S.B. 249
- *SB249*
SENATE BILL NO. 249–COMMITTEE ON COMMERCE AND LABOR
(ON BEHALF OF THE JOINT INTERIM STANDING
COMMITTEE ON COMMERCE AND LABOR)
FEBRUARY 26, 2025
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to certified registered
nurse anesthetists. (BDR 54-516)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: No.
~
EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to health care; authorizing a certified registered
nurse anesthetist to order, prescribe, possess and
administer controlled substances, poisons, dangerous
drugs and devices outside a critical access hospital under
certain circumstances; and providing other matters
properly relating thereto.
Legislative Counsel’s Digest:
Existing law authorizes a certified registered nurse anesthetist working under 1
the supervision of a physician licensed to practice medicine or osteopathic medicine 2
in this State to order, prescribe, possess and administer controlled substances, 3
poisons, dangerous drugs and devices to treat a patient under the care of the 4
licensed physician before, during and after surgery or childbirth only in a critical 5
access hospital. (NRS 632.2397) This bill authorizes a certified registered nurse 6
anesthetist to order, prescribe, possess and administer controlled substances, 7
poisons, dangerous drugs and devices under those circumstances outside a critical 8
access hospital. 9
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 632.2397 is hereby amended to read as 1
follows: 2
632.2397 1. A certified registered nurse anesthetist may: 3
– 2 –
- *SB249*
(a) Under the supervision of a physician licensed pursuant to 1
chapter 630 or 633 of NRS, order, prescribe, possess and administer 2
controlled substances, poisons, dangerous drugs and devices to treat 3
a patient under the care of a licensed physician [in a critical access 4
hospital] in preparation for surgery or childbirth, during surgery or 5
childbirth and while a patient recovers from surgery or childbirth. 6
(b) Possess and administer controlled substances, poisons, 7
dangerous drugs and devices in other circumstances under which a 8
registered nurse is authorized to possess and administer controlled 9
substances, poisons, dangerous drugs and devices. 10
2. A certified registered nurse anesthetist shall not order or 11
prescribe a controlled substance, poison, dangerous drug or device 12
except as authorized by paragraph (a) of subsection 1. 13
[3. As used in this section, “critical access hospital” means a 14
hospital which has been certified as a critical access hospital by the 15
Secretary of Health and Human Services pursuant to 42 U.S.C. 16
1395i-4(e).] 17
Sec. 2. This act becomes effective on July 1, 2025. 18
H