S.B. 429 - *SB429* SENATE BILL NO. 429–COMMITTEE ON HEALTH AND HUMAN SERVICES (ON BEHALF OF THE JOINT INTERIM STANDING COMMITTEE ON HEALTH AND HUMAN SERVICES) MARCH 24, 2025 ____________ Referred to Committee on Commerce and Labor SUMMARY—Revises provisions relating to social work. (BDR 54-352) FISCAL NOTE: Effect on Local Government: Increases or Newly Provides for Term of Imprisonment in County or City Jail or Detention Facility. Effect on the State: Contains Appropriation not included in Executive Budget. ~ EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted. AN ACT relating to social work; authorizing a student of social work to engage in the supervised practice of social work at a practicum site under certain conditions; authorizing the imposition of discipline against such a student; providing for the establishment of a program to pay certain costs of the practice of social work by such students at practicum sites; making an appropriation to cover the costs of that program; providing a penalty; and providing other matters properly relating thereto. Legislative Counsel’s Digest: Existing law authorizes a student of social work or a social work trainee to 1 engage in the supervised practice of social work in a training institution or facility 2 recognized by the Board of Examiners for Social Workers. (NRS 641B.040) 3 Sections 4 and 8 of this bill additionally authorize a student of social work to 4 engage in the supervised practice of social work if he or she: (1) is enrolled in any 5 of certain programs of education in social work; (2) is employed at a practicum site 6 approved by the Board; and (3) meets any other requirements prescribed by 7 regulation of the Board. Section 4 authorizes such a student of social work to 8 perform only tasks authorized by the Board and approved by his or her practicum 9 site. Section 4 authorizes such a student of social work to practice social work only 10 under the supervision of a social worker, a master social worker, an independent 11 – 2 – - *SB429* social worker, a clinical social worker or another provider of health care approved 12 by the Board. Sections 4 and 5 of this bill require a student of social work 13 employed at a practicum site to comply with laws and regulations governing the 14 practice of social work, and sections 8 and 9 of this bill authorize the Board to 15 impose discipline against such a student who violates such provisions. Section 4 16 imposes various additional requirements concerning: (1) the oversight of such a 17 student by a practicum site; and (2) the practice of social work by such a student. 18 Section 6 of this bill requires the Board to adopt certain regulations governing 19 students of social work employed at practicum sites. Section 7 of this bill makes 20 certain provisions governing recordings of the provision of mental health services 21 by a social worker, master social worker, independent social worker or clinical 22 social worker for training purposes also apply to such recordings of a student of 23 social work employed at a practicum site. 24 Sections 1-3 and 10 of this bill provide that a student of social work employed 25 at a practicum site is not subject to provisions of law governing the practice of 26 certain other health professions. Sections 11-14 and 16 of this bill make applicable 27 to such students certain provisions that currently apply to social workers regarding: 28 (1) privileged communications with clients; (2) enhanced penalties for assault on 29 providers of health care; and (3) reporting of the abuse, neglect, exploitation, 30 isolation or abandonment of older persons and vulnerable persons and the abuse or 31 neglect of children. 32 Section 15 of this bill authorizes the Board of Regents of the Nevada System of 33 Higher Education to establish a program to: (1) reimburse practicum sites for the 34 compensation of students of social work; (2) compensate providers of health care 35 who supervise such students; (3) provide a financial incentive for practicum sites 36 when such a student who engaged in the practice of social work at a practicum site 37 becomes a licensed social worker; and (4) reimburse such a student who works at a 38 remote practicum site for the costs of travel, meals and lodging. Section 17 of this 39 bill makes an appropriation to the System to pay the costs of the program. 40 THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. NRS 637B.080 is hereby amended to read as 1 follows: 2 637B.080 The provisions of this chapter do not apply to any 3 person who: 4 1. Holds a current credential issued by the Department of 5 Education pursuant to chapter 391 of NRS and any regulations 6 adopted pursuant thereto and engages in the practice of audiology or 7 speech-language pathology within the scope of that credential; 8 2. Is employed by the Federal Government and engages in the 9 practice of audiology or speech-language pathology within the 10 scope of that employment; 11 3. Is a student enrolled in a program or school approved by the 12 Board, is pursuing a degree in audiology or speech-language 13 pathology and is clearly designated to the public as a student; [or] 14 4. Holds a current license issued pursuant to chapters 630 to 15 637, inclusive, 640 to 641D, inclusive, or 653 of NRS [,] ; or 16 – 3 – - *SB429* 5. Is engaging in the practice of social work as a student of 1 social work pursuant to section 4 of this act, 2 and who does not engage in the private practice of audiology or 3 speech-language pathology in this State. 4 Sec. 2. NRS 640A.070 is hereby amended to read as follows: 5 640A.070 This chapter does not apply to a person: 6 1. Holding a current license or certificate issued pursuant to 7 chapter 391, 630 to 637B, inclusive, 640, 640B to 641B, inclusive, 8 or 641D of NRS, who practices within the scope of that license or 9 certificate. 10 2. Employed by the Federal Government who practices 11 occupational therapy within the scope of that employment. 12 3. Enrolled in an educational program that is accredited by the 13 Accreditation Council for Occupational Therapy Education of the 14 American Occupational Therapy Association, Inc. or its successor 15 organization, or a comparable foreign educational program accepted 16 by the National Board for Certification in Occupational Therapy, or 17 its successor organization, which is designed to lead to a certificate 18 or degree in occupational therapy, if the person is designated by a 19 title which clearly indicates that he or she is a student. 20 4. Engaging in the practice of social work as a student of 21 social work pursuant to section 4 of this act. 22 Sec. 3. NRS 641.029 is hereby amended to read as follows: 23 641.029 The provisions of this chapter do not apply to: 24 1. A physician who is licensed to practice in this State; 25 2. A person who is licensed to practice dentistry in this State; 26 3. A person who is licensed as a marriage and family therapist 27 or marriage and family therapist intern pursuant to chapter 641A of 28 NRS; 29 4. A person who is licensed as a clinical professional counselor 30 or clinical professional counselor intern pursuant to chapter 641A of 31 NRS; 32 5. A person who is licensed to engage in social work pursuant 33 to chapter 641B of NRS [;] or is engaging in the practice of social 34 work as a student of social work pursuant to section 4 of this act; 35 6. A person who is licensed as an occupational therapist or 36 occupational therapy assistant pursuant to chapter 640A of NRS; 37 7. A person who is licensed as a clinical alcohol and drug 38 counselor, licensed or certified as an alcohol and drug counselor or 39 certified as an alcohol and drug counselor intern, a clinical alcohol 40 and drug counselor intern, a problem gambling counselor or a 41 problem gambling counselor intern, pursuant to chapter 641C of 42 NRS; 43 – 4 – - *SB429* 8. A person who provides or supervises the provision of peer 1 recovery support services in accordance with the provisions of NRS 2 433.622 to 433.641, inclusive; 3 9. A person who is licensed as a behavior analyst or an 4 assistant behavior analyst or registered as a registered behavior 5 technician pursuant to chapter 641D of NRS, while engaged in the 6 practice of applied behavior analysis as defined in NRS 641D.080; 7 or 8 10. Any member of the clergy, 9 if such a person does not commit an act described in NRS 10 641.440 or represent himself or herself as a psychologist. 11 Sec. 4. Chapter 641B of NRS is hereby amended by adding 12 thereto a new section to read as follows: 13 1. A student may engage in the practice of social work if he 14 or she: 15 (a) Is enrolled in a program to obtain a degree described in 16 paragraph (a) of subsection 1 of NRS 641B.220; 17 (b) Is employed at a practicum site approved by the Board; and 18 (c) Meets any other requirement prescribed by the Board 19 pursuant to NRS 641B.160. 20 2. For the purpose of paragraph (b) of subsection 1, the 21 Board may approve as a practicum site: 22 (a) A medical facility, as defined in NRS 449.0151; 23 (b) A site operated by a governmental entity; 24 (c) A school; or 25 (d) Any other site authorized by the regulations adopted 26 pursuant to NRS 641B.160. 27 3. A student described in subsection 1 may engage in the 28 practice of social work, as limited by the provisions of subsection 29 4, only at his or her practicum site and under the supervision of: 30 (a) A social worker, master social worker, independent social 31 worker or clinical social worker; or 32 (b) Another provider of health care who is approved by the 33 Board upon a determination by the Board that the provider of 34 health care is an appropriate supervisor, with consideration for 35 the skill level of the student and the program of education in 36 which the student is enrolled. 37 4. A student described in subsection 1 may only perform tasks 38 that are authorized by the Board pursuant to NRS 641B.160 and 39 approved by his or her practicum site pursuant to subsection 5. 40 5. A practicum site shall: 41 (a) Ensure that a student employed at the practicum site meets 42 the requirements of paragraph (a) of subsection 1 and has the 43 education and skills required to competently perform each task 44 delegated to the student; 45 – 5 – - *SB429* (b) Prescribe an individualized list of tasks that a student 1 employed at the practicum site is approved to perform, which may 2 vary depending on: 3 (1) The progress of the student in his or her program of 4 education; and 5 (2) The experience of the student; 6 (c) Identify the roles and responsibilities of a student employed 7 at the practicum site; 8 (d) Ensure that a student employed at the practicum site 9 complies with the provisions of this chapter and the regulations 10 adopted pursuant thereto; 11 (e) Monitor the acquisition of skills by and proficiency of a 12 student employed at the practicum site; and 13 (f) Establish a formal procedure by which a student employed 14 at the practicum site may refuse to perform a task if the student is 15 not comfortable with his or her ability to competently perform the 16 task. 17 6. A student described in subsection 1 shall: 18 (a) Identify himself or herself as a student to each client to 19 whom the student provides services at the practicum site; and 20 (b) Comply with the provisions of this chapter and the 21 regulations adopted thereto governing the practice of social work 22 to the same extent as if he or she were a licensed social worker. 23 7. A student described in subsection 1 shall not delegate his 24 or her duties or supervise other personnel. 25 Sec. 5. NRS 641B.040 is hereby amended to read as follows: 26 641B.040 The provisions of this chapter do not apply to: 27 1. A physician who is licensed to practice in this State; 28 2. A nurse who is licensed to practice in this State; 29 3. A person who is licensed as a psychologist pursuant to 30 chapter 641 of NRS or authorized to practice psychology in this 31 State pursuant to the Psychology Interjurisdictional Compact 32 enacted in NRS 641.227; 33 4. A person who is licensed as a marriage and family therapist 34 or marriage and family therapist intern pursuant to chapter 641A of 35 NRS; 36 5. A person who is licensed as a clinical professional counselor 37 or clinical professional counselor intern pursuant to chapter 641A of 38 NRS; 39 6. A person who is licensed as an occupational therapist or 40 occupational therapy assistant pursuant to chapter 640A of NRS; 41 7. A person who is licensed as a clinical alcohol and drug 42 counselor, licensed or certified as an alcohol and drug counselor or 43 certified as a clinical alcohol and drug counselor intern, an alcohol 44 and drug counselor intern, a problem gambling counselor or a 45 – 6 – - *SB429* problem gambling counselor intern, pursuant to chapter 641C of 1 NRS; 2 8. A person who provides or supervises the provision of peer 3 recovery support services in accordance with NRS 433.622 to 4 433.641, inclusive; 5 9. Any member of the clergy; 6 10. A county welfare director; 7 11. Any person who may engage in social work or clinical 8 social work in his or her regular governmental employment but does 9 not hold himself or herself out to the public as a social worker; or 10 12. A student of social work and any other person preparing for 11 the profession of social work under the supervision of a qualified 12 social worker in a training institution or facility recognized by the 13 Board, unless the student or other person has been issued a 14 provisional license pursuant to paragraph (b) of subsection 1 of NRS 15 641B.275 [.] or is employed at a practicum site pursuant to section 16 4 of this act. Such a student must be designated by the title “student 17 of social work” or “trainee in social work,” or any other title which 18 clearly indicates the student’s training status. 19 Sec. 6. NRS 641B.160 is hereby amended to read as follows: 20 641B.160 1. The Board shall adopt: 21 (a) Such regulations as are necessary or desirable to enable it to 22 carry out the provisions of this chapter; 23 (b) Regulations establishing reasonable standards for the 24 psychiatric training and experience necessary for a clinical social 25 worker to be authorized to make the certifications described in NRS 26 433A.162, 433A.170, 433A.195 and 433A.200, make a sworn 27 statement or declaration described in NRS 433A.335 and perform an 28 evaluation described in NRS 433A.335; 29 (c) Regulations prescribing uniform standards concerning the 30 locations at which interns provide services; 31 (d) Regulations authorizing the remote supervision, including, 32 without limitation, electronic supervision, of interns working at 33 remote sites and prescribing standards concerning such remote 34 supervision; [and] 35 (e) Regulations prescribing the manner by which the 36 qualifications for the issuance or renewal of a license under the 37 provisions of this chapter will be made available to the public such 38 that those qualifications are clearly defined and easily understood [.] 39 ; and 40 (f) Regulations governing the practice of social work by 41 students of social work employed at practicum sites pursuant to 42 section 4 of this act, including, without limitation, regulations: 43 – 7 – - *SB429* (1) Governing the approval of practicum sites, including, 1 without limitation, regulations setting forth authorized practicum 2 sites in addition to those prescribed by section 4 of this act; 3 (2) Prescribing the list of tasks that such a student may 4 perform; and 5 (3) Governing the supervision of such a student. 6 2. On the date that the Board gives notice pursuant to NRS 7 233B.060 of its intent to adopt, amend or repeal a regulation, the 8 Board shall submit the regulation to the Commission on Behavioral 9 Health for review. The Commission shall review the regulation and 10 make recommendations to the Board concerning the advisability of 11 adopting, amending or repealing the regulation and any changes that 12 the Commission deems advisable. 13 Sec. 7. NRS 641B.355 is hereby amended to read as follows: 14 641B.355 1. A program of education for mental health 15 professionals approved by the Board, a mental health professional or 16 a person receiving training for mental health professionals is not 17 required to retain a recording of the provision of mental health 18 services by a student of social work engaging in the practice of 19 social work pursuant to section 4 of this act, a social worker, a 20 master social worker, an independent social worker or a clinical 21 social worker to a client that meets the requirements of subsection 2 22 if: 23 (a) The recording is used for a training activity that is part of a 24 program of education for mental health professionals approved by 25 the Board; 26 (b) The client has provided informed consent in writing on a 27 form that meets the requirements prescribed by the Board pursuant 28 to subsection 3 to the use of the recording in the training activity; 29 (c) Destroying the recording does not result in noncompliance 30 with the obligations described in subsection 4; and 31 (d) The recording is destroyed after the expiration of the period 32 of time prescribed by the Board pursuant to paragraph (b) of 33 subsection 3. 34 2. A recording of the provision of mental health services by a 35 student of social work, a social worker, a master social worker, an 36 independent social worker or a clinical social worker to a client used 37 for the purpose described in paragraph (a) of subsection 1: 38 (a) Must meet all requirements of the Health Insurance 39 Portability and Accountability Act of 1996, Public Law 104-191, 40 and any regulations adopted pursuant thereto, that are designed to 41 prevent the reproduction, copying or theft of the recording; and 42 (b) Must not contain any personally identifiable information 43 relating to the client unless the client has provided informed consent 44 – 8 – - *SB429* in writing specifically authorizing the inclusion of that information 1 in the recording. 2 3. The Board shall adopt regulations: 3 (a) Prescribing requirements governing the provision of 4 informed written consent pursuant to paragraph (b) of subsection 1, 5 including, without limitation, requirements governing: 6 (1) The form on which such informed written consent must 7 be provided; and 8 (2) The length of time that a student of social work, a social 9 worker, a master social worker, an independent social worker or a 10 clinical social worker who obtains such informed written consent 11 must maintain the informed written consent; 12 (b) Prescribing the length of time that a program of education 13 for mental health professionals, a mental health professional or a 14 person receiving training for mental health professionals that uses a 15 recording of the provision of mental health services by a student of 16 social work, a social worker, a master social worker, an independent 17 social worker or a clinical social worker to a client for the purposes 18 described in paragraph (a) of subsection 1 may retain the recording 19 before destroying it; and 20 (c) Defining “training activity” for the purposes of this section. 21 4. The provisions of this section do not abrogate, alter or 22 otherwise affect the obligation of a social worker, a master social 23 worker, an independent social worker or a clinical social worker to 24 comply with the applicable requirements of chapter 629 of NRS, 25 including, without limitation, the requirement to retain records 26 concerning the mental health services that he or she provides to 27 clients in accordance with NRS 629.051 to 629.069, inclusive. 28 5. Except where necessary for compliance with subsection 4, a 29 recording of the provision of mental health services by a student of 30 social work, a social worker, a master social worker, an independent 31 social worker or a clinical social worker to a client that is used for a 32 training activity by a program of education for mental health 33 professionals, a mental health professional or a person receiving 34 training for mental health professionals in accordance with the 35 provisions of this section is not a health care record for the purposes 36 of chapter 629 of NRS. 37 6. As used in this section, “mental health professional” means a 38 psychologist, a marriage and family therapist, a clinical professional 39 counselor, a social worker, a master social worker, an independent 40 social worker, a clinical social worker, a clinical alcohol and drug 41 counselor, an alcohol and drug counselor or a problem gambling 42 counselor. 43 – 9 – - *SB429* Sec. 8. NRS 641B.400 is hereby amended to read as follows: 1 641B.400 The grounds for initiating disciplinary action 2 pursuant to this chapter are: 3 1. Unprofessional conduct; 4 2. Conviction of: 5 (a) A felony relating to the practice of social work; 6 (b) Any offense involving moral turpitude; or 7 (c) A violation of any federal or state law regulating the 8 possession, distribution or use of any controlled substance or 9 dangerous drug as defined in chapter 454 of NRS; 10 3. Use of fraud or deception in: 11 (a) Applying for a license; 12 (b) Undergoing the initial licensing examination; or 13 (c) Rendering services as a social worker [;] or a student of 14 social work; 15 4. Allowing unauthorized use of a license issued pursuant to 16 this chapter; 17 5. Professional incompetence; 18 6. Practicing social work without a license [;] , except where 19 authorized by this chapter; 20 7. Having an alcohol or other substance use disorder which 21 impairs the ability to practice social work; and 22 8. Operation of a medical facility, as defined in NRS 449.0151, 23 at any time during which: 24 (a) The license of the facility is suspended or revoked; or 25 (b) An act or omission occurs which results in the suspension or 26 revocation of the license pursuant to NRS 449.160. 27 This subsection applies to an owner or other principal responsible 28 for the operation of the facility. 29 Sec. 9. NRS 641B.430 is hereby amended to read as follows: 30 641B.430 1. If the Board finds a person guilty in a 31 disciplinary proceeding, the Board may, by order: 32 (a) Place the person on probation for a specified period or until 33 further order of the Board. 34 (b) Administer to the person a public reprimand. 35 (c) Limit the practice of the person to, or by exclusion of, one or 36 more specified branches of social work. 37 (d) Suspend the license of the person to practice social work or 38 the authority of a person to engage in the practice of social work 39 as a student of social work pursuant to section 4 of this act for a 40 specified period or until further order of the Board. 41 (e) Revoke the license of the person to practice social work [.] 42 or the authority of the person to engage in the practice of social 43 work as a student of social work pursuant to section 4 of this act. 44 – 10 – - *SB429* (f) Impose a fine of not more than $5,000, which must be 1 deposited with the State Treasurer for credit to the State General 2 Fund. 3 The order of the Board may contain other terms, provisions or 4 conditions as the Board deems proper and which are not inconsistent 5 with law. 6 2. The Board shall not administer a private reprimand. 7 3. An order that imposes discipline and the findings of fact and 8 conclusions of law supporting that order are public records. 9 Sec. 10. NRS 641D.110 is hereby amended to read as follows: 10 641D.110 The provisions of this chapter do not apply to: 11 1. A physician who is licensed to practice in this State; 12 2. A person who is licensed to practice dentistry in this State; 13 3. A person who is licensed as a psychologist pursuant to 14 chapter 641 of NRS; 15 4. A person who is licensed as a marriage and family therapist 16 or marriage and family therapist intern pursuant to chapter 641A of 17 NRS; 18 5. A person who is licensed as a clinical professional counselor 19 or clinical professional counselor intern pursuant to chapter 641A of 20 NRS; 21 6. A person who is licensed to engage in social work pursuant 22 to chapter 641B of NRS [;] or is engaging in the practice of social 23 work as a student of social work pursuant to section 4 of this act; 24 7. A person who is licensed as an occupational therapist or 25 occupational therapy assistant pursuant to chapter 640A of NRS; 26 8. A person who is licensed as a clinical alcohol and drug 27 counselor, licensed or certified as an alcohol and drug counselor or 28 certified as an alcohol and drug counselor intern, a clinical alcohol 29 and drug counselor intern, a problem gambling counselor or a 30 problem gambling counselor intern, pursuant to chapter 641C of 31 NRS; 32 9. Any member of the clergy; 33 10. A family member, guardian or caregiver of a recipient of 34 applied behavior analysis services who performs activities as 35 directed by a behavior analyst or assistant behavior analyst; or 36 11. An employee of a school district or charter school when 37 providing services to a pupil in a public school in a manner 38 consistent with the duties of his or her position, 39 if such a person does not commit an act described in NRS 40 641D.910 or represent himself or herself as a behavior analyst, 41 assistant behavior analyst or registered behavior technician. 42 Sec. 11. NRS 49.251 is hereby amended to read as follows: 43 49.251 As used in NRS 49.251 to 49.254, inclusive, unless the 44 context otherwise requires: 45 – 11 – - *SB429* 1. “Client” means a person who consults or is interviewed by a 1 social worker for the purpose of diagnosis or treatment. 2 2. A communication is “confidential” if it is not intended to be 3 disclosed to any third person other than a person: 4 (a) Present during the consultation or interview to further the 5 interest of the client; 6 (b) Reasonably necessary for the transmission of the 7 communication; or 8 (c) Participating in the diagnosis or treatment under the direction 9 of the social worker, including a member of the client’s family. 10 3. “Social worker” means any person licensed under chapter 11 641B of NRS [.] or engaging in the practice of social work as a 12 student of social work pursuant to section 4 of this act. 13 Sec. 12. NRS 200.471 is hereby amended to read as follows: 14 200.471 1. As used in this section: 15 (a) “Assault” means: 16 (1) Unlawfully attempting to use physical force against 17 another person; or 18 (2) Intentionally placing another person in reasonable 19 apprehension of immediate bodily harm. 20 (b) “Fire-fighting agency” has the meaning ascribed to it in 21 NRS 239B.020. 22 (c) “Health care facility” means a facility licensed pursuant to 23 chapter 449 of NRS, an office of a person listed in NRS 629.031, a 24 clinic or any other location, other than a residence, where health 25 care is provided. 26 (d) “Officer” means: 27 (1) A person who possesses some or all of the powers of a 28 peace officer; 29 (2) A person employed in a full-time salaried occupation of 30 fire fighting for the benefit or safety of the public; 31 (3) A member of a volunteer fire department; 32 (4) A jailer, guard or other correctional officer of a city or 33 county jail; 34 (5) A prosecuting attorney of an agency or political 35 subdivision of the United States or of this State; 36 (6) A justice of the Supreme Court, judge of the Court of 37 Appeals, district judge, justice of the peace, municipal judge, 38 magistrate, court commissioner, master or referee, including a 39 person acting pro tempore in a capacity listed in this subparagraph; 40 (7) An employee of this State or a political subdivision of 41 this State whose official duties require the employee to make home 42 visits; 43 (8) A civilian employee or a volunteer of a law enforcement 44 agency whose official duties require the employee or volunteer to: 45 – 12 – - *SB429* (I) Interact with the public; 1 (II) Perform tasks related to law enforcement; and 2 (III) Wear identification, clothing or a uniform that 3 identifies the employee or volunteer as working or volunteering for 4 the law enforcement agency; 5 (9) A civilian employee or a volunteer of a fire-fighting 6 agency whose official duties require the employee or volunteer to: 7 (I) Interact with the public; 8 (II) Perform tasks related to fire fighting or fire 9 prevention; and 10 (III) Wear identification, clothing or a uniform that 11 identifies the employee or volunteer as working or volunteering for 12 the fire-fighting agency; or 13 (10) A civilian employee or volunteer of this State or a 14 political subdivision of this State whose official duties require the 15 employee or volunteer to: 16 (I) Interact with the public; 17 (II) Perform tasks related to code enforcement; and 18 (III) Wear identification, clothing or a uniform that 19 identifies the employee or volunteer as working or volunteering for 20 this State or a political subdivision of this State. 21 (e) “Provider of health care” means: 22 (1) A physician, a medical student, a perfusionist, an 23 anesthesiologist assistant or a physician assistant licensed pursuant 24 to chapter 630 of NRS, a practitioner of respiratory care, a 25 homeopathic physician, an advanced practitioner of homeopathy, a 26 homeopathic assistant, an osteopathic physician, a physician 27 assistant or anesthesiologist assistant licensed pursuant to chapter 28 633 of NRS, a podiatric physician, a podiatry hygienist, a physical 29 therapist, a medical laboratory technician, an optometrist, a 30 chiropractic physician, a chiropractic assistant, a naprapath, a doctor 31 of Oriental medicine, a nurse, a student nurse, a certified nursing 32 assistant, a nursing assistant trainee, a medication aide - certified, a 33 person who provides health care services in the home for 34 compensation, a dentist, a dental student, a dental hygienist, a dental 35 hygienist student, an expanded function dental assistant, an 36 expanded function dental assistant student, a pharmacist, a 37 pharmacy student, an intern pharmacist, an attendant on an 38 ambulance or air ambulance, a psychologist, a social worker, a 39 student of social work, a marriage and family therapist, a marriage 40 and family therapist intern, a clinical professional counselor, a 41 clinical professional counselor intern, a behavior analyst, an 42 assistant behavior analyst, a registered behavior technician, a mental 43 health technician, a licensed dietitian, the holder of a license or a 44 limited license issued under the provisions of chapter 653 of NRS, a 45 – 13 – - *SB429* public safety officer at a health care facility, an emergency medical 1 technician, an advanced emergency medical technician, a paramedic 2 or a participant in a program of training to provide emergency 3 medical services; or 4 (2) An employee of or volunteer for a health care facility 5 who: 6 (I) Interacts with the public; 7 (II) Performs tasks related to providing health care; and 8 (III) Wears identification, clothing or a uniform that 9 identifies the person as an employee or volunteer of the health care 10 facility. 11 (f) “School employee” means a licensed or unlicensed person 12 employed by a board of trustees of a school district pursuant to NRS 13 391.100 or 391.281. 14 (g) “Sporting event” has the meaning ascribed to it in 15 NRS 41.630. 16 (h) “Sports official” has the meaning ascribed to it in 17 NRS 41.630. 18 (i) “Taxicab” has the meaning ascribed to it in NRS 706.8816. 19 (j) “Taxicab driver” means a person who operates a taxicab. 20 (k) “Transit operator” means a person who operates a bus or 21 other vehicle as part of a public mass transportation system. 22 (l) “Utility worker” means an employee of a public utility as 23 defined in NRS 704.020 whose official duties require the employee 24 to: 25 (1) Interact with the public; 26 (2) Perform tasks related to the operation of the public 27 utility; and 28 (3) Wear identification, clothing or a uniform that identifies 29 the employee as working for the public utility. 30 2. A person convicted of an assault shall be punished: 31 (a) If paragraph (c) or (d) does not apply to the circumstances of 32 the crime and the assault is not made with the use of a deadly 33 weapon or the present ability to use a deadly weapon, for a 34 misdemeanor. 35 (b) If the assault is made with the use of a deadly weapon or the 36 present ability to use a deadly weapon, for a category B felony by 37 imprisonment in the state prison for a minimum term of not less 38 than 1 year and a maximum term of not more than 6 years, or by a 39 fine of not more than $5,000, or by both fine and imprisonment. 40 (c) If paragraph (d) does not apply to the circumstances of the 41 crime and if the assault: 42 (1) Is committed upon: 43 – 14 – - *SB429* (I) An officer, a school employee, a taxicab driver, a 1 transit operator or a utility worker who is performing his or her 2 duty; 3 (II) A provider of health care while the provider of health 4 care is performing his or her duty or is on the premises where he or 5 she performs that duty; or 6 (III) A sports official based on the performance of his or 7 her duties at a sporting event; and 8 (2) The person charged knew or should have known that the 9 victim was an officer, a provider of health care, a school employee, 10 a taxicab driver, a transit operator, a utility worker or a sports 11 official, 12 for a gross misdemeanor, unless the assault is made with the use 13 of a deadly weapon or the present ability to use a deadly weapon, 14 then for a category B felony by imprisonment in the state prison for 15 a minimum term of not less than 1 year and a maximum term of not 16 more than 6 years, or by a fine of not more than $5,000, or by both 17 fine and imprisonment. 18 (d) If the assault: 19 (1) Is committed by a probationer, a prisoner who is in 20 lawful custody or confinement or a parolee upon: 21 (I) An officer, a school employee, a taxicab driver, a 22 transit operator or a utility worker who is performing his or her 23 duty; 24 (II) A provider of health care while the provider of health 25 care is performing his or her duty or is on the premises where he or 26 she performs that duty; or 27 (III) A sports official based on the performance of his or 28 her duties at a sporting event; and 29 (2) The probationer, prisoner or parolee charged knew or 30 should have known that the victim was an officer, a provider of 31 health care, a school employee, a taxicab driver, a transit operator, a 32 utility worker or a sports official, 33 for a category D felony as provided in NRS 193.130, unless the 34 assault is made with the use of a deadly weapon or the present 35 ability to use a deadly weapon, then for a category B felony by 36 imprisonment in the state prison for a minimum term of not less 37 than 1 year and a maximum term of not more than 6 years, or by a 38 fine of not more than $5,000, or by both fine and imprisonment. 39 Sec. 13. NRS 200.5093 is hereby amended to read as follows: 40 200.5093 1. Any person who is described in subsection 4 and 41 who, in a professional or occupational capacity, knows or has 42 reasonable cause to believe that an older person or vulnerable 43 person has been abused, neglected, exploited, isolated or abandoned 44 shall: 45 – 15 – - *SB429* (a) Except as otherwise provided in subsection 2, report the 1 abuse, neglect, exploitation, isolation or abandonment of the older 2 person or vulnerable person to: 3 (1) The local office of the Aging and Disability Services 4 Division of the Department of Health and Human Services; 5 (2) A police department or sheriff’s office; or 6 (3) A toll-free telephone service designated by the Aging and 7 Disability Services Division of the Department of Health and 8 Human Services; and 9 (b) Make such a report as soon as reasonably practicable but not 10 later than 24 hours after the person knows or has reasonable cause to 11 believe that the older person or vulnerable person has been abused, 12 neglected, exploited, isolated or abandoned. 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 15 abuse, neglect, exploitation, isolation or abandonment of the older 16 person or vulnerable person involves an act or omission of the 17 Aging and Disability Services Division, another division of the 18 Department of Health and Human Services or a law enforcement 19 agency, the person shall make the report to an agency other than the 20 one alleged to have committed the act or omission. 21 3. Each agency, after reducing a report to writing, shall forward 22 a copy of the report to the Aging and Disability Services Division of 23 the Department of Health and Human Services and the Unit for the 24 Investigation and Prosecution of Crimes. 25 4. A report must be made pursuant to subsection 1 by the 26 following persons: 27 (a) Every physician, dentist, dental hygienist, expanded function 28 dental assistant, chiropractic physician, naprapath, optometrist, 29 podiatric physician, medical examiner, resident, intern, professional 30 or practical nurse, physician assistant licensed pursuant to chapter 31 630 or 633 of NRS, anesthesiologist assistant, perfusionist, 32 psychiatrist, psychologist, marriage and family therapist, clinical 33 professional counselor, clinical alcohol and drug counselor, alcohol 34 and drug counselor, music therapist, athletic trainer, driver of an 35 ambulance, paramedic, licensed dietitian, holder of a license or a 36 limited license issued under the provisions of chapter 653 of NRS, 37 behavior analyst, assistant behavior analyst, registered behavior 38 technician, peer recovery support specialist, as defined in NRS 39 433.627, peer recovery support specialist supervisor, as defined in 40 NRS 433.629, or other person providing medical services licensed 41 or certified to practice in this State, who examines, attends or treats 42 an older person or vulnerable person who appears to have been 43 abused, neglected, exploited, isolated or abandoned. 44 – 16 – - *SB429* (b) Any personnel of a hospital or similar institution engaged in 1 the admission, examination, care or treatment of persons or an 2 administrator, manager or other person in charge of a hospital or 3 similar institution upon notification of the suspected abuse, neglect, 4 exploitation, isolation or abandonment of an older person or 5 vulnerable person by a member of the staff of the hospital. 6 (c) A coroner. 7 (d) Every person who maintains or is employed by an agency to 8 provide personal care services in the home. 9 (e) Every person who maintains or is employed by an agency to 10 provide nursing in the home. 11 (f) Every person who operates, who is employed by or who 12 contracts to provide services for an intermediary service 13 organization as defined in NRS 449.4304. 14 (g) Any employee of the Department of Health and Human 15 Services, except the State Long-Term Care Ombudsman appointed 16 pursuant to NRS 427A.125 and any of his or her advocates or 17 volunteers where prohibited from making such a report pursuant to 18 45 C.F.R. § 1321.11. 19 (h) Any employee of a law enforcement agency or a county’s 20 office for protective services or an adult or juvenile probation 21 officer. 22 (i) Any person who maintains or is employed by a facility or 23 establishment that provides care for older persons or vulnerable 24 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, exploitation, isolation or abandonment of an 28 older person or vulnerable person and refers them to persons and 29 agencies where their requests and needs can be met. 30 (k) Every social worker [.] and every student of social work 31 engaging in the practice of social work pursuant to section 4 of 32 this act. 33 (l) Any person who owns or is employed by a funeral home or 34 mortuary. 35 (m) Every person who operates or is employed by a community 36 health worker pool, as defined in NRS 449.0028, or with whom a 37 community health worker pool contracts to provide the services of a 38 community health worker, as defined in NRS 449.0027. 39 (n) Every 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 5. A report may be made by any other person. 44 – 17 – - *SB429* 6. If a person who is required to make a report pursuant to 1 subsection 1 knows or has reasonable cause to believe that an older 2 person or vulnerable person has died as a result of abuse, neglect, 3 isolation or abandonment, the person shall, as soon as reasonably 4 practicable, report this belief to the appropriate medical examiner or 5 coroner, who shall investigate the cause of death of the older person 6 or vulnerable person and submit to the appropriate local law 7 enforcement agencies, the appropriate prosecuting attorney, the 8 Aging and Disability Services Division of the Department of Health 9 and Human Services and the Unit for the Investigation and 10 Prosecution of Crimes his or her written findings. The written 11 findings must include the information required pursuant to the 12 provisions of NRS 200.5094, when possible. 13 7. A division, office or department which receives a report 14 pursuant to this section shall cause the investigation of the report to 15 commence within 3 working days. A copy of the final report of the 16 investigation conducted by a division, office or department, other 17 than the Aging and Disability Services Division of the Department 18 of Health and Human Services, must be forwarded within 30 days 19 after the completion of the report to the: 20 (a) Aging and Disability Services Division; 21 (b) Repository for Information Concerning Crimes Against 22 Older Persons or Vulnerable Persons created by NRS 179A.450; 23 and 24 (c) Unit for the Investigation and Prosecution of Crimes. 25 8. If the investigation of a report results in the belief that an 26 older person or vulnerable person is abused, neglected, exploited, 27 isolated or abandoned, the Aging and Disability Services Division 28 of the Department of Health and Human Services or the county’s 29 office for protective services may provide protective services to the 30 older person or vulnerable person if the older person or vulnerable 31 person is able and willing to accept them. 32 9. A person who knowingly and willfully violates any of the 33 provisions of this section is guilty of a misdemeanor. 34 10. As used in this section, “Unit for the Investigation and 35 Prosecution of Crimes” means the Unit for the Investigation and 36 Prosecution of Crimes Against Older Persons or Vulnerable Persons 37 in the Office of the Attorney General created pursuant to 38 NRS 228.265. 39 Sec. 14. NRS 200.5095 is hereby amended to read as follows: 40 200.5095 1. Reports made pursuant to NRS 200.5093 and 41 200.5094, and records and investigations relating to those reports, 42 are confidential. 43 2. A person, law enforcement agency or public or private 44 agency, institution or facility who willfully releases data or 45 – 18 – - *SB429* information concerning the reports and investigation of the abuse, 1 neglect, exploitation, isolation or abandonment of older persons or 2 vulnerable persons, except: 3 (a) Pursuant to a criminal prosecution; 4 (b) Pursuant to NRS 200.50982; or 5 (c) To persons or agencies enumerated in subsection 3, 6 is guilty of a misdemeanor. 7 3. Except as otherwise provided in subsection 2 and NRS 8 200.50982, data or information concerning the reports and 9 investigations of the abuse, neglect, exploitation, isolation or 10 abandonment of an older person or a vulnerable person is available 11 only to: 12 (a) A physician who is providing care to an older person or a 13 vulnerable person who may have been abused, neglected, exploited, 14 isolated or abandoned; 15 (b) An agency responsible for or authorized to undertake the 16 care, treatment and supervision of the older person or vulnerable 17 person; 18 (c) A district attorney or other law enforcement official who 19 requires the information in connection with an investigation of the 20 abuse, neglect, exploitation, isolation or abandonment of the older 21 person or vulnerable person; 22 (d) A court which has determined, in camera, that public 23 disclosure of such information is necessary for the determination of 24 an issue before it; 25 (e) A person engaged in bona fide research, but the identity of 26 the subjects of the report must remain confidential; 27 (f) A grand jury upon its determination that access to such 28 records is necessary in the conduct of its official business; 29 (g) Any comparable authorized person or agency in another 30 jurisdiction; 31 (h) A legal guardian of the older person or vulnerable person, if 32 the identity of the person who was responsible for reporting the 33 alleged abuse, neglect, exploitation, isolation or abandonment of the 34 older person or vulnerable person to the public agency is protected, 35 and the legal guardian of the older person or vulnerable person is 36 not the person suspected of such abuse, neglect, exploitation, 37 isolation or abandonment; 38 (i) If the older person or vulnerable person is deceased, the 39 executor or administrator of his or her estate, if the identity of the 40 person who was responsible for reporting the alleged abuse, neglect, 41 exploitation, isolation or abandonment of the older person or 42 vulnerable person to the public agency is protected, and the executor 43 or administrator is not the person suspected of such abuse, neglect, 44 exploitation, isolation or abandonment; 45 – 19 – - *SB429* (j) The older person or vulnerable person named in the report as 1 allegedly being abused, neglected, exploited, isolated or abandoned, 2 if that person is not legally incapacitated; 3 (k) An attorney appointed by a court to represent a protected 4 person in a guardianship proceeding pursuant to NRS 159.0485, if: 5 (1) The protected person is an older person or vulnerable 6 person; 7 (2) The identity of the person who was responsible for 8 reporting the alleged abuse, neglect, exploitation, isolation or 9 abandonment of the older person or vulnerable person to the public 10 agency is protected; and 11 (3) The attorney of the protected person is not the person 12 suspected of such abuse, neglect, exploitation, isolation or 13 abandonment; or 14 (l) The State Guardianship Compliance Office created by 15 NRS 159.341. 16 4. If the person who is reported to have abused, neglected, 17 exploited, isolated or abandoned an older person or a vulnerable 18 person is [the] : 19 (a) The holder of a license or certificate issued pursuant to 20 chapters 449, 630 to 641B, inclusive, 641D, 653 or 654 of NRS, the 21 information contained in the report must be submitted to the board 22 that issued the license. 23 (b) Engaging in the practice of social work as a student of 24 social work pursuant to section 4 of this act, the information 25 contained in the report must be submitted to the Board of 26 Examiners for Social Workers. 27 5. If data or information concerning the reports and 28 investigations of the abuse, neglect, exploitation, isolation or 29 abandonment of an older person or a vulnerable person is made 30 available pursuant to paragraph (b) or (j) of subsection 3 or 31 subsection 4, the name and any other identifying information of the 32 person who made the report must be redacted before the data or 33 information is made available. 34 Sec. 15. Chapter 396 of NRS is hereby amended by adding 35 thereto a new section to read as follows: 36 1. The Board of Regents may establish and carry out, directly 37 or through a designated officer or employee of the System or an 38 entity with which the Board of Regents enters into a contract 39 pursuant to subsection 2, a program to support the practice of 40 social work by students of social work at practicum sites pursuant 41 to section 4 of this act in accordance with this subsection. To the 42 extent that money is available, the Board of Regents or its 43 designee may: 44 – 20 – - *SB429* (a) Establish a process for practicum sites approved by the 1 Board of Examiners for Social Workers pursuant to section 4 of 2 this act to enroll in the program. 3 (b) Reimburse each enrolled practicum site at a rate 4 established by the Board of Regents for the payment of each 5 student who engages in the practice of social work at the 6 practicum site. The rate of reimbursement may increase based on 7 the progress of the student through his or her program of 8 education. 9 (c) Compensate each provider of health care who supervises a 10 student who engages in the practice of social work at a practicum 11 site at a rate established by the Board of Regents. 12 (d) Provide a financial incentive in an amount established by 13 the Board of Regents to a practicum site when a student who 14 engaged in the practice of social work at the practicum site 15 becomes a licensed social worker. 16 (e) Reimburse a student who engages in the practice of social 17 work at a remote practicum site for the costs of travel, meals and 18 lodging. 19 (f) Adopt regulations to define the term “remote practicum 20 site” for the purposes of paragraph (e) and any other regulations 21 necessary to carry out the provisions of this section. 22 2. The Board of Regents or its designee may enter into a 23 contract with any person or entity to operate or assist in operating 24 the program established pursuant to subsection 1. 25 3. As used in this section, “provider of health care” has the 26 meaning ascribed to it in NRS 629.031. 27 Sec. 16. NRS 432B.220 is hereby amended to read as follows: 28 432B.220 1. Any person who is described in subsection 4 29 and who, in his or her professional or occupational capacity, knows 30 or has reasonable cause to believe that a child has been abused or 31 neglected shall: 32 (a) Except as otherwise provided in subsection 2, report the 33 abuse or neglect of the child to an agency which provides child 34 welfare services or to a law enforcement agency; and 35 (b) Make such a report as soon as reasonably practicable but not 36 later than 24 hours after the person knows or has reasonable cause to 37 believe that the child has been abused or neglected. 38 2. If a person who is required to make a report pursuant to 39 subsection 1 knows or has reasonable cause to believe that the abuse 40 or neglect of the child involves an act or omission of: 41 (a) A person directly responsible or serving as a volunteer for or 42 an employee of a public or private home, institution or facility 43 where the child is receiving child care outside of the home for a 44 – 21 – - *SB429* portion of the day, the person shall make the report to a law 1 enforcement agency. 2 (b) An agency which provides child welfare services or a law 3 enforcement agency, the person shall make the report to an agency 4 other than the one alleged to have committed the act or omission, 5 and the investigation of the abuse or neglect of the child must be 6 made by an agency other than the one alleged to have committed the 7 act or omission. 8 3. Any person who is described in paragraph (a) of subsection 9 4 who delivers or provides medical services to a newborn infant and 10 who, in his or her professional or occupational capacity, knows or 11 has reasonable cause to believe that the newborn infant has been 12 affected by a fetal alcohol spectrum disorder or prenatal substance 13 use disorder or has withdrawal symptoms resulting from prenatal 14 substance exposure shall, as soon as reasonably practicable but not 15 later than 24 hours after the person knows or has reasonable cause to 16 believe that the newborn infant is so affected or has such symptoms, 17 notify an agency which provides child welfare services of the 18 condition of the infant and refer each person who is responsible for 19 the welfare of the infant to an agency which provides child welfare 20 services for appropriate counseling, training or other services. A 21 notification and referral to an agency which provides child welfare 22 services pursuant to this subsection shall not be construed to require 23 prosecution for any illegal action. 24 4. A report must be made pursuant to subsection 1 by the 25 following persons: 26 (a) A person providing services licensed or certified in this State 27 pursuant to, without limitation, chapter 450B, 630, 630A, 631, 632, 28 633, 634, 634A, 634B, 635, 636, 637, 637B, 639, 640, 640A, 640B, 29 640C, 640D, 640E, 641, 641A, 641B, 641C, 641D or 653 of NRS or 30 practicing as an emergency medical technician, advanced 31 emergency medical technician or paramedic in this State under the 32 Recognition of Emergency Medical Services Personnel Licensure 33 Interstate Compact ratified by NRS 450B.145. 34 (b) Any personnel of a medical facility licensed pursuant to 35 chapter 449 of NRS who are engaged in the admission, examination, 36 care or treatment of persons or an administrator, manager or other 37 person in charge of such a medical facility upon notification of 38 suspected abuse or neglect of a child by a member of the staff of the 39 medical facility. 40 (c) A coroner. 41 (d) A member of the clergy, practitioner of Christian Science or 42 religious healer, unless the person has acquired the knowledge of the 43 abuse or neglect from the offender during a confession. 44 – 22 – - *SB429* (e) A person employed by a public school or private school and 1 any person who serves as a volunteer at such a school. 2 (f) Any person who maintains or is employed by a facility or 3 establishment that provides care for children, children’s camp or 4 other public or private facility, institution or agency furnishing care 5 to a child. 6 (g) Any person licensed pursuant to chapter 424 of NRS to 7 conduct a foster home. 8 (h) Any officer or employee of a law enforcement agency or an 9 adult or juvenile probation officer. 10 (i) Except as otherwise provided in NRS 432B.225, an attorney. 11 (j) Any person who maintains, is employed by or serves as a 12 volunteer for an agency or service which advises persons regarding 13 abuse or neglect of a child and refers them to persons and agencies 14 where their requests and needs can be met. 15 (k) Any person who is employed by or serves as a volunteer for 16 a youth shelter. As used in this paragraph, “youth shelter” has the 17 meaning ascribed to it in NRS 244.427. 18 (l) Any adult person who is employed by an entity that provides 19 organized activities for children, including, without limitation, a 20 person who is employed by a school district or public school. 21 (m) Any person who is enrolled with the Division of Health 22 Care Financing and Policy of the Department of Health and Human 23 Services to provide doula services to recipients of Medicaid 24 pursuant to NRS 422.27177. 25 (n) A peer recovery support specialist, as defined in NRS 26 433.627, or peer recovery support specialist supervisor, as defined 27 in NRS 433.629. 28 (o) A student of social work who is engaging in the practice of 29 social work pursuant to section 4 of this act. 30 5. A report may be made by any other person. 31 6. If a person who is required to make a report pursuant to 32 subsection 1 knows or has reasonable cause to believe that a child 33 has died as a result of abuse or neglect, the person shall, as soon as 34 reasonably practicable, report this belief to an agency which 35 provides child welfare services or a law enforcement agency. If such 36 a report is made to a law enforcement agency, the law enforcement 37 agency shall notify an agency which provides child welfare services 38 and the appropriate medical examiner or coroner of the report. If 39 such a report is made to an agency which provides child welfare 40 services, the agency which provides child welfare services shall 41 notify the appropriate medical examiner or coroner of the report. 42 The medical examiner or coroner who is notified of a report 43 pursuant to this subsection shall investigate the report and submit 44 his or her written findings to the appropriate agency which provides 45 – 23 – - *SB429* child welfare services, the appropriate district attorney and a law 1 enforcement agency. The written findings must include, if 2 obtainable, the information required pursuant to the provisions of 3 subsection 2 of NRS 432B.230. 4 7. The agency, board, bureau, commission, department, 5 division or political subdivision of the State responsible for the 6 licensure, certification or endorsement of a person who is described 7 in subsection 4 and who is required in his or her professional or 8 occupational capacity to be licensed, certified or endorsed in this 9 State shall, at the time of initial licensure, certification or 10 endorsement: 11 (a) Inform the person, in writing or by electronic 12 communication, of his or her duty as a mandatory reporter pursuant 13 to this section; 14 (b) Obtain a written acknowledgment or electronic record from 15 the person that he or she has been informed of his or her duty 16 pursuant to this section; and 17 (c) Maintain a copy of the written acknowledgment or electronic 18 record for as long as the person is licensed, certified or endorsed in 19 this State. 20 8. The employer of a person who is described in subsection 4 21 and who is not required in his or her professional or occupational 22 capacity to be licensed, certified or endorsed in this State must, upon 23 initial employment of the person: 24 (a) Inform the person, in writing or by electronic 25 communication, of his or her duty as a mandatory reporter pursuant 26 to this section; 27 (b) Obtain a written acknowledgment or electronic record from 28 the person that he or she has been informed of his or her duty 29 pursuant to this section; and 30 (c) Maintain a copy of the written acknowledgment or electronic 31 record for as long as the person is employed by the employer. 32 9. Before a person may serve as a volunteer at a public school 33 or private school, the school must: 34 (a) Inform the person, in writing or by electronic 35 communication, of his or her duty as a mandatory reporter pursuant 36 to this section and NRS 392.303; 37 (b) Obtain a written acknowledgment or electronic record from 38 the person that he or she has been informed of his or her duty 39 pursuant to this section and NRS 392.303; and 40 (c) Maintain a copy of the written acknowledgment or electronic 41 record for as long as the person serves as a volunteer at the school. 42 10. The provisions of subsection 8 do not apply to the 43 employer of a person practicing as an emergency medical 44 technician, advanced emergency medical technician or paramedic in 45 – 24 – - *SB429* this State under the Recognition of Emergency Medical Services 1 Personnel Licensure Interstate Compact ratified by NRS 450B.145. 2 11. As used in this section: 3 (a) “Private school” has the meaning ascribed to it in 4 NRS 394.103. 5 (b) “Public school” has the meaning ascribed to it in 6 NRS 385.007. 7 Sec. 17. 1. There is hereby appropriated from the State 8 General Fund to the Nevada System of Higher Education the sum of 9 $2,000,000 for the costs of the program established pursuant to 10 section 15 of this act. 11 2. Any remaining balance of the appropriation made by 12 subsection 1 must not be committed for expenditure after June 30, 13 2027, by the entity to which the appropriation is made or any entity 14 to which money from the appropriation is granted or otherwise 15 transferred in any manner, and any portion of the appropriated 16 money remaining must not be spent for any purpose after 17 September 17, 2027, by either the entity to which the money was 18 appropriated or the entity to which the money was subsequently 19 granted or transferred, and must be reverted to the State General 20 Fund on or before September 17, 2027. 21 Sec. 18. This act becomes effective: 22 1. Upon passage and approval for the purpose of adopting any 23 regulations and performing any other preparatory administrative 24 tasks that are necessary to carry out the provisions of this act; and 25 2. On July 1, 2025, for all other purposes. 26 H