 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; making revisions relating to emergency medical care; prescribing certain requirements to expedite the credentialing and privileging of providers of health care; authorizing paramedics to serve as employees or volunteers in hospitals under certain circumstances; imposing certain requirements governing prior authorization for medical care and payment of health insurance claims; making various revisions relating to Medicaid; creating and prescribing the duties of the Office of Mental Health in the Department of Health and Human Services or the Nevada Health Authority, if it is created; prohibiting noncompetition covenants governing certain providers of health care; requiring the prioritization of certain applications for licensure as a physician or osteopathic physician; requiring certain providers of health care to provide certain data to the Department; requiring certain reports of the Board of Medical Examiners and the State Board of Osteopathic Medicine to include certain information; authorizing the establishment of an alternative pathway to licensure as a dental hygienist; establishing provisions to incentivize the provision of psychological services to rural patients; requiring the Patient Protection Commission to study academic medical centers; making appropriations; providing a penalty; and providing other matters properly relating thereto.

Introduction Date

Thursday, May 15, 2025

Primary Sponsor

Senate Committee on Health and Human Services

Public exhibits

25

Support 11 · Opp 8 · Neutral 2

Auditor findings

3

recusal 3 · QPQ 0

Auditor finding — recusal failure

3 recusal-failure finding(s) on this bill

Legislator voted on this bill despite a documented financial relationship with an interested party. NRS 281A.420 conflict-of-interest.

Bill digest

AN ACT relating to health care; revising requirements governing the electronic maintenance, transmittal and exchange of

Existing law requires the Department of Health and Human Services, or the Director of the Department or the divisions thereof, to conduct various programs for the improvement of public health and health care in this State. (NRS 433.702-433.744, 439.4921-439.525, 439.529-439.5297, 439.630, 439A.111-439A.185, 439A.200-439A.290, 442.710-442.745, 457.230-457.280, 458.025, 458A.090, 458A.100, 458A.110) Section 7 of this bill requires the Director to conduct a biennial assessment of the health care workforce needs of this State, which must identify health care professions and specialties, types of clinical services and expertise and geographic areas experiencing critical shortages of providers of health care or clinical services or expertise. Section 42 of this bill provides that such an assessment is not a regulation and is therefore not subject to notice-and-comment rulemaking. Existing law requires the Director 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 3.6 of this bill prohibits those regu

Public testimony

NELIS exhibits (25 on file)

Support (11)

  • Morrigan Drew (Letter)
  • D'eva Fields (Letter)
  • Laura Drucker — Nevada Psychological Association (Letter)
  • Kelly McNeil — Nevada League of Cities and Municipalities (Letter)
  • Emily Osterberg — Henderson Chamber of Commerce (Letter)
  • Garrett Swanson (Letter)
  • Ronald Laux DDS (Letter)
  • Patrick Silvaroli — Nevada Dental Association (Letter)
  • Justin Kiggins (Letter)
  • Jasmine Jordan (Letter)
  • Katherine Vergas — Dignity Health (Letter)

Opposition (8)

  • (unnamed) (Testimony)
  • Navarro (Testimony)
  • Caryn Solie — Nevada Dental Hygienists Association (Letter)
  • Lee Annette Lincicome .pdf (Letter)
  • Jessica Wilson (Letter)
  • Brenna Reynolds (Letter)
  • Antonia Ventura (Letter)
  • (combined) (Testimony)

Neutral (2)

  • Florence Jameson MD (Written Testimony)
  • Stephanie Woodard — State Board of Psychological Examiners (Conceptual Suggestions)

Bill text + amendments: view on NELIS →