A.B. 484
- *AB484*
ASSEMBLY BILL NO. 484–COMMITTEE ON
HEALTH AND HUMAN SERVICES
MARCH 24, 2025
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Referred to Committee on Health and Human Services
SUMMARY—Revises provisions relating to the collection of data
concerning providers of health care. (BDR 40-806)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Yes.
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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 health care; revising the data that is collected
concerning providers of health care in this State; and
providing other matters properly relating thereto.
Legislative Counsel’s Digest:
Existing law requires the Director of the Department of Health and Human 1
Services to establish and maintain a database comprising information collected 2
through an electronic data request from certain applicants for the renewal of a 3
license, certificate or registration as a provider of health care. (NRS 439A.116) The 4
information collected from each such applicant must include the locations in the 5
State where the applicant practices, the setting in which the applicant practices and 6
the percentage of time that the applicant engages in patient care. (NRS 439A.116) 7
Existing law: (1) requires certain licensing boards that license, certify or register 8
providers of health care to request that an applicant for renewal of a license, 9
certificate or registration complete and submit the data request to the Director; and 10
(2) authorizes other such licensing boards and certain governmental agencies that 11
license such persons to request that such an applicant complete and submit the data 12
request to the Director. (NRS 450B.805, 630.2671, 630A.327, 631.332, 632.3423, 13
633.4716, 634.1303, 634A.169, 635.111, 636.262, 637.145, 637B.192, 639.183, 14
640.152, 640A.185, 640B.405, 640D.135, 640E.225, 641.2215, 641A.217, 15
641B.281, 641C.455, 652.126) Section 1 of this bill requires the Director to 16
additionally collect from applicants for the renewal of a license, certificate or 17
registration and include in the database the following information: (1) the sex of the 18
applicant; (2) any other jurisdiction where the applicant holds the same type of 19
license, certificate or registration that the applicant is currently renewing; (3) 20
whether the applicant utilizes telehealth; and (4) the types of patients whom the 21
applicant serves. 22
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THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 439A.116 is hereby amended to read as 1
follows: 2
439A.116 1. The Director shall establish and maintain a 3
database of information collected from applicants for the renewal of 4
a license, certificate or registration as a provider of health care. The 5
information in the database must include, for each applicant from 6
whom such information is collected: 7
(a) The type of license, certificate or registration held by the 8
applicant; 9
(b) The race and ethnicity of the applicant; 10
(c) The sex of the applicant; 11
(d) The primary language spoken by the applicant; 12
[(d)] (e) The specialty area in which the applicant practices; 13
[(e)] (f) Any other jurisdiction where the applicant holds the 14
same type of license, certificate or registration that the applicant is 15
currently renewing; 16
(g) The county of this State in which the applicant spends the 17
majority of his or her working hours; 18
[(f)] (h) The address of each location at which the applicant 19
practices or intends to practice and the percentage of working hours 20
spent by the applicant at each location; 21
[(g)] (i) The type of practice in which the applicant engages, 22
including, without limitation, individual private practice, group 23
private practice, multispecialty group private practice, government 24
or nonprofit; 25
[(h)] (j) The settings in which the applicant practices, including, 26
without limitation, hospitals, clinics and academic settings; 27
[(i)] (k) Whether the applicant utilizes telehealth, as defined in 28
NRS 629.515, in his or her practice; 29
(l) The education and primary and secondary specialties of the 30
applicant; 31
[(j)] (m) The average number of hours worked per week by the 32
applicant and the total number of weeks worked by the applicant 33
during the immediately preceding calendar year; 34
[(k)] (n) The percentages of working hours during which the 35
applicant engages in patient care and other activities, including, 36
without limitation, teaching, research and administration; 37
[(l)] (o) The types of patients whom the applicant serves, 38
including, without limitation, newborns, children, adolescents, 39
adults, senior citizens, pregnant persons, veterans, incarcerated 40
persons, persons with disabilities, persons who speak a language 41
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other than English, persons who are recipients of Medicaid or 1
Medicare and persons who pay on a sliding fee scale; 2
(p) Any planned major changes to the practice of the applicant 3
within the immediately following 5 years, including, without 4
limitation, retirement, relocation or significant changes in working 5
hours; and 6
[(m)] (q) Any other information prescribed by regulation of the 7
Director. 8
2. The Director shall develop and make available to each 9
professional licensing board that licenses, certifies or registers 10
providers of health care an electronic data request that solicits the 11
information described in subsection 1 from an applicant for the 12
renewal of such a license, certificate or registration. 13
3. Except as otherwise provided in this subsection, information 14
included in the database is confidential and not a public record. The 15
Director shall: 16
(a) Take all necessary measures to ensure the confidentiality of 17
the identity of providers of health care to whom information in the 18
database pertains, including, without limitation, measures to ensure 19
that the identity of a provider of health care is not ascertainable due 20
to his or her reported profession or the reported location at which he 21
or she practices. 22
(b) Make data from the database that does not contain any 23
information that could be used to identify an applicant for or the 24
holder of a license, certificate or registration as a provider of health 25
care available to the Working Group. The Working Group may use 26
such data to support the recommendations made pursuant to NRS 27
439A.121 or include such data in any report published pursuant to 28
that section. 29
(c) Publish an annual report of data from the database that does 30
not contain any information that could be used to identify an 31
applicant for or holder of a license, certificate or registration as a 32
provider of health care. 33
(d) Analyze the data in the database and make periodic reports 34
to the Legislature, the Department and other agencies of the 35
Executive Branch of the State Government concerning ways in 36
which to: 37
(1) Attract more persons, including, without limitation, 38
members of underrepresented groups, to pursue the education 39
necessary to practice as a provider of health care and practice as a 40
provider of health care in this State; and 41
(2) Improve health outcomes and public health in this State. 42
Sec. 2. 1. This section becomes effective upon passage and 43
approval. 44
2. Section 1 of this act becomes effective: 45
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(a) Upon passage and approval for the purpose of adopting any 1
regulations and performing any other preparatory administrative 2
tasks that are necessary to carry out the provisions of this act; and 3
(b) On January 1, 2026, for all other purposes. 4
H