EXEMPT (Reprinted with amendments adopted on April 21, 2025) FIRST REPRINT A.B. 395 - *AB395_R1* ASSEMBLY BILL NO. 395–ASSEMBLYMEMBERS ROTH AND BROWN-MAY MARCH 11, 2025 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to services to persons who are deaf or hard of hearing. (BDR 40-841) FISCAL NOTE: Effect on Local Government: May have Fiscal Impact. Effect on the State: Yes. CONTAINS UNFUNDED MANDATE (§ 1) (NOT REQUESTED BY AFFECTED LOCAL GOVERNMENT) ~ EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. AN ACT relating to health care; requiring certain health facilities and providers of health care to provide qualified sign language interpreters to certain persons who are deaf or hard of hearing; prescribing the circumstances under which such qualified sign language interpreters may be provided remotely; establishing requirements for providing remotely such qualified sign language interpreters; requiring the Department of Health and Human Services to maintain a list of certain facilities that provide services specialized to persons who are deaf or hard of hearing; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing federal regulations require providers of health care and health care 1 facilities that receive funding or certain other assistance from the Federal 2 Government to ensure that communications with persons with disabilities are as 3 effective as communications with persons who do not have disabilities. (45 C.F.R. 4 § 92.202) Those federal regulations: (1) prohibit such providers and facilities from 5 requiring a person with a disability to be accompanied by a person to interpret for 6 him or her; and (2) authorize such providers and facilities to provide qualified 7 interpreters through video remote interpreting services. (28 C.F.R. § 35.160, 45 8 C.F.R. § 92.202) 9 Sections 1 and 8 of this bill require a medical facility, a facility for the 10 dependent and certain other health facilities in a county whose population is 20,000 11 – 2 – - *AB395_R1* or more (currently Clark, Washoe, Lyon, Elko, Nye, Douglas and Churchill 12 Counties and Carson City) and a provider of health care who is providing services 13 in such a county, respectively, to ensure that each person who is deaf or hard of 14 hearing and seeks care or services at the facility or from the provider, as applicable, 15 is notified: (1) that a qualified sign language interpreter can be made available; (2) 16 that the person may request an in-person or remote sign language interpreter; and 17 (3) of any other accommodations that may be made available. If the person requests 18 an in-person qualified sign language interpreter, sections 1 and 8 require such a 19 health facility or provider of health care to: (1) provide the person with a qualified 20 sign language interpreter in person if the request is made at least 48 hours before a 21 prescheduled encounter or at least 2 hours after arriving at the health facility for an 22 unplanned inpatient hospitalization; or (2) make a good faith effort to provide the 23 person with a qualified sign language interpreter in person under all other 24 circumstances. If the health facility or provider of health care cannot provide an in-25 person qualified sign language interpreter after making a good faith effort or if the 26 person requests a remote interpreter, sections 1 and 8 require the health facility or 27 provider of health care to provide a remote interpreter. Sections 1 and 8 prescribe 28 requirements governing the use of a remote interpreter. 29 Sections 2 and 3 of this bill make conforming changes to establish the 30 applicability of certain existing provisions to section 1. Sections 4-6 and 9 of this 31 bill prescribe various mechanisms for the enforcement of section 1, including the 32 imposition of administrative sanctions against a health facility that fails to comply 33 with those provisions. Section 8 authorizes professional discipline against a 34 provider of health care who fails to comply with that section. 35 Section 7 of this bill requires the Department of Health and Human Services to 36 maintain on an Internet website a list of assisted living facilities and senior living 37 communities that provide services specialized for persons who are deaf or hard of 38 hearing. 39 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 449 of NRS is hereby amended by adding 1 thereto a new section to read as follows: 2 1. A health facility that is located in a county whose 3 population is 20,000 or more shall notify each person who is deaf 4 or hard of hearing and seeks care or services at the health facility: 5 (a) That a qualified sign language interpreter can be made 6 available to assist the person; 7 (b) That the person may request an in-person or remote 8 qualified sign language interpreter; and 9 (c) Of any other specific accommodations that may be 10 available for the person. 11 2. If a person who is deaf or hard of hearing seeks health 12 care from a health facility that is located in a county whose 13 population is 20,000 or more and requests an in-person qualified 14 sign language interpreter: 15 (a) At least 48 hours before a prescheduled encounter at a 16 health facility or at least 2 hours after arriving at a health facility 17 – 3 – - *AB395_R1* that is a hospital for an unplanned inpatient hospitalization, the 1 health facility shall provide an in-person qualified sign language 2 interpreter. 3 (b) In circumstances other than those described in paragraph 4 (a), the health facility shall: 5 (1) Make a good faith effort to provide an in-person 6 qualified sign language interpreter; 7 (2) Provide an in-person qualified sign language 8 interpreter if the health facility is able to do so after making a 9 good faith effort; 10 (3) Provide a qualified sign language interpreter remotely 11 using audiovisual communication technology in a manner that 12 meets the requirements of subsections 4 and 5 if the health facility 13 is unable to provide an in-person qualified sign language 14 interpreter after making a good faith effort; and 15 (4) Maintain in the medical record of the person 16 documentation of the good faith effort made pursuant to 17 subparagraph (1), which must include, without limitation: 18 (I) A list of entities contacted to provide an in-person 19 qualified sign language interpreter and a statement of the manner 20 in which each such entity responded; 21 (II) A statement of whether the health facility provided 22 an in-person qualified sign language interpreter or provided a 23 qualified sign language interpreter remotely using audiovisual 24 communication technology; and 25 (III) If applicable, the time at which a qualified sign 26 language interpreter was available in person to assist the person. 27 3. If a person who is deaf or hard of hearing seeks health 28 care from a health facility that is located in a county whose 29 population is 20,000 or more and requests that the health facility 30 provide: 31 (a) A qualified sign language interpreter remotely using 32 audiovisual communication technology, the health facility shall 33 provide a qualified sign language interpreter remotely using 34 audiovisual communication technology in a manner that meets the 35 requirements of subsections 4 and 5. 36 (b) Any type of accommodation other than a qualified sign 37 language interpreter, the health facility may provide the 38 accommodation. 39 4. If a health facility that is located in a county whose 40 population is 20,000 or more provides a qualified sign language 41 interpreter remotely using audiovisual communication technology, 42 the audiovisual communication technology must: 43 (a) Provide clear transmission of audio and visuals; and 44 (b) Be capable of hands-free use. 45 – 4 – - *AB395_R1* 5. A qualified sign language interpreter who provides remote 1 sign language interpreting pursuant to this section must: 2 (a) Interpret from a dedicated secure call center that ensures 3 the privacy of the person who is deaf or hard of hearing; and 4 (b) Comply with the provisions of the Health Insurance 5 Portability and Accountability Act of 1996, Public Law 104-191, 6 and any regulations adopted pursuant thereto. 7 6. A health facility that is located in a county whose 8 population is 20,000 or more shall provide training to an 9 employee, a contractor or a volunteer who is involved in using 10 audiovisual communication technology to facilitate the use of a 11 remote qualified sign language interpreter. Such training must be 12 adequate to ensure that the employee, contractor or volunteer 13 operates the technology efficiently and effectively. 14 7. As used in this section: 15 (a) “Health facility” means a medical facility, a facility for the 16 dependent or a facility which is required by the regulations 17 adopted pursuant to NRS 449.0303 to be licensed. 18 (b) “Provider of health care” has the meaning ascribed to it in 19 NRS 629.031. 20 (c) “Qualified sign language interpreter” means a qualified 21 interpreter for an individual with a disability, as defined in 45 22 C.F.R. § 92.4, who is registered pursuant to NRS 656A.100 to 23 practice sign language interpreting in a community setting. 24 (d) “Secure call center” means a location with the physical 25 and technological capability to provide qualified sign language 26 interpreters remotely using audiovisual communication 27 technology in compliance with this section. 28 Sec. 2. NRS 449.029 is hereby amended to read as follows: 29 449.029 As used in NRS 449.029 to 449.240, inclusive, and 30 section 1 of this act, unless the context otherwise requires, “medical 31 facility” has the meaning ascribed to it in NRS 449.0151 and 32 includes a program of hospice care described in NRS 449.196. 33 Sec. 3. NRS 449.0301 is hereby amended to read as follows: 34 449.0301 The provisions of NRS 449.029 to 449.2428, 35 inclusive, and section 1 of this act do not apply to: 36 1. Any facility conducted by and for the adherents of any 37 church or religious denomination for the purpose of providing 38 facilities for the care and treatment of the sick who depend solely 39 upon spiritual means through prayer for healing in the practice of 40 the religion of the church or denomination, except that such a 41 facility shall comply with all regulations relative to sanitation and 42 safety applicable to other facilities of a similar category. 43 2. Foster homes as defined in NRS 424.014. 44 – 5 – - *AB395_R1* 3. Any medical facility, facility for the dependent or facility 1 which is otherwise required by the regulations adopted by the Board 2 pursuant to NRS 449.0303 to be licensed that is operated and 3 maintained by the United States Government or an agency thereof. 4 Sec. 4. NRS 449.160 is hereby amended to read as follows: 5 449.160 1. The Division may deny an application for a 6 license or may suspend or revoke any license issued under the 7 provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of 8 this act upon any of the following grounds: 9 (a) Violation by the applicant or the licensee of any of the 10 provisions of NRS 439B.410, 449.029 to 449.245, inclusive, and 11 section 1 of this act or 449A.100 to 449A.124, inclusive, and 12 449A.270 to 449A.286, inclusive, or of any other law of this State 13 or of the standards, rules and regulations adopted thereunder. 14 (b) Aiding, abetting or permitting the commission of any illegal 15 act. 16 (c) Conduct inimical to the public health, morals, welfare and 17 safety of the people of the State of Nevada in the maintenance and 18 operation of the premises for which a license is issued. 19 (d) Conduct or practice detrimental to the health or safety of the 20 occupants or employees of the facility. 21 (e) Failure of the applicant to obtain written approval from the 22 Director of the Department of Health and Human Services as 23 required by NRS 439A.100 or 439A.102 or as provided in any 24 regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, 25 and section 1 of this act and 449.435 to 449.531, inclusive, and 26 chapter 449A of NRS if such approval is required, including, 27 without limitation, the closure or conversion of any hospital in a 28 county whose population is 100,000 or more that is owned by the 29 licensee without approval pursuant to NRS 439A.102. 30 (f) Failure to comply with the provisions of NRS 441A.315 and 31 any regulations adopted pursuant thereto or NRS 449.2486. 32 (g) Violation of the provisions of NRS 458.112. 33 (h) Failure to comply with the provisions of NRS 449A.170 to 34 449A.192, inclusive, and any regulation adopted pursuant thereto. 35 (i) Violation of the provisions of NRS 629.260. 36 2. In addition to the provisions of subsection 1, the Division 37 may revoke a license to operate a facility for the dependent if, with 38 respect to that facility, the licensee that operates the facility, or an 39 agent or employee of the licensee: 40 (a) Is convicted of violating any of the provisions of 41 NRS 202.470; 42 (b) Is ordered to but fails to abate a nuisance pursuant to NRS 43 244.360, 244.3603 or 268.4124; or 44 – 6 – - *AB395_R1* (c) Is ordered by the appropriate governmental agency to correct 1 a violation of a building, safety or health code or regulation but fails 2 to correct the violation. 3 3. The Division shall maintain a log of any complaints that it 4 receives relating to activities for which the Division may revoke the 5 license to operate a facility for the dependent pursuant to subsection 6 2. The Division shall provide to a facility for the care of adults 7 during the day: 8 (a) A summary of a complaint against the facility if the 9 investigation of the complaint by the Division either substantiates 10 the complaint or is inconclusive; 11 (b) A report of any investigation conducted with respect to the 12 complaint; and 13 (c) A report of any disciplinary action taken against the facility. 14 The facility shall make the information available to the public 15 pursuant to NRS 449.2486. 16 4. On or before February 1 of each odd-numbered year, the 17 Division shall submit to the Director of the Legislative Counsel 18 Bureau a written report setting forth, for the previous biennium: 19 (a) Any complaints included in the log maintained by the 20 Division pursuant to subsection 3; and 21 (b) Any disciplinary actions taken by the Division pursuant to 22 subsection 2. 23 Sec. 5. NRS 449.163 is hereby amended to read as follows: 24 449.163 1. In addition to the payment of the amount required 25 by NRS 449.0308, if a medical facility, facility for the dependent or 26 facility which is required by the regulations adopted by the Board 27 pursuant to NRS 449.0303 to be licensed violates any provision 28 related to its licensure, including any provision of NRS 439B.410 or 29 449.029 to 449.2428, inclusive, and section 1 of this act or any 30 condition, standard or regulation adopted by the Board, the 31 Division, in accordance with the regulations adopted pursuant to 32 NRS 449.165, may: 33 (a) Prohibit the facility from admitting any patient until it 34 determines that the facility has corrected the violation; 35 (b) Limit the occupancy of the facility to the number of beds 36 occupied when the violation occurred, until it determines that the 37 facility has corrected the violation; 38 (c) If the license of the facility limits the occupancy of the 39 facility and the facility has exceeded the approved occupancy, 40 require the facility, at its own expense, to move patients to another 41 facility that is licensed; 42 (d) Except where a greater penalty is authorized by subsection 2, 43 impose an administrative penalty of not more than $5,000 per day 44 – 7 – - *AB395_R1* for each violation, together with interest thereon at a rate not to 1 exceed 10 percent per annum; and 2 (e) Appoint temporary management to oversee the operation of 3 the facility and to ensure the health and safety of the patients of the 4 facility, until: 5 (1) It determines that the facility has corrected the violation 6 and has management which is capable of ensuring continued 7 compliance with the applicable statutes, conditions, standards and 8 regulations; or 9 (2) Improvements are made to correct the violation. 10 2. If an off-campus location of a hospital fails to obtain a 11 national provider identifier that is distinct from the national provider 12 identifier used by the main campus and any other off-campus 13 location of the hospital in violation of NRS 449.1818, the Division 14 may impose against the hospital an administrative penalty of not 15 more than $10,000 for each day of such failure, together with 16 interest thereon at a rate not to exceed 10 percent per annum, in 17 addition to any other action authorized by this chapter. 18 3. If the facility fails to pay any administrative penalty imposed 19 pursuant to paragraph (d) of subsection 1 or subsection 2, the 20 Division may: 21 (a) Suspend the license of the facility until the administrative 22 penalty is paid; and 23 (b) Collect court costs, reasonable attorney’s fees and other 24 costs incurred to collect the administrative penalty. 25 4. The Division may require any facility that violates any 26 provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and 27 section 1 of this act or any condition, standard or regulation adopted 28 by the Board to make any improvements necessary to correct the 29 violation. 30 5. Any money collected as administrative penalties pursuant to 31 paragraph (d) of subsection 1 or subsection 2 must be accounted for 32 separately and used to administer and carry out the provisions of 33 NRS 449.001 to 449.430, inclusive, and section 1 of this act, 34 449.435 to 449.531, inclusive, and chapter 449A of NRS to protect 35 the health, safety, well-being and property of the patients and 36 residents of facilities in accordance with applicable state and federal 37 standards or for any other purpose authorized by the Legislature. 38 Sec. 6. NRS 449.240 is hereby amended to read as follows: 39 449.240 The district attorney of the county in which the facility 40 is located shall, upon application by the Division, institute and 41 conduct the prosecution of any action for violation of any provisions 42 of NRS 449.029 to 449.245, inclusive [.] , and section 1 of this act. 43 – 8 – - *AB395_R1* Sec. 7. NRS 449.2488 is hereby amended to read as follows: 1 449.2488 1. The Department of Health and Human Services 2 shall develop a brochure and website to assist persons who are 55 3 years of age or older in determining the appropriate level of care and 4 type of housing that they require to meet their individual needs. The 5 brochure and website must include, without limitation: 6 (a) The various types of housing and levels of care that are 7 available to persons who are 55 years of age or older, including, 8 without limitation, residential facilities for groups, facilities for 9 intermediate care and facilities for skilled nursing, distinguishing the 10 varying degree of services that are offered by the different types of 11 facilities; 12 (b) Whether individual facilities accept payment through 13 Medicaid or Medicare for the level of care and type of housing that 14 the facilities provide; 15 (c) The manner in which a person may obtain information 16 concerning whether the facility has ever been found to have violated 17 the provisions of this chapter; and 18 (d) Such other information as the Department deems to be 19 beneficial to persons who are 55 years of age or older in 20 determining the appropriate level of care and type of housing that 21 they require to meet their individual needs. 22 2. The Department of Health and Human Services shall 23 maintain on an Internet website maintained by the Department 24 and update at least annually a list of assisted living facilities and 25 senior living communities that provide services specialized for 26 persons who are deaf or hard of hearing. 27 3. As used in this section: 28 (a) “Assisted living facility” means a facility that has staff at 29 the facility available 24 hours a day, 7 days a week, to provide 30 scheduled assisted living supportive services and assisted living 31 supportive services that are required in an emergency in a manner 32 that promotes maximum dignity and independence of the residents 33 of the facility. 34 (b) “Assisted living supportive services” means services which 35 are provided at an assisted living facility to residents of the 36 assisted living facility, including, without limitation: 37 (1) Personal care services; 38 (2) Homemaker services; 39 (3) Chore services; 40 (4) Attendant care; 41 (5) Companion services; 42 (6) Medication oversight; 43 (7) Therapeutic, social and recreational programming; and 44 – 9 – - *AB395_R1* (8) Services which ensure that the residents of the facility 1 are safe, secure and adequately supervised. 2 (c) “Medicaid” has the meaning ascribed to it in NRS 439B.120. 3 [(b)] (d) “Medicare” has the meaning ascribed to it in 4 NRS 439B.130. 5 Sec. 8. Chapter 629 of NRS is hereby amended by adding 6 thereto a new section to read as follows: 7 1. A provider of health care who is providing care in a county 8 whose population is 20,000 or more shall ensure that each person 9 who is deaf or hard of hearing and seeks health care from the 10 provider of health care is notified: 11 (a) That a qualified sign language interpreter can be made 12 available to assist the person; 13 (b) That the person may request an in-person or remote 14 qualified sign language interpreter; and 15 (c) Of any other specific accommodations that may be 16 available for the person. 17 2. If a person who is deaf or hard of hearing seeks health 18 care from a provider of health care who is providing care in a 19 county whose population is 20,000 or more and requests an in-20 person qualified sign language interpreter: 21 (a) At least 48 hours before a prescheduled encounter with the 22 provider of health care, the provider of health care shall provide 23 an in-person qualified sign language interpreter. 24 (b) In circumstances other than those described in paragraph 25 (a), the provider of health care shall: 26 (1) Make a good faith effort to provide an in-person 27 qualified sign language interpreter; 28 (2) Provide an in-person qualified sign language 29 interpreter if the provider of health care is able to do so after 30 making a good faith effort; 31 (3) Provide a qualified sign language interpreter remotely 32 using audiovisual communication technology in a manner that 33 meets the requirements of subsections 4 and 5 if the provider of 34 health care is unable to provide an in-person qualified sign 35 language interpreter after making a good faith effort; and 36 (4) Maintain in the medical record of the person 37 documentation of the good faith effort made pursuant to 38 subparagraph (1), which must include, without limitation: 39 (I) A list of entities contacted to provide an in-person 40 qualified sign language interpreter and a statement of the manner 41 in which each such entity responded; 42 (II) A statement of whether the provider of health care 43 provided an in-person qualified sign language interpreter or 44 – 10 – - *AB395_R1* provided a qualified sign language interpreter remotely using 1 audiovisual communication technology; and 2 (III) If applicable, the time at which a qualified sign 3 language interpreter was available in person to assist the person. 4 3. If a person who is deaf or hard of hearing seeks health 5 care from a provider of health care who is providing care in a 6 county whose population is 20,000 or more and requests that the 7 provider of health care provide: 8 (a) A qualified sign language interpreter remotely using 9 audiovisual communication technology, the provider of health 10 care shall provide a qualified sign language interpreter remotely 11 using audiovisual communication technology in a manner that 12 meets the requirements of subsections 4 and 5. 13 (b) Any type of accommodation other than a qualified sign 14 language interpreter, the provider of health care may provide the 15 accommodation. 16 4. If a provider of health care who is providing care in a 17 county whose population is 20,000 or more provides a qualified 18 sign language interpreter remotely using audiovisual 19 communication technology, the audiovisual communication 20 technology must: 21 (a) Provide clear transmission of audio and visuals; and 22 (b) Be capable of hands-free use. 23 5. A qualified sign language interpreter who provides remote 24 sign language interpreting pursuant to this section must: 25 (a) Interpret from a dedicated and secure call center that 26 ensures the privacy of the person who is deaf or hard of hearing; 27 and 28 (b) Comply with the provisions of the Health Insurance 29 Portability and Accountability Act of 1996, Public Law 104-191, 30 and any regulations adopted pursuant thereto. 31 6. A provider of health care who is providing care in a county 32 whose population is 20,000 or more shall provide training to an 33 employee, a contractor or a volunteer who is involved in using 34 audiovisual communication technology to facilitate the use of a 35 remote qualified sign language interpreter. Such training must be 36 adequate to ensure that the employee, contractor or volunteer 37 operates the technology efficiently and effectively. 38 7. A provider of health care who violates any provision of this 39 section is guilty of unprofessional conduct and is subject to 40 disciplinary action by the board, agency or other entity in this 41 State by which he or she is licensed, certified or registered. 42 8. The provisions of this section do not apply to a person who 43 holds a license as an attendant or who is certified as an emergency 44 medical technician, advanced emergency medical technician or 45 – 11 – - *AB395_R1* paramedic pursuant to chapter 450B of NRS or authorized to 1 practice as an emergency medical technician, advanced 2 emergency medical technician or paramedic in this State under 3 the Recognition of Emergency Medical Services Personnel 4 Licensure Interstate Compact ratified by NRS 450B.145. 5 9. As used in this section: 6 (a) “Qualified sign language interpreter” has the meaning 7 ascribed to it in section 1 of this act. 8 (b) “Secure call center” has the meaning ascribed to it in 9 section 1 of this act. 10 Sec. 9. NRS 654.190 is hereby amended to read as follows: 11 654.190 1. The Board may, after notice and an opportunity 12 for a hearing as required by law, impose an administrative fine of 13 not more than $10,000 for each violation on, recover reasonable 14 investigative fees and costs incurred from, suspend, revoke, deny 15 the issuance or renewal of or place conditions on the license of, and 16 place on probation or impose any combination of the foregoing on 17 any licensee who: 18 (a) Is convicted of a felony relating to the practice of 19 administering a facility for skilled nursing or facility for 20 intermediate care or residential facility for groups or of any offense 21 involving moral turpitude. 22 (b) Has obtained his or her license by the use of fraud or deceit. 23 (c) Violates any of the provisions of this chapter. 24 (d) Aids or abets any person in the violation of any of the 25 provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of 26 this act or 449A.100 to 449A.124, inclusive, and 449A.270 to 27 449A.286, inclusive, as those provisions pertain to a facility for 28 skilled nursing, facility for intermediate care or residential facility 29 for groups. 30 (e) Violates any regulation of the Board prescribing additional 31 standards of conduct for licensees, including, without limitation, a 32 code of ethics. 33 (f) Engages in conduct that violates the trust of a patient or 34 resident or exploits the relationship between the licensee and the 35 patient or resident for the financial or other gain of the licensee. 36 2. If a licensee requests a hearing pursuant to subsection 1, the 37 Board shall give the licensee written notice of a hearing pursuant to 38 NRS 233B.121 and 241.0333. A licensee may waive, in writing, his 39 or her right to attend the hearing. 40 3. The Board may compel the attendance of witnesses or the 41 production of documents or objects by subpoena. The Board may 42 adopt regulations that set forth a procedure pursuant to which the 43 Chair of the Board may issue subpoenas on behalf of the Board. 44 Any person who is subpoenaed pursuant to this subsection may 45 – 12 – - *AB395_R1* request the Board to modify the terms of the subpoena or grant 1 additional time for compliance. 2 4. An order that imposes discipline and the findings of fact and 3 conclusions of law supporting that order are public records. 4 5. The expiration of a license by operation of law or by order 5 or decision of the Board or a court, or the voluntary surrender of a 6 license, does not deprive the Board of jurisdiction to proceed with 7 any investigation of, or action or disciplinary proceeding against, the 8 licensee or to render a decision suspending or revoking the license. 9 Sec. 10. The provisions of NRS 354.599 do not apply to any 10 additional expenses of a local government that are related to the 11 provisions of this act. 12 Sec. 11. 1. This section becomes effective upon passage and 13 approval. 14 2. Sections 1 to 10, inclusive, of this act become effective: 15 (a) Upon passage and approval for the purpose of adopting any 16 regulations and performing any other preparatory administrative 17 tasks that are necessary to carry out the provisions of this act; and 18 (b) On January 1, 2026, for all other purposes. 19 H