REQUIRES TWO-THIRDS MAJORITY VOTE
(§§ 1, 11)
A.B. 513
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ASSEMBLY BILL NO. 513–COMMITTEE
ON COMMERCE AND LABOR
MARCH 24, 2025
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to chiropractic
physicians and chiropractic assistants.
(BDR 54-630)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: Yes.
~
EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to chiropractic; enacting provisions relating to
temporary certificates for chiropractic assistants; revising
provisions relating to unprofessional conduct in the
practice of chiropractic; revising the membership of the
Chiropractic Physicians’ Board of Nevada; revising
certain qualifications required to apply for a license as a
chiropractic physician or a certificate as a chiropractic
assistant; revising certain fees the Board may charge and
collect; revising certain requirements for student
participation in a preceptor program; revising certain
requirements for certain cease and desist orders of the
Board; and providing other matters properly relating
thereto.
Legislative Counsel’s Digest:
Existing law regulates the practice of chiropractic in this State and provides for 1
the licensure of chiropractic physicians and the certification of chiropractic 2
assistants. (Chapter 634 of NRS) Section 1 of this bill authorizes the Chiropractic 3
Physicians’ Board of Nevada, under certain circumstances, to issue a temporary 4
certificate to practice as a chiropractic assistant to a person who holds an existing 5
license, certificate or registration in good standing in another jurisdiction where the 6
person resides. Section 1 provides that such a temporary certificate is: (1) valid for 7
15 business days or less; (2) valid only under the supervision and control of a 8
chiropractic physician; and (3) not renewable, and the Board may grant not more 9
than two temporary certificates to a person during any calendar year. Section 1 10
authorizes the Board to charge a reasonable fee, established by regulation of the 11
Board, for each application for a temporary certificate. 12
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Existing law provides grounds for initiating disciplinary action against 13
practitioners of chiropractic. (NRS 634.018, 634.140) Section 2 of this bill makes 14
employing a person as a temporary chiropractic assistant if the person has not been 15
issued a temporary certificate pursuant to section 1 grounds for disciplinary action. 16
Existing law creates the Board, consisting of seven members, and requires the 17
Governor to appoint members with certain qualifications. (NRS 634.020) Section 3 18
of this bill revises the membership of the Board by: (1) removing a requirement for 19
the Governor to appoint one member who represents the interests of persons or 20
agencies that regularly provide health care to patients who are indigent, uninsured 21
or unable to afford health care; and (2) increasing from four to five the number of 22
chiropractic physicians the Governor is required to appoint. 23
Existing law requires: (1) the Board to hold certain examinations prescribed by 24
the Board at least semiannually; and (2) examinations prescribed by the Board to 25
include certain subjects. Existing law also authorizes the Board to: (1) determine 26
the form of such examinations; and (2) include additional subjects on such 27
examinations. (NRS 634.070) Section 4 of this bill removes the requirements that 28
such examinations be held semiannually and contain certain subjects, and instead 29
authorizes the Board to: (1) hold examinations semiannually or at other intervals 30
prescribed by the Board; and (2) determine the content of such examinations. 31
Section 5 of this bill requires an applicant for examination to submit to the Board a 32
statement which attests that the applicant has read, understood and will abide by the 33
provisions of existing law and regulations governing chiropractic physicians and 34
providers of health care. Sections 7 and 10 of this bill remove provisions 35
establishing the minimum score to pass the required examination. Section 7 36
additionally removes certain provisions governing applicants who fail to pass the 37
examination. 38
Sections 3, 5, 6 and 12 of this bill revise the educational requirements for 39
licensure as a chiropractic physician to specify that the required education may be 40
obtained through certain doctor of chiropractic degree programs. 41
Existing law authorizes the Board to specify the formal training which an 42
applicant for a certificate as a chiropractic assistant must complete, which must 43
include at least 12 months of study or the equivalent. (NRS 634.123) Section 8 of 44
this bill removes the requirement to include at least 12 months of training or the 45
equivalent. Existing law requires certain licenses and certificates to be renewed 46
biennially, on or before January 1. (NRS 634.130) Section 9 of this bill instead 47
requires renewal by the last day of the month in which the holder of the license or 48
certificate was born. 49
Section 11 of this bill eliminates the authority of the Board to charge a fee for 50
providing to a person who is not licensed to practice chiropractic: (1) a list of 51
persons who were licensed to practice chiropractic following the most recent 52
examination of the Board; (2) a copy of the statutes, regulations and other rules 53
governing the practice of chiropractic in this State; and (3) a list of continuing 54
education courses approved by the Board. Section 11 also expands the applicability 55
of an existing fee for a review by the Board of certain courses offered for 56
continuing education to include a review of a course offered to satisfy the 57
requirements for the qualifications to perform dry needling. 58
Section 12 revises certain requirements for a student to participate in a 59
preceptor program. Section 13 of this bill revises certain contact information which 60
is required to be included in certain cease and desist orders issued by the Board. 61
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THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. Chapter 634 of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. Except as otherwise provided in subsection 6, upon 3
submission of the application and materials required by this 4
section and payment of the required fee, the Board may issue a 5
temporary certificate to practice as a chiropractic assistant in this 6
State to a person who holds a corresponding license, certificate or 7
registration which is in good standing to perform the functions of 8
a chiropractic assistant in the District of Columbia or any other 9
state or territory of the United States in which the person resides. 10
2. An applicant for a temporary certificate to practice as a 11
chiropractic assistant must: 12
(a) Hold a license, certificate or registration which is in good 13
standing to perform the functions of a chiropractic assistant in the 14
District of Columbia or any other state or territory of the United 15
States in which the applicant is a resident; 16
(b) Submit to the Board: 17
(1) An application on a form prescribed by the Board; 18
(2) An attestation on a form prescribed by the Board that 19
the applicant has read, understood and will abide by the provisions 20
of this chapter and the regulations adopted thereto; 21
(3) An attestation on a form prescribed by the Board that 22
the applicant understands he or she is not authorized to take and 23
develop radiographs unless he or she is certified or licensed in this 24
State to do so; and 25
(4) The attestation required by subsection 3; and 26
(c) Pay a reasonable application fee established by regulation 27
of the Board. 28
3. A chiropractic physician who intends to use the services of 29
a chiropractic assistant who will practice under a temporary 30
certificate must attest on a form provided by the Board that: 31
(a) The chiropractic physician has a need for the assistance of 32
a chiropractic assistant on a temporary basis; 33
(b) The person who will perform the functions of a 34
chiropractic assistant on a temporary basis, if approved by the 35
Board, will work under the supervision and control of the 36
chiropractic physician, either as an employee or as an independent 37
contractor; 38
(c) The chiropractic physician will be responsible for the acts 39
of the person performed in his or her capacity as a chiropractic 40
assistant; and 41
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(d) The person will only perform the functions of a 1
chiropractic assistant for the period specified by the chiropractic 2
physician, which must be 15 business days or less. 3
4. An applicant for a temporary certificate as a chiropractic 4
assistant shall not commence performing the functions of a 5
chiropractic assistant until his or her application is approved and 6
the applicant is issued the certificate. 7
5. A temporary certificate to practice as a chiropractic 8
assistant is: 9
(a) Valid for the period designated on the certificate, which 10
must be 15 business days or less; 11
(b) Valid only under the supervision and control of the 12
chiropractic physician described in subsection 3; and 13
(c) Not renewable. 14
6. The Board may not grant more than two temporary 15
certificates to practice as a chiropractic assistant to a person 16
during any calendar year. 17
Sec. 2. NRS 634.018 is hereby amended to read as follows: 18
634.018 “Unprofessional conduct” means: 19
1. Obtaining a certificate upon fraudulent credentials or gross 20
misrepresentation. 21
2. Procuring, or aiding or abetting in procuring, criminal 22
abortion. 23
3. Assuring that a manifestly incurable disease can be 24
permanently cured. 25
4. Advertising, by any form of public communication, a 26
chiropractic practice: 27
(a) Using grossly improbable statements; or 28
(b) In any manner that will tend to deceive, defraud or mislead 29
the public. 30
As used in this subsection, “public communication” includes, but 31
is not limited to, communications by means of television, radio, 32
motion pictures, Internet websites, electronic mail, social media 33
accounts and newspapers, books, periodicals, handbills, letterhead 34
and other printed matter. 35
5. Willful disobedience of the law, or of the regulations of the 36
State Board of Health or of the Chiropractic Physicians’ Board of 37
Nevada. 38
6. Conviction of any offense involving moral turpitude, or the 39
conviction of a felony. The record of the conviction is conclusive 40
evidence of unprofessional conduct. 41
7. Administering, dispensing or prescribing any controlled 42
substance. 43
8. Conviction or violation of any federal or state law regulating 44
the possession, distribution or use of any controlled substance. The 45
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record of conviction is conclusive evidence of unprofessional 1
conduct. 2
9. Habitual intemperance or excessive use of alcohol or 3
alcoholic beverages , cannabis or any controlled substance. 4
10. Conduct unbecoming a person licensed to practice 5
chiropractic or detrimental to the best interests of the public. 6
11. Violating, or attempting to violate, directly or indirectly, or 7
assisting in or abetting the violation of, or conspiring to violate, any 8
provision of this chapter or the regulations adopted by the Board, or 9
any other statute or regulation pertaining to the practice of 10
chiropractic. 11
12. Employing, directly or indirectly, any suspended or 12
unlicensed practitioner in the practice of any system or mode of 13
treating the sick or afflicted, or the aiding or abetting of any 14
unlicensed person to practice chiropractic under this chapter. 15
13. Malpractice, which may be evidenced by claims of 16
malpractice settled against a practitioner. 17
14. Solicitation by the licensee or the licensee’s designated 18
agent of any person who, at the time of the solicitation, is vulnerable 19
to undue influence, including, without limitation, any person known 20
by the licensee to have recently been involved in a motor vehicle 21
crash, involved in a work-related accident, or injured by, or as the 22
result of the actions of, another person. As used in this subsection: 23
(a) “Designated agent” means a person who renders service to a 24
licensee on a contract basis and is not an employee of the licensee. 25
(b) “Solicitation” means the attempt to acquire a new patient 26
through information obtained from a law enforcement agency, 27
medical facility or the report of any other party, which information 28
indicates that the potential new patient may be vulnerable to undue 29
influence, as described in this subsection. 30
15. Employing, directly or indirectly, any person as a 31
chiropractic assistant unless the person [has] : 32
(a) Has been issued a certificate by the Board pursuant to NRS 33
634.123, or has applied for such a certificate and is awaiting the 34
determination of the Board concerning the application [.] ; or 35
(b) Has been issued a temporary certificate by the Board 36
pursuant to section 1 of this act. 37
16. Aiding, abetting, commanding, counseling, encouraging, 38
inducing or soliciting an insurer or other third-party payor to reduce 39
or deny payment or reimbursement for the care or treatment of a 40
patient, unless such action is supported by: 41
(a) The medical records of the patient; or 42
(b) An examination of the patient by the chiropractic physician 43
taking such action. 44
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17. Violating a lawful order of the Board, a lawful agreement 1
with the Board, or any of the provisions of this chapter or any 2
regulation adopted pursuant thereto. 3
18. Practicing below the standard of care required from a 4
chiropractic physician or chiropractic assistant under the 5
circumstances. 6
Sec. 3. NRS 634.020 is hereby amended to read as follows: 7
634.020 1. The Chiropractic Physicians’ Board of Nevada, 8
consisting of seven members appointed by the Governor, is hereby 9
created. 10
2. The Governor shall appoint: 11
(a) [Four] Five members who are: 12
(1) Graduates of chiropractic schools or colleges or of doctor 13
of chiropractic degree programs giving a course of study 14
embracing the following subjects: Anatomy, bacteriology, 15
chiropractic theory and practice, diagnosis or analysis, elementary 16
chemistry and toxicology, histology, hygiene and sanitation, 17
obstetrics and gynecology, pathology, physiology and 18
symptomatology; 19
(2) Licensed under this chapter; and 20
(3) Actually engaged in the practice of chiropractic in this 21
State and who have been so engaged in this State for at least 3 years 22
preceding their appointment. 23
(b) [One member who represents the interests of persons or 24
agencies that regularly provide health care to patients who are 25
indigent, uninsured or unable to afford health care. This member 26
may be licensed under the provisions of this chapter. 27
(c)] Two members who are representatives of the general public. 28
A member appointed pursuant to this paragraph must not be: 29
(1) A chiropractic physician or a chiropractic assistant; or 30
(2) The spouse or the parent or child, by blood, marriage or 31
adoption, of a chiropractic physician or a chiropractic assistant. 32
3. At least two of the appointees must have had a course in 33
physiotherapy in a school or college of chiropractic [.] or in a 34
doctor of chiropractic degree program. 35
Sec. 4. NRS 634.070 is hereby amended to read as follows: 36
634.070 1. All applicants for licenses to practice chiropractic 37
in Nevada must pass all examinations prescribed by the Board. 38
Examinations [must] may be held [at least] semiannually [.] or at 39
other intervals prescribed by the Board. 40
2. The examinations may be written, oral, practical, 41
demonstrative, or any combination thereof, as the Board determines 42
to be sufficient, and [must] may include [, without limitation,] the 43
following subjects: 44
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(a) [Chapter] Chapters 629 and 634 of NRS and regulations of 1
the Board; 2
(b) The technique for taking X-rays, including the positioning of 3
the body, and interpretation of X-rays; 4
(c) Chiropractic technique; and 5
(d) Clinical competency and case management. 6
3. If a member of the Board is not licensed under the 7
provisions of this chapter, the member shall not participate in 8
preparing any examination required by the Board. 9
Sec. 5. NRS 634.080 is hereby amended to read as follows: 10
634.080 1. An applicant for examination must file an 11
application with the Secretary of the Board on a form to be 12
furnished by the Executive Director of the Board. An applicant may 13
take the examination any time after the Executive Director 14
determines that his or her application is complete. 15
2. An application must be verified and must state: 16
(a) When and where the applicant was born, the various places 17
of the applicant’s residence during the 5 years immediately 18
preceding the making of the application and the address to which he 19
or she wishes the Board to mail the license. 20
(b) The name, age and sex of the applicant. 21
(c) The names and post office addresses of all persons by whom 22
the applicant has been employed for a period of 5 years immediately 23
preceding the making of the application. 24
(d) Whether or not the applicant has ever applied for a license to 25
practice chiropractic in any other state and, if so, when and where 26
and the results of the application. 27
(e) Whether or not the applicant has ever been admitted to the 28
practice of chiropractic in any other state and, if so, whether any 29
discharge, dismissal, disciplinary or other similar proceedings have 30
ever been instituted against the applicant. Such an applicant must 31
also attach a certificate from the chiropractic board of each state in 32
which the applicant was licensed, certifying that the applicant is a 33
member in good standing of the chiropractic profession in that state, 34
and that no proceedings affecting the applicant’s standing as a 35
chiropractic physician are undisposed of and pending. 36
(f) The applicant’s general and chiropractic education, including 37
the schools attended and the time of attendance at each school, and 38
whether the applicant is a graduate of any school or schools. 39
(g) The names of: 40
(1) Two persons who have known the applicant for at least 3 41
years; and 42
(2) A person who is a chiropractic physician licensed 43
pursuant to the provisions of this chapter or a professor at a school 44
of chiropractic. 45
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(h) All other information required to complete the application. 1
3. An application must include [a] : 2
(a) A copy of the applicant’s official transcript from the school 3
or college of chiropractic or the doctor of chiropractic degree 4
program from which the applicant received his or her degree of 5
doctor of chiropractic, which must be transmitted by the school or 6
college of chiropractic or the doctor of chiropractic degree 7
program directly to the Board. 8
(b) A statement from the applicant which attests, on a form 9
prescribed by the Board, that the applicant has read, understood 10
and will abide by the provisions of this chapter and chapter 629 of 11
NRS and the regulations adopted pursuant thereto. 12
Sec. 6. NRS 634.090 is hereby amended to read as follows: 13
634.090 1. An applicant must, in addition to the requirements 14
of NRS 634.070 and 634.080, furnish satisfactory evidence to the 15
Board: 16
(a) That the applicant is of good moral character; 17
(b) Except as otherwise provided in subsections 3 and 6, that the 18
applicant [has a high school education and] is a graduate from a 19
college of chiropractic or a doctor of chiropractic degree program 20
which is accredited by the Council on Chiropractic Education, or its 21
successor organization, or an accrediting agency recognized by that 22
organization; and 23
(c) Except as otherwise provided in subsection 2, that the 24
applicant has successfully completed: 25
(1) Parts I, II, III and IV, and the portion relating to 26
physiotherapy, of the examination administered by the National 27
Board of Chiropractic Examiners, or its successor organization; or 28
(2) An examination that is required to graduate from a 29
college of chiropractic or a doctor of chiropractic degree program 30
which is accredited by the Council on Chiropractic Education, or its 31
successor organization, or an accrediting agency recognized by that 32
organization. Such an examination must be: 33
(I) Administered by such a college [;] or degree program; 34
and 35
(II) Approved by the Board. 36
2. If an applicant has actively engaged in the practice of 37
chiropractic in another state, the District of Columbia, the 38
Commonwealth of Puerto Rico or any other territory or possession 39
of the United States for not less than 7 of the immediately preceding 40
10 years without any adverse disciplinary action taken against him 41
or her, the applicant is only required to have successfully completed 42
those parts of the examination administered by the National Board 43
of Chiropractic Examiners, or its successor organization, at the time 44
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that the applicant graduated from a college of chiropractic [.] or a 1
doctor of chiropractic degree program. 2
3. The Board may, for good cause shown, waive the 3
requirement for a particular applicant that the college of chiropractic 4
or doctor of chiropractic degree program from which the applicant 5
graduated must be accredited by the Council on Chiropractic 6
Education, or its successor organization, or an accrediting agency 7
recognized by that organization. 8
4. Except as otherwise provided in subsections 5 and 6, every 9
applicant is required to submit evidence of the successful 10
completion of not less than 60 credit hours at an accredited college 11
or university. 12
5. Any applicant who has been licensed to practice in another 13
state, and has been in practice for not less than 5 years, is not 14
required to comply with the provisions of subsection 4. 15
6. If an applicant has received his or her training and education 16
at a school or college located in a foreign country and the course of 17
study leading to his or her degree of doctor of chiropractic consisted 18
of not less than 4,000 hours of instruction, the Board may, if the 19
Board determines that such training and education is substantially 20
equivalent to graduation from a college of chiropractic or doctor of 21
chiropractic degree program that is accredited by the Council on 22
Chiropractic Education, or its successor organization, waive the 23
requirement that an applicant attend or graduate from a college or 24
degree program that is accredited by the Council on Chiropractic 25
Education, or its successor organization, or an accrediting agency 26
recognized by that organization. 27
Sec. 7. NRS 634.100 is hereby amended to read as follows: 28
634.100 1. An applicant for a license to practice chiropractic 29
in this State must pay the required fee to the Secretary of the Board 30
before the date of the examination. 31
2. [Except as otherwise provided in NRS 622.090: 32
(a) For a written, closed-book examination which is 33
administered in person by the Board, a score of 75 percent or higher 34
in all subjects taken on the examination is a passing score. 35
(b) For a written, open-book examination which is administered 36
in person by the Board or an examination that is taken online, a 37
score of 90 percent or higher in all subjects taken on the 38
examination is a passing score. 39
3. If an applicant fails to pass the first examination, the 40
applicant may take a second examination within 1 year without 41
payment of any additional fees. Except as otherwise provided in 42
NRS 622.090, credit must be given on this examination for all 43
subjects previously passed. 44
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4.] An applicant for a certificate as a chiropractic assistant must 1
pay the required fee to the Secretary of the Board before the 2
application may be considered. 3
Sec. 8. NRS 634.123 is hereby amended to read as follows: 4
634.123 1. The Board may issue a certificate to a properly 5
qualified applicant to perform ancillary services relating to 6
chiropractic, other than chiropractic adjustment, under the 7
supervision of a chiropractic physician. The Board shall specify 8
the formal training [, including at least 12 months of study or the 9
equivalent,] which such an applicant must have completed before 10
the Board awards the applicant a certificate as a chiropractic 11
assistant. 12
2. An application for the issuance of a certificate as a 13
chiropractic assistant must include all information required to 14
complete the application. 15
Sec. 9. NRS 634.130 is hereby amended to read as follows: 16
634.130 1. Licenses and certificates must be renewed 17
biennially. Except as otherwise provided in subsection 10 or 11, 18
each person who is licensed or holds a certificate as a chiropractic 19
assistant pursuant to the provisions of this chapter must, upon the 20
payment of the required renewal fee and the submission of all 21
information required to complete the renewal, be granted a renewal 22
license or certificate which authorizes the person to continue to 23
practice for 2 years. 24
2. Except as otherwise provided in subsection 10 or 11, the 25
renewal fee must be paid and all information required to complete 26
the renewal must be submitted to the Board by [January 1] the last 27
day of the month in which the licensee or holder of a certificate 28
was born, of: 29
(a) Each odd-numbered year for a licensee; and 30
(b) Each even-numbered year for a holder of a certificate as a 31
chiropractic assistant. 32
3. Except as otherwise provided in subsection 5, 6 or 7, a 33
licensee in active practice within this State must submit satisfactory 34
proof to the Board that, during the 24 months immediately 35
preceding the renewal date of the license, the licensee has attended 36
at least 36 hours of continuing education which is approved or 37
endorsed by the Board. 38
4. Except as otherwise provided in subsection 5, 6 or 8, a 39
holder of a certificate as a chiropractic assistant in active practice 40
within this State must submit satisfactory proof to the Board that, 41
during the 24 months immediately preceding the renewal date of the 42
certificate, the certificate holder has attended at least 12 hours of 43
continuing education which is approved or endorsed by the Board or 44
the equivalent board of another state or jurisdiction that regulates 45
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chiropractic assistants. The continuing education required by this 1
subsection may include education related to lifesaving skills, 2
including, without limitation, a course in cardiopulmonary 3
resuscitation. The Board shall by regulation determine how many of 4
the required 12 hours of continuing education must be course work 5
related to such lifesaving skills. Any course of continuing education 6
approved or endorsed by the Board or the equivalent board of 7
another state or jurisdiction pursuant to this subsection may be 8
conducted via the Internet or in a live setting, including, without 9
limitation, a conference, workshop or academic course of 10
instruction. The Board shall not approve or endorse a course of 11
continuing education which is self-directed or conducted via home 12
study. 13
5. The educational requirement of subsection 3 or 4 may be 14
waived by the Board if the licensee or holder of a certificate as a 15
chiropractic assistant files with the Board a statement of a 16
chiropractic physician, osteopathic physician or doctor of medicine 17
certifying that the licensee or holder of a certificate as a chiropractic 18
assistant is suffering from a serious or disabling illness or physical 19
disability which prevented the licensee or holder of a certificate as a 20
chiropractic assistant from completing the requirements for 21
continuing education during the 24 months immediately preceding 22
the renewal date of the license or certificate. 23
6. The Board may waive the educational requirement of 24
subsection 3 or 4 for a licensee or a holder of a certificate as a 25
chiropractic assistant if the licensee or holder of a certificate submits 26
to the Board proof that the licensee or holder of a certificate was in 27
active military service which prevented the licensee or holder of a 28
certificate from completing the requirements for continuing 29
education during the 24 months immediately preceding the renewal 30
date of the license or certificate. 31
7. A licensee is not required to comply with the requirements 32
of subsection 3 until the first odd-numbered year after the year the 33
Board issues to the licensee an initial license to practice as a 34
chiropractic physician in this State. 35
8. A holder of a certificate as a chiropractic assistant is not 36
required to comply with the requirements of subsection 4 until the 37
first even-numbered year after the Board issues to the holder of a 38
certificate an initial certificate to practice as a chiropractic assistant 39
in this State. 40
9. The Board may adopt regulations that provide for random 41
audits of licensees and holders of a certificate as a chiropractic 42
assistant to ensure compliance with subsection 3 or 4, as 43
appropriate. 44
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10. The Board may waive the renewal fee for a licensee or 1
holder of a certificate as a chiropractic assistant if the licensee or 2
holder of a certificate submits proof to the Board that the licensee 3
or holder of a certificate was in active military service at the time 4
the renewal fee was due. 5
11. The Board may adopt regulations that provide for the 6
prorating or waiving of the renewal fee for a licensee or holder of a 7
certificate as a chiropractic assistant if such prorating or waiving is 8
based upon the date on which: 9
(a) The Board issues a license to practice chiropractic or a 10
certificate as a chiropractic assistant; and 11
(b) Such license or certification must be renewed. 12
12. If a licensee fails to: 13
(a) Except as otherwise provided in subsection 10 or 11, pay the 14
renewal fee by [January 1] the last day of the month in which the 15
licensee was born of an odd-numbered year; 16
(b) Except as otherwise provided in subsection 5 or 6, submit 17
proof of continuing education pursuant to subsection 3; 18
(c) Notify the Board of a change in the location of his or her 19
office pursuant to NRS 634.129; or 20
(d) Submit all information required to complete the renewal, 21
the license automatically expires and, except as otherwise 22
provided in NRS 634.131, may be reinstated only upon the 23
payment, by [January 1] the last day of the month in which the 24
licensee was born of the even-numbered year following the year in 25
which the license expired, of the required fee for reinstatement in 26
addition to the renewal fee. 27
13. If a holder of a certificate as a chiropractic assistant fails to: 28
(a) Except as otherwise provided in subsection 10 or 11, pay the 29
renewal fee by [January 1] the last day of the month in which the 30
holder of the certificate was born of an even-numbered year; 31
(b) Except as otherwise provided in subsection 5 or 6, submit 32
proof of continuing education pursuant to subsection 4; 33
(c) Notify the Board of a change in the location of his or her 34
office pursuant to NRS 634.129; or 35
(d) Submit all information required to complete the renewal, 36
the certificate automatically expires and may be reinstated only 37
upon the payment of the required fee for reinstatement in addition to 38
the renewal fee. 39
Sec. 10. NRS 634.131 is hereby amended to read as follows: 40
634.131 1. If a license expires pursuant to the provisions of 41
subsection 12 of NRS 634.130 and the license was not reinstated 42
pursuant to the provisions of that subsection, the person who held 43
the license may apply to the Board to have the license reinstated to 44
active status. 45
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2. An applicant to have an expired license reinstated to active 1
status pursuant to subsection 1 must: 2
(a) [Either: 3
(1)] Submit satisfactory evidence to the Board: 4
[(I)] (1) That the applicant has maintained an active 5
practice in another state, territory or country within the preceding 5 6
years; 7
[(II)] (2) From all other licensing agencies which have 8
issued the applicant a license that he or she is in good standing and 9
has no legal actions pending against him or her; and 10
[(III)] (3) That the applicant has participated in a program 11
of continuing education in accordance with NRS 634.130 for the 12
year in which he or she seeks to be reinstated to active status; [or 13
(2) Score: 14
(I) For] 15
(b) Submit a [written, closed-book examination which is 16
administered in person] statement from the applicant which attests, 17
on a form prescribed by the Board, [75 percent or higher in all 18
subjects on] that the [examination concerning] applicant has read, 19
understood and will abide by the provisions of this chapter and 20
chapter 629 of NRS and the regulations adopted [by the Board; or 21
(II) For a written, open-book examination which is 22
administered in person by the Board or an examination that is taken 23
online, 90 percent or higher in all subjects on the examination 24
concerning the provisions of this chapter and the regulations 25
adopted by the Board;] pursuant thereto; 26
[(b)] (c) Pay: 27
(1) The fee for the biennial renewal of a license to practice 28
chiropractic; 29
(2) The fee for reinstating a license to practice chiropractic 30
which has expired; and 31
(3) The fee for the processing of fingerprints established 32
pursuant to subsection 4; and 33
[(c)] (d) Submit a complete set of fingerprints and written 34
permission authorizing the Board to forward the fingerprints to the 35
Central Repository for Nevada Records of Criminal History for 36
submission to the Federal Bureau of Investigation for its report. 37
3. If any of the requirements set forth in subsection 2 are not 38
met by an applicant for the reinstatement of an expired license to 39
active status, the Board, before reinstating the license of the 40
applicant to active status: 41
(a) Must hold a hearing to determine the professional 42
competency and fitness of the applicant; and 43
(b) May require the applicant to: 44
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(1) Pass the Special Purposes Examination for Chiropractic 1
prepared by the National Board of Chiropractic Examiners; and 2
(2) Satisfy any additional requirements that the Board deems 3
to be necessary. 4
4. The Board shall establish by regulation the fee for 5
processing fingerprints. The fee must not exceed the sum of the 6
amounts charged by the Central Repository for Nevada Records of 7
Criminal History and the Federal Bureau of Investigation for 8
processing the fingerprints. 9
Sec. 11. NRS 634.135 is hereby amended to read as follows: 10
634.135 1. The Board may charge and collect fees not to 11
exceed: 12
13
For an application for a license to practice 14
chiropractic ............................................................. $200.00 15
For an examination for a license to practice 16
chiropractic ............................................................... 200.00 17
For an application for, and the issuance of, a 18
certificate as a chiropractic assistant ........................ 100.00 19
For an examination for a certificate as a 20
chiropractic assistant ................................................ 100.00 21
For the issuance of a license to practice 22
chiropractic ............................................................... 300.00 23
For the biennial renewal of a license to 24
practice chiropractic .............................................. 1,000.00 25
For the biennial renewal of an inactive 26
license to practice chiropractic ................................. 300.00 27
For the biennial renewal of a certificate as a 28
chiropractic assistant ................................................ 200.00 29
For the restoration to active status of an 30
inactive license to practice chiropractic ................... 300.00 31
For reinstating a license to practice 32
chiropractic which has expired pursuant to 33
NRS 634.130 or has been suspended ....................... 500.00 34
For reinstating a certificate as a chiropractic 35
assistant which has expired pursuant to 36
NRS 634.130 or has been suspended ....................... 100.00 37
For a review of any subject on the 38
examination ................................................................ 25.00 39
For the issuance of a duplicate license or for 40
changing the name on a license .................................. 35.00 41
For written verification of licensure or 42
issuance of a certificate of good standing .................. 25.00 43
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For providing a list of persons who are 1
licensed to practice chiropractic to a 2
person who is not licensed to practice 3
chiropractic ............................................................... $25.00 4
[For providing a list of persons who were 5
licensed to practice chiropractic following 6
the most recent examination of the Board 7
to a person who is not licensed to practice 8
chiropractic ................................................................ 10.00] 9
For a set of mailing labels containing the 10
names and addresses of the persons who 11
are licensed to practice chiropractic in this 12
State ............................................................................ 35.00 13
[For providing a copy of the statutes, 14
regulations and other rules governing the 15
practice of chiropractic in this State to a 16
person who is not licensed to practice 17
chiropractic ................................................................. 25.00 18
For each page of a list of continuing 19
education courses that have been 20
approved by the Board .............................................. .50] 21
For an application to a preceptor program 22
offered by the Board to graduates of 23
chiropractic schools or colleges ................................. 35.00 24
For an application for a student or 25
chiropractic physician to participate in the 26
preceptor program established by the 27
Board pursuant to NRS 634.137 ................................ 35.00 28
For a review by the Board of a course offered 29
[by a chiropractic school or college or a 30
course of] to satisfy the requirements for 31
continuing education [in chiropractic] set 32
forth in NRS 634.130 or a course offered 33
to satisfy the qualifications to perform 34
dry needling pursuant to the regulations 35
adopted pursuant to NRS 634.035 ............................ 50.00 36
37
2. In addition to the fees set forth in subsection 1, the Board 38
may charge and collect reasonable and necessary fees for the 39
expedited processing of a request or for any other incidental service 40
it provides. 41
3. For a check or other method of payment made payable to the 42
Board or tendered to the Board that is returned to the Board or 43
otherwise dishonored upon presentation for payment, the Board 44
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shall assess and collect a fee in the amount established by the State 1
Controller pursuant to NRS 353C.115. 2
Sec. 12. NRS 634.1375 is hereby amended to read as follows: 3
634.1375 1. A student who wishes to participate in the 4
preceptor program established by the Board pursuant to NRS 5
634.137 must: 6
(a) File with the Board an application in the form required by 7
the Board; 8
(b) Pay the fee for filing an application required by 9
NRS 634.135; 10
(c) Be enrolled in his or her final academic year at a college of 11
chiropractic or in a doctor of chiropractic degree program that 12
meets the criteria established in paragraph (b) of subsection 1 of 13
NRS 634.090; 14
(d) Have completed all clinical work required by the Board; 15
(e) Enter into a preceptor agreement with a chiropractic 16
physician who is approved by the Board to act as a preceptor 17
pursuant to NRS 634.1379; and 18
(f) Comply with any other requirements prescribed by the 19
Board. 20
2. The Board may approve or deny an application for a student 21
who wishes to participate in the preceptor program and shall provide 22
notice to the student of its decision. 23
3. A student who is approved to participate in the preceptor 24
program: 25
(a) May perform chiropractic, including, without limitation, 26
chiropractic adjustment or manipulation, under the direct 27
supervision of a chiropractic physician who is approved to act as a 28
preceptor pursuant to NRS 634.1379. 29
(b) Shall not perform chiropractic as a participant in the 30
preceptor program for more than 1 year. 31
Sec. 13. NRS 634.227 is hereby amended to read as follows: 32
634.227 1. A person who: 33
(a) Presents to the Board as his or her own the diploma, license , 34
certificate or credentials of another; 35
(b) Gives false or forged evidence of any kind to the Board; or 36
(c) Practices chiropractic under a false or assumed name or 37
falsely personates another licensee, 38
is guilty of a misdemeanor. 39
2. Except as otherwise provided in NRS 634.105, 634.117 and 40
634.1375, a person who does not hold a license issued pursuant to 41
this chapter and: 42
(a) Practices chiropractic in this State; 43
(b) Holds himself or herself out as a chiropractic physician; 44
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(c) Uses any combination, variation or abbreviation of the terms 1
“chiropractor,” “chiropractic” or “chiropractic physician” as a 2
professional or commercial representation; or 3
(d) Uses any means which directly or indirectly conveys to 4
another person the impression that he or she is qualified or licensed 5
to practice chiropractic, 6
is guilty of a category D felony and shall be punished as provided 7
in NRS 193.130, unless a greater penalty is provided pursuant to 8
NRS 200.830 or 200.840. 9
3. In addition to any other penalty prescribed by law, if the 10
Board determines that a person has committed any act described in 11
subsection 2, the Board may: 12
(a) Issue and serve on the person an order to cease and desist 13
until the person obtains from the Board the proper license or 14
certificate or otherwise demonstrates that he or she is no longer in 15
violation of subsection 2. An order to cease and desist must include 16
a mailing address, telephone number , electronic mail address and, 17
if applicable, facsimile number with which the person may contact 18
the Board. 19
(b) Issue a citation to the person. A citation issued pursuant to 20
this paragraph must be in writing, describe with particularity the 21
nature of the violation and inform the person of the provisions of 22
this paragraph. Each activity in which the person is engaged 23
constitutes a separate offense for which a separate citation may be 24
issued. To appeal a citation, the person must submit a written 25
request for a hearing to the Board not later than 30 days after the 26
date of issuance of the citation. 27
(c) Assess against the person an administrative fine of not more 28
than $5,000. 29
(d) Impose any combination of the penalties set forth in 30
paragraphs (a), (b) and (c). 31
4. A person who owns or operates a business entity that offers 32
chiropractic services: 33
(a) Which is not registered with the Board pursuant to NRS 34
634.136; or 35
(b) For which a chiropractic physician who is not licensed 36
pursuant to this chapter engages in the practice of chiropractic, 37
is guilty of a category D felony and shall be punished as provided 38
in NRS 193.130. 39
Sec. 14. The amendatory provisions of section 3 of this act do 40
not affect the current term of appointment of any person who, before 41
October 1, 2025, is a member of the Chiropractic Physicians’ Board 42
of Nevada, and each member continues to serve until the expiration 43
of his or her term or until the member vacates his or her office, 44
whichever occurs first. On and after the effective date of this act, the 45
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Governor shall make appointments to the Chiropractic Physicians’ 1
Board of Nevada in accordance with NRS 634.020, as amended by 2
section 3 of this act. 3
Sec. 15. 1. Notwithstanding the amendatory provisions of 4
section 9 of this act, a person who on October 1, 2025, holds a 5
license to practice chiropractic or a certificate as a chiropractic 6
physician shall pay the renewal fee for the license or certificate and 7
submit to the Board all information required to be submitted for the 8
renewal on or before January 1 of: 9
(a) For the holder of a license, 2027. 10
(b) For a holder of a certificate, 2026. 11
2. A person who renews a license or certificate in accordance 12
with subsection 1 shall thereafter renew the license or certificate in 13
accordance with NRS 634.130 as amended by section 9 of this act. 14
Sec. 16. 1. This section becomes effective upon passage and 15
approval. 16
2. Sections 1 to 13, inclusive, of this act become effective: 17
(a) Upon passage and approval for the purpose of adopting any 18
regulations and performing any other preparatory administrative 19
tasks that are necessary to carry out the provisions of this act; and 20
(b) On October 1, 2025, for all other purposes. 21
H