Nevada 2025 2025 Regular Session

Nevada Assembly Bill AB395 Amended / Bill

                     	EXEMPT 
 (Reprinted with amendments adopted on April 21, 2025) 
 	FIRST REPRINT A.B. 395 
 
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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   
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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   
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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   
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 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   
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 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   
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 (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   
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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   
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 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   
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  (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   
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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   
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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   
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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 
 
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