REQUIRES TWO-THIRDS MAJORITY VOTE (§§ 9-11) (Reprinted with amendments adopted on April 15, 2025) FIRST REPRINT A.B. 60 - *AB60_R1* 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; 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 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 – 2 – - *AB60_R1* 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 prohibits a minor from providing or supervising the provision of peer recovery 12 support services for compensation as a regular part of his or her job duties. Sections 13 7, 8 and 13 of this bill authorize the Division to impose a civil penalty or bring an 14 action for an injunction against a minor who: (1) provides peer recovery support 15 services; or (2) supervises the provision of peer recovery support services. Sections 16 4-6, 14 and 15 of this bill make various conforming changes to: (1) reflect that the 17 provisions of law governing peer recovery support services apply to both adults and 18 minors; and (2) clarify that those provisions of law apply only to natural persons. 19 Section 25 of this bill repeals a definition that is no longer used, and section 2 of 20 this bill eliminates a reference to that definition. 21 Sections 3, 7 and 8 of this bill prohibit a natural person from holding himself 22 or herself out as a certified prevention specialist unless he or she is certified as such 23 by the Nevada Certification Board or, if that Board ceases to certify certified 24 prevention specialists, peer recovery support specialists or peer recovery support 25 specialist supervisors, the Division. Section 1 of this bill defines “certified 26 prevention specialist” to mean a natural person who: (1) holds such certification; 27 and (2) supervises, reviews and implements evidence-based programs, policies, 28 practices and other culturally relevant interventions in schools or communities to 29 prevent or reduce the harms caused by substance use, substance use disorder and 30 other behavioral health disorders or address systemic barriers to wellness. Section 2 31 of this bill makes conforming changes to indicate the applicability of that 32 definition. Sections 7 and 13 authorize the Division to impose a civil penalty or 33 bring an action for an injunction against a natural person who holds himself or 34 herself out as a certified prevention specialist without being certified as such. 35 Sections 9-12, 14-17 and 19-23 of this bill make various changes so that certified 36 prevention specialists are treated similarly to peer recovery support specialists and 37 peer recovery support specialist supervisors for purposes related to: (1) regulation, 38 certification and background checks; (2) mandatory reporting of certain crimes and 39 violations; and (3) exemption from the applicability of provisions of law governing 40 certain other professions that provide behavioral health services. 41 Existing law: (1) provides for the certification of substance use disorder 42 prevention coalitions; (2) requires a certified substance use disorder prevention 43 coalition to perform certain duties relating to the prevention of substance misuse 44 and substance use disorder; and (3) requires the Division to collaborate with and 45 utilize certified substance use disorder prevention coalitions as the primary local 46 and regional entities to coordinate programs and strategies for the prevention of 47 substance use disorders in this State. (NRS 458.033) Section 18 of this bill requires 48 a substance use disorder prevention coalition to employ or enter into contracts with 49 certified prevention specialists as necessary to perform the duties of the coalition. 50 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 – 3 – - *AB60_R1* 1. Supervises, reviews and implements evidence-based 1 programs, policies, practices and other culturally relevant 2 interventions in schools or communities to: 3 (a) Prevent substance use, early-onset substance use, 4 substance use disorder and other behavioral health disorders; 5 (b) Reduce the harms caused by substance use, substance use 6 disorder and other behavioral health disorders; or 7 (c) Address systemic barriers to wellness for the purposes of 8 improving public health and reducing the frequency of substance 9 misuse, substance use disorder and other behavioral health 10 disorders; and 11 2. Is authorized under the provisions of NRS 433.631 to hold 12 himself or herself out as a certified prevention specialist. 13 Sec. 2. NRS 433.622 is hereby amended to read as follows: 14 433.622 As used in NRS 433.622 to 433.641, inclusive, and 15 section 1 of this act, unless the context otherwise requires, the 16 words and terms defined in NRS [433.623] 433.624 to 433.629, 17 inclusive, and section 1 of this act have the meanings ascribed to 18 them in those sections. 19 Sec. 3. NRS 433.625 is hereby amended to read as follows: 20 433.625 “Certificate” means a certificate issued by the 21 Division that authorizes the holder to hold himself or herself out as 22 a certified prevention specialist or provide or supervise the 23 provision of peer recovery support services, as applicable. 24 Sec. 4. NRS 433.627 is hereby amended to read as follows: 25 433.627 “Peer recovery support specialist” means [an adult] a 26 natural person who is authorized under the provisions of NRS 27 433.631 to provide peer recovery support services for compensation 28 as a regular part of his or her job duties. The term does not include a 29 peer recovery support specialist intern. 30 Sec. 5. NRS 433.628 is hereby amended to read as follows: 31 433.628 “Peer recovery support specialist intern” means [an 32 adult] a natural person who is authorized under the provisions of 33 NRS 433.631 to provide peer recovery support services for 34 compensation as a regular part of his or her job duties while the 35 [adult] natural person is acquiring the experience necessary for 36 certification as a peer recovery support specialist. 37 Sec. 6. NRS 433.629 is hereby amended to read as follows: 38 433.629 “Peer recovery support specialist supervisor” means 39 [an adult] a natural person who is authorized under the provisions 40 of NRS 433.631 to supervise the provision of peer recovery support 41 services for compensation as a regular part of his or her job duties. 42 Sec. 7. NRS 433.631 is hereby amended to read as follows: 43 433.631 1. Except as authorized by subsection 2, [an adult] a 44 natural person shall not: 45 – 4 – - *AB60_R1* (a) Provide peer recovery support services for compensation as a 1 regular part of his or her job duties or hold himself or herself out as 2 authorized to provide peer recovery support services unless he or 3 she [holds] : 4 (1) Is at least 18 years of age; and 5 (2) Holds a valid certificate as a peer recovery support 6 specialist issued by the Nevada Certification Board or its successor 7 organization. 8 (b) Supervise the provision of peer recovery support services for 9 compensation as a regular part of his or her job duties or hold 10 himself or herself out as authorized to supervise the provision of 11 peer recovery support services unless he or she [holds] : 12 (1) Is at least 18 years of age; and 13 (2) Holds a valid certificate as a peer recovery support 14 specialist supervisor issued by the Nevada Certification Board or its 15 successor organization. 16 (c) Hold himself or herself out as a certified prevention 17 specialist unless he or she: 18 (1) Is at least 18 years of age; and 19 (2) Holds a valid certificate as a certified prevention 20 specialist issued by the Nevada Certification Board or its successor 21 organization. 22 2. If the Nevada Certification Board or its successor 23 organization establishes conditions governing the provision of peer 24 recovery support services by a natural person who is not certified as 25 a peer recovery support specialist while the natural person is 26 acquiring the experience necessary for certification as a peer 27 recovery support specialist, [an adult] a natural person who is at 28 least 18 years of age and is not certified as a peer recovery support 29 specialist may: 30 (a) Provide peer recovery support services for compensation as a 31 regular part of his or her job duties under those conditions; and 32 (b) Use the title of “peer recovery support specialist intern” 33 while providing peer recovery support services under those 34 conditions. 35 3. The Division may impose upon [an adult] a natural person 36 who violates this section a civil penalty in an amount prescribed by 37 regulation of the Board. 38 Sec. 8. NRS 433.631 is hereby amended to read as follows: 39 433.631 1. Except as authorized by subsection 2, [an adult] a 40 natural person shall not: 41 (a) Provide peer recovery support services for compensation as a 42 regular part of his or her job duties or hold himself or herself out as 43 authorized to provide peer recovery support services unless he or 44 she [holds] : 45 – 5 – - *AB60_R1* (1) Is at least 18 years of age; and 1 (2) Holds a valid certificate as a peer recovery support 2 specialist issued by the Division. 3 (b) Supervise the provision of peer recovery support services for 4 compensation as a regular part of his or her job duties or hold 5 himself or herself out as authorized to supervise the provision of 6 peer recovery support services unless he or 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 supervisor issued by the Division. 10 (c) Hold himself or herself out as a certified prevention 11 specialist unless he or she: 12 (1) Is at least 18 years of age; and 13 (2) Holds a valid certificate as a certified prevention 14 specialist issued by the Division. 15 2. The Division may adopt regulations establishing conditions 16 under which [an adult] a natural person who is at least 18 years of 17 age and is not certified as a peer recovery support specialist may: 18 (a) Provide peer recovery support services for compensation as a 19 regular part of his or her job duties while acquiring the experience 20 necessary for certification; and 21 (b) Use the title of “peer recovery support specialist intern.” 22 3. The Division may impose upon [an adult] a natural person 23 who violates this section a civil penalty in an amount prescribed by 24 regulation of the Board. 25 Sec. 9. NRS 433.632 is hereby amended to read as follows: 26 433.632 1. The Board shall adopt regulations governing the 27 practice of certified prevention specialists and the provision of peer 28 recovery support services. The regulations must prescribe: 29 (a) The requirements for the issuance and renewal of a 30 certificate as a certified prevention specialist, peer recovery support 31 specialist or peer recovery support specialist supervisor, which must 32 include, without limitation, required training and experience for 33 certified prevention specialists, peer recovery support specialists 34 and peer recovery support specialist supervisors. 35 (b) Requirements governing the supervision of peer recovery 36 support specialists by peer recovery support specialist supervisors. 37 (c) Procedures for the Division to investigate misconduct by a 38 certified prevention specialist, peer recovery support specialist or 39 peer recovery support specialist supervisor and to impose 40 disciplinary action for such misconduct. 41 (d) The forms of disciplinary action that the Division may 42 impose against a certified prevention specialist, peer recovery 43 support specialist or peer recovery support specialist supervisor. 44 2. The Board may, by regulation, prescribe a fee for: 45 – 6 – - *AB60_R1* (a) The issuance of a certificate; and 1 (b) The renewal of a certificate. 2 3. Any fee prescribed pursuant to subsection 2 must be 3 calculated to produce the revenue estimated to cover the costs 4 related to the issuance and renewal of certificates, but in no case 5 may the fee for the issuance or renewal of a certificate exceed the 6 actual cost to the Division of issuing or renewing the certificate, as 7 applicable. 8 4. The regulations adopted pursuant to this section may 9 establish exemptions from the provisions of NRS 433.631. 10 Sec. 10. NRS 433.635 is hereby amended to read as follows: 11 433.635 1. The Division may issue a certificate by 12 endorsement as a certified prevention specialist, peer recovery 13 support specialist or peer recovery support specialist supervisor to 14 an applicant who meets the requirements set forth in this section. An 15 applicant may submit to the Division an application for such a 16 certificate if the applicant holds a corresponding valid and 17 unrestricted license, certificate or other credential as a certified 18 prevention specialist, peer recovery support specialist or peer 19 recovery support specialist supervisor, as applicable, in the District 20 of Columbia or any state or territory of the United States. 21 2. An applicant for a certificate by endorsement pursuant to 22 this section must submit to the Division with his or her application: 23 (a) Proof satisfactory to the Division that the applicant: 24 (1) Satisfies the requirements of subsection 1; 25 (2) Has not been disciplined or investigated by the 26 corresponding regulatory authority of the District of Columbia or 27 any state or territory in which the applicant currently holds or has 28 held a license, certificate or other credential as a certified 29 prevention specialist, peer recovery support specialist or peer 30 recovery support specialist supervisor, as applicable; and 31 (3) Has not been held civilly or criminally liable for 32 malpractice in the District of Columbia or any state or territory of 33 the United States; 34 (b) An affidavit stating that the information contained in the 35 application and any accompanying material is true and correct; 36 (c) The fee prescribed by the Board in the regulations adopted 37 pursuant to NRS 433.632; and 38 (d) Any other information required by the Division. 39 3. Not later than 15 business days after the Division receives an 40 application for a certificate by endorsement as a certified prevention 41 specialist, peer recovery support specialist or peer recovery support 42 specialist supervisor pursuant to this section, the Division shall 43 provide written notice to the applicant of any additional information 44 required by the Division to consider the application. Unless the 45 – 7 – - *AB60_R1* Division denies the application for good cause, the Division shall 1 approve the application and issue a certificate by endorsement as a 2 certified prevention specialist, peer recovery support specialist or 3 peer recovery support specialist supervisor, as applicable, to the 4 applicant not later than 45 days after receiving the application. 5 Sec. 11. NRS 433.636 is hereby amended to read as follows: 6 433.636 1. The Division may issue a certificate by 7 endorsement as a certified prevention specialist, peer recovery 8 support specialist or peer recovery support specialist supervisor to 9 an applicant who meets the requirements set forth in this section. An 10 applicant may submit to the Division an application for such a 11 certificate if the applicant: 12 (a) Holds a corresponding valid and unrestricted license, 13 certificate or other credential as a certified prevention specialist, 14 peer recovery support specialist or peer recovery support specialist 15 supervisor, as applicable, in the District of Columbia or any state or 16 territory of the United States; and 17 (b) Is an active member of, or the spouse of an active member 18 of, the Armed Forces of the United States, a veteran or the spouse, 19 widow or widower of a veteran. 20 2. An applicant for a certificate by endorsement pursuant to 21 this section must submit to the Division with his or her application: 22 (a) Proof satisfactory to the Division that the applicant: 23 (1) Satisfies the requirements of subsection 1; 24 (2) Has not been disciplined or investigated by the 25 corresponding regulatory authority of the District of Columbia or 26 any state or territory in which the applicant currently holds or has 27 held a license, certificate or other credential as a certified 28 prevention specialist, peer recovery support specialist or peer 29 recovery support specialist supervisor, as applicable; and 30 (3) Has not been held civilly or criminally liable for 31 malpractice in the District of Columbia or any state or territory of 32 the United States; 33 (b) An affidavit stating that the information contained in the 34 application and any accompanying material is true and correct; 35 (c) The fee prescribed by the Board in the regulations adopted 36 pursuant to NRS 433.632; and 37 (d) Any other information required by the Division. 38 3. Not later than 15 business days after the Division receives an 39 application for a certificate by endorsement as a certified prevention 40 specialist, peer recovery support specialist or peer recovery support 41 specialist supervisor pursuant to this section, the Division shall 42 provide written notice to the applicant of any additional information 43 required by the Division to consider the application. Unless the 44 Division denies the application for good cause, the Division shall 45 – 8 – - *AB60_R1* approve the application and issue a certificate by endorsement as a 1 certified prevention specialist, peer recovery support specialist or 2 peer recovery support specialist supervisor, as applicable, to the 3 applicant not later than 45 days after receiving all the additional 4 information required by the Division to complete the application. 5 4. At any time before making a final decision on an application 6 for a certificate by endorsement pursuant to this section, the 7 Division may grant a provisional certificate authorizing an applicant 8 to hold himself or herself out as a certified prevention specialist or 9 practice as a peer recovery support specialist or peer recovery 10 support specialist supervisor, as applicable, in accordance with 11 regulations adopted by the Board. 12 5. As used in this section, “veteran” has the meaning ascribed 13 to it in NRS 417.005. 14 Sec. 12. NRS 433.637 is hereby amended to read as follows: 15 433.637 1. In addition to any other requirements set forth in 16 NRS 433.622 to 433.641, inclusive, an applicant for the renewal of a 17 certificate as a certified prevention specialist, recovery support 18 specialist or recovery support specialist supervisor must indicate in 19 the application submitted to the Division whether the applicant has a 20 state business license. If the applicant has a state business license, 21 the applicant must include in the application the business 22 identification number assigned by the Secretary of State upon 23 compliance with the provisions of chapter 76 of NRS. 24 2. A certificate may not be renewed if: 25 (a) The applicant fails to submit the information required by 26 subsection 1; or 27 (b) The State Controller has informed the Division pursuant to 28 subsection 5 of NRS 353C.1965 that the applicant owes a debt to an 29 agency that has been assigned to the State Controller for collection 30 and the applicant has not: 31 (1) Satisfied the debt; 32 (2) Entered into an agreement for the payment of the debt 33 pursuant to NRS 353C.130; or 34 (3) Demonstrated that the debt is not valid. 35 3. As used in this section: 36 (a) “Agency” has the meaning ascribed to it in NRS 353C.020. 37 (b) “Debt” has the meaning ascribed to it in NRS 353C.040. 38 Sec. 13. NRS 433.638 is hereby amended to read as follows: 39 433.638 1. The Division may bring an action in the name of 40 the State of Nevada to enjoin any [adult] natural person from 41 engaging in conduct that violates the provisions of NRS 433.631. 42 2. It is sufficient in such an action to allege that the defendant 43 did, on a certain date and in a certain place, engage in conduct for 44 – 9 – - *AB60_R1* which a certificate is required by NRS 433.631 without a valid 1 certificate. 2 Sec. 14. NRS 433.639 is hereby amended to read as follows: 3 433.639 1. Not later than 3 days after employing a natural 4 person to serve as a certified prevention specialist or provide or 5 supervise the provision of peer recovery support services in a 6 position where the natural person has regular and substantial 7 contact with minors or retaining a natural person as an independent 8 contractor to serve as a certified prevention specialist or provide or 9 supervise the provision of peer recovery support services in such a 10 position and every 5 years thereafter, an employer, or person or 11 entity who retained the independent contractor, shall: 12 (a) Obtain from the employee or independent contractor written 13 authorization for the release of any information that may be 14 available from the Statewide Central Registry for the Collection of 15 Information Concerning the Abuse or Neglect of a Child established 16 pursuant to NRS 432.100; and 17 (b) Complete a child abuse and neglect screening through the 18 Central Registry to determine whether there has been a substantiated 19 report of child abuse or neglect or a violation of NRS 201.540, 20 201.553, 201.560, 392.4633 or 394.366 made against the natural 21 person. 22 2. Except as otherwise provided in any regulations adopted 23 pursuant to subsection 4, upon receiving information pursuant to 24 subsection 1 from the Central Registry or from any other source that 25 an employee or independent contractor described in subsection 1 26 has, within the immediately preceding 5 years, had a substantiated 27 report of child abuse or neglect or a violation of NRS 201.540, 28 201.553, 201.560, 392.4633 or 394.366 made against him or her, the 29 employer or person or entity who retained the independent 30 contractor shall terminate the employment or contract of the 31 employee or independent contractor, as applicable, after allowing 32 the employee or independent contractor time to correct the 33 information as required pursuant to subsection 3. 34 3. If an employee or independent contractor described in 35 subsection 1 believes that the information provided to the employer 36 or person or entity who retained the independent contractor pursuant 37 to subsection 2 is incorrect, the employee or independent contractor 38 must inform the employer, person or entity immediately. The 39 employer, person or entity shall give any such employee or 40 independent contractor 30 days to correct the information. 41 4. The Division, in consultation with each agency which 42 provides child welfare services, may establish by regulation a 43 process by which it may review evidence upon request to determine 44 whether an employee or independent contractor described in 45 – 10 – - *AB60_R1* subsection 1 who has, within the immediately preceding 5 years, 1 had a substantiated report of child abuse or neglect or a violation of 2 NRS 201.540, 201.553, 201.560, 392.4633 or 394.366 made against 3 him or her may continue to serve as a certified prevention specialist 4 or provide or supervise the provision of peer recovery support 5 services , as applicable, and have regular and substantial contact 6 with minors despite the report. Any such review must be conducted 7 in a manner which does not discriminate against a natural person in 8 violation of 42 U.S.C. §§ 2000e et seq. 9 5. If a process for review is established pursuant to subsection 10 4, an employee or independent contractor described in subsection 1 11 may request such a review in the manner established by the 12 Division. Any determination made by the Division is final for 13 purposes of judicial review. 14 6. During any period in which an employee or independent 15 contractor seeks to correct information pursuant to subsection 3 or 16 requests a review of information pursuant to subsection 5, it is 17 within the discretion of the employer or person or entity who 18 retained the independent contractor whether to allow the employee 19 or independent contractor to continue to work for the employer, 20 person or entity, as applicable, except that the employee or 21 independent contractor shall not have regular and substantial contact 22 with minors without supervision during such a period. 23 7. The Division shall adopt regulations to establish civil 24 penalties to be imposed against any person or entity that fails to 25 comply with the requirements of this section. 26 8. As used in this section, “agency which provides child 27 welfare services” has the meaning ascribed to it in NRS 424.011. 28 Sec. 15. NRS 433.641 is hereby amended to read as follows: 29 433.641 1. A person or entity that employs a natural person 30 or retains an independent contractor for the purpose of serving as a 31 certified prevention specialist or providing or supervising the 32 provision of peer recovery support services in a position where the 33 natural person has regular and substantial contact with minors shall 34 maintain records of the information concerning such employees and 35 independent contractors that is collected pursuant to NRS 433.639, 36 including, without limitation, the written authorization for the 37 release of information from the Statewide Central Registry for the 38 Collection of Information Concerning the Abuse or Neglect of a 39 Child established pursuant to NRS 432.100. 40 2. The records maintained pursuant to subsection 1 must be: 41 (a) Maintained for the period that the employee or independent 42 contractor has regular and substantial contact with minors; and 43 – 11 – - *AB60_R1* (b) Made available for inspection by the Division at any 1 reasonable time and copies thereof must be furnished to the Division 2 upon request. 3 Sec. 16. NRS 200.5093 is hereby amended to read as follows: 4 200.5093 1. Any person who is described in subsection 4 and 5 who, in a professional or occupational capacity, knows or has 6 reasonable cause to believe that an older person or vulnerable 7 person has been abused, neglected, exploited, isolated or abandoned 8 shall: 9 (a) Except as otherwise provided in subsection 2, report the 10 abuse, neglect, exploitation, isolation or abandonment of the older 11 person or vulnerable person to: 12 (1) The local office of the Aging and Disability Services 13 Division of the Department of Health and Human Services; 14 (2) A police department or sheriff’s office; or 15 (3) A toll-free telephone service designated by the Aging and 16 Disability Services Division of the Department of Health and 17 Human Services; and 18 (b) Make such a report as soon as reasonably practicable but not 19 later than 24 hours after the person knows or has reasonable cause to 20 believe that the older person or vulnerable person has been abused, 21 neglected, exploited, isolated or abandoned. 22 2. If a person who is required to make a report pursuant to 23 subsection 1 knows or has reasonable cause to believe that the 24 abuse, neglect, exploitation, isolation or abandonment of the older 25 person or vulnerable person involves an act or omission of the 26 Aging and Disability Services Division, another division of the 27 Department of Health and Human Services or a law enforcement 28 agency, the person shall make the report to an agency other than the 29 one alleged to have committed the act or omission. 30 3. Each agency, after reducing a report to writing, shall forward 31 a copy of the report to the Aging and Disability Services Division of 32 the Department of Health and Human Services and the Unit for the 33 Investigation and Prosecution of Crimes. 34 4. A report must be made pursuant to subsection 1 by the 35 following persons: 36 (a) Every physician, dentist, dental hygienist, expanded function 37 dental assistant, chiropractic physician, naprapath, optometrist, 38 podiatric physician, medical examiner, resident, intern, professional 39 or practical nurse, physician assistant licensed pursuant to chapter 40 630 or 633 of NRS, anesthesiologist assistant, perfusionist, 41 psychiatrist, psychologist, marriage and family therapist, clinical 42 professional counselor, clinical alcohol and drug counselor, alcohol 43 and drug counselor, music therapist, athletic trainer, driver of an 44 ambulance, paramedic, licensed dietitian, holder of a license or a 45 – 12 – - *AB60_R1* limited license issued under the provisions of chapter 653 of NRS, 1 behavior analyst, assistant behavior analyst, registered behavior 2 technician, certified prevention specialist, as defined in section 1 of 3 this act, peer recovery support specialist, as defined in NRS 4 433.627, peer recovery support specialist supervisor, as defined in 5 NRS 433.629, or other person providing medical services licensed 6 or certified to practice in this State, who examines, attends or treats 7 an older person or vulnerable person who appears to have been 8 abused, neglected, exploited, isolated or abandoned. 9 (b) Any personnel of a hospital or similar institution engaged in 10 the admission, examination, care or treatment of persons or an 11 administrator, manager or other person in charge of a hospital or 12 similar institution upon notification of the suspected abuse, neglect, 13 exploitation, isolation or abandonment of an older person or 14 vulnerable person by a member of the staff of the hospital. 15 (c) A coroner. 16 (d) Every person who maintains or is employed by an agency to 17 provide personal care services in the home. 18 (e) Every person who maintains or is employed by an agency to 19 provide nursing in the home. 20 (f) Every person who operates, who is employed by or who 21 contracts to provide services for an intermediary service 22 organization as defined in NRS 449.4304. 23 (g) Any employee of the Department of Health and Human 24 Services, except the State Long-Term Care Ombudsman appointed 25 pursuant to NRS 427A.125 and any of his or her advocates or 26 volunteers where prohibited from making such a report pursuant to 27 45 C.F.R. § 1321.11. 28 (h) Any employee of a law enforcement agency or a county’s 29 office for protective services or an adult or juvenile probation 30 officer. 31 (i) Any person who maintains or is employed by a facility or 32 establishment that provides care for older persons or vulnerable 33 persons. 34 (j) Any person who maintains, is employed by or serves as a 35 volunteer for an agency or service which advises persons regarding 36 the abuse, neglect, exploitation, isolation or abandonment of an 37 older person or vulnerable person and refers them to persons and 38 agencies where their requests and needs can be met. 39 (k) Every social worker. 40 (l) Any person who owns or is employed by a funeral home or 41 mortuary. 42 (m) Every person who operates or is employed by a community 43 health worker pool, as defined in NRS 449.0028, or with whom a 44 – 13 – - *AB60_R1* community health worker pool contracts to provide the services of a 1 community health worker, as defined in NRS 449.0027. 2 (n) Every person who is enrolled with the Division of Health 3 Care Financing and Policy of the Department of Health and Human 4 Services to provide doula services to recipients of Medicaid 5 pursuant to NRS 422.27177. 6 5. A report may be made by any other person. 7 6. If a person who is required to make a report pursuant to 8 subsection 1 knows or has reasonable cause to believe that an older 9 person or vulnerable person has died as a result of abuse, neglect, 10 isolation or abandonment, the person shall, as soon as reasonably 11 practicable, report this belief to the appropriate medical examiner or 12 coroner, who shall investigate the cause of death of the older person 13 or vulnerable person and submit to the appropriate local law 14 enforcement agencies, the appropriate prosecuting attorney, the 15 Aging and Disability Services Division of the Department of Health 16 and Human Services and the Unit for the Investigation and 17 Prosecution of Crimes his or her written findings. The written 18 findings must include the information required pursuant to the 19 provisions of NRS 200.5094, when possible. 20 7. A division, office or department which receives a report 21 pursuant to this section shall cause the investigation of the report to 22 commence within 3 working days. A copy of the final report of the 23 investigation conducted by a division, office or department, other 24 than the Aging and Disability Services Division of the Department 25 of Health and Human Services, must be forwarded within 30 days 26 after the completion of the report to the: 27 (a) Aging and Disability Services Division; 28 (b) Repository for Information Concerning Crimes Against 29 Older Persons or Vulnerable Persons created by NRS 179A.450; 30 and 31 (c) Unit for the Investigation and Prosecution of Crimes. 32 8. If the investigation of a report results in the belief that an 33 older person or vulnerable person is abused, neglected, exploited, 34 isolated or abandoned, the Aging and Disability Services Division 35 of the Department of Health and Human Services or the county’s 36 office for protective services may provide protective services to the 37 older person or vulnerable person if the older person or vulnerable 38 person is able and willing to accept them. 39 9. A person who knowingly and willfully violates any of the 40 provisions of this section is guilty of a misdemeanor. 41 10. As used in this section, “Unit for the Investigation and 42 Prosecution of Crimes” means the Unit for the Investigation and 43 Prosecution of Crimes Against Older Persons or Vulnerable Persons 44 – 14 – - *AB60_R1* in the Office of the Attorney General created pursuant to 1 NRS 228.265. 2 Sec. 17. NRS 432B.220 is hereby amended to read as follows: 3 432B.220 1. Any person who is described in subsection 4 4 and who, in his or her professional or occupational capacity, knows 5 or has reasonable cause to believe that a child has been abused or 6 neglected shall: 7 (a) Except as otherwise provided in subsection 2, report the 8 abuse or neglect of the child to an agency which provides child 9 welfare services or to a law enforcement agency; and 10 (b) Make such a report as soon as reasonably practicable but not 11 later than 24 hours after the person knows or has reasonable cause to 12 believe that the child has been abused or neglected. 13 2. If a person who is required to make a report pursuant to 14 subsection 1 knows or has reasonable cause to believe that the abuse 15 or neglect of the child involves an act or omission of: 16 (a) A person directly responsible or serving as a volunteer for or 17 an employee of a public or private home, institution or facility 18 where the child is receiving child care outside of the home for a 19 portion of the day, the person shall make the report to a law 20 enforcement agency. 21 (b) An agency which provides child welfare services or a law 22 enforcement agency, the person shall make the report to an agency 23 other than the one alleged to have committed the act or omission, 24 and the investigation of the abuse or neglect of the child must be 25 made by an agency other than the one alleged to have committed the 26 act or omission. 27 3. Any person who is described in paragraph (a) of subsection 28 4 who delivers or provides medical services to a newborn infant and 29 who, in his or her professional or occupational capacity, knows or 30 has reasonable cause to believe that the newborn infant has been 31 affected by a fetal alcohol spectrum disorder or prenatal substance 32 use disorder or has withdrawal symptoms resulting from prenatal 33 substance exposure shall, as soon as reasonably practicable but not 34 later than 24 hours after the person knows or has reasonable cause to 35 believe that the newborn infant is so affected or has such symptoms, 36 notify an agency which provides child welfare services of the 37 condition of the infant and refer each person who is responsible for 38 the welfare of the infant to an agency which provides child welfare 39 services for appropriate counseling, training or other services. A 40 notification and referral to an agency which provides child welfare 41 services pursuant to this subsection shall not be construed to require 42 prosecution for any illegal action. 43 4. A report must be made pursuant to subsection 1 by the 44 following persons: 45 – 15 – - *AB60_R1* (a) A person providing services licensed or certified in this State 1 pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 2 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640B, 3 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS or 4 practicing as an emergency medical technician, advanced 5 emergency medical technician or paramedic in this State under the 6 Recognition of Emergency Medical Services Personnel Licensure 7 Interstate Compact ratified by NRS 450B.145. 8 (b) Any personnel of a medical facility licensed pursuant to 9 chapter 449 of NRS who are engaged in the admission, examination, 10 care or treatment of persons or an administrator, manager or other 11 person in charge of such a medical facility upon notification of 12 suspected abuse or neglect of a child by a member of the staff of the 13 medical facility. 14 (c) A coroner. 15 (d) A member of the clergy, practitioner of Christian Science or 16 religious healer, unless the person has acquired the knowledge of the 17 abuse or neglect from the offender during a confession. 18 (e) A person employed by a public school or private school and 19 any person who serves as a volunteer at such a school. 20 (f) Any person who maintains or is employed by a facility or 21 establishment that provides care for children, children’s camp or 22 other public or private facility, institution or agency furnishing care 23 to a child. 24 (g) Any person licensed pursuant to chapter 424 of NRS to 25 conduct a foster home. 26 (h) Any officer or employee of a law enforcement agency or an 27 adult or juvenile probation officer. 28 (i) Except as otherwise provided in NRS 432B.225, an attorney. 29 (j) Any person who maintains, is employed by or serves as a 30 volunteer for an agency or service which advises persons regarding 31 abuse or neglect of a child and refers them to persons and agencies 32 where their requests and needs can be met. 33 (k) Any person who is employed by or serves as a volunteer for 34 a youth shelter. As used in this paragraph, “youth shelter” has the 35 meaning ascribed to it in NRS 244.427. 36 (l) Any adult person who is employed by an entity that provides 37 organized activities for children, including, without limitation, a 38 person who is employed by a school district or public school. 39 (m) Any person who is enrolled with the Division of Health 40 Care Financing and Policy of the Department of Health and Human 41 Services to provide doula services to recipients of Medicaid 42 pursuant to NRS 422.27177. 43 (n) A certified prevention specialist, as defined in section 1 of 44 this act, peer recovery support specialist, as defined in 45 – 16 – - *AB60_R1* NRS 433.627, or peer recovery support specialist supervisor, as 1 defined in NRS 433.629. 2 5. A report may be made by any other person. 3 6. If a person who is required to make a report pursuant to 4 subsection 1 knows or has reasonable cause to believe that a child 5 has died as a result of abuse or neglect, the person shall, as soon as 6 reasonably practicable, report this belief to an agency which 7 provides child welfare services or a law enforcement agency. If such 8 a report is made to a law enforcement agency, the law enforcement 9 agency shall notify an agency which provides child welfare services 10 and the appropriate medical examiner or coroner of the report. If 11 such a report is made to an agency which provides child welfare 12 services, the agency which provides child welfare services shall 13 notify the appropriate medical examiner or coroner of the report. 14 The medical examiner or coroner who is notified of a report 15 pursuant to this subsection shall investigate the report and submit 16 his or her written findings to the appropriate agency which provides 17 child welfare services, the appropriate district attorney and a law 18 enforcement agency. The written findings must include, if 19 obtainable, the information required pursuant to the provisions of 20 subsection 2 of NRS 432B.230. 21 7. The agency, board, bureau, commission, department, 22 division or political subdivision of the State responsible for the 23 licensure, certification or endorsement of a person who is described 24 in subsection 4 and who is required in his or her professional or 25 occupational capacity to be licensed, certified or endorsed in this 26 State shall, at the time of initial licensure, certification or 27 endorsement: 28 (a) Inform the person, in writing or by electronic 29 communication, of his or her duty as a mandatory reporter pursuant 30 to this section; 31 (b) Obtain a written acknowledgment or electronic record from 32 the person that he or she has been informed of his or her duty 33 pursuant to this section; and 34 (c) Maintain a copy of the written acknowledgment or electronic 35 record for as long as the person is licensed, certified or endorsed in 36 this State. 37 8. The employer of a person who is described in subsection 4 38 and who is not required in his or her professional or occupational 39 capacity to be licensed, certified or endorsed in this State must, upon 40 initial employment of the person: 41 (a) Inform the person, in writing or by electronic 42 communication, of his or her duty as a mandatory reporter pursuant 43 to this section; 44 – 17 – - *AB60_R1* (b) Obtain a written acknowledgment or electronic record from 1 the person that he or she has been informed of his or her duty 2 pursuant to this section; and 3 (c) Maintain a copy of the written acknowledgment or electronic 4 record for as long as the person is employed by the employer. 5 9. Before a person may serve as a volunteer at a public school 6 or private school, the school must: 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 and NRS 392.303; 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 NRS 392.303; and 13 (c) Maintain a copy of the written acknowledgment or electronic 14 record for as long as the person serves as a volunteer at the school. 15 10. The provisions of subsection 8 do not apply to the 16 employer of a person practicing as an emergency medical 17 technician, advanced emergency medical technician or paramedic in 18 this State under the Recognition of Emergency Medical Services 19 Personnel Licensure Interstate Compact ratified by NRS 450B.145. 20 11. As used in this section: 21 (a) “Private school” has the meaning ascribed to it in 22 NRS 394.103. 23 (b) “Public school” has the meaning ascribed to it in 24 NRS 385.007. 25 Sec. 18. NRS 458.033 is hereby amended to read as follows: 26 458.033 1. The State Board of Health shall adopt regulations: 27 (a) Providing for the certification of substance use disorder 28 prevention coalitions; and 29 (b) Establishing requirements governing the membership of and 30 geographic region served by substance use disorder prevention 31 coalitions. The regulations adopted pursuant to this paragraph must 32 align with nationally recognized standards for substance use 33 disorder prevention coalitions and must provide that a geographic 34 region may be served by more than one substance use disorder 35 prevention coalition. 36 2. A certified substance use disorder prevention coalition shall: 37 (a) Advise the Department of Health and Human Services and 38 the Division concerning: 39 (1) The needs of adults and children in the geographic region 40 served by the coalition concerning the prevention of substance 41 misuse and substance use disorders in the geographic region; 42 (2) Any progress, problems or plans relating to the provision 43 of services for the prevention of substance misuse and substance use 44 – 18 – - *AB60_R1* disorders and methods for improving the provision of such services 1 in the geographic region served by the coalition; 2 (3) Identified gaps in services for the prevention of substance 3 misuse and substance use disorders and recommendations for 4 addressing those gaps; and 5 (4) Priorities for allocating resources to support and develop 6 services for the prevention of substance misuse and substance use 7 disorders in the geographic region served by the coalition. 8 (b) Convene interested persons and entities to promote the use 9 of evidence-based strategies to address needs concerning services 10 for the prevention of substance misuse and substance use disorders 11 and improve such services in the geographic region served by the 12 coalition. 13 (c) Coordinate and share information with other certified 14 substance use disorder prevention coalitions to provide 15 recommendations to the Department of Health and Human Services 16 and the Division concerning services for the prevention of substance 17 misuse and substance use disorders. 18 (d) Implement, in coordination with the Department of Health 19 and Human Services, the Division, other certified substance use 20 disorder prevention coalitions and other interested persons and 21 entities, statewide efforts for the prevention of substance misuse and 22 substance use disorders. 23 (e) Coordinate with persons and entities in this State who 24 provide services related to the prevention of substance misuse and 25 substance use disorders to increase the awareness of such services 26 and reduce duplication of efforts. 27 (f) In consultation with other persons and entities in this State 28 who provide services related to the prevention of substance use 29 disorders, submit an annual report to the regional behavioral health 30 policy board for the geographic region served by the substance use 31 disorder prevention coalition. The report must include, without 32 limitation: 33 (1) Identification of the specific needs of the geographic 34 region served by the coalition concerning the prevention of 35 substance misuse and substance use disorders; 36 (2) A description of methods that the coalition uses to collect 37 and analyze data concerning: 38 (I) Substance misuse and substance use disorders in the 39 geographic region served by the coalition; and 40 (II) Gaps in services related to the prevention of 41 substance misuse and substance use disorders and the need for 42 additional services in that region; 43 (3) The strategies used by the coalition and the results of 44 those strategies; 45 – 19 – - *AB60_R1* (4) The goals of the coalition for the immediately preceding 1 year and the degree to which the coalition achieved those goals; and 2 (5) The goals of the coalition for the immediately following 3 year and the long-term goals of the coalition. 4 (g) Employ or enter into contracts with certified prevention 5 specialists as necessary to perform or facilitate the activities 6 described in paragraphs (a) to (f), inclusive. 7 3. The Division shall collaborate with and utilize certified 8 substance use disorder prevention coalitions as the primary local and 9 regional entities to coordinate programs and strategies for the 10 prevention of substance use disorders in this State. 11 4. As used in this section: 12 (a) “Behavioral health region” has the meaning ascribed to it in 13 NRS 433.426. 14 (b) “Certified prevention specialist” has the meaning ascribed 15 to it in section 1 of this act. 16 (c) “Substance use disorder prevention coalition” means a 17 coalition of persons and entities who possess knowledge and 18 experience related to the prevention of substance misuse and 19 substance use disorders in a region of this State. 20 Sec. 19. NRS 632.472 is hereby amended to read as follows: 21 632.472 1. The following persons shall report in writing to 22 the Executive Director of the Board any conduct of a licensee or 23 holder of a certificate which constitutes a violation of the provisions 24 of this chapter: 25 (a) Any physician, dentist, dental hygienist, expanded function 26 dental assistant, naprapath, chiropractic physician, optometrist, 27 podiatric physician, medical examiner, resident, intern, professional 28 or practical nurse, nursing assistant, medication aide - certified, 29 perfusionist, physician assistant licensed pursuant to chapter 630 or 30 633 of NRS, anesthesiologist assistant, psychiatrist, psychologist, 31 marriage and family therapist, clinical professional counselor, 32 alcohol or drug counselor, certified prevention specialist, peer 33 recovery support specialist, peer recovery support specialist 34 supervisor, music therapist, holder of a license or limited license 35 issued pursuant to chapter 653 of NRS, driver of an ambulance, 36 paramedic or other person providing medical services licensed or 37 certified to practice in this State. 38 (b) Any personnel of a medical facility or facility for the 39 dependent engaged in the admission, examination, care or treatment 40 of persons or an administrator, manager or other person in charge of 41 a medical facility or facility for the dependent upon notification by a 42 member of the staff of the facility. 43 (c) A coroner. 44 – 20 – - *AB60_R1* (d) Any person who maintains or is employed by an agency to 1 provide personal care services in the home. 2 (e) Any person who operates, who is employed by or who 3 contracts to provide services for an intermediary service 4 organization as defined in NRS 449.4304. 5 (f) Any person who maintains or is employed by an agency to 6 provide nursing in the home. 7 (g) Any employee of the Department of Health and Human 8 Services. 9 (h) Any employee of a law enforcement agency or a county’s 10 office for protective services or an adult or juvenile probation 11 officer. 12 (i) Any person who maintains or is employed by a facility or 13 establishment that provides care for older persons. 14 (j) Any person who maintains, is employed by or serves as a 15 volunteer for an agency or service which advises persons regarding 16 the abuse, neglect or exploitation of an older person and refers them 17 to persons and agencies where their requests and needs can be met. 18 (k) Any social worker. 19 (l) Any person who operates or is employed by a community 20 health worker pool or with whom a community health worker pool 21 contracts to provide the services of a community health worker, as 22 defined in NRS 449.0027. 23 2. Every physician who, as a member of the staff of a medical 24 facility or facility for the dependent, has reason to believe that a 25 nursing assistant or medication aide - certified has engaged in 26 conduct which constitutes grounds for the denial, suspension or 27 revocation of a certificate shall notify the superintendent, manager 28 or other person in charge of the facility. The superintendent, 29 manager or other person in charge shall make a report as required in 30 subsection 1. 31 3. A report may be filed by any other person. 32 4. Any person who in good faith reports any violation of the 33 provisions of this chapter to the Executive Director of the Board 34 pursuant to this section is immune from civil liability for reporting 35 the violation. 36 5. As used in this section: 37 (a) “Agency to provide personal care services in the home” has 38 the meaning ascribed to it in NRS 449.0021. 39 (b) “Certified prevention specialist” has the meaning ascribed 40 to it in section 1 of this act. 41 (c) “Community health worker pool” has the meaning ascribed 42 to it in NRS 449.0028. 43 [(c)] (d) “Peer recovery support specialist” has the meaning 44 ascribed to it in NRS 433.627. 45 – 21 – - *AB60_R1* [(d)] (e) “Peer recovery support specialist supervisor” has the 1 meaning ascribed to it in NRS 433.629. 2 Sec. 20. NRS 641.029 is hereby amended to read as follows: 3 641.029 The provisions of this chapter do not apply to: 4 1. A physician who is licensed to practice in this State; 5 2. A person who is licensed to practice dentistry in this State; 6 3. A person who is licensed as a marriage and family therapist 7 or marriage and family therapist intern pursuant to chapter 641A of 8 NRS; 9 4. A person who is licensed as a clinical professional counselor 10 or clinical professional counselor intern pursuant to chapter 641A of 11 NRS; 12 5. A person who is licensed to engage in social work pursuant 13 to chapter 641B of 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 an alcohol and drug counselor intern, a clinical 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 the provisions of NRS 433.622 to 25 433.641, inclusive [;] , and section 1 of this act. 26 9. A person who is licensed as a behavior analyst or an 27 assistant behavior analyst or registered as a registered behavior 28 technician pursuant to chapter 641D of NRS, while engaged in the 29 practice of applied behavior analysis as defined in NRS 641D.080; 30 or 31 10. Any member of the clergy, 32 if such a person does not commit an act described in NRS 33 641.440 or represent himself or herself as a psychologist. 34 Sec. 21. NRS 641B.040 is hereby amended to read as follows: 35 641B.040 The provisions of this chapter do not apply to: 36 1. A physician who is licensed to practice in this State; 37 2. A nurse who is licensed to practice in this State; 38 3. A person who is licensed as a psychologist pursuant to 39 chapter 641 of NRS or authorized to practice psychology in this 40 State pursuant to the Psychology Interjurisdictional Compact 41 enacted in NRS 641.227; 42 4. A person who is licensed as a marriage and family therapist 43 or marriage and family therapist intern pursuant to chapter 641A of 44 NRS; 45 – 22 – - *AB60_R1* 5. A person who is licensed as a clinical professional counselor 1 or clinical professional counselor intern pursuant to chapter 641A of 2 NRS; 3 6. A person who is licensed as an occupational therapist or 4 occupational therapy assistant pursuant to chapter 640A of NRS; 5 7. A person who is licensed as a clinical alcohol and drug 6 counselor, licensed or certified as an alcohol and drug counselor or 7 certified as a clinical alcohol and drug counselor intern, an alcohol 8 and drug counselor intern, a problem gambling counselor or a 9 problem gambling counselor intern, pursuant to chapter 641C of 10 NRS; 11 8. A person who serves as a certified prevention specialist or 12 provides or supervises the provision of peer recovery support 13 services in accordance with NRS 433.622 to 433.641, inclusive [;] , 14 and section 1 of this act. 15 9. Any member of the clergy; 16 10. A county welfare director; 17 11. Any person who may engage in social work or clinical 18 social work in his or her regular governmental employment but does 19 not hold himself or herself out to the public as a social worker; or 20 12. A student of social work and any other person preparing for 21 the profession of social work under the supervision of a qualified 22 social worker in a training institution or facility recognized by the 23 Board, unless the student or other person has been issued a 24 provisional license pursuant to paragraph (b) of subsection 1 of NRS 25 641B.275. Such a student must be designated by the title “student of 26 social work” or “trainee in social work,” or any other title which 27 clearly indicates the student’s training status. 28 Sec. 22. NRS 641C.130 is hereby amended to read as follows: 29 641C.130 The provisions of this chapter do not apply to: 30 1. A physician who is licensed pursuant to the provisions of 31 chapter 630 or 633 of NRS; 32 2. A nurse who is licensed pursuant to the provisions of chapter 33 632 of NRS and is authorized by the State Board of Nursing to 34 engage in the practice of counseling persons with alcohol and other 35 substance use disorders or the practice of counseling persons with 36 an addictive disorder related to gambling; 37 3. A psychologist who is licensed pursuant to the provisions of 38 chapter 641 of NRS or authorized to practice psychology in this 39 State pursuant to the Psychology Interjurisdictional Compact 40 enacted in NRS 641.227; 41 4. A clinical professional counselor or clinical professional 42 counselor intern who is licensed pursuant to chapter 641A of NRS; 43 5. A marriage and family therapist or marriage and family 44 therapist intern who is licensed pursuant to the provisions of chapter 45 – 23 – - *AB60_R1* 641A of NRS and is authorized by the Board of Examiners for 1 Marriage and Family Therapists and Clinical Professional 2 Counselors to engage in the practice of counseling persons with 3 alcohol and other substance use disorders or the practice of 4 counseling persons with an addictive disorder related to gambling; 5 6. A person who is: 6 (a) Licensed as: 7 (1) A clinical social worker pursuant to the provisions of 8 chapter 641B of NRS; or 9 (2) A master social worker or an independent social worker 10 pursuant to the provisions of chapter 641B of NRS and is engaging 11 in clinical social work as part of an internship program approved by 12 the Board of Examiners for Social Workers; and 13 (b) Authorized by the Board of Examiners for Social Workers to 14 engage in the practice of counseling persons with alcohol and other 15 substance use disorders or the practice of counseling persons with 16 an addictive disorder related to gambling; or 17 7. A person who serves as a certified prevention specialist or 18 provides or supervises the provision of peer recovery support 19 services in accordance with NRS 433.622 to 433.641, inclusive [.] , 20 and section 1 of this act. 21 Sec. 23. Section 37 of chapter 444, Statutes of Nevada 2021, 22 at page 2836, is hereby amended to read as follows: 23 Sec. 37. 1. This section becomes effective upon 24 passage and approval. 25 2. Sections 18.5, 19, 20 and 32 of this act become 26 effective on July 1, 2021. 27 3. Sections 1 to 3, inclusive, 5 to 8, inclusive, 15 to 17, 28 inclusive, 20.3 to 31, inclusive, and 33 to 36, inclusive, of this 29 act become effective: 30 (a) Upon passage and approval for the purpose of 31 adopting regulations and performing any other preparatory 32 administrative tasks that are necessary to carry out the 33 provisions of this act; and 34 (b) On January 1, 2022, for all other purposes. 35 4. Sections 4, 9 to 14, inclusive, 18 and 31.5 of this act 36 become effective on the date on which the Nevada 37 Certification Board, or its successor organization, ceases 38 certifying certified prevention specialists, peer recovery 39 support specialists or peer recovery support specialist 40 supervisors. 41 5. Sections 10 and 11 of this act expire by limitation on 42 the date on which the provisions of 42 U.S.C. § 666 requiring 43 each state to establish procedures under which the state has 44 authority to withhold or suspend, or to restrict the use of 45 – 24 – - *AB60_R1* professional, occupational and recreational licenses of 1 persons who: 2 (a) Have failed to comply with the subpoena or warrant 3 relating to a proceeding to determine the paternity of a child 4 or to establish or enforce an obligation for the support of a 5 child; or 6 (b) Are in arrears in the payment for the support of one or 7 more children, 8 are repealed by the Congress of the United States. 9 Sec. 24. 1. Notwithstanding any provision of this act to the 10 contrary, a natural person who holds a valid certification as a 11 certified prevention specialist issued by the Nevada Certification 12 Board or its successor organization on the date on which that 13 organization ceases certifying certified prevention specialists may 14 hold himself or herself out as a certified prevention specialist 15 without being certified by the Division of Public and Behavioral 16 Health of the Department of Health and Human Services until 6 17 months after the date on which the Division begins certifying 18 certified prevention specialists pursuant to the regulations adopted 19 by the State Board of Health pursuant to NRS 433.632, as amended 20 by section 9 of this act. To hold himself or herself out as a certified 21 prevention specialist after that date, the natural person must obtain a 22 certificate from the Division as required by NRS 433.631, as 23 amended by section 8 of this act. 24 2. As used in this section, “certified prevention specialist” has 25 the meaning ascribed to it in section 1 of this act. 26 Sec. 25. NRS 433.623 is hereby repealed. 27 Sec. 26. 1. This section and sections 1, 2, 4 to 7, inclusive, 28 and 13 to 25, inclusive, of this act become effective on July 1, 2025. 29 2. Sections 3 and 8 to 12, inclusive, of this act become 30 effective on the date on which the Nevada Certification Board, or its 31 successor organization, ceases certifying certified prevention 32 specialists, peer recovery support specialists or peer recovery 33 support specialist supervisors. 34 3. Sections 10 and 11 of this act expire by limitation on the 35 date on which the provisions of 42 U.S.C. § 666 requiring each state 36 to establish procedures under which the state has authority to 37 withhold or suspend, or to restrict the use of professional, 38 occupational and recreational licenses of persons who: 39 (a) Have failed to comply with the subpoena or warrant relating 40 to a proceeding to determine the paternity of a child or to establish 41 or enforce an obligation for the support of a child; or 42 (b) Are in arrears in the payment for the support of one or more 43 children, 44 are repealed by the Congress of the United States. 45 – 25 – - *AB60_R1* TEXT OF REPEALED SECTION 433.623 “Adult” defined. “Adult” means a natural person who is 18 years of age or older. H