S.B. 346 - *SB346* SENATE BILL NO. 346–SENATORS SCHEIBLE, CRUZ-CRAWFORD; DONDERO LOOP, NGUYEN, OHRENSCHALL, PAZINA, STEINBECK AND STONE MARCH 13, 2025 ____________ Referred to Committee on Judiciary SUMMARY—Makes various changes relating to guardianship. (BDR 13-217) FISCAL NOTE: Effect on Local Government: May have Fiscal Impact. 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 guardianship; making various changes relating to guardianship; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law establishes the Supported Decision-Making Act, which authorizes 1 an adult with a disability to enter into a supported decision-making agreement at 2 any time if the adult enters into the agreement voluntarily and understands the 3 nature and effect of the agreement. (Chapter 162C of NRS) Section 1 of this bill 4 defines the term “supported decision-making agreement” for the purposes of the 5 provisions of law governing guardianship of adults. 6 Existing law defines the term “incapacitated” for the purposes of the provisions 7 of law governing guardianships of adults. (NRS 159.019) Section 3 of this bill 8 expands the definition to include a person who is unable to understand the nature 9 and effect of a supported decision-making agreement. 10 Existing law: (1) authorizes a proposed protected person, a governmental 11 agency, a nonprofit organization or an interested person to petition the court for the 12 appointment of a guardian; (2) requires such a petition to include certain 13 information; and (3) requires that the petitioner provide the court with an 14 assessment of the needs of the proposed protected person, which must be completed 15 by a licensed physician. (NRS 159.044) Section 4 of this bill requires a petition for 16 the appointment of a guardian to contain an attestation that information on 17 supported decision-making agreements has been provided to the proposed protected 18 person. Section 4 also requires that a licensed physician completing such an 19 assessment include a determination of whether the proposed protected person is 20 unable to understand the nature and effect of a supported decision-making 21 agreement. Section 4 provides that if the licensed physician determines that a 22 proposed protected person is able to understand the nature and effect of a supported 23 decision-making agreement, the petitioner is required to prove to the satisfaction of 24 – 2 – - *SB346* the court that a supported decision-making agreement is not a reasonable alternative 25 to the guardianship. 26 Existing law requires a guardian of the person to make a written report 27 containing certain information, file the report with the court and serve the report on 28 the protected person and any attorney for the protected person. (NRS 159.081) 29 Section 5 of this bill requires that such a report include: (1) a description of certain 30 skills and abilities of the protected person; and (2) an explanation as to why a 31 supported decision-making agreement is not a reasonable alternative to the 32 guardianship. 33 Existing law authorizes a protected person, the guardian or another person to 34 petition the court for the termination or modification of a guardianship. Existing 35 law provides that for such a petition to be granted, the petitioner must prove that the 36 termination or modification of the guardianship is in the best interests of the 37 protected person. (NRS 159.1905) Section 6 of this bill provides that such a 38 petition may also be granted if the petitioner shows that the protected person has 39 entered into a supported decision-making agreement in lieu of the guardianship. 40 Existing law establishes the Protected Persons’ Bill of Rights, which sets forth 41 certain specific rights of each protected person. (NRS 159.327, 159.328) Section 7 42 of this bill provides that a protected person has the right to be educated about 43 alternatives to a guardianship, including, without limitation, a supported decision-44 making agreement. 45 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Chapter 159 of NRS is hereby amended by adding 1 thereto a new section to read as follows: 2 “Supported decision-making agreement” has the meaning 3 ascribed to it in NRS 162C.080. 4 Sec. 2. NRS 159.013 is hereby amended to read as follows: 5 159.013 As used in this chapter, unless the context otherwise 6 requires, the words and terms defined in NRS 159.014 to 159.0265, 7 inclusive, and section 1 of this act have the meanings ascribed to 8 them in those sections. 9 Sec. 3. NRS 159.019 is hereby amended to read as follows: 10 159.019 A person is “incapacitated” if he or she, for reasons 11 other than being a minor, is unable to [receive] : 12 1. Meet the requirements of paragraph (b) of subsection 1 of 13 NRS 162C.200; and 14 2. Receive and evaluate information or make or communicate 15 decisions to such an extent that the person lacks the ability to meet 16 essential requirements for physical health, safety or self-care 17 without appropriate assistance. 18 Sec. 4. NRS 159.044 is hereby amended to read as follows: 19 159.044 1. A proposed protected person, a governmental 20 agency, a nonprofit corporation or any interested person may 21 petition the court for the appointment of a guardian. 22 – 3 – - *SB346* 2. To the extent the petitioner knows or reasonably may 1 ascertain or obtain, the petition must include, without limitation: 2 (a) The name and address of the petitioner. 3 (b) The name, date of birth and current address of the proposed 4 protected person. 5 (c) A copy of one of the following forms of identification of the 6 proposed protected person which must be placed in the records 7 relating to the guardianship proceeding and, except as otherwise 8 provided in NRS 239.0115 or as otherwise required to carry out a 9 specific statute, maintained in a confidential manner: 10 (1) A social security number; 11 (2) A taxpayer identification number; 12 (3) A valid driver’s license number; 13 (4) A valid identification card number; 14 (5) A valid passport number; 15 (6) A valid permanent resident card number; or 16 (7) A valid tribal identification card number. 17 If the information required pursuant to this paragraph is not 18 included with the petition, the information must be provided to the 19 court not later than 120 days after the appointment of a guardian or 20 as otherwise ordered by the court. 21 (d) Whether the proposed protected person is a resident or 22 nonresident of this State. 23 (e) The names and addresses of the spouse of the proposed 24 protected person and the relatives of the proposed protected person 25 who are within the second degree of consanguinity. 26 (f) The name, date of birth and current address of the proposed 27 guardian. If the proposed guardian is a private professional 28 guardian, the petition must include proof that the guardian meets the 29 requirements of NRS 159.0595 or 159A.0595. If the proposed 30 guardian is not a private professional guardian, the petition must 31 include a statement that the guardian currently is not receiving 32 compensation for services as a guardian to more than one protected 33 person who is not related to the person by blood or marriage. As 34 used in this paragraph, “protected person” includes a protected 35 minor. 36 (g) A copy of one of the following forms of identification of the 37 proposed guardian which must be placed in the records relating to 38 the guardianship proceeding and, except as otherwise provided in 39 NRS 239.0115 or as otherwise required to carry out a specific 40 statute, maintained in a confidential manner: 41 (1) A social security number; 42 (2) A taxpayer identification number; 43 (3) A valid driver’s license number; 44 (4) A valid identification card number; 45 – 4 – - *SB346* (5) A valid passport number; 1 (6) A valid permanent resident card number; or 2 (7) A valid tribal identification card number. 3 (h) Whether the proposed guardian has ever been convicted of a 4 felony and, if so, information concerning the crime for which the 5 proposed guardian was convicted and whether the proposed 6 guardian was placed on probation or parole. 7 (i) A summary of the reasons why a guardian is needed and 8 recent documentation demonstrating the need for a guardianship. 9 The documentation must include, without limitation: 10 (1) A certificate signed by a physician who is licensed to 11 practice medicine in this State or who is employed by the 12 Department of Veterans Affairs, a letter signed by any governmental 13 agency in this State which conducts investigations or a certificate 14 signed by any other person whom the court finds qualified to 15 execute a certificate, stating: 16 (I) The need for a guardian; 17 (II) Whether the proposed protected person presents a 18 danger to himself or herself or others; 19 (III) Whether the attendance of the proposed protected 20 person at a hearing would be detrimental to the proposed protected 21 person; 22 (IV) Whether the proposed protected person would 23 comprehend the reason for a hearing or contribute to the proceeding; 24 and 25 (V) Whether the proposed protected person is capable of 26 living independently with or without assistance; and 27 (2) If the proposed protected person is determined to have 28 the limited capacity to consent to the appointment of a special 29 guardian, a written consent to the appointment of a special guardian 30 from the protected person. 31 (j) Whether the appointment of a general or a special guardian is 32 sought. 33 (k) A general description and the probable value of the property 34 of the proposed protected person and any income to which the 35 proposed protected person is or will be entitled, if the petition is for 36 the appointment of a guardian of the estate or a special guardian. If 37 any money is paid or is payable to the proposed protected person by 38 the United States through the Department of Veterans Affairs, the 39 petition must so state. 40 (l) The name and address of any person or care provider having 41 the care, custody or control of the proposed protected person. 42 (m) If the petitioner is not the spouse or natural child of the 43 proposed protected person, a declaration explaining the relationship 44 of the petitioner to the proposed protected person or to the family or 45 – 5 – - *SB346* friends of the proposed protected person, if any, and the interest, if 1 any, of the petitioner in the appointment. 2 (n) Requests for any of the specific powers set forth in NRS 3 159.117 to 159.175, inclusive, necessary to enable the guardian to 4 carry out the duties of the guardianship. 5 (o) If the guardianship is sought as the result of an investigation 6 of a report of abuse, neglect, exploitation, isolation or abandonment 7 of the proposed protected person, whether the referral was from a 8 law enforcement agency or a state or county agency. 9 (p) Whether the proposed protected person or the proposed 10 guardian is a party to any pending criminal or civil litigation. 11 (q) Whether the guardianship is sought for the purpose of 12 initiating litigation. 13 (r) Whether the proposed protected person has executed a 14 durable power of attorney for health care, a durable power of 15 attorney for financial matters or a written nomination of guardian 16 and, if so, who the named agents are for each document. 17 (s) Whether the proposed guardian has filed for or received 18 protection under the federal bankruptcy laws within the immediately 19 preceding 7 years. 20 (t) An attestation that information on supported decision-21 making agreements has been provided to the proposed protected 22 person. 23 3. Before the court makes a finding pursuant to NRS 159.054, 24 a petitioner seeking a guardian for a proposed protected person must 25 [provide] : 26 (a) Provide the court with an assessment of the needs of the 27 proposed protected person completed by a licensed physician which 28 identifies the limitations of capacity of the proposed protected 29 person and how such limitations affect the ability of the proposed 30 protected person to maintain his or her safety and basic needs [.] 31 and which includes a determination of whether the proposed 32 protected person meets the requirements of paragraph (b) of 33 subsection 1 of NRS 162C.200 to enter into a supported decision-34 making agreement. The court may prescribe the form in which the 35 assessment of the needs of the proposed protected person must be 36 filed. 37 (b) If the licensed physician performing the assessment 38 pursuant to paragraph (a) determines the proposed protected 39 person meets the requirements of paragraph (b) of subsection 1 of 40 NRS 162C.200, through affidavits and other evidence which the 41 court may permit, establish to the satisfaction of the court that a 42 supported decision-making agreement is not a reasonable 43 alternative to the guardianship. 44 – 6 – - *SB346* Sec. 5. NRS 159.081 is hereby amended to read as follows: 1 159.081 1. A guardian of the person shall make and file in 2 the guardianship proceeding for review of the court a written report 3 on the condition of the protected person and the exercise of 4 authority and performance of duties by the guardian: 5 (a) Annually, not later than 60 days after the anniversary date of 6 the appointment of the guardian; 7 (b) Within 10 days of moving a protected person to a secured 8 residential long-term care facility; and 9 (c) At such other times as the court may order. 10 2. A report filed pursuant to paragraph (b) of subsection 1 11 must: 12 (a) Include a copy of the written recommendation upon which 13 the transfer was made; and 14 (b) Except as otherwise provided in subsection 6, be served, 15 without limitation, on the protected person and any attorney for the 16 protected person. 17 3. The court may prescribe the form for filing a report 18 described in subsection 1. Such a report must include, without 19 limitation: 20 (a) The physical condition of the protected person; 21 (b) The place of residence of the protected person; 22 (c) The name of all other persons living with the protected 23 person unless the protected person is residing at a secured 24 residential long-term care facility, group home, supportive living 25 facility, home in which supported living arrangement services are 26 provided, assisted living facility or other facility for long-term care; 27 [and] 28 (d) A description of the abilities and skills of the protected 29 person to understand information, options, responsibilities and 30 consequences of the protected person’s life decisions; and 31 (e) An explanation as to why a supported decision-making 32 agreement is not a reasonable alternative to the guardianship; 33 (f) Any other information required by the court. 34 4. The guardian of the person shall give to the guardian of the 35 estate, if any, a copy of each report not later than 30 days after the 36 date the report is filed with the court. 37 5. The court is not required to hold a hearing or enter an order 38 regarding the report. 39 6. The court may waive the requirement set forth in paragraph 40 (b) of subsection 2 that a report filed pursuant to paragraph (b) of 41 subsection 1 must be served on a protected person upon a showing 42 that such service is detrimental to the physical or mental health of 43 the protected person. 44 7. As used in this section: 45 – 7 – - *SB346* (a) “Facility for long-term care” has the meaning ascribed to it 1 in NRS 427A.028. 2 (b) “Supported living arrangement services” has the meaning 3 ascribed to it in NRS 435.3315. 4 Sec. 6. NRS 159.1905 is hereby amended to read as follows: 5 159.1905 1. A protected person, the guardian or another 6 person may petition the court for the termination or modification of 7 a guardianship. The petition must state or contain: 8 (a) The name and address of the petitioner. 9 (b) The relationship of the petitioner to the protected person. 10 (c) The name, age and address of the protected person, if the 11 protected person is not the petitioner, or the date of death of the 12 protected person if the protected person is deceased. 13 (d) The name and address of the guardian, if the guardian is not 14 the petitioner. 15 (e) The reason for termination or modification. 16 (f) Whether the termination or modification is sought for a 17 guardianship of the person, of the estate, or of the person and estate. 18 (g) A general description and the value of the remaining 19 property of the protected person and the proposed disposition of that 20 property. 21 2. Upon the filing of the petition, the court shall appoint an 22 attorney to represent the protected person if: 23 (a) The protected person is unable to retain an attorney; or 24 (b) The court determines that the appointment is necessary to 25 protect the interests of the protected person. 26 3. The petitioner has the burden of proof to show by clear and 27 convincing evidence that [the] : 28 (a) The termination or modification of the guardianship of the 29 person, of the estate, or of the person and estate is in the best 30 interests of the protected person [.] ; or 31 (b) That the protected person has entered into a supported 32 decision-making agreement in lieu of the guardianship of the 33 person, of the estate, or of the person and estate, which is to be 34 terminated. 35 4. The court shall issue a citation to the guardian and all 36 interested persons requiring them to appear and show cause why 37 termination or modification of the guardianship should not be 38 granted. 39 5. If the court finds that the petitioner did not file a petition for 40 termination or modification in good faith or in furtherance of the 41 best interests of the protected person, the court may: 42 (a) Disallow the petitioner from petitioning the court for 43 attorney’s fees from the estate of the protected person; and 44 – 8 – - *SB346* (b) Impose sanctions on the petitioner in an amount sufficient to 1 reimburse the estate of the protected person for all or part of the 2 expenses and for any other pecuniary losses which are incurred by 3 the estate of the protected person and associated with the petition. 4 Sec. 7. NRS 159.328 is hereby amended to read as follows: 5 159.328 1. The Legislature hereby declares that, except as 6 otherwise specifically provided by law, each proposed protected 7 person has the right to have an attorney before a guardianship is 8 imposed to ask the court for relief, and each protected person has the 9 right to: 10 (a) Have an attorney at any time during a guardianship to ask the 11 court for relief. 12 (b) Receive notice of all guardianship proceedings and all 13 proceedings relating to a determination of capacity unless the court 14 determines that the protected person lacks the capacity to 15 comprehend such notice. 16 (c) Receive a copy of all documents filed in a guardianship 17 proceeding. 18 (d) Have a family member, an interested party, a person of 19 natural affection, an advocate for the protected person or a medical 20 provider speak or raise any issues of concern on behalf of the 21 protected person during a court hearing, either orally or in writing, 22 including, without limitation, issues relating to a conflict with a 23 guardian. 24 (e) Be educated about guardianships and ask questions and 25 express concerns and complaints about a guardian and the actions of 26 a guardian, either orally or in writing. 27 (f) Participate in developing a plan for his or her care, including, 28 without limitation, managing his or her assets and personal property 29 and determining his or her residence and the manner in which he or 30 she will receive services. 31 (g) Have due consideration given to his or her current and 32 previously stated personal desires, preferences for health care and 33 medical treatment and religious and moral beliefs. 34 (h) Remain as independent as possible, including, without 35 limitation, to have his or her preference honored regarding his or her 36 residence and standard of living, either as expressed or 37 demonstrated before a determination was made relating to capacity 38 or as currently expressed, if the preference is reasonable under the 39 circumstances. 40 (i) Be granted the greatest degree of freedom possible, 41 consistent with the reasons for a guardianship, and exercise control 42 of all aspects of his or her life that are not delegated to a guardian 43 specifically by a court order. 44 – 9 – - *SB346* (j) Engage in any activity that the court has not expressly 1 reserved for a guardian, including, without limitation, voting, 2 marrying or entering into a domestic partnership, traveling, working 3 and having a driver’s license. 4 (k) Be treated with respect and dignity. 5 (l) Be treated fairly by his or her guardian. 6 (m) Maintain privacy and confidentiality in personal matters. 7 (n) Receive telephone calls and personal mail and have visitors, 8 unless his or her guardian and the court determine that particular 9 correspondence or a particular visitor will cause harm to the 10 protected person. 11 (o) Receive timely, effective and appropriate health care and 12 medical treatment that does not violate his or her rights. 13 (p) Have all services provided by a guardian at a reasonable rate 14 of compensation and have a court review any requests for payment 15 to avoid excessive or unnecessary fees or duplicative billing. 16 (q) Receive prudent financial management of his or her property 17 and regular detailed reports of financial accounting, including, 18 without limitation, reports on any investments or trusts that are held 19 for his or her benefit and any expenditures or fees charged to his or 20 her estate. 21 (r) Receive and control his or her salary, maintain a bank 22 account and manage his or her personal money. 23 (s) Ask the court to: 24 (1) Review the management activity of a guardian if a 25 dispute cannot be resolved. 26 (2) Continually review the need for a guardianship or modify 27 or terminate a guardianship. 28 (3) Replace the guardian. 29 (4) Enter an order restoring his or her capacity at the earliest 30 possible time. 31 (t) Be educated about alternatives to a guardianship, 32 including, without limitation, a supported decision-making 33 agreement. 34 2. The rights of a protected person set forth in subsection 1 do 35 not abrogate any remedies provided by law. All such rights may be 36 addressed in a guardianship proceeding or be enforced through a 37 private right of action. 38 H