A.B. 380
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ASSEMBLY BILL NO. 380–ASSEMBLYMEMBERS EDGEWORTH;
DALIA, D’SILVA, GONZÁLEZ, GRAY, HIBBETTS, HUNT,
JACKSON, KOENIG, MOORE, NADEEM, NGUYEN AND
YUREK
MARCH 10, 2025
____________
JOINT SPONSOR: SENATOR STEINBECK
____________
Referred to Committee on Health and Human Services
SUMMARY—Revises provisions relating to mobile crisis teams.
(BDR 39-1062)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: No.
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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to behavioral health; revising requirements
governing mobile crisis teams that may be established to
provide community-based intervention services to certain
persons experiencing a behavioral health crisis; and
providing other matters properly relating thereto.
Legislative Counsel’s Digest:
Existing federal law establishes the National Suicide Prevention Lifeline 1
program, including the establishment of a national suicide prevention and mental 2
health crisis hotline that may be accessed by dialing the digits 9-8-8. (42 U.S.C. § 3
290bb-36c) Existing law requires the Division of Public and Behavioral Health of 4
the Department of Health and Human Services to encourage the establishment of 5
and, to the extent that money is available, establish mobile crisis teams to provide 6
community-based intervention for persons who are considering suicide or otherwise 7
in a behavioral health crisis and who access the 9-8-8 hotline. Existing law requires 8
such a mobile crisis team to: (1) be based in the jurisdiction that the team serves 9
and consist of persons professionally qualified in the field of behavioral health and 10
providers of peer recovery support services; (2) be established by a provider of 11
emergency medical services and consist of persons professionally qualified in the 12
field of behavioral health and providers of peer recovery support services; or (3) be 13
established by a law enforcement agency and include law enforcement agents, 14
persons professionally qualified in the field of psychiatric mental health and 15
providers of peer recovery support services. (NRS 433.704) 16
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This bill removes requirements concerning the location of a mobile crisis team 17
and who may establish a mobile crisis team. This bill also revises the composition 18
of a mobile crisis team to require that any mobile crisis team established by or with 19
the support of the Division consist of: (1) one or more persons who are 20
professionally qualified in the field of behavioral health; and (2) one or more law 21
enforcement officers, providers of emergency medical services or persons with 22
appropriate expertise in the field of behavioral health, such as a community health 23
worker, a provider of case management services, a provider of peer recovery 24
support services or a similar paraprofessional. 25
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 433.704 is hereby amended to read as follows: 1
433.704 1. The Division shall support the implementation of 2
a hotline for persons who are considering suicide or otherwise in a 3
behavioral health crisis that may be accessed by dialing the digits 9-4
8-8 by: 5
(a) Establishing at least one support center that meets the 6
requirements of NRS 433.706 to answer calls to the hotline and 7
coordinate the response to persons who access the hotline; 8
(b) Encouraging the establishment of and, to the extent that 9
money is available, establishing mobile crisis teams to provide 10
community-based intervention, including, without limitation, de-11
escalation and stabilization, for persons who are considering suicide 12
or otherwise in a behavioral health crisis and access the hotline; 13
(c) Participating in any collection of information by the Federal 14
Government concerning the National Suicide Prevention Lifeline 15
program; 16
(d) Collaborating with the National Suicide Prevention Lifeline 17
program and the Veterans Crisis Line program established pursuant 18
to 38 U.S.C. § 1720F(h) to ensure consistent messaging to the 19
public about the hotline; 20
(e) Supporting the provision of crisis stabilization services at 21
hospitals that hold endorsements as crisis stabilization centers 22
pursuant to NRS 449.0915; and 23
(f) Adopting any regulations necessary to carry out the 24
provisions of NRS 433.702 to 433.710, inclusive, including, without 25
limitation: 26
(1) Regulations establishing the qualifications of providers of 27
services who are involved in responding to persons who are 28
considering suicide or are otherwise in a behavioral health crisis and 29
access the hotline; 30
(2) Any regulations necessary to allow for communication 31
and sharing of information between persons and entities involved in 32
responding to crises and emergencies in this State to facilitate the 33
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coordination of care for persons who are considering suicide or are 1
otherwise in a behavioral health crisis and access the hotline; and 2
(3) Regulations defining the term “person professionally 3
qualified in the field of behavioral health” for the purposes of this 4
section. 5
2. A mobile crisis team established pursuant to paragraph (b) 6
of subsection 1 must [be: 7
(a) A team based in the jurisdiction that it serves which includes 8
persons professionally qualified in the field of behavioral health and 9
providers of peer recovery support services; 10
(b) A team established by a provider of emergency medical 11
services that includes persons professionally qualified in the field of 12
behavioral health and providers of peer recovery support services; or 13
(c) A team established by a law enforcement agency that 14
includes law enforcement officers, persons professionally qualified 15
in the field of psychiatric mental health and providers of peer 16
recovery support services.] consist of: 17
(a) One or more persons professionally qualified in the field of 18
behavioral health; and 19
(b) One or more: 20
(1) Law enforcement officers; 21
(2) Providers of emergency medical services; or 22
(3) Persons with appropriate expertise in the field of 23
behavioral health, which may include, without limitation, a 24
community health worker, a provider of case management 25
services, a provider of peer recovery support services or a similar 26
paraprofessional. 27
3. A telecommunications provider and its employees, agents, 28
subcontractors and suppliers are not liable for damages that directly 29
or indirectly result from the installation, maintenance or provision of 30
service in relation to the hotline implemented pursuant to this 31
section, including, without limitation, the total or partial failure of 32
any transmission to a support center, unless willful conduct or gross 33
negligence is proven. 34
4. As used in this section [, “peer] : 35
(a) “Case management services” means medical or other 36
health care management services to assist patients and providers 37
of health care, including, without limitation, identifying and 38
facilitating additional resources and treatments, providing 39
information about treatment options and facilitating 40
communication between providers of services to a patient. 41
(b) “Community health worker” has the meaning ascribed to it 42
in NRS 449.0027. 43
(c) “Peer recovery support services” means nonclinical 44
supportive services that use lived experience in recovery from a 45
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substance use disorder or other behavioral health disorder to 1
promote recovery in another person with a substance use disorder or 2
other behavioral health disorder by advocating, mentoring, 3
educating, offering hope and providing assistance in navigating 4
systems. 5
(d) “Provider of emergency medical services” means a person 6
who is: 7
(1) Licensed as an attendant or certified as an emergency 8
medical technician, advanced emergency medical technician or 9
paramedic pursuant to chapter 450B of NRS; or 10
(2) Authorized to practice as an emergency medical 11
technician, advanced emergency medical technician or paramedic 12
in this State under the Recognition of Emergency Medical 13
Services Personnel Licensure Compact ratified by NRS 450B.145. 14
H