Nevada 2023 Regular Session

Nevada Senate Bill SB445 Compare Versions

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Old	New	Differences
1	1
2	2
3	3	- 82nd Session (2023)
4	4	Senate Bill No. 445–Committee on Finance
5	5
6	6	CHAPTER..........
7	7
8	8	AN ACT relating to emergency medical services; authorizing the
9	9	use of certain money to create and maintain an information
10	10	system containing the records of persons who have
11	11	completed certain training programs; providing that money
12	12	collected from certain fees must be accounted for separately
13	13	and does not revert to the State General Fund at the end of
14	14	any fiscal year; and providing other matters properly relating
15	15	thereto.
16	16	Legislative Counsel’s Digest:
17	17	Existing law provides for the licensure and regulation of emergency medical
18	18	services personnel, including ambulance attendants and firefighters, by: (1) in a
19	19	county whose population is 700,000 or more (currently Clark County), the district
20	20	board of health; and (2) in all other counties, the Division of Public and Behavioral
21	21	Health of the Department of Health and Human Services. (NRS 450B.077,
22	22	450B.160) Existing law authorizes the Division to impose an administrative penalty
23	23	against any person who violates a provision of law governing emergency medical
24	24	services. (NRS 450B.900) Existing law requires the Division to use money
25	25	generated from such administrative penalties, fees from the issuance or renewal of a
26	26	license as an ambulance attendant or a firefighter or certain Legislative
27	27	appropriations to carry out certain training programs. (NRS 450B.1505) Section 1
28	28	of this bill additionally authorizes the Division to use such money to create and
29	29	maintain an information system containing the records of persons who have
30	30	completed the training program.
31	31	Existing law authorizes the Division or the district board of health, as
32	32	applicable, to issue annual permits and provisional permits for the operation of an
33	33	ambulance, an air ambulance or certain vehicles of a fire-fighting agency. Existing
34	34	law requires the State Board of Health or district board of health, as applicable, to
35	35	establish fees for such annual and provisional permits. (NRS 450B.200, 450B.210)
36	36	Sections 2 and 3 of this bill provide that revenue from such fees collected by the
37	37	Division of Public and Behavioral Health must be accounted for separately and
38	38	does not revert to the State General Fund at the end of any fiscal year.
39	39
40	40	EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
41	41
42	42
43	43	THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
44	44	SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
45	45
46	46	Section 1. NRS 450B.1505 is hereby amended to read as
47	47	follows:
48	48	450B.1505 1. Any money the Division receives from a fee
49	49	set by the State Board of Health pursuant to NRS 439.150 for the
50	50	issuance or renewal of a license pursuant to NRS 450B.160, an
51	51	administrative penalty imposed pursuant to NRS 450B.900 or an
52	52	– 2 –
53	53
54	54
55	55	- 82nd Session (2023)
56	56	appropriation made by the Legislature for the purposes of training
57	57	related to emergency medical services:
58	58	(a) Must be deposited in the State Treasury and accounted for
59	59	separately in the State General Fund;
60	60	(b) May be used [only] to [carry] :
61	61	(1) Carry out a training program for emergency medical
62	62	services personnel who work for a volunteer ambulance service or
63	63	firefighting agency, including, without limitation, equipment for use
64	64	in the training; and
65	65	(2) Create and maintain a system containing the records of
66	66	persons who have completed such a training program; and
67	67	(c) Does not revert to the State General Fund at the end of any
68	68	fiscal year.
69	69	2. Any interest or income earned on the money in the account
70	70	must be credited to the account. Any claims against the account
71	71	must be paid in the manner that other claims against the State are
72	72	paid.
73	73	3. The Administrator of the Division shall administer the
74	74	account.
75	75	Sec. 2. NRS 450B.200 is hereby amended to read as follows:
76	76	450B.200 1. The health authority may issue a permit for:
77	77	(a) The operation of an ambulance or an air ambulance; or
78	78	(b) The operation of a vehicle of a fire-fighting agency:
79	79	(1) At the scene of an emergency; and
80	80	(2) To provide community paramedicine services, but only if
81	81	the holder of the permit has obtained an endorsement on the permit
82	82	to provide such services pursuant to NRS 450B.1993.
83	83	2. Each permit must be evidenced by a card issued to the
84	84	holder of the permit.
85	85	3. No permit may be issued unless the applicant is qualified
86	86	pursuant to the regulations of the board.
87	87	4. An application for a permit must be made upon forms
88	88	prescribed by the board and in accordance with procedures
89	89	established by the board, and must contain the following:
90	90	(a) The name and address of the owner of the ambulance or air
91	91	ambulance or of the fire-fighting agency;
92	92	(b) The name under which the applicant is doing business or
93	93	proposes to do business, if applicable;
94	94	(c) A description of each ambulance, air ambulance or vehicle of
95	95	a fire-fighting agency, including the make, year of manufacture and
96	96	chassis number, and the color scheme, insigne, name, monogram or
97	97	other distinguishing characteristics to be used to designate the
98	98	applicant’s ambulance, air ambulance or vehicle;
99	99	– 3 –
100	100
101	101
102	102	- 82nd Session (2023)
103	103	(d) The location and description of the places from which the
104	104	ambulance, air ambulance or fire-fighting agency intends to operate;
105	105	and
106	106	(e) Such other information as the board deems reasonable and
107	107	necessary to a fair determination of compliance with the provisions
108	108	of this chapter.
109	109	5. The board shall establish a reasonable fee for annual
110	110	permits. Revenue from such fees collected by the Division must be
111	111	accounted for separately and does not revert to the State General
112	112	Fund at the end of any fiscal year.
113	113	6. All permits expire on July 1 following the date of issue, and
114	114	are renewable annually thereafter upon payment of the fee required
115	115	by subsection 5 at least 30 days before the expiration date.
116	116	7. The health authority shall:
117	117	(a) Revoke, suspend or refuse to renew any permit issued
118	118	pursuant to this section for violation of any provision of this chapter
119	119	or of any regulation adopted by the board; or
120	120	(b) Bring an action in any court for violation of this chapter or
121	121	the regulations adopted pursuant to this chapter,
122	122	 only after the holder of a permit is afforded an opportunity for a
123	123	public hearing pursuant to regulations adopted by the board.
124	124	8. The health authority may suspend a permit if the holder is
125	125	using an ambulance, air ambulance or vehicle of a fire-fighting
126	126	agency which does not meet the minimum requirements for
127	127	equipment as established by the board pursuant to this chapter.
128	128	9. In determining whether to issue a permit for the operation of
129	129	an air ambulance pursuant to this section, the health authority:
130	130	(a) Except as otherwise provided in paragraph (b), may consider
131	131	the medical aspects of the operation of an air ambulance, including,
132	132	without limitation, aspects related to patient care; and
133	133	(b) Shall not consider economic factors, including, without
134	134	limitation, factors related to the prices, routes or nonmedical
135	135	services of an air ambulance.
136	136	10. The issuance of a permit pursuant to this section or NRS
137	137	450B.210 does not authorize any person or governmental entity to
138	138	provide those services or to operate any ambulance, air ambulance
139	139	or vehicle of a fire-fighting agency not in conformity with any
140	140	ordinance or regulation enacted by any county, municipality or
141	141	special purpose district.
142	142	11. A permit issued pursuant to this section is valid throughout
143	143	the State, whether issued by the Division or a district board of
144	144	health. An ambulance, air ambulance or vehicle of a fire-fighting
145	145	agency which has received a permit from the district board of health
146	146	– 4 –
147	147
148	148
149	149	- 82nd Session (2023)
150	150	in a county whose population is 700,000 or more is not required to
151	151	obtain a permit from the Division, even if the ambulance, air
152	152	ambulance or vehicle of a fire-fighting agency has routine
153	153	operations outside the county.
154	154	12. The Division shall maintain a central registry of all permits
155	155	issued pursuant to this section, whether issued by the Division or a
156	156	district board of health.
157	157	13. The board shall adopt such regulations as are necessary to
158	158	carry out the provisions of this section.
159	159	Sec. 3. NRS 450B.210 is hereby amended to read as follows:
160	160	450B.210 1. The board may issue provisional permits limited
161	161	as to time, place and purpose, based on the need therefor. No
162	162	provisional permit may be issued for a period of longer than 6
163	163	months. The board may establish a reasonable fee for such
164	164	provisional permits. Revenue from such fees collected by the
165	165	Division must be accounted for separately and does not revert to
166	166	the State General Fund at the end of any fiscal year.
167	167	2. Unless otherwise limited in the permit, a provisional permit
168	168	issued pursuant to this section is valid for providing emergency
169	169	services throughout the State, whether issued by the Division or a
170	170	district board of health.
171	171	3. In determining whether to issue a permit for the operation of
172	172	an air ambulance pursuant to this section, the health authority:
173	173	(a) Except as otherwise provided in paragraph (b), may consider
174	174	the medical aspects of the operation of an air ambulance, including,
175	175	without limitation, aspects related to patient care; and
176	176	(b) Shall not consider economic factors, including, without
177	177	limitation, factors related to the prices, routes or nonmedical
178	178	services of an air ambulance.
179	179	Sec. 4. This act becomes effective on July 1, 2023.
180	180
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