REQUIRES TWO-THIRDS MAJORITY VOTE (§§ 9-11) A.B. 60 - *AB60* ASSEMBLY BILL NO. 60–COMMITTEE ON HEALTH AND HUMAN SERVICES (ON BEHALF OF THE NORTHERN REGIONAL BEHAVIORAL HEALTH POLICY BOARD) PREFILED NOVEMBER 20, 2024 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to certain behavioral health services. (BDR 39-434) 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 behavioral health; requiring the certification of a natural person who holds himself or herself out as a certified prevention specialist; prohibiting a minor from providing or supervising the provision of peer recovery support services in most circumstances; authorizing certain minors to serve as peer recovery support specialist interns; authorizing the imposition of civil penalties for certain violations; prohibiting the employment or retention as an independent contractor of a natural person to serve as a certified prevention specialist in a position where the natural person has regular and substantial contact with minors if the natural person has been found to have engaged in certain conduct; requiring a certified prevention specialist to report certain information; requiring a substance use disorder prevention coalition to employ or enter into contracts with certified prevention specialists for certain purposes; and providing other matters properly relating thereto. Legislative Counsel’s Digest: In general, existing law requires an adult to be certified as a peer recovery 1 support specialist or peer recovery support specialist supervisor by the Nevada 2 Certification Board or, if that Board ceases issuing such certificates, the Division of 3 – 2 – - *AB60* Public and Behavioral Health of the Department of Health and Human Services, in 4 order to provide peer recovery support services or supervise the provision of such 5 services, as applicable, for compensation as a regular part of his or her job duties. 6 However, existing law authorizes an adult who is not a peer recovery support 7 specialist to provide peer recovery support services as a regular part of his or her 8 job duties while serving as a peer recovery support specialist intern if the Nevada 9 Certification Board or the Division, as applicable, has established conditions 10 authorizing such internships. (NRS 433.631) Section 7 of this bill additionally 11 imposes a general prohibition on a minor providing or supervising the provision of 12 peer recovery support services for compensation as a regular part of his or her job 13 duties. However, section 7 authorizes a minor who is at least 16 years of age to 14 provide such services for compensation as a regular part of his or her job duties 15 while serving as a peer recovery support specialist intern if the Nevada 16 Certification Board or the Division, as applicable, has established conditions 17 authorizing such internships. Sections 7 and 13 of this bill authorize the Division 18 to impose a civil penalty or bring an action for an injunction against a minor who: 19 (1) provides peer recovery support services and is not a peer recovery support 20 specialist intern; or (2) supervises the provision of peer recovery support services. 21 Sections 4-6, 14 and 15 of this bill make various conforming changes to: (1) reflect 22 that the provisions of law governing peer recovery support services apply to both 23 adults and minors; and (2) clarify that those provisions of law apply only to natural 24 persons. Section 25 of this bill repeals a definition that is no longer used, and 25 section 2 of this bill eliminates a reference to that definition. 26 Sections 3, 7 and 8 of this bill prohibit a natural person from holding himself 27 or herself out as a certified prevention specialist unless he or she is certified as such 28 by the Nevada Certification Board or, if that Board ceases to certify certified 29 prevention specialists, peer recovery support specialists or peer recovery support 30 specialist supervisors, the Division. Section 1 of this bill defines “certified 31 prevention specialist” to mean a natural person who: (1) holds such certification; 32 and (2) implements evidence-based programs and other evidence-based 33 interventions in schools or communities to prevent or reduce the harms caused by 34 substance misuse, substance use disorder and other behavioral health disorders or 35 address systemic barriers to wellness. Section 2 of this bill makes conforming 36 changes to indicate the applicability of that definition. Sections 7 and 13 authorize 37 the Division to impose a civil penalty or bring an action for an injunction against a 38 natural person who holds himself or herself out as a certified prevention specialist 39 without being certified as such. Sections 9-12, 14-17 and 19-23 of this bill make 40 various changes so that certified prevention specialists are treated similarly to peer 41 recovery support specialists and peer recovery support specialist supervisors for 42 purposes related to: (1) regulation, certification and background checks; (2) 43 mandatory reporting of certain crimes and violations; and (3) exemption from the 44 applicability of provisions of law governing certain other professions that provide 45 behavioral health services. 46 Existing law: (1) provides for the certification of substance use disorder 47 prevention coalitions; (2) requires a certified substance use disorder prevention 48 coalition to perform certain duties relating to the prevention of substance misuse 49 and substance use disorder; and (3) requires the Division to collaborate with and 50 utilize certified substance use disorder prevention coalitions as the primary local 51 and regional entities to coordinate programs and strategies for the prevention of 52 substance use disorders in this State. (NRS 458.033) Section 18 of this bill requires 53 a substance use disorder prevention coalition to employ or enter into contracts with 54 certified prevention specialists as necessary to perform the duties of the coalition. 55 – 3 – - *AB60* THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 433 of NRS is hereby amended by adding 1 thereto a new section to read as follows: 2 “Certified prevention specialist” means a natural person who: 3 1. Plans and implements evidence-based programs and other 4 evidence-based interventions in schools or communities to: 5 (a) Prevent substance misuse, substance use disorder and 6 other behavioral health disorders; 7 (b) Reduce the harms caused by substance misuse, substance 8 use disorder and other behavioral health disorders; or 9 (c) Address systemic barriers to wellness for the purposes of 10 improving public health and reducing the frequency of substance 11 misuse, substance use disorder and other behavioral health 12 disorders; and 13 2. Is authorized under the provisions of NRS 433.631 to hold 14 himself or herself out as a certified prevention specialist. 15 Sec. 2. NRS 433.622 is hereby amended to read as follows: 16 433.622 As used in NRS 433.622 to 433.641, inclusive, and 17 section 1 of this act, unless the context otherwise requires, the 18 words and terms defined in NRS [433.623] 433.624 to 433.629, 19 inclusive, and section 1 of this act have the meanings ascribed to 20 them in those sections. 21 Sec. 3. NRS 433.625 is hereby amended to read as follows: 22 433.625 “Certificate” means a certificate issued by the 23 Division that authorizes the holder to hold himself or herself out as 24 a certified prevention specialist or provide or supervise the 25 provision of peer recovery support services, as applicable. 26 Sec. 4. NRS 433.627 is hereby amended to read as follows: 27 433.627 “Peer recovery support specialist” means [an adult] a 28 natural person who is authorized under the provisions of NRS 29 433.631 to provide peer recovery support services for compensation 30 as a regular part of his or her job duties. The term does not include a 31 peer recovery support specialist intern. 32 Sec. 5. NRS 433.628 is hereby amended to read as follows: 33 433.628 “Peer recovery support specialist intern” means [an 34 adult] a natural person who is authorized under the provisions of 35 NRS 433.631 to provide peer recovery support services for 36 compensation as a regular part of his or her job duties while the 37 [adult] natural person is acquiring the experience necessary for 38 certification as a peer recovery support specialist. 39 Sec. 6. NRS 433.629 is hereby amended to read as follows: 40 433.629 “Peer recovery support specialist supervisor” means 41 [an adult] a natural person who is authorized under the provisions 42 – 4 – - *AB60* of NRS 433.631 to supervise the provision of peer recovery support 1 services for compensation as a regular part of his or her job duties. 2 Sec. 7. NRS 433.631 is hereby amended to read as follows: 3 433.631 1. Except as authorized by subsection 2, [an adult] a 4 natural person shall not: 5 (a) Provide peer recovery support services for compensation as a 6 regular part of his or her job duties or hold himself or herself out as 7 authorized to provide peer recovery support services unless he or 8 she [holds] : 9 (1) Is at least 18 years of age; and 10 (2) Holds a valid certificate as a peer recovery support 11 specialist issued by the Nevada Certification Board or its successor 12 organization. 13 (b) Supervise the provision of peer recovery support services for 14 compensation as a regular part of his or her job duties or hold 15 himself or herself out as authorized to supervise the provision of 16 peer recovery support services unless he or she [holds] : 17 (1) Is at least 18 years of age; and 18 (2) Holds a valid certificate as a peer recovery support 19 specialist supervisor issued by the Nevada Certification Board or its 20 successor organization. 21 (c) Hold himself or herself out as a certified prevention 22 specialist unless he or she: 23 (1) Is at least 18 years of age; and 24 (2) Holds a valid certificate as a certified prevention 25 specialist issued by the Nevada Certification Board or its successor 26 organization. 27 2. If the Nevada Certification Board or its successor 28 organization establishes conditions governing the provision of peer 29 recovery support services by a natural person who is not certified as 30 a peer recovery support specialist while the natural person is 31 acquiring the experience necessary for certification as a peer 32 recovery support specialist, [an adult] a natural person who is at 33 least 16 years of age and is not certified as a peer recovery support 34 specialist may: 35 (a) Provide peer recovery support services for compensation as a 36 regular part of his or her job duties under those conditions; and 37 (b) Use the title of “peer recovery support specialist intern” 38 while providing peer recovery support services under those 39 conditions. 40 3. The Division may impose upon [an adult] a natural person 41 who violates this section a civil penalty in an amount prescribed by 42 regulation of the Board. 43 – 5 – - *AB60* Sec. 8. NRS 433.631 is hereby amended to read as follows: 1 433.631 1. Except as authorized by subsection 2, [an adult] a 2 natural person shall not: 3 (a) Provide peer recovery support services for compensation as a 4 regular part of his or her job duties or hold himself or herself out as 5 authorized to provide peer recovery support services unless he or 6 she [holds] : 7 (1) Is at least 18 years of age; and 8 (2) Holds a valid certificate as a peer recovery support 9 specialist issued by the Division. 10 (b) Supervise the provision of peer recovery support services for 11 compensation as a regular part of his or her job duties or hold 12 himself or herself out as authorized to supervise the provision of 13 peer recovery support services unless he or she [holds] : 14 (1) Is at least 18 years of age; and 15 (2) Holds a valid certificate as a peer recovery support 16 specialist supervisor issued by the Division. 17 (c) Hold himself or herself out as a certified prevention 18 specialist unless he or she: 19 (1) Is at least 18 years of age; and 20 (2) Holds a valid certificate as a certified prevention 21 specialist issued by the Division. 22 2. The Division may adopt regulations establishing conditions 23 under which [an adult] a natural person who is at least 16 years of 24 age and is not certified as a peer recovery support specialist may: 25 (a) Provide peer recovery support services for compensation as a 26 regular part of his or her job duties while acquiring the experience 27 necessary for certification; and 28 (b) Use the title of “peer recovery support specialist intern.” 29 3. The Division may impose upon [an adult] a natural person 30 who violates this section a civil penalty in an amount prescribed by 31 regulation of the Board. 32 Sec. 9. NRS 433.632 is hereby amended to read as follows: 33 433.632 1. The Board shall adopt regulations governing the 34 practice of certified prevention specialists and the provision of peer 35 recovery support services. The regulations must prescribe: 36 (a) The requirements for the issuance and renewal of a 37 certificate as a certified prevention specialist, peer recovery support 38 specialist or peer recovery support specialist supervisor, which must 39 include, without limitation, required training and experience for 40 certified prevention specialists, peer recovery support specialists 41 and peer recovery support specialist supervisors. 42 (b) Requirements governing the supervision of peer recovery 43 support specialists by peer recovery support specialist supervisors. 44 – 6 – - *AB60* (c) Procedures for the Division to investigate misconduct by a 1 certified prevention specialist, peer recovery support specialist or 2 peer recovery support specialist supervisor and to impose 3 disciplinary action for such misconduct. 4 (d) The forms of disciplinary action that the Division may 5 impose against a certified prevention specialist, peer recovery 6 support specialist or peer recovery support specialist supervisor. 7 2. The Board may, by regulation, prescribe a fee for: 8 (a) The issuance of a certificate; and 9 (b) The renewal of a certificate. 10 3. Any fee prescribed pursuant to subsection 2 must be 11 calculated to produce the revenue estimated to cover the costs 12 related to the issuance and renewal of certificates, but in no case 13 may the fee for the issuance or renewal of a certificate exceed the 14 actual cost to the Division of issuing or renewing the certificate, as 15 applicable. 16 4. The regulations adopted pursuant to this section may 17 establish exemptions from the provisions of NRS 433.631. 18 Sec. 10. NRS 433.635 is hereby amended to read as follows: 19 433.635 1. The Division may issue a certificate by 20 endorsement as a certified prevention specialist, peer recovery 21 support specialist or peer recovery support specialist supervisor to 22 an applicant who meets the requirements set forth in this section. An 23 applicant may submit to the Division an application for such a 24 certificate if the applicant holds a corresponding valid and 25 unrestricted license, certificate or other credential as a certified 26 prevention specialist, peer recovery support specialist or peer 27 recovery support specialist supervisor, as applicable, in the District 28 of Columbia or any state or territory of the United States. 29 2. An applicant for a certificate by endorsement pursuant to 30 this section must submit to the Division with his or her application: 31 (a) Proof satisfactory to the Division that the applicant: 32 (1) Satisfies the requirements of subsection 1; 33 (2) Has not been disciplined or investigated by the 34 corresponding regulatory authority of the District of Columbia or 35 any state or territory in which the applicant currently holds or has 36 held a license, certificate or other credential as a certified 37 prevention specialist, peer recovery support specialist or peer 38 recovery support specialist supervisor, as applicable; and 39 (3) Has not been held civilly or criminally liable for 40 malpractice in the District of Columbia or any state or territory of 41 the United States; 42 (b) An affidavit stating that the information contained in the 43 application and any accompanying material is true and correct; 44 – 7 – - *AB60* (c) The fee prescribed by the Board in the regulations adopted 1 pursuant to NRS 433.632; and 2 (d) Any other information required by the Division. 3 3. Not later than 15 business days after the Division receives an 4 application for a certificate by endorsement as a certified prevention 5 specialist, peer recovery support specialist or peer recovery support 6 specialist supervisor pursuant to this section, the Division shall 7 provide written notice to the applicant of any additional information 8 required by the Division to consider the application. Unless the 9 Division denies the application for good cause, the Division shall 10 approve the application and issue a certificate by endorsement as a 11 certified prevention specialist, peer recovery support specialist or 12 peer recovery support specialist supervisor, as applicable, to the 13 applicant not later than 45 days after receiving the application. 14 Sec. 11. NRS 433.636 is hereby amended to read as follows: 15 433.636 1. The Division may issue a certificate by 16 endorsement as a certified prevention specialist, peer recovery 17 support specialist or peer recovery support specialist supervisor to 18 an applicant who meets the requirements set forth in this section. An 19 applicant may submit to the Division an application for such a 20 certificate if the applicant: 21 (a) Holds a corresponding valid and unrestricted license, 22 certificate or other credential as a certified prevention specialist, 23 peer recovery support specialist or peer recovery support specialist 24 supervisor, as applicable, in the District of Columbia or any state or 25 territory of the United States; and 26 (b) Is an active member of, or the spouse of an active member 27 of, the Armed Forces of the United States, a veteran or the spouse, 28 widow or widower of a veteran. 29 2. An applicant for a certificate by endorsement pursuant to 30 this section must submit to the Division with his or her application: 31 (a) Proof satisfactory to the Division that the applicant: 32 (1) Satisfies the requirements of subsection 1; 33 (2) Has not been disciplined or investigated by the 34 corresponding regulatory authority of the District of Columbia or 35 any state or territory in which the applicant currently holds or has 36 held a license, certificate or other credential as a certified 37 prevention specialist, peer recovery support specialist or peer 38 recovery support specialist supervisor, as applicable; and 39 (3) Has not been held civilly or criminally liable for 40 malpractice in the District of Columbia or any state or territory of 41 the United States; 42 (b) An affidavit stating that the information contained in the 43 application and any accompanying material is true and correct; 44 – 8 – - *AB60* (c) The fee prescribed by the Board in the regulations adopted 1 pursuant to NRS 433.632; and 2 (d) Any other information required by the Division. 3 3. Not later than 15 business days after the Division receives an 4 application for a certificate by endorsement as a certified prevention 5 specialist, peer recovery support specialist or peer recovery support 6 specialist supervisor pursuant to this section, the Division shall 7 provide written notice to the applicant of any additional information 8 required by the Division to consider the application. Unless the 9 Division denies the application for good cause, the Division shall 10 approve the application and issue a certificate by endorsement as a 11 certified prevention specialist, peer recovery support specialist or 12 peer recovery support specialist supervisor, as applicable, to the 13 applicant not later than 45 days after receiving all the additional 14 information required by the Division to complete the application. 15 4. At any time before making a final decision on an application 16 for a certificate by endorsement pursuant to this section, the 17 Division may grant a provisional certificate authorizing an applicant 18 to hold himself or herself out as a certified prevention specialist or 19 practice as a peer recovery support specialist or peer recovery 20 support specialist supervisor, as applicable, in accordance with 21 regulations adopted by the Board. 22 5. As used in this section, “veteran” has the meaning ascribed 23 to it in NRS 417.005. 24 Sec. 12. NRS 433.637 is hereby amended to read as follows: 25 433.637 1. In addition to any other requirements set forth in 26 NRS 433.622 to 433.641, inclusive, an applicant for the renewal of a 27 certificate as a certified prevention specialist, recovery support 28 specialist or recovery support specialist supervisor must indicate in 29 the application submitted to the Division whether the applicant has a 30 state business license. If the applicant has a state business license, 31 the applicant must include in the application the business 32 identification number assigned by the Secretary of State upon 33 compliance with the provisions of chapter 76 of NRS. 34 2. A certificate may not be renewed if: 35 (a) The applicant fails to submit the information required by 36 subsection 1; or 37 (b) The State Controller has informed the Division pursuant to 38 subsection 5 of NRS 353C.1965 that the applicant owes a debt to an 39 agency that has been assigned to the State Controller for collection 40 and the applicant has not: 41 (1) Satisfied the debt; 42 (2) Entered into an agreement for the payment of the debt 43 pursuant to NRS 353C.130; or 44 (3) Demonstrated that the debt is not valid. 45 – 9 – - *AB60* 3. As used in this section: 1 (a) “Agency” has the meaning ascribed to it in NRS 353C.020. 2 (b) “Debt” has the meaning ascribed to it in NRS 353C.040. 3 Sec. 13. NRS 433.638 is hereby amended to read as follows: 4 433.638 1. The Division may bring an action in the name of 5 the State of Nevada to enjoin any [adult] natural person from 6 engaging in conduct that violates the provisions of NRS 433.631. 7 2. It is sufficient in such an action to allege that the defendant 8 did, on a certain date and in a certain place, engage in conduct for 9 which a certificate is required by NRS 433.631 without a valid 10 certificate. 11 Sec. 14. NRS 433.639 is hereby amended to read as follows: 12 433.639 1. Not later than 3 days after employing a natural 13 person to serve as a certified prevention specialist or provide or 14 supervise the provision of peer recovery support services in a 15 position where the natural person has regular and substantial 16 contact with minors or retaining a natural person as an independent 17 contractor to serve as a certified prevention specialist or provide or 18 supervise the provision of peer recovery support services in such a 19 position and every 5 years thereafter, an employer, or person or 20 entity who retained the independent contractor, shall: 21 (a) Obtain from the employee or independent contractor written 22 authorization for the release of any information that may be 23 available from the Statewide Central Registry for the Collection of 24 Information Concerning the Abuse or Neglect of a Child established 25 pursuant to NRS 432.100; and 26 (b) Complete a child abuse and neglect screening through the 27 Central Registry to determine whether there has been a substantiated 28 report of child abuse or neglect or a violation of NRS 201.540, 29 201.553, 201.560, 392.4633 or 394.366 made against the natural 30 person. 31 2. Except as otherwise provided in any regulations adopted 32 pursuant to subsection 4, upon receiving information pursuant to 33 subsection 1 from the Central Registry or from any other source that 34 an employee or independent contractor described in subsection 1 35 has, within the immediately preceding 5 years, had a substantiated 36 report of child abuse or neglect or a violation of NRS 201.540, 37 201.553, 201.560, 392.4633 or 394.366 made against him or her, the 38 employer or person or entity who retained the independent 39 contractor shall terminate the employment or contract of the 40 employee or independent contractor, as applicable, after allowing 41 the employee or independent contractor time to correct the 42 information as required pursuant to subsection 3. 43 3. If an employee or independent contractor described in 44 subsection 1 believes that the information provided to the employer 45 – 10 – - *AB60* or person or entity who retained the independent contractor pursuant 1 to subsection 2 is incorrect, the employee or independent contractor 2 must inform the employer, person or entity immediately. The 3 employer, person or entity shall give any such employee or 4 independent contractor 30 days to correct the information. 5 4. The Division, in consultation with each agency which 6 provides child welfare services, may establish by regulation a 7 process by which it may review evidence upon request to determine 8 whether an employee or independent contractor described in 9 subsection 1 who has, within the immediately preceding 5 years, 10 had a substantiated report of child abuse or neglect or a violation of 11 NRS 201.540, 201.553, 201.560, 392.4633 or 394.366 made against 12 him or her may continue to serve as a certified prevention specialist 13 or provide or supervise the provision of peer recovery support 14 services , as applicable, and have regular and substantial contact 15 with minors despite the report. Any such review must be conducted 16 in a manner which does not discriminate against a natural person in 17 violation of 42 U.S.C. §§ 2000e et seq. 18 5. If a process for review is established pursuant to subsection 19 4, an employee or independent contractor described in subsection 1 20 may request such a review in the manner established by the 21 Division. Any determination made by the Division is final for 22 purposes of judicial review. 23 6. During any period in which an employee or independent 24 contractor seeks to correct information pursuant to subsection 3 or 25 requests a review of information pursuant to subsection 5, it is 26 within the discretion of the employer or person or entity who 27 retained the independent contractor whether to allow the employee 28 or independent contractor to continue to work for the employer, 29 person or entity, as applicable, except that the employee or 30 independent contractor shall not have regular and substantial contact 31 with minors without supervision during such a period. 32 7. The Division shall adopt regulations to establish civil 33 penalties to be imposed against any person or entity that fails to 34 comply with the requirements of this section. 35 8. As used in this section, “agency which provides child 36 welfare services” has the meaning ascribed to it in NRS 424.011. 37 Sec. 15. NRS 433.641 is hereby amended to read as follows: 38 433.641 1. A person or entity that employs a natural person 39 or retains an independent contractor for the purpose of serving as a 40 certified prevention specialist or providing or supervising the 41 provision of peer recovery support services in a position where the 42 natural person has regular and substantial contact with minors shall 43 maintain records of the information concerning such employees and 44 independent contractors that is collected pursuant to NRS 433.639, 45 – 11 – - *AB60* including, without limitation, the written authorization for the 1 release of information from the Statewide Central Registry for the 2 Collection of Information Concerning the Abuse or Neglect of a 3 Child established pursuant to NRS 432.100. 4 2. The records maintained pursuant to subsection 1 must be: 5 (a) Maintained for the period that the employee or independent 6 contractor has regular and substantial contact with minors; and 7 (b) Made available for inspection by the Division at any 8 reasonable time and copies thereof must be furnished to the Division 9 upon request. 10 Sec. 16. NRS 200.5093 is hereby amended to read as follows: 11 200.5093 1. Any person who is described in subsection 4 and 12 who, in a professional or occupational capacity, knows or has 13 reasonable cause to believe that an older person or vulnerable 14 person has been abused, neglected, exploited, isolated or abandoned 15 shall: 16 (a) Except as otherwise provided in subsection 2, report the 17 abuse, neglect, exploitation, isolation or abandonment of the older 18 person or vulnerable person to: 19 (1) The local office of the Aging and Disability Services 20 Division of the Department of Health and Human Services; 21 (2) A police department or sheriff’s office; or 22 (3) A toll-free telephone service designated by the Aging and 23 Disability Services Division of the Department of Health and 24 Human Services; and 25 (b) Make such a report as soon as reasonably practicable but not 26 later than 24 hours after the person knows or has reasonable cause to 27 believe that the older person or vulnerable person has been abused, 28 neglected, exploited, isolated or abandoned. 29 2. If a person who is required to make a report pursuant to 30 subsection 1 knows or has reasonable cause to believe that the 31 abuse, neglect, exploitation, isolation or abandonment of the older 32 person or vulnerable person involves an act or omission of the 33 Aging and Disability Services Division, another division of the 34 Department of Health and Human Services or a law enforcement 35 agency, the person shall make the report to an agency other than the 36 one alleged to have committed the act or omission. 37 3. Each agency, after reducing a report to writing, shall forward 38 a copy of the report to the Aging and Disability Services Division of 39 the Department of Health and Human Services and the Unit for the 40 Investigation and Prosecution of Crimes. 41 4. A report must be made pursuant to subsection 1 by the 42 following persons: 43 (a) Every physician, dentist, dental hygienist, expanded function 44 dental assistant, chiropractic physician, naprapath, optometrist, 45 – 12 – - *AB60* podiatric physician, medical examiner, resident, intern, professional 1 or practical nurse, physician assistant licensed pursuant to chapter 2 630 or 633 of NRS, anesthesiologist assistant, perfusionist, 3 psychiatrist, psychologist, marriage and family therapist, clinical 4 professional counselor, clinical alcohol and drug counselor, alcohol 5 and drug counselor, music therapist, athletic trainer, driver of an 6 ambulance, paramedic, licensed dietitian, holder of a license or a 7 limited license issued under the provisions of chapter 653 of NRS, 8 behavior analyst, assistant behavior analyst, registered behavior 9 technician, certified prevention specialist, as defined in section 1 of 10 this act, peer recovery support specialist, as defined in NRS 11 433.627, peer recovery support specialist supervisor, as defined in 12 NRS 433.629, or other person providing medical services licensed 13 or certified to practice in this State, who examines, attends or treats 14 an older person or vulnerable person who appears to have been 15 abused, neglected, exploited, isolated or abandoned. 16 (b) Any personnel of a hospital or similar institution engaged in 17 the admission, examination, care or treatment of persons or an 18 administrator, manager or other person in charge of a hospital or 19 similar institution upon notification of the suspected abuse, neglect, 20 exploitation, isolation or abandonment of an older person or 21 vulnerable person by a member of the staff of the hospital. 22 (c) A coroner. 23 (d) Every person who maintains or is employed by an agency to 24 provide personal care services in the home. 25 (e) Every person who maintains or is employed by an agency to 26 provide nursing in the home. 27 (f) Every person who operates, who is employed by or who 28 contracts to provide services for an intermediary service 29 organization as defined in NRS 449.4304. 30 (g) Any employee of the Department of Health and Human 31 Services, except the State Long-Term Care Ombudsman appointed 32 pursuant to NRS 427A.125 and any of his or her advocates or 33 volunteers where prohibited from making such a report pursuant to 34 45 C.F.R. § 1321.11. 35 (h) Any employee of a law enforcement agency or a county’s 36 office for protective services or an adult or juvenile probation 37 officer. 38 (i) Any person who maintains or is employed by a facility or 39 establishment that provides care for older persons or vulnerable 40 persons. 41 (j) Any person who maintains, is employed by or serves as a 42 volunteer for an agency or service which advises persons regarding 43 the abuse, neglect, exploitation, isolation or abandonment of an 44 – 13 – - *AB60* older person or vulnerable person and refers them to persons and 1 agencies where their requests and needs can be met. 2 (k) Every social worker. 3 (l) Any person who owns or is employed by a funeral home or 4 mortuary. 5 (m) Every person who operates or is employed by a community 6 health worker pool, as defined in NRS 449.0028, or with whom a 7 community health worker pool contracts to provide the services of a 8 community health worker, as defined in NRS 449.0027. 9 (n) Every person who is enrolled with the Division of Health 10 Care Financing and Policy of the Department of Health and Human 11 Services to provide doula services to recipients of Medicaid 12 pursuant to NRS 422.27177. 13 5. A report may be made by any other person. 14 6. If a person who is required to make a report pursuant to 15 subsection 1 knows or has reasonable cause to believe that an older 16 person or vulnerable person has died as a result of abuse, neglect, 17 isolation or abandonment, the person shall, as soon as reasonably 18 practicable, report this belief to the appropriate medical examiner or 19 coroner, who shall investigate the cause of death of the older person 20 or vulnerable person and submit to the appropriate local law 21 enforcement agencies, the appropriate prosecuting attorney, the 22 Aging and Disability Services Division of the Department of Health 23 and Human Services and the Unit for the Investigation and 24 Prosecution of Crimes his or her written findings. The written 25 findings must include the information required pursuant to the 26 provisions of NRS 200.5094, when possible. 27 7. A division, office or department which receives a report 28 pursuant to this section shall cause the investigation of the report to 29 commence within 3 working days. A copy of the final report of the 30 investigation conducted by a division, office or department, other 31 than the Aging and Disability Services Division of the Department 32 of Health and Human Services, must be forwarded within 30 days 33 after the completion of the report to the: 34 (a) Aging and Disability Services Division; 35 (b) Repository for Information Concerning Crimes Against 36 Older Persons or Vulnerable Persons created by NRS 179A.450; 37 and 38 (c) Unit for the Investigation and Prosecution of Crimes. 39 8. If the investigation of a report results in the belief that an 40 older person or vulnerable person is abused, neglected, exploited, 41 isolated or abandoned, the Aging and Disability Services Division 42 of the Department of Health and Human Services or the county’s 43 office for protective services may provide protective services to the 44 – 14 – - *AB60* older person or vulnerable person if the older person or vulnerable 1 person is able and willing to accept them. 2 9. A person who knowingly and willfully violates any of the 3 provisions of this section is guilty of a misdemeanor. 4 10. As used in this section, “Unit for the Investigation and 5 Prosecution of Crimes” means the Unit for the Investigation and 6 Prosecution of Crimes Against Older Persons or Vulnerable Persons 7 in the Office of the Attorney General created pursuant to 8 NRS 228.265. 9 Sec. 17. NRS 432B.220 is hereby amended to read as follows: 10 432B.220 1. Any person who is described in subsection 4 11 and who, in his or her professional or occupational capacity, knows 12 or has reasonable cause to believe that a child has been abused or 13 neglected shall: 14 (a) Except as otherwise provided in subsection 2, report the 15 abuse or neglect of the child to an agency which provides child 16 welfare services or to a law enforcement agency; and 17 (b) Make such a report as soon as reasonably practicable but not 18 later than 24 hours after the person knows or has reasonable cause to 19 believe that the child has been abused or neglected. 20 2. If a person who is required to make a report pursuant to 21 subsection 1 knows or has reasonable cause to believe that the abuse 22 or neglect of the child involves an act or omission of: 23 (a) A person directly responsible or serving as a volunteer for or 24 an employee of a public or private home, institution or facility 25 where the child is receiving child care outside of the home for a 26 portion of the day, the person shall make the report to a law 27 enforcement agency. 28 (b) An agency which provides child welfare services or a law 29 enforcement agency, the person shall make the report to an agency 30 other than the one alleged to have committed the act or omission, 31 and the investigation of the abuse or neglect of the child must be 32 made by an agency other than the one alleged to have committed the 33 act or omission. 34 3. Any person who is described in paragraph (a) of subsection 35 4 who delivers or provides medical services to a newborn infant and 36 who, in his or her professional or occupational capacity, knows or 37 has reasonable cause to believe that the newborn infant has been 38 affected by a fetal alcohol spectrum disorder or prenatal substance 39 use disorder or has withdrawal symptoms resulting from prenatal 40 substance exposure shall, as soon as reasonably practicable but not 41 later than 24 hours after the person knows or has reasonable cause to 42 believe that the newborn infant is so affected or has such symptoms, 43 notify an agency which provides child welfare services of the 44 condition of the infant and refer each person who is responsible for 45 – 15 – - *AB60* the welfare of the infant to an agency which provides child welfare 1 services for appropriate counseling, training or other services. A 2 notification and referral to an agency which provides child welfare 3 services pursuant to this subsection shall not be construed to require 4 prosecution for any illegal action. 5 4. A report must be made pursuant to subsection 1 by the 6 following persons: 7 (a) A person providing services licensed or certified in this State 8 pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 9 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640B, 10 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS or 11 practicing as an emergency medical technician, advanced 12 emergency medical technician or paramedic in this State under the 13 Recognition of Emergency Medical Services Personnel Licensure 14 Interstate Compact ratified by NRS 450B.145. 15 (b) Any personnel of a medical facility licensed pursuant to 16 chapter 449 of NRS who are engaged in the admission, examination, 17 care or treatment of persons or an administrator, manager or other 18 person in charge of such a medical facility upon notification of 19 suspected abuse or neglect of a child by a member of the staff of the 20 medical facility. 21 (c) A coroner. 22 (d) A member of the clergy, practitioner of Christian Science or 23 religious healer, unless the person has acquired the knowledge of the 24 abuse or neglect from the offender during a confession. 25 (e) A person employed by a public school or private school and 26 any person who serves as a volunteer at such a school. 27 (f) Any person who maintains or is employed by a facility or 28 establishment that provides care for children, children’s camp or 29 other public or private facility, institution or agency furnishing care 30 to a child. 31 (g) Any person licensed pursuant to chapter 424 of NRS to 32 conduct a foster home. 33 (h) Any officer or employee of a law enforcement agency or an 34 adult or juvenile probation officer. 35 (i) Except as otherwise provided in NRS 432B.225, an attorney. 36 (j) Any person who maintains, is employed by or serves as a 37 volunteer for an agency or service which advises persons regarding 38 abuse or neglect of a child and refers them to persons and agencies 39 where their requests and needs can be met. 40 (k) Any person who is employed by or serves as a volunteer for 41 a youth shelter. As used in this paragraph, “youth shelter” has the 42 meaning ascribed to it in NRS 244.427. 43 – 16 – - *AB60* (l) Any adult person who is employed by an entity that provides 1 organized activities for children, including, without limitation, a 2 person who is employed by a school district or public school. 3 (m) Any person who is enrolled with the Division of Health 4 Care Financing and Policy of the Department of Health and Human 5 Services to provide doula services to recipients of Medicaid 6 pursuant to NRS 422.27177. 7 (n) A certified prevention specialist, as defined in section 1 of 8 this act, peer recovery support specialist, as defined in NRS 9 433.627, or peer recovery support specialist supervisor, as defined 10 in NRS 433.629. 11 5. A report may be made by any other person. 12 6. If a person who is required to make a report pursuant to 13 subsection 1 knows or has reasonable cause to believe that a child 14 has died as a result of abuse or neglect, the person shall, as soon as 15 reasonably practicable, report this belief to an agency which 16 provides child welfare services or a law enforcement agency. If such 17 a report is made to a law enforcement agency, the law enforcement 18 agency shall notify an agency which provides child welfare services 19 and the appropriate medical examiner or coroner of the report. If 20 such a report is made to an agency which provides child welfare 21 services, the agency which provides child welfare services shall 22 notify the appropriate medical examiner or coroner of the report. 23 The medical examiner or coroner who is notified of a report 24 pursuant to this subsection shall investigate the report and submit 25 his or her written findings to the appropriate agency which provides 26 child welfare services, the appropriate district attorney and a law 27 enforcement agency. The written findings must include, if 28 obtainable, the information required pursuant to the provisions of 29 subsection 2 of NRS 432B.230. 30 7. The agency, board, bureau, commission, department, 31 division or political subdivision of the State responsible for the 32 licensure, certification or endorsement of a person who is described 33 in subsection 4 and who is required in his or her professional or 34 occupational capacity to be licensed, certified or endorsed in this 35 State shall, at the time of initial licensure, certification or 36 endorsement: 37 (a) Inform the person, in writing or by electronic 38 communication, of his or her duty as a mandatory reporter pursuant 39 to this section; 40 (b) Obtain a written acknowledgment or electronic record from 41 the person that he or she has been informed of his or her duty 42 pursuant to this section; and 43 – 17 – - *AB60* (c) Maintain a copy of the written acknowledgment or electronic 1 record for as long as the person is licensed, certified or endorsed in 2 this State. 3 8. The employer of a person who is described in subsection 4 4 and who is not required in his or her professional or occupational 5 capacity to be licensed, certified or endorsed in this State must, upon 6 initial employment of the person: 7 (a) Inform the person, in writing or by electronic 8 communication, of his or her duty as a mandatory reporter pursuant 9 to this section; 10 (b) Obtain a written acknowledgment or electronic record from 11 the person that he or she has been informed of his or her duty 12 pursuant to this section; and 13 (c) Maintain a copy of the written acknowledgment or electronic 14 record for as long as the person is employed by the employer. 15 9. Before a person may serve as a volunteer at a public school 16 or private school, the school must: 17 (a) Inform the person, in writing or by electronic 18 communication, of his or her duty as a mandatory reporter pursuant 19 to this section and NRS 392.303; 20 (b) Obtain a written acknowledgment or electronic record from 21 the person that he or she has been informed of his or her duty 22 pursuant to this section and NRS 392.303; and 23 (c) Maintain a copy of the written acknowledgment or electronic 24 record for as long as the person serves as a volunteer at the school. 25 10. The provisions of subsection 8 do not apply to the 26 employer of a person practicing as an emergency medical 27 technician, advanced emergency medical technician or paramedic in 28 this State under the Recognition of Emergency Medical Services 29 Personnel Licensure Interstate Compact ratified by NRS 450B.145. 30 11. As used in this section: 31 (a) “Private school” has the meaning ascribed to it in 32 NRS 394.103. 33 (b) “Public school” has the meaning ascribed to it in 34 NRS 385.007. 35 Sec. 18. NRS 458.033 is hereby amended to read as follows: 36 458.033 1. The State Board of Health shall adopt regulations: 37 (a) Providing for the certification of substance use disorder 38 prevention coalitions; and 39 (b) Establishing requirements governing the membership of and 40 geographic region served by substance use disorder prevention 41 coalitions. The regulations adopted pursuant to this paragraph must 42 align with nationally recognized standards for substance use 43 disorder prevention coalitions and must provide that a geographic 44 – 18 – - *AB60* region may be served by more than one substance use disorder 1 prevention coalition. 2 2. A certified substance use disorder prevention coalition shall: 3 (a) Advise the Department of Health and Human Services and 4 the Division concerning: 5 (1) The needs of adults and children in the geographic region 6 served by the coalition concerning the prevention of substance 7 misuse and substance use disorders in the geographic region; 8 (2) Any progress, problems or plans relating to the provision 9 of services for the prevention of substance misuse and substance use 10 disorders and methods for improving the provision of such services 11 in the geographic region served by the coalition; 12 (3) Identified gaps in services for the prevention of substance 13 misuse and substance use disorders and recommendations for 14 addressing those gaps; and 15 (4) Priorities for allocating resources to support and develop 16 services for the prevention of substance misuse and substance use 17 disorders in the geographic region served by the coalition. 18 (b) Convene interested persons and entities to promote the use 19 of evidence-based strategies to address needs concerning services 20 for the prevention of substance misuse and substance use disorders 21 and improve such services in the geographic region served by the 22 coalition. 23 (c) Coordinate and share information with other certified 24 substance use disorder prevention coalitions to provide 25 recommendations to the Department of Health and Human Services 26 and the Division concerning services for the prevention of substance 27 misuse and substance use disorders. 28 (d) Implement, in coordination with the Department of Health 29 and Human Services, the Division, other certified substance use 30 disorder prevention coalitions and other interested persons and 31 entities, statewide efforts for the prevention of substance misuse and 32 substance use disorders. 33 (e) Coordinate with persons and entities in this State who 34 provide services related to the prevention of substance misuse and 35 substance use disorders to increase the awareness of such services 36 and reduce duplication of efforts. 37 (f) In consultation with other persons and entities in this State 38 who provide services related to the prevention of substance use 39 disorders, submit an annual report to the regional behavioral health 40 policy board for the geographic region served by the substance use 41 disorder prevention coalition. The report must include, without 42 limitation: 43 – 19 – - *AB60* (1) Identification of the specific needs of the geographic 1 region served by the coalition concerning the prevention of 2 substance misuse and substance use disorders; 3 (2) A description of methods that the coalition uses to collect 4 and analyze data concerning: 5 (I) Substance misuse and substance use disorders in the 6 geographic region served by the coalition; and 7 (II) Gaps in services related to the prevention of 8 substance misuse and substance use disorders and the need for 9 additional services in that region; 10 (3) The strategies used by the coalition and the results of 11 those strategies; 12 (4) The goals of the coalition for the immediately preceding 13 year and the degree to which the coalition achieved those goals; and 14 (5) The goals of the coalition for the immediately following 15 year and the long-term goals of the coalition. 16 (g) Employ or enter into contracts with certified prevention 17 specialists as necessary to perform or facilitate the activities 18 described in paragraphs (a) to (f), inclusive. 19 3. The Division shall collaborate with and utilize certified 20 substance use disorder prevention coalitions as the primary local and 21 regional entities to coordinate programs and strategies for the 22 prevention of substance use disorders in this State. 23 4. As used in this section: 24 (a) “Behavioral health region” has the meaning ascribed to it in 25 NRS 433.426. 26 (b) “Certified prevention specialist” has the meaning ascribed 27 to it in section 1 of this act. 28 (c) “Substance use disorder prevention coalition” means a 29 coalition of persons and entities who possess knowledge and 30 experience related to the prevention of substance misuse and 31 substance use disorders in a region of this State. 32 Sec. 19. NRS 632.472 is hereby amended to read as follows: 33 632.472 1. The following persons shall report in writing to 34 the Executive Director of the Board any conduct of a licensee or 35 holder of a certificate which constitutes a violation of the provisions 36 of this chapter: 37 (a) Any physician, dentist, dental hygienist, expanded function 38 dental assistant, naprapath, chiropractic physician, optometrist, 39 podiatric physician, medical examiner, resident, intern, professional 40 or practical nurse, nursing assistant, medication aide - certified, 41 perfusionist, physician assistant licensed pursuant to chapter 630 or 42 633 of NRS, anesthesiologist assistant, psychiatrist, psychologist, 43 marriage and family therapist, clinical professional counselor, 44 alcohol or drug counselor, certified prevention specialist, peer 45 – 20 – - *AB60* recovery support specialist, peer recovery support specialist 1 supervisor, music therapist, holder of a license or limited license 2 issued pursuant to chapter 653 of NRS, driver of an ambulance, 3 paramedic or other person providing medical services licensed or 4 certified to practice in this State. 5 (b) Any personnel of a medical facility or facility for the 6 dependent engaged in the admission, examination, care or treatment 7 of persons or an administrator, manager or other person in charge of 8 a medical facility or facility for the dependent upon notification by a 9 member of the staff of the facility. 10 (c) A coroner. 11 (d) Any person who maintains or is employed by an agency to 12 provide personal care services in the home. 13 (e) Any person who operates, who is employed by or who 14 contracts to provide services for an intermediary service 15 organization as defined in NRS 449.4304. 16 (f) Any person who maintains or is employed by an agency to 17 provide nursing in the home. 18 (g) Any employee of the Department of Health and Human 19 Services. 20 (h) Any employee of a law enforcement agency or a county’s 21 office for protective services or an adult or juvenile probation 22 officer. 23 (i) Any person who maintains or is employed by a facility or 24 establishment that provides care for older persons. 25 (j) Any person who maintains, is employed by or serves as a 26 volunteer for an agency or service which advises persons regarding 27 the abuse, neglect or exploitation of an older person and refers them 28 to persons and agencies where their requests and needs can be met. 29 (k) Any social worker. 30 (l) Any person who operates or is employed by a community 31 health worker pool or with whom a community health worker pool 32 contracts to provide the services of a community health worker, as 33 defined in NRS 449.0027. 34 2. Every physician who, as a member of the staff of a medical 35 facility or facility for the dependent, has reason to believe that a 36 nursing assistant or medication aide - certified has engaged in 37 conduct which constitutes grounds for the denial, suspension or 38 revocation of a certificate shall notify the superintendent, manager 39 or other person in charge of the facility. The superintendent, 40 manager or other person in charge shall make a report as required in 41 subsection 1. 42 3. A report may be filed by any other person. 43 4. Any person who in good faith reports any violation of the 44 provisions of this chapter to the Executive Director of the Board 45 – 21 – - *AB60* pursuant to this section is immune from civil liability for reporting 1 the violation. 2 5. As used in this section: 3 (a) “Agency to provide personal care services in the home” has 4 the meaning ascribed to it in NRS 449.0021. 5 (b) “Certified prevention specialist” has the meaning ascribed 6 to it in section 1 of this act. 7 (c) “Community health worker pool” has the meaning ascribed 8 to it in NRS 449.0028. 9 (d) “Peer recovery support specialist” has the meaning ascribed 10 to it in NRS 433.627. 11 [(d)] (e) “Peer recovery support specialist supervisor” has the 12 meaning ascribed to it in NRS 433.629. 13 Sec. 20. NRS 641.029 is hereby amended to read as follows: 14 641.029 The provisions of this chapter do not apply to: 15 1. A physician who is licensed to practice in this State; 16 2. A person who is licensed to practice dentistry in this State; 17 3. A person who is licensed as a marriage and family therapist 18 or marriage and family therapist intern pursuant to chapter 641A of 19 NRS; 20 4. A person who is licensed as a clinical professional counselor 21 or clinical professional counselor intern pursuant to chapter 641A of 22 NRS; 23 5. A person who is licensed to engage in social work pursuant 24 to chapter 641B of NRS; 25 6. A person who is licensed as an occupational therapist or 26 occupational therapy assistant pursuant to chapter 640A of NRS; 27 7. A person who is licensed as a clinical alcohol and drug 28 counselor, licensed or certified as an alcohol and drug counselor or 29 certified as an alcohol and drug counselor intern, a clinical alcohol 30 and drug counselor intern, a problem gambling counselor or a 31 problem gambling counselor intern, pursuant to chapter 641C of 32 NRS; 33 8. A person who serves as a certified prevention specialist or 34 provides or supervises the provision of peer recovery support 35 services in accordance with the provisions of NRS 433.622 to 36 433.641, inclusive [;] , and section 1 of this act. 37 9. A person who is licensed as a behavior analyst or an 38 assistant behavior analyst or registered as a registered behavior 39 technician pursuant to chapter 641D of NRS, while engaged in the 40 practice of applied behavior analysis as defined in NRS 641D.080; 41 or 42 10. Any member of the clergy, 43 if such a person does not commit an act described in NRS 44 641.440 or represent himself or herself as a psychologist. 45 – 22 – - *AB60* Sec. 21. NRS 641B.040 is hereby amended to read as follows: 1 641B.040 The provisions of this chapter do not apply to: 2 1. A physician who is licensed to practice in this State; 3 2. A nurse who is licensed to practice in this State; 4 3. A person who is licensed as a psychologist pursuant to 5 chapter 641 of NRS or authorized to practice psychology in this 6 State pursuant to the Psychology Interjurisdictional Compact 7 enacted in NRS 641.227; 8 4. A person who is licensed as a marriage and family therapist 9 or marriage and family therapist intern pursuant to chapter 641A of 10 NRS; 11 5. A person who is licensed as a clinical professional counselor 12 or clinical professional counselor intern pursuant to chapter 641A of 13 NRS; 14 6. A person who is licensed as an occupational therapist or 15 occupational therapy assistant pursuant to chapter 640A of NRS; 16 7. A person who is licensed as a clinical alcohol and drug 17 counselor, licensed or certified as an alcohol and drug counselor or 18 certified as a clinical alcohol and drug counselor intern, an alcohol 19 and drug counselor intern, a problem gambling counselor or a 20 problem gambling counselor intern, pursuant to chapter 641C of 21 NRS; 22 8. A person who serves as a certified prevention specialist or 23 provides or supervises the provision of peer recovery support 24 services in accordance with NRS 433.622 to 433.641, inclusive [;] , 25 and section 1 of this act. 26 9. Any member of the clergy; 27 10. A county welfare director; 28 11. Any person who may engage in social work or clinical 29 social work in his or her regular governmental employment but does 30 not hold himself or herself out to the public as a social worker; or 31 12. A student of social work and any other person preparing for 32 the profession of social work under the supervision of a qualified 33 social worker in a training institution or facility recognized by the 34 Board, unless the student or other person has been issued a 35 provisional license pursuant to paragraph (b) of subsection 1 of NRS 36 641B.275. Such a student must be designated by the title “student of 37 social work” or “trainee in social work,” or any other title which 38 clearly indicates the student’s training status. 39 Sec. 22. NRS 641C.130 is hereby amended to read as follows: 40 641C.130 The provisions of this chapter do not apply to: 41 1. A physician who is licensed pursuant to the provisions of 42 chapter 630 or 633 of NRS; 43 2. A nurse who is licensed pursuant to the provisions of chapter 44 632 of NRS and is authorized by the State Board of Nursing to 45 – 23 – - *AB60* engage in the practice of counseling persons with alcohol and other 1 substance use disorders or the practice of counseling persons with 2 an addictive disorder related to gambling; 3 3. A psychologist who is licensed pursuant to the provisions of 4 chapter 641 of NRS or authorized to practice psychology in this 5 State pursuant to the Psychology Interjurisdictional Compact 6 enacted in NRS 641.227; 7 4. A clinical professional counselor or clinical professional 8 counselor intern who is licensed pursuant to chapter 641A of NRS; 9 5. A marriage and family therapist or marriage and family 10 therapist intern who is licensed pursuant to the provisions of chapter 11 641A of NRS and is authorized by the Board of Examiners for 12 Marriage and Family Therapists and Clinical Professional 13 Counselors to engage in the practice of counseling persons with 14 alcohol and other substance use disorders or the practice of 15 counseling persons with an addictive disorder related to gambling; 16 6. A person who is: 17 (a) Licensed as: 18 (1) A clinical social worker pursuant to the provisions of 19 chapter 641B of NRS; or 20 (2) A master social worker or an independent social worker 21 pursuant to the provisions of chapter 641B of NRS and is engaging 22 in clinical social work as part of an internship program approved by 23 the Board of Examiners for Social Workers; and 24 (b) Authorized by the Board of Examiners for Social Workers to 25 engage in the practice of counseling persons with alcohol and other 26 substance use disorders or the practice of counseling persons with 27 an addictive disorder related to gambling; or 28 7. A person who serves as a certified prevention specialist or 29 provides or supervises the provision of peer recovery support 30 services in accordance with NRS 433.622 to 433.641, inclusive [.] , 31 and section 1 of this act. 32 Sec. 23. Section 37 of chapter 444, Statutes of Nevada 2021, 33 at page 2836, is hereby amended to read as follows: 34 Sec. 37. 1. This section becomes effective upon 35 passage and approval. 36 2. Sections 18.5, 19, 20 and 32 of this act become 37 effective on July 1, 2021. 38 3. Sections 1 to 3, inclusive, 5 to 8, inclusive, 15 to 17, 39 inclusive, 20.3 to 31, inclusive, and 33 to 36, inclusive, of this 40 act become effective: 41 (a) Upon passage and approval for the purpose of 42 adopting regulations and performing any other preparatory 43 administrative tasks that are necessary to carry out the 44 provisions of this act; and 45 – 24 – - *AB60* (b) On January 1, 2022, for all other purposes. 1 4. Sections 4, 9 to 14, inclusive, 18 and 31.5 of this act 2 become effective on the date on which the Nevada 3 Certification Board, or its successor organization, ceases 4 certifying certified prevention specialists, peer recovery 5 support specialists or peer recovery support specialist 6 supervisors. 7 5. Sections 10 and 11 of this act expire by limitation on 8 the date on which the provisions of 42 U.S.C. § 666 requiring 9 each state to establish procedures under which the state has 10 authority to withhold or suspend, or to restrict the use of 11 professional, occupational and recreational licenses of 12 persons who: 13 (a) Have failed to comply with the subpoena or warrant 14 relating to a proceeding to determine the paternity of a child 15 or to establish or enforce an obligation for the support of a 16 child; or 17 (b) Are in arrears in the payment for the support of one or 18 more children, 19 are repealed by the Congress of the United States. 20 Sec. 24. 1. Notwithstanding any provision of this act to the 21 contrary, any natural person who is less than 18 years of age, will be 22 at least 16 years of age on January 1, 2026, and provides peer 23 recovery support services as a regular part of his or her job duties on 24 or before July 1, 2025, may continue to do so under conditions other 25 than those specified by the Nevada Certification Board or its 26 successor organization as described in paragraph (a) of subsection 2 27 of NRS 433.631, as amended by section 7 of this act, until 28 December 31, 2025. Such a natural person who remains less than 29 18 years of age must comply with those conditions on or after 30 January 1, 2026. 31 2. Notwithstanding any provision of this act to the contrary, a 32 natural person who holds a valid certification as a certified 33 prevention specialist issued by the Nevada Certification Board or its 34 successor organization on the date on which that organization ceases 35 certifying certified prevention specialists may hold himself or 36 herself out as a certified prevention specialist without being certified 37 by the Division of Public and Behavioral Health of the Department 38 of Health and Human Services until 6 months after the date on 39 which the Division begins certifying certified prevention specialists 40 pursuant to the regulations adopted by the State Board of Health 41 pursuant to NRS 433.632, as amended by section 9 of this act. To 42 hold himself or herself out as a certified prevention specialist after 43 that date, the natural person must obtain a certificate from the 44 – 25 – - *AB60* Division as required by NRS 433.631, as amended by section 8 of 1 this act. 2 3. As used in this section, “certified prevention specialist” has 3 the meaning ascribed to it in section 1 of this act. 4 Sec. 25. NRS 433.623 is hereby repealed. 5 Sec. 26. 1. This section and sections 1, 2, 4 to 7, inclusive, 6 and 13 to 25, inclusive, of this act become effective on July 1, 2025. 7 2. Sections 3 and 8 to 12, inclusive, of this act become 8 effective on the date on which the Nevada Certification Board, or its 9 successor organization, ceases certifying certified prevention 10 specialists, peer recovery support specialists or peer recovery 11 support specialist supervisors. 12 3. Sections 10 and 11 of this act expire by limitation on the 13 date on which the provisions of 42 U.S.C. § 666 requiring each state 14 to establish procedures under which the state has authority to 15 withhold or suspend, or to restrict the use of professional, 16 occupational and recreational licenses of persons who: 17 (a) Have failed to comply with the subpoena or warrant relating 18 to a proceeding to determine the paternity of a child or to establish 19 or enforce an obligation for the support of a child; or 20 (b) Are in arrears in the payment for the support of one or more 21 children, 22 are repealed by the Congress of the United States. 23 TEXT OF REPEALED SECTION 433.623 “Adult” defined. “Adult” means a natural person who is 18 years of age or older. H