Nev. Rev. Stat. § 450B.145 — NV Code / Title 40 / Chapter 450B / Section 450B.145
Recognition of Emergency Medical Services Personnel Licensure Interstate Compact
Status: in_force

The Recognition of Emergency Medical Services Personnel Licensure Interstate Compact is hereby ratified and entered into with all other jurisdictions legally joining the Compact, in substantially the form set forth in this section:

RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT

SECTION 1. PURPOSE In order to protect the public through verification of competency and ensure accountability for patient care related activities all states license emergency medical services (EMS) personnel, such as emergency medical technicians (EMTs), advanced EMTs and paramedics. This Compact is intended to facilitate the day-to-day movement of EMS personnel across state boundaries in the performance of their EMS duties as assigned by an appropriate authority and authorize state EMS offices to afford immediate legal recognition to EMS personnel licensed in a member state. This Compact recognizes that states have a vested interest in protecting the public's health and safety through their licensing and regulation of EMS personnel and that such state regulation shared among the member states will best protect public health and safety. This Compact is designed to achieve the following purposes and objectives: 1. Increase public access to EMS personnel; 2. Enhance the states' ability to protect the public's health and safety, especially patient safety; 3. Encourage the cooperation of member states in the areas of EMS personnel licensure and regulation; 4. Support licensing of military members who are separating from an active duty tour and their spouses; 5. Facilitate the exchange of information between member states regarding EMS personnel licensure, adverse action and significant investigatory information; 6. Promote compliance with the laws governing EMS personnel practice in each member state; and 7. Invest all member states with the authority to hold EMS personnel accountable through the mutual recognition of member state licenses.

SECTION 2. DEFINITIONS In this Compact: A. “ Advanced emergency medical technician (AEMT) ” means an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model. B. “ Adverse action ” means any administrative, civil, equitable or criminal action permitted by a state's laws which may be imposed against licensed EMS personnel by a state EMS authority or state court, including, but not limited to, actions against an individual's license such as revocation, suspension, probation, consent agreement, monitoring or other limitation or encumbrance on the individual's practice, letters of reprimand or admonition, fines, criminal convictions and state court judgments enforcing adverse actions by the state EMS authority. C. “ Alternative program ” means a voluntary, nondisciplinary substance abuse recovery program approved by a state EMS authority. D. “ Certification ” means the successful verification of entry-level cognitive and psychomotor competency using a reliable, validated and legally defensible examination. E. “ Commission ” means the national administrative body of which all states that have enacted the Compact are members. F. “ Emergency medical technician (EMT) ” means an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model. G. “ Home state ” means a member state where an individual is licensed to practice emergency medical services. H. “ License ” means the authorization by a state for an individual to practice as an EMT, AEMT, paramedic or a level in between EMT and paramedic. I. “ Medical director ” means a physician licensed in a member state who is accountable for the care delivered by EMS personnel. J. “ Member state ” means a state that has enacted this Compact. K. “ Privilege to practice ” means an individual's authority to deliver emergency medical services in remote states as authorized under this Compact. L. “ Paramedic ” means an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model. M. “ Remote state ” means a member state in which an individual is not licensed. N. “ Restricted ” means the outcome of an adverse action that limits a license or the privilege to practice. O. “ Rule ” means a written statement by the Commission promulgated pursuant to Section 12 of this Compact that is of general applicability, implements, interprets, or prescribes a policy or provision of the Compact, or is an organizational, procedural or practice requirement of the Commission and has the force and effect of statutory law in a member state and includes the amendment, repeal or suspension of an existing rule. P. “ Scope of practice ” means defined parameters of various duties or services that may be provided by an individual with specific credentials. Whether regulated by rule, statute or court decision, it tends to represent the limits of services an individual may perform. Q. “ Significant investigatory information ” means: 1. Investigative information that a state EMS authority, after a preliminary inquiry that includes notification and an opportunity to respond if required by state law, has reason to believe, if proved true, would result in the imposition of an adverse action on a license or privilege to practice; or 2. Investigative information that indicates that the individual represents an immediate threat to public health and safety regardless of whether the individual has been notified and had an opportunity to respond. R. “ State ” means any state, commonwealth, district or territory of the United States. S. “ State EMS authority ” means the board, office or other agency with the legislative mandate to license EMS personnel.

SECTION 3. HOME STATE LICENSURE A. Any member state in which an individual holds a current license shall be deemed a home state for purposes of this Compact. B. Any member state may require an individual to obtain and retain a license to be authorized to practice in the member state under circumstances not authorized by the privilege to practice under the terms of this Compact. C. A home state's license authorizes an individual to practice in a remote state under the privilege to practice only if the home state: 1. Currently requires the use of the National Registry of Emergency Medical Technicians (NREMT) examination as a condition of issuing initial licenses at the EMT and paramedic levels; 2. Has a mechanism in place for receiving and investigating complaints about individuals; 3. Notifies the Commission, in compliance with the terms herein, of any adverse action or significant investigatory information regarding an individual; 4. Not later than 5 years after activation of the Compact, requires a criminal background check of all applicants for initial licensure, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the Federal Bureau of Investigation with the exception of federal employees who have suitability determination in accordance with 5 C.F.R. § 731.202 and submit documentation of such as promulgated in the rules of the Commission; and 5. Complies with the rules of the Commission.

SECTION 4. COMPACT PRIVILEGE TO PRACTICE A. Member states shall recognize the privilege to practice of an individual licensed in another member state that is in conformance with Section 3. B. To exercise the privilege to practice under the terms and provisions of this Compact, an individual must: 1. Be at least 18 years of age; 2. Possess a current unrestricted license in a member state as an EMT, AEMT, paramedic or state recognized and licensed level with a scope of practice and authority between EMT and paramedic; and 3. Practice under the supervision of a medical director. C. An individual providing patient care in a remote state under the privilege to practice shall function within the scope of practice authorized by the home state unless and until modified by an appropriate authority in the remote state as may be defined in the rules of the Commission. D. Except as provided in Section 4, subsection C, an individual practicing in a remote state will be subject to the remote state's authority and laws. A remote state may, in accordance with due process and that state's laws, restrict, suspend or revoke an individual's privilege to practice in the remote state and may take any other necessary actions to protect the health and safety of its citizens. If a remote state takes action it shall promptly notify the home state and the Commission. E. If an individual's license in any home state is restricted or suspended, the individual shall not be eligible to practice in a remote state under the privilege to practice until the individual's home state license is restored. F. If an individual's privilege to practice in any remote state is restricted, suspended or revoked the individual shall not be eligible to practice in any remote state until the individual's privilege to practice is restored.

SECTION 5. CONDITIONS OF PRACTICE IN A REMOTE STATE An individual may practice in a remote state under a privilege to practice only in the performance of the individual's EMS duties as assigned by an appropriate authority, as defined in the rules of the Commission, and under the following circumstances: 1. The individual originates a patient transport in a home state and transports the patient to a remote state; 2. The individual originates in the home state and enters a remote state to pick up a patient and provide care and transport of the patient to the home state; 3. The individual enters a remote state to provide patient care and/or transport within that remote state; 4. The individual enters a remote state to pick up a patient and provide care and transport to a third member state; and 5. Other conditions as determined by rules promulgated by the Commission. SECTION 6. RELATIONSHIP TO EMERGENCY MANAGEMENT ASSISTANCE COMPACT Upon a member state's governor's declaration of a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), all relevant terms and provisions of EMAC shall apply, and to the extent any terms or provisions of this Compact conflict with EMAC, the terms of EMAC shall prevail with respect to any individual practicing in the remote state in response to such declaration. SECTION 7. VETERANS, SERVICE MEMBERS SEPARATING FROM ACTIVE DUTY MILITARY, AND THEIR SPOUSES A. Member states shall consider a veteran, active military service member and member of the National Guard and Reserves separating from an active duty tour, and a spouse thereof, who holds a current valid and unrestricted NREMT certification at or above the level of the state license being sought as satisfying the minimum training and examination requirements for such licensure. B. Member states shall expedite the processing of licensure applications submitted by veterans, active military service members, and members of the National Guard and Reserves separating from an active duty tour, and their spouses. C. All individuals functioning with a privilege to practice under this Section remain subject to the adverse actions provisions of Section 8. SECTION 8. ADVERSE ACTIONS A. A home state shall have exclusive power to impose adverse action against an individual's license issued by the home state. B. If an individual's license in any home state is restricted or suspended, the individual shall not be eligible to practice in a remote state under the privilege to practice until the individual's home state license is restored. 1. All home state adverse action orders shall include a statement that the individual's Compact privileges are inactive. The order may allow the individual to practice in remote states with prior written authorization from both the home state and remote state's EMS authority. 2. An individual currently subject to adverse action in the home state shall not practice in any remote state without prior written authorization from both the home state and remote state's EMS authority. C. A member state shall report adverse actions and any occurrences that the individual's Compact privileges are restricted, suspended or revoked to the Commission in accordance with the rules of the Commission. D. A remote state may take adverse action on an individual's privilege to practice within that state. E. Any member state may take adverse action against an individual's privilege to practice in that state based on the factual findings of another member state, so long as each state follows its own procedures for imposing such adverse action. F. A home state's EMS authority shall investigate and take appropriate action with respect to reported conduct in a remote state as it would if such conduct had occurred within the home state. In such cases, the home state's law shall control in determining the appropriate adverse action. G. Nothing in this Compact shall override a member state's decision that participation in an alternative program may be used in lieu of adverse action and that such participation shall remain nonpublic if required by the member state's laws. Member states must require individuals who enter any alternative programs to agree not to practice in any other member state during the term of the alternative program without prior authorization from such other member state. SECTION 9. ADDITIONAL POWERS INVESTED IN A MEMBER STATE'S EMS AUTHORITY A member state's EMS authority, in addition to any other powers granted under state law, is authorized under this Compact to: 1. Issue subpoenas for both hearings and investigations that require the attendance and testimony of witnesses and the production of evidence. Subpoenas issued by a member state's EMS authority for the attendance and testimony of witnesses and/or the production of evidence from another member state, shall be enforced in the remote state by any court of competent jurisdiction, according to that court's practice and procedure in considering subpoenas issued in its own proceedings. The issuing state EMS authority shall pay any witness fees, travel expenses, mileage and other fees required by the service statutes of the state where the witnesses and/or evidence are located; and 2. Issue cease and desist orders to restrict, suspend or revoke an individual's privilege to practice in the state. SECTION 10. ESTABLISHMENT OF THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE A. The Compact states hereby create and establish a joint public agency known as the Interstate Commission for EMS Personnel Practice. 1. The Commission is a body politic and an instrumentality of the Compact states. 2. Venue is proper and judicial proceedings by or against the Commission shall be brought solely and exclusively in a court of competent jurisdiction where the principal office of the Commission is located. The Commission may waive venue and jurisdictional defenses to the extent it adopts or consents to participate in alternative dispute resolution proceedings. 3. Nothing in this Compact shall be construed to be a waiver of sovereign immunity. B. Membership, Voting and Meetings 1. Each member state shall have and be limited to one delegate. The responsible official of the state EMS authority or his or her designee shall be the delegate to this Compact for each member state. Any delegate may be removed or suspended from office as provided by the law of the state from which the delegate is appointed. Any vacancy occurring in the Commission shall be filled in accordance with the laws of the member state in which the vacancy exists. In the event that more than one board, office or other agency with the legislative mandate to license EMS personnel at and above the level of EMT exists, the governor of the state will determine which entity will be responsible for assigning the delegate. 2. Each delegate shall be entitled to one vote with regard to the promulgation of rules and creation of bylaws and shall otherwise have an opportunity to participate in the business and affairs of the Commission. A delegate shall vote in person or by such other means as provided in the bylaws. The bylaws may provide for delegates' participation in meetings by telephone or other means of communication. 3. The Commission shall meet at least once during each calendar year. Additional meetings shall be held as set forth in the bylaws. 4. All meetings shall be open to the public, and public notice of meetings shall be given in the same manner as required under the rulemaking provisions in Section 12. 5. The Commission may convene in a closed, nonpublic meeting if the Commission must discuss: a. Noncompliance of a member state with its obligations under the Compact; b. The employment, compensation, discipline or other personnel matters, practices or procedures related to specific employees or other matters related to the Commission's internal personnel practices and procedures; c. Current, threatened or reasonably anticipated litigation; d. Negotiation of contracts for the purchase or sale of goods, services or real estate; e. Accusing any person of a crime or formally censuring any person; f. Disclosure of trade secrets or commercial or financial information that is privileged or confidential; g. Disclosure of information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy; h. Disclosure of investigatory records compiled for law enforcement purposes; i. Disclosure of information related to any investigatory reports prepared by or on behalf of or for use of the Commission or other committee charged with responsibility of investigation or determination of compliance issues pursuant to the Compact; or j. Matters specifically exempted from disclosure by federal or member state statute. 6. If a meeting, or portion of a meeting, is closed pursuant to this provision, the Commission's legal counsel or designee shall certify that the meeting may be closed and shall reference each relevant exempting provision. The Commission shall keep minutes that fully and clearly describe all matters discussed in a meeting and shall provide a full and accurate summary of actions taken, and the reasons therefore, including a description of the views expressed. All documents considered in connection with an action shall be identified in such minutes. All minutes and documents of a closed meeting shall remain under seal, subject to release by a majority vote of the Commission or order of a court of competent jurisdiction. C. The Commission shall, by a majority vote of the delegates, prescribe bylaws and/or rules to govern its conduct as may be necessary or appropriate to carry out the purposes and exercise the powers of the Compact, including, but not limited to, bylaws and/or rules: 1. Establishing the fiscal year of the Commission; 2. Providing reasonable standards and procedures; a. For the establishment and meetings of other committees; and b. Governing any general or specific delegation of any authority or function of the Commission; 3. Providing reasonable procedures for calling and conducting meetings of the Commission, ensuring reasonable advance notice of all meetings and providing an opportunity for attendance of such meetings by interested parties, with enumerated exceptions designed to protect the public's interest, the privacy of individuals and proprietary information, including trade secrets. The Commission may meet in closed session only after a majority of the membership votes to close a meeting in whole or in part. As soon as practicable, the Commission must make public a copy of the vote to close the meeting revealing the vote of each member with no proxy votes allowed; 4. Establishing the titles, duties and authority, and reasonable procedures for the election of the officers of the Commission; 5. Providing reasonable standards and procedures for the establishment of the personnel policies and programs of the Commission. Notwithstanding any civil service or other similar laws of any member state, the bylaws shall exclusively govern the personnel policies and programs of the Commission; 6. Promulgating a code of ethics to address permissible and prohibited activities of Commission members and employees; and 7. Providing a mechanism for winding up the operations of the Commission and the equitable disposition of any surplus funds that may exist after the termination of the Compact after the payment and/or reserving of all of its debts and obligations. D. The Commission shall publish its bylaws and file a copy thereof, and a copy of any amendment thereto, with the appropriate agency or officer in each of the member states, if any. E. The Commission shall maintain its financial records in accordance with the bylaws. F. The Commission shall meet and take such actions as are consistent with the provisions of this Compact and the bylaws. G. The Commission shall have the following powers: 1. The authority to promulgate uniform rules to facilitate and coordinate implementation and administration of this Compact. The rules shall have the force and effect of law and shall be binding in all member states; 2. To bring and prosecute legal proceedings or actions in the name of the Commission, provided that the standing of any state EMS authority or other regulatory body responsible for EMS personnel licensure to sue or be sued under applicable law shall not be affected; 3. To purchase and maintain insurance and bonds; 4. To borrow, accept or contract for services of personnel, including, but not limited to, employees of a member state; 5. To hire employees, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of the Compact, and to establish the Commission's personnel policies and programs relating to conflicts of interest, qualifications of personnel and other related personnel matters; 6. To accept any and all appropriate donations and grants of money, equipment, supplies, materials and services, and to receive, utilize and dispose of the same, provided that at all times the Commission shall strive to avoid any appearance of impropriety and/or conflict of interest; 7. To lease, purchase, accept appropriate gifts or donations of, or otherwise to own, hold, improve or use, any property, real, personal or mixed, provided that at all times the Commission shall strive to avoid any appearance of impropriety; 8. To sell, convey, mortgage, pledge, lease, exchange, abandon or otherwise dispose of any property, real, personal or mixed; 9. To establish a budget and make expenditures; 10. To borrow money; 11. To appoint committees, including advisory committees comprised of members, state regulators, state legislators or their representatives, and consumer representatives, and such other interested persons as may be designated in this Compact and the bylaws; 12. To provide and receive information from, and to cooperate with, law enforcement agencies; 13. To adopt and use an official seal; and 14. To perform such other functions as may be necessary or appropriate to achieve the purposes of this Compact consistent with the state regulation of EMS personnel licensure and practice. H. Financing of the Commission 1. The Commission shall pay, or provide for the payment of, the reasonable expenses of its establishment, organization and ongoing activities. 2. The Commission may accept any and all appropriate revenue sources, donations and grants of money, equipment, supplies, materials and services. 3. The Commission may levy on and collect an annual assessment from each member state or impose fees on other parties to cover the cost of the operations and activities of the Commission and its staff, which must be in a total amount sufficient to cover its annual budget as approved each year for which revenue is not provided by other sources. The aggregate annual assessment amount shall be allocated based upon a formula to be determined by the Commission, which shall promulgate a rule binding upon all member states. 4. The Commission shall not incur obligations of any kind prior to securing the funds adequate to meet the same, nor shall the Commission pledge the credit of any of the member states, except by and with the authority of the member state. 5. The Commission shall keep accurate accounts of all receipts and disbursements. The receipts and disbursements of the Commission shall be subject to the audit and accounting procedures established under its bylaws. However, all receipts and disbursements of funds handled by the Commission shall be audited yearly by a certified or licensed public accountant, and the report of the audit shall be included in and become part of the annual report of the Commission. I. Qualified Immunity, Defense and Indemnification 1. The members, officers, executive director, employees and representatives of the Commission shall be immune from suit and liability, either personally or in their official capacity, for any claim for damage to or loss of property or personal injury or other civil liability caused by or arising out of any actual or alleged act, error or omission that occurred, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that nothing in this paragraph shall be construed to protect any such person from suit and/or liability for any damage, loss, injury or liability caused by the intentional or willful or wanton misconduct of that person. 2. The Commission shall defend any member, officer, executive director, employee or representative of the Commission in any civil action seeking to impose liability arising out of any actual or alleged act, error or omission that occurred within the scope of Commission employment, duties or responsibilities, or that the person against whom the claim is made had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that nothing herein shall be construed to prohibit that person from retaining his or her own counsel, and provided further, that the actual or alleged act, error or omission did not result from that person's intentional or willful or wanton misconduct. 3. The Commission shall indemnify and hold harmless any member, officer, executive director, employee or representative of the Commission for the amount of any settlement or judgment obtained against that person arising out of any actual or alleged act, error or omission that occurred within the scope of Commission employment, duties or responsibilities, or that such person had a reasonable basis for believing occurred within the scope of Commission employment, duties or responsibilities, provided that the actual or alleged act, error or omission did not result from the intentional or willful or wanton misconduct of that person. SECTION 11. COORDINATED DATABASE A. The Commission shall provide for the development and maintenance of a coordinated database and reporting system containing licensure, adverse action and significant investigatory information on all licensed individuals in member states. B. Notwithstanding any other provision of state law to the contrary, a member state shall submit a uniform data set to the coordinated database on all individuals to whom this Compact is applicable as required by the rules of the Commission, including: 1. Identifying information; 2. Licensure data; 3. Significant investigatory information; 4. Adverse actions against an individual's license; 5. An indicator that an individual's privilege to practice is restricted, suspended or revoked; 6. Nonconfidential information related to alternative program participation; 7. Any denial of application for licensure and the reasons for such denial; and 8. Other information that may facilitate the administration of this Compact, as determined by the rules of the Commission. C. The coordinated database administrator shall promptly notify all member states of any adverse action taken against, or significant investigative information on, any individual in a member state. D. Member states contributing information to the coordinated database may designate information that may not be shared with the public without the express permission of the contributing state. E. Any information submitted to the coordinated database that is subsequently required to be expunged by the laws of the member state contributing the information shall be removed from the coordinated database. SECTION 12. RULEMAKING A. The Commission shall exercise its rulemaking powers pursuant to the criteria set forth in this Section and the rules adopted thereunder. Rules and amendments shall become binding as of the date specified in each rule or amendment. B. If a majority of the legislatures of the member states rejects a rule, by enactment of a statute or resolution in the same manner used to adopt the Compact, then such rule shall have no further force and effect in any member state. C. Rules or amendments to the rules shall be adopted at a regular or special meeting of the Commission. D. Prior to promulgation and adoption of a final rule or rules by the Commission, and at least 60 days in advance of the meeting at which the rule will be considered and voted upon, the Commission shall file a Notice of Proposed Rulemaking: 1. On the website of the Commission; and 2. On the website of each member state EMS authority or the publication in which each state would otherwise publish proposed rules. E. The Notice of Proposed Rulemaking shall include: 1. The proposed time, date and location of the meeting in which the rule will be considered and voted upon; 2. The text of the proposed rule or amendment and the reason for the proposed rule; 3. A request for comments on the proposed rule from any interested person; and 4. The manner in which interested persons may submit notice to the Commission of their intention to attend the public hearing and any written comments. F. Prior to adoption of a proposed rule, the Commission shall allow persons to submit written data, facts, opinions and arguments, which shall be made available to the public. G. The Commission shall grant an opportunity for a public hearing before it adopts a rule or amendment if a hearing is requested by: 1. At least 25 persons; 2. A governmental subdivision or agency; or 3. An association having at least 25 members. H. If a hearing is held on the proposed rule or amendment, the Commission shall publish the place, time and date of the scheduled public hearing. 1. All persons wishing to be heard at the hearing shall notify the executive director of the Commission or other designated member in writing of their desire to appear and testify at the hearing not less than 5 business days before the scheduled date of the hearing. 2. Hearings shall be conducted in a manner providing each person who wishes to comment a fair and reasonable opportunity to comment orally or in writing. 3. No transcript of the hearing is required, unless a written request for a transcript is made, in which case the person requesting the transcript shall bear the cost of producing the transcript. A recording may be made in lieu of a transcript under the same terms and conditions as a transcript. This subsection shall not preclude the Commission from making a transcript or recording of the hearing if it so chooses. 4. Nothing in this Section shall be construed as requiring a separate hearing on each rule. Rules may be grouped for the convenience of the Commission at hearings required by this Section. I. Following the scheduled hearing date, or by the close of business on the scheduled hearing date if the hearing was not held, the Commission shall consider all written and oral comments received. J. The Commission shall, by majority vote of all members, take final action on the proposed rule and shall determine the effective date of the rule, if any, based on the rulemaking record and the full text of the rule. K. If no written notice of intent to attend the public hearing by interested parties is received, the Commission may proceed with promulgation of the proposed rule without a public hearing. L. Upon determination that an emergency exists, the Commission may consider and adopt an emergency rule without prior notice, opportunity for comment or hearing, provided that the usual rulemaking procedures provided in the Compact and in this Section shall be retroactively applied to the rule as soon as reasonably possible, in no event later than 90 days after the effective date of the rule. For the purposes of this provision, an emergency rule is one that must be adopted immediately in order to: 1. Meet an imminent threat to public health, safety or welfare; 2. Prevent a loss of Commission member state funds; 3. Meet a deadline for the promulgation of an administrative rule that is established by federal law or rule; or 4. Protect public health and safety. M. The Commission or an authorized committee of the Commission may direct revisions to a previously adopted rule or amendment for purposes of correcting typographical errors, errors in format, errors in consistency or grammatical errors. Public notice of any revisions shall be posted on the website of the Commission. The revision shall be subject to challenge by any person for a period of 30 days after posting. The revision may be challenged only on grounds that the revision results in a material change to a rule. A challenge shall be made in writing and delivered to the chair of the Commission prior to the end of the notice period. If no challenge is made, the revision will take effect without further action. If the revision is challenged, the revision may not take effect without the approval of the Commission. SECTION 13. OVERSIGHT, DISPUTE RESOLUTION AND ENFORCEMENT A. Oversight 1. The executive, legislative and judicial branches of state government in each member state shall enforce this Compact and take all actions necessary and appropriate to effectuate the Compact's purposes and intent. The provisions of this Compact and the rules promulgated hereunder shall have standing as statutory law. 2. All courts shall take judicial notice of the Compact and the rules in any judicial or administrative proceeding in a member state pertaining to the subject matter of this Compact which may affect the powers, responsibilities or actions of the Commission. 3. The Commission shall be entitled to receive service of process in any such proceeding, and shall have standing to intervene in such a proceeding for all purposes. Failure to provide service of process to the Commission shall render a judgment or order void as to the Commission, this Compact or promulgated rules. B. Default, Technical Assistance and Termination 1. If the Commission determines that a member state has defaulted in the performance of its obligations or responsibilities under this Compact or the promulgated rules, the Commission shall: a. Provide written notice to the defaulting state and other member states of the nature of the default, the proposed means of curing the default and/or any other action to be taken by the Commission; and b. Provide remedial training and specific technical assistance regarding the default. 2. If a state in default fails to cure the default, the defaulting state may be terminated from the Compact upon an affirmative vote of a majority of the member states, and all rights, privileges and benefits conferred by this Compact may be terminated on the effective date of termination. A cure of the default does not relieve the offending state of obligations or liabilities incurred during the period of default. 3. Termination of membership in the Compact shall be imposed only after all other means of securing compliance have been exhausted. Notice of intent to suspend or terminate shall be given by the Commission to the governor and the majority and minority leaders of the defaulting state's legislature, and each of the member states. 4. A state that has been terminated is responsible for all assessments, obligations and liabilities incurred through the effective date of termination, including obligations that extend beyond the effective date of termination. 5. The Commission shall not bear any costs related to a state that is found to be in default or that has been terminated from the Compact, unless agreed upon in writing between the Commission and the defaulting state. 6. The defaulting state may appeal the action of the Commission by petitioning the United States District Court for the District of Columbia or the federal district where the Commission has its principal offices. The prevailing member shall be awarded all costs of such litigation, including reasonable attorney's fees. C. Dispute Resolution 1. Upon request by a member state, the Commission shall attempt to resolve disputes related to the Compact that arise among member states and between member and nonmember states. 2. The Commission shall promulgate a rule providing for both mediation and binding dispute resolution for disputes as appropriate. D. Enforcement 1. The Commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of this Compact. 2. By majority vote, the Commission may initiate legal action in the United States District Court for the District of Columbia or the federal district where the Commission has its principal offices against a member state in default to enforce compliance with the provisions of the Compact and its promulgated rules and bylaws. The relief sought may include both injunctive relief and damages. In the event judicial enforcement is necessary, the prevailing member shall be awarded all costs of such litigation, including reasonable attorney's fees. 3. The remedies herein shall not be the exclusive remedies of the Commission. The Commission may pursue any other remedies available under federal or state law. SECTION 14. DATE OF IMPLEMENTATION OF THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE AND ASSOCIATED RULES, WITHDRAWAL AND AMENDMENT A. The Compact shall come into effect on the date on which the Compact statute is enacted into law in the tenth member state. The provisions, which become effective at that time, shall be limited to the powers granted to the Commission relating to assembly and the promulgation of rules. Thereafter, the Commission shall meet and exercise rulemaking powers necessary to the implementation and administration of the Compact. B. Any state that joins the Compact subsequent to the Commission's initial adoption of the rules shall be subject to the rules as they exist on the date on which the Compact becomes law in that state. Any rule that has been previously adopted by the Commission shall have the full force and effect of law on the day the Compact becomes law in that state. C. Any member state may withdraw from this Compact by enacting a statute repealing the same. 1. A member state's withdrawal shall not take effect until 6 months after enactment of the repealing statute. 2. Withdrawal shall not affect the continuing requirement of the withdrawing state's EMS authority to comply with the investigative and adverse action reporting requirements of this act prior to the effective date of withdrawal. D. Nothing contained in this Compact shall be construed to invalidate or prevent any EMS personnel licensure agreement or other cooperative arrangement between a member state and a nonmember state that does not conflict with the provisions of this Compact. E. This Compact may be amended by the member states. No amendment to this Compact shall become effective and binding upon any member state until it is enacted into the laws of all member states. SECTION 15. CONSTRUCTION AND SEVERABILITY This Compact shall be liberally construed so as to effectuate the purposes thereof. If this Compact shall be held contrary to the constitution of any state member thereto, the Compact shall remain in full force and effect as to the remaining member states. Nothing in this Compact supersedes state law or rules related to licensure of EMS agencies.
Nev. Rev. Stat. § 439.4931 — NV Code / Title 40 / Chapter 439 / Section 439.4931
Regulations of State Board of Health
Status: in_force

The State Board of Health shall by regulation:

1. Prescribe the form and manner in which information on cases of sickle cell disease and its variants must be reported;

2. Prescribe the information that must be included in each report, which must include, without limitation: (a) The name, address, age and ethnicity of the patient; (b) The variant of sickle cell disease with which the person has been diagnosed; (c) The method of treatment, including, without limitation, any opioid prescribed for the patient and whether the patient has adequate access to that opioid; (d) Any other diseases from which the patient suffers, including, without limitation, pneumonia, asthma and gall bladder disease; (e) Information concerning the usage of and access to health care services by the patient; and (f) If a patient diagnosed with sickle cell disease and its variants dies, his or her age at death; and

3. Establish a protocol for allowing appropriate access to and preserving the confidentiality of the records of patients needed for research into sickle cell disease and its variants.
Nev. Rev. Stat. § 452.100 — NV Code / Title 40 / Chapter 452 / Section 452.100
Trustees of endowment care fund: Appointment; right of director to serve; limitation on compensation; appointment of bank or trust company as sole trustee
Status: in_force

1. The cemetery authority may appoint a board of trustees of not less than three in number as trustees of its endowment care fund. The members of the board of trustees shall hold office subject to the direction of the cemetery authority.

2. The directors of a cemetery authority, if any, may be the trustee of its endowment care fund. When the fund is in the care of the directors as a board of trustees, the secretary of the cemetery authority shall act as its secretary and keep a true record of all of its proceedings.

3. No sum in excess of 5 percent of the income derived from the fund in any year shall be paid as compensation to the board of trustees for its services as trustee.

4. In lieu of the appointment of a board of trustees of its endowment care fund, any cemetery authority may appoint as sole trustee of its endowment care fund any bank or trust company qualified under the laws of the State of Nevada to engage in the trust business.
Nev. Rev. Stat. § 450B.185 — NV Code / Title 40 / Chapter 450B / Section 450B.185
Suspension of license or certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of license or certificate
Status: in_force

<See notes for changes to this section effective under certain conditions.>

1. If the health authority receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a license as an attendant or firefighter employed by a fire-fighting agency or a certificate, the health authority shall deem the license or certificate issued to that person to be suspended at the end of the 30th day after the date on which the court order was issued unless the health authority receives a letter issued to the holder of the license or certificate by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the license or certificate has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560 .

2. The health authority shall reinstate a license as an attendant or firefighter employed by a fire-fighting agency or a certificate that has been suspended by a district court pursuant to NRS 425.540 if: (a) The health authority receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose license or certificate was suspended stating that the person whose license or certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560 ; and (b) The person whose license or certificate was suspended pays any fees imposed by the health authority for the reinstatement of a suspended license or certificate.
Nev. Rev. Stat. § 453.552 — NV Code / Title 40 / Chapter 453 / Section 453.552
Criminal penalties additional to civil penalties or sanctions
Status: in_force

1. Any penalty imposed for violation of NRS 453.011 to 453.551 , inclusive, is in addition to, and not in lieu of, any civil or administrative penalty or sanction otherwise authorized by law.

2. Any violation of the provisions of NRS 453.011 to 453.551 , inclusive, where no other penalty is specifically provided, is a misdemeanor.
Nev. Rev. Stat. § 452.730 — NV Code / Title 40 / Chapter 452 / Section 452.730
Posting and inspection of sign indicating endowment care
Status: in_force

1. Each cemetery for pets shall post in a conspicuous place in each office where sales are conducted and at or near the entrance of the cemetery or its administration building if readily accessible to the public, a legible sign containing the following information in the order and manner set forth below: (a) A heading with the words “Endowment care” appearing in a minimum of 48-point black type. (b) A statement that the cemetery is endowment care interment property.

2. The president and secretary of the cemetery or two officers authorized by the cemetery authority shall annually inspect each sign to ensure compliance with this section.
Nev. Rev. Stat. § 445B.7565 — NV Code / Title 40 / Chapter 445B / Section 445B.7565
“Salvage pool” defined
Status: in_force

“Salvage pool” has the meaning ascribed to it in NRS 487.400 .
Nev. Rev. Stat. § 450.725 — NV Code / Title 40 / Chapter 450 / Section 450.725
Membership of district hospital in purchasing group
Status: in_force

1. A district hospital may, with the approval of the board of trustees, become a member of a purchasing group for the purpose of purchasing supplies, materials, equipment and services used by the district hospital.

2. Except as otherwise provided in this subsection, a district hospital that becomes a member of a purchasing group may, in accordance with the requirements of NRS 450.730 , purchase supplies, materials, equipment and services through the purchasing group without complying with the requirements for competitive bidding set forth in chapter 332 of NRS . A district hospital may not purchase services or otherwise enter into an agreement pursuant to this subsection for: (a) The hiring of temporary or permanent staff through a vendor or employment agency to perform any medical or nursing care. (b) Any work for which a contractor's license issued pursuant to chapter 624 of NRS is required. The provisions of this subsection do not prohibit a district hospital from purchasing specialty equipment which requires installation services that must be performed by a person who holds a contractor's license issued pursuant to chapter 624 of NRS and which are specific to a particular project and are not commonly used in public works projects.
Nev. Rev. Stat. § 459.360 — NV Code / Title 40 / Chapter 459 / Section 459.360
Standards of management of by-products
Status: in_force

Management of by-product material must conform to the applicable standards of the Nuclear Regulatory Commission which are in effect on July 1, 1981.
Nev. Rev. Stat. § 461.110 — NV Code / Title 40 / Chapter 461 / Section 461.110
“Installation” defined
Status: in_force

“ Installation ” means the assembly of any factory-built housing or any manufactured building on-site and the process of affixing such factory-built housing or manufactured building to land, a foundation, footings or an existing building.
Nev. Rev. Stat. § 442.257 — NV Code / Title 40 / Chapter 442 / Section 442.257
Criminal penalty
Status: in_force

Any person who violates any provision of NRS 442.252 to 442.256 , inclusive, is guilty of a misdemeanor.
Nev. Rev. Stat. § 453.218 — NV Code / Title 40 / Chapter 453 / Section 453.218
Addition of immediate precursor to schedule
Status: in_force

The Board, without regard to the findings required by NRS 453.166 , 453.176 , 453.186 , 453.196 , 453.206 or subsection 4 of NRS 453.146 or the procedures prescribed by subsections 1 to 4, inclusive, of NRS 453.146 , may add an immediate precursor to the same schedule in which the controlled substance of which it is an immediate precursor is included or to in any other schedule. If the Board designates a substance as an immediate precursor, substances which are precursors of the controlled precursor are not subject to control solely because they are precursors of the controlled precursor.
Nev. Rev. Stat. § 442.040 — NV Code / Title 40 / Chapter 442 / Section 442.040
Report of existence of ophthalmia neonatorum to be made to local health officer; duties of health officer or physician to whom report is made
Status: in_force

1. Any physician, midwife, nurse, freestanding birthing center or hospital of any nature, parent, relative or person attending or assisting in any way any infant, or the person who gave birth to any infant, at childbirth, or any time within 2 weeks after childbirth, knowing the condition defined in NRS 442.030 to exist, shall immediately report such fact in writing to the local health officer of the county, city or other political subdivision within which the infant or the person who gave birth to any infant may reside.

2. Midwives shall immediately report conditions to some qualified practitioner of medicine and thereupon withdraw from the case except as they may act under the physician's instructions.

3. On receipt of such report, the health officer, or the physician notified by a midwife, shall immediately give to the parents or persons having charge of such infant a warning of the dangers to the eye or eyes of the infant, and shall, for indigent cases, provide the necessary treatment at the expense of the county, city or other political subdivision.
Nev. Rev. Stat. § 447.120 — NV Code / Title 40 / Chapter 447 / Section 447.120
Towels to be furnished
Status: in_force

1. Every hotel within this state having a public washstand or washbowl, where different persons gather to wash themselves, must keep a sufficient supply of clean, individual towels for the use of such persons within easy access of or to such persons and in plain sight and view.

2. Nothing in this section shall be construed as excluding the use of crepe or paper towels, or the automatic roller towel.
Nev. Rev. Stat. § 459.001 — NV Code / Title 40 / Chapter 459 / Section 459.001
Enactment; text
Status: in_force

The Western Interstate Nuclear Compact, denominated in NRS 459.001 to 459.005 , inclusive, as the “compact,” is hereby enacted into law and entered into with all jurisdictions legally joining therein, in the form substantially as follows:

ARTICLE I. POLICY AND PURPOSE The party states recognize that the proper employment of scientific and technological discoveries and advances in nuclear and related fields and direct and collateral application and adaptation of processes and techniques developed in connection therewith, properly correlated with the other resources of the region, can assist substantially in the industrial progress of the West and the further development of the economy of the region. They also recognize that optimum benefit from nuclear and related scientific or technological resources, facilities and skills requires systematic encouragement, guidance, assistance, and promotion from the party states on a cooperative basis. It is the policy of the party states to undertake such cooperation on a continuing basis. It is the purpose of this compact to provide the instruments and framework for such a cooperative effort in nuclear and related fields, to enhance the economy of the West and contribute to the individual and community well-being of the region's people.

ARTICLE II. THE BOARD (a) There is hereby created an agency of the party states to be known as the “Western Interstate Nuclear Board” (hereinafter called the Board). The Board shall be composed of one member from each party state designated or appointed in accordance with the law of the state which the member represents and serving and subject to removal in accordance with such law. Any member of the Board may provide for the discharge of the member’s duties and the performance of the member’s functions thereon (either for the duration of his or her membership or for any lesser period of time) by a deputy or assistant, if the laws of the member’s state make specific provisions therefor. The federal government may be represented without vote if provision is made by federal law for such representation. (b) The Board members of the party states shall each be entitled to one vote on the Board. No action of the Board shall be binding unless taken at a meeting at which a majority of all members representing the party states are present and unless a majority of the total number of votes on the Board are cast in favor thereof. (c) The Board shall have a seal. (d) The Board shall elect annually, from among its members, a chair, a vice chair, and a treasurer. The Board shall appoint and fix the compensation of an Executive Director who shall serve at its pleasure and who shall also act as Secretary, and who, together with the Treasurer, and such other personnel as the Board may direct, shall be bonded in such amounts as the Board may require. (e) The Executive Director, with the approval of the Board, shall appoint and remove or discharge such personnel as may be necessary for the performance of the Board's functions irrespective of the civil service, personnel or other merit system laws of any of the party states. (f) The Board may establish and maintain, independently or in conjunction with any one or more of the party states, or its institutions or subdivisions, a suitable retirement system for its full-time employees. Employees of the Board shall be eligible for social security coverage in respect of old age and survivors insurance provided that the Board takes such steps as may be necessary pursuant to federal law to participate in such program of insurance as a governmental agency or unit. The Board may establish and maintain or participate in such additional programs of employee benefits as may be appropriate. (g) The Board may borrow, accept, or contract for the services of personnel from any state or the United States or any subdivision or agency thereof, from any interstate agency, or from any institution, person, firm or corporation. (h) The Board may accept for any of its purposes and functions under this compact any and all donations, and grants of money, equipment, supplies, materials and services (conditional or otherwise) from any state or the United States or any subdivision or agency thereof, or interstate agency, or from any institution, person, firm, or corporation, and may receive, utilize, and dispose of the same. The nature, amount and conditions, if any, attendant upon any donation or grant accepted pursuant to this paragraph or upon any borrowing pursuant to paragraph (g) of this Article, together with the identity of the donor, grantor or lender, shall be detailed in the annual report of the Board. (i) The Board may establish and maintain such facilities as may be necessary for the transacting of its business. The Board may acquire, hold, and convey real and personal property and any interest therein. (j) The Board shall adopt bylaws, rules, and regulations for the conduct of its business, and shall have the power to amend and rescind these bylaws, rules, and regulations. The Board shall publish its bylaws, rules, and regulations in convenient form and shall file a copy thereof, and shall also file a copy of any amendment thereto, with the appropriate agency or officer in each of the party states. (k) The Board annually shall make to the governor of each party state, a report covering the activities of the Board for the preceding year, and embodying such recommendations as may have been adopted by the Board, which report shall be transmitted to the legislature of said state. The Board may issue such additional reports as it may deem desirable.

ARTICLE III. FINANCES (a) The Board shall submit to the governor or designated officer or officers of each party state a budget of its estimated expenditures for such period as may be required by the laws of that jurisdiction for presentation to the legislature thereof. (b) Each of the Board's budgets of estimated expenditures shall contain specific recommendations of the amount or amounts to be appropriated by each of the party states. Each of the Board's requests for appropriations pursuant to a budget of estimated expenditures shall be apportioned equally among the party states. Subject to appropriation by their respective legislatures, the Board shall be provided with such funds by each of the party states as are necessary to provide the means of establishing and maintaining facilities, a staff of personnel, and such activities as may be necessary to fulfill the powers and duties imposed upon and entrusted to the Board. (c) The Board may meet any of its obligations in whole or in part with funds available to it under Article II (h) of this compact, provided that the Board takes specific action setting aside such funds prior to the incurring of any obligation to be met in whole or in part in this manner. Except where the Board makes use of funds available to it under Article II (h) hereof, the Board shall not incur any obligation prior to the allotment of funds by the party jurisdictions adequate to meet the same. (d) Any expenses and any other costs for each member of the Board in attending Board meetings shall be met by the Board. (e) The Board shall keep accurate accounts of all receipts and disbursements. The receipts and disbursements of the Board shall be subject to the audit and accounting procedures established under its bylaws. However, all receipts and disbursements of funds handled by the Board shall be audited yearly by a certified or licensed public accountant and the report of the audit shall be included in and become a part of the annual report of the Board. (f) The Accounts of the Board shall be open at any reasonable time for inspection to persons authorized by the Board, and duly designated representatives of governments contributing to the Board's support.

ARTICLE IV. ADVISORY COMMITTEES The Board may establish such advisory and technical committees as it may deem necessary, membership on which may include but not be limited to private citizens, expert and lay personnel, representatives of industry, labor, commerce, agriculture, civic associations, medicine, education, voluntary health agencies, and officials of local, State and Federal Government, and may cooperate with and use the services of any such committees and the organizations which they represent in furthering any of its activities under this compact.

ARTICLE V. POWERS The Board shall have power to-- (a) Encourage and promote cooperation among the party states in the development and utilization of nuclear and related technologies and their application to industry and other fields. (b) Ascertain and analyze on a continuing basis the position of the West with respect to the employment in industry of nuclear and related scientific findings and technologies. (c) Encourage the development and use of scientific advances and discoveries in nuclear facilities, energy, materials, products, by-products, and all other appropriate adaptations of scientific and technological advances and discoveries. (d) Collect, correlate, and disseminate information relating to the peaceful uses of nuclear energy, materials, and products, and other products and processes resulting from the application of related science and technology. (e) Encourage the development and use of nuclear energy, facilities, installations, and products as part of a balanced economy. (f) Conduct, or cooperate in conducting, programs of training for state and local personnel engaged in any aspects of: 1. Nuclear industry, medicine, or education, or the promotion or regulation thereof. 2. Applying nuclear scientific advances or discoveries, and any industrial commercial or other processes resulting therefrom. 3. The formulation or administration of measures designed to promote safety in any matter related to the development, use or disposal of nuclear energy, materials, products, by-products, installations, or wastes, or to safety in the production, use and disposal of any other substances peculiarly related thereto. (g) Organize and conduct, or assist and cooperate in organizing and conducting, demonstrations or research in any of the scientific, technological or industrial fields to which this compact relates. (h) Undertake such nonregulatory functions with respect to nonnuclear sources of radiation as may promote the economic development and general welfare of the West. (i) Study industrial, health, safety, and other standards, laws, codes, rules, regulations, and administrative practices in or related to nuclear fields. (j) Recommend such changes in, or amendments or additions to the laws, codes, rules, regulations, administrative procedures and practices or local laws or ordinances of the party states of their subdivisions in nuclear and related fields, as in its judgment may be appropriate. Any such recommendations shall be made through the appropriate state agency, with due consideration of the desirability of uniformity but shall also give appropriate weight to any special circumstances which may justify variations to meet local conditions. (k) Consider and make recommendations designed to facilitate the transportation of nuclear equipment, materials, products, by-products, wastes, and any other nuclear or related substances, in such manner and under such conditions as will make their availability or disposal practicable on an economic and efficient basis. (l) Consider and make recommendations with respect to the assumption of and protection against liability actually or potentially incurred in any phase of operations in nuclear and related fields. (m) Advise and consult with the federal government concerning the common position of the party states or assist party states with regard to individual problems where appropriate in respect to nuclear and related fields. (n) Cooperate with the Atomic Energy Commission, the National Aeronautics and Space Administration, the Office of Science and Technology, or any agencies successor thereto, any other officer or agency of the United States, and any other governmental unit or agency or officer thereof, and with any private persons or agencies in any of the fields of its interest. (o) Act as licensee, contractor or subcontractor of the United States Government or any party state with respect to the conduct of any research activity requiring such license or contract and operate such research facility or undertake any program pursuant thereto, provided that this power shall be exercised only in connection with the implementation of one or more other powers conferred upon the Board by this compact. (p) Prepare, publish and distribute (with or without charge) such reports, bulletins, newsletters or other materials as it deems appropriate. (q) Ascertain from time to time such methods, practices, circumstances, and conditions as may bring about the prevention and control of nuclear incidents in the area comprising the party states, to coordinate the nuclear incident prevention and control plans and the work relating thereto of the appropriate agencies of the party states and to facilitate the rendering of aid by the party states to each other in coping with nuclear incidents. The Board may formulate and, in accordance with need from time to time, revise a regional plan or regional plans for coping with nuclear incidents within the territory of the party states as a whole or within any subregion or subregions of the geographic area covered by this compact. Any nuclear incident plan in force pursuant to this paragraph shall designate the official or agency in each party state covered by the plan who shall coordinate requests for aid pursuant to Article VI of this compact and the furnishing of aid in response thereto. Unless the party states concerned expressly otherwise agree, the Board shall not administer the summoning and dispatching of aid, but this function shall be undertaken directly by the designated agencies and officers of the party states. However, the plan or plans of the Board in force pursuant to this paragraph shall provide for reports to the Board concerning the occurrence of nuclear incidents and the requests for aid on account thereof, together with summaries of the actual working and effectiveness of mutual aid in particular instances. From time to time, the Board shall analyze the information gathered from reports of aid pursuant to Article VI and such other instances of mutual aid as may have come to its attention, so that experience in the rendering of such aid may be available. (r) Prepare, maintain, and implement a regional plan or regional plans for carrying out the duties, powers, or functions conferred upon the Board by this compact. (s) Undertake responsibilities imposed or necessarily involved with regional participation pursuant to such cooperative programs of the federal government as are useful in connection with the fields covered by this compact.

ARTICLE VI. MUTUAL AID (a) Whenever a party state, or any state or local governmental authorities therein, request aid from any other party state pursuant to this compact in coping with a nuclear incident, it shall be the duty of the requested state to render all possible aid to the requesting state which is consonant with the maintenance of protection of its own people. (b) Whenever the officers or employees of any party state are rendering outside aid pursuant to the request of another party state under this compact, the officers or employees of such state shall, under the direction of the authorities of the state to which they are rendering aid, have the same powers, duties, rights, privileges and immunities as comparable officers and employees of the state to which they are rendering aid. (c) No party state or its officers or employees rendering outside aid pursuant to this compact shall be liable on account of any act or omission on their part while so engaged, or on account of the maintenance or use of any equipment or supplies in connection therewith. (d) All liability that may arise either under the laws of the requesting state or under the laws of the aiding state or under the laws of a third state on account of or in connection with a request for aid, shall be assumed and borne by the requesting state. (e) Any party state rendering outside aid pursuant to this compact shall be reimbursed by the party state receiving such aid for any loss or damage to, or expense incurred in the operation of any equipment answering a request for aid, and for the cost of all materials, transportation, wages, salaries and maintenance of officers, employees and equipment incurred in connection with such request: provided that nothing herein contained shall prevent any assisting party state from assuming such loss, damage, expense or other cost or from loaning such equipment or from donating such services to the receiving party state without charge or cost. (f) Each party state shall provide for the payment of compensation and death benefits to injured officers and employees and the representatives of deceased officers and employees in case officers or employees sustain injuries or death while rendering outside aid pursuant to this compact, in the same manner and on the same terms as if the injury or death were sustained within the state by or in which the officer or employee was regularly employed.

ARTICLE VII. SUPPLEMENTARY AGREEMENTS (a) To the extent that the Board has not undertaken an activity or project which would be within its power under the provisions of Article V of this compact, any two or more of the party states (acting by their duly constituted administrative officials) may enter into supplementary agreements for the undertaking and continuance of such an activity or project. Any such agreement shall specify the purpose or purposes; its duration and the procedure for termination thereof or withdrawal therefrom; the method of financing and allocating the costs of the activity or project; and such other matters as may be necessary or appropriate. No such supplementary agreement entered into pursuant to this article shall become effective prior to its submission to and approval by the Board. The Board shall give such approval unless it finds that the supplementary agreement or activity or project contemplated thereby is inconsistent with the provisions of this compact or a program or activity conducted by or participated in by the Board. (b) Unless all of the party states participate in a supplementary agreement, any cost or costs thereof shall be borne separately by the states party thereto. However, the Board may administer or otherwise assist in the operation of any supplementary agreement. (c) No party to a supplementary agreement entered into pursuant to this article shall be relieved thereby of any obligation or duty assumed by said party state under or pursuant to this compact, except that timely and proper performance of such obligation or duty by means of the supplementary agreement may be offered as performance pursuant to the compact. (d) The provisions of this Article shall apply to supplementary agreements and activities thereunder, but shall not be construed to repeal or impair any authority which officers or agencies of party states may have pursuant to other laws to undertake cooperative arrangements or projects.

ARTICLE VIII. OTHER LAWS AND RELATIONS Nothing in this compact shall be construed to-- (a) Permit or require any person or other entity to avoid or refuse compliance with any law, rule, regulation, order or ordinance of a party state or subdivision thereof now or hereafter made, enacted or in force. (b) Limit, diminish, or otherwise impair jurisdiction exercised by the Atomic Energy Commission, any agency successor thereto, or any other federal department, agency or officer pursuant to and in conformity with any valid and operative act of Congress, nor limit, diminish, affect, or otherwise impair jurisdiction exercised by any officer or agency of a party state, except to the extent that the provisions of this compact may provide therefor. (c) Alter the relations between and respective internal responsibilities of the government of a party state and its subdivisions. (d) Permit or authorize the Board to own or operate any facility, reactor, or installation for industrial or commercial purposes.

ARTICLE IX. ELIGIBLE PARTIES, ENTRY INTO FORCE AND WITHDRAWAL (a) Any or all of the states of Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming shall be eligible to become party to this compact. (b) As to any eligible party state, this compact shall become effective when its legislature shall have enacted the same into law: Provided, that it shall not become initially effective until enacted into law by five states. (c) Any party state may withdraw from this compact by enacting a statute repealing the same, but no such withdrawal shall take effect until two years after the Governor of the withdrawing state has given notice in writing of the withdrawal to the Governors of all other party states. No withdrawal shall affect any liability already incurred by or chargeable to a party state prior to the time of such withdrawal. (d) Guam and American Samoa, or either of them may participate in the compact to such extent as may be mutually agreed by the Board and the duly constituted authorities of Guam or American Samoa, as the case may be. However, such participation shall not include the furnishing or receipt of mutual aid pursuant to Article VI, unless that Article has been enacted or otherwise adopted so as to have the full force and effect of law in the jurisdiction affected. Neither Guam nor American Samoa shall be entitled to voting participation on the Board, unless it has become a full party to the compact.

ARTICLE X. SEVERABILITY AND CONSTRUCTION The provisions of this compact and of any supplementary agreement entered into hereunder shall be severable and if any phrase, clause, sentence or provision of this compact or such supplementary agreement is declared to be contrary to the constitution of any participating state or of the United States or the applicability thereof to any government, agency, person, or circumstance is held invalid, the validity of the remainder of this compact or such supplementary agreement and the applicability thereof to any government, agency, person or circumstance shall not be affected thereby. If this compact or any supplementary agreement entered into hereunder shall be held contrary to the constitution of any state participating therein, the compact or such supplementary agreement shall remain in full force and effect as to the remaining states and in full force and effect as to the state affected as to all severable matters. The provisions of this compact and of any supplementary agreement entered into pursuant thereto shall be liberally construed to effectuate the purposes thereof.
Nev. Rev. Stat. § 450.510 — NV Code / Title 40 / Chapter 450 / Section 450.510
County whose population is less than 100,000 may contract with community nonprofit hospital for care of indigent patients; enlargement or alteration of hospital
Status: in_force

1. The board of county commissioners of any county whose population is less than 100,000 may contract with any nonprofit corporation to which a public hospital has been conveyed or leased, for the care of indigent patients from the contracting county and the receiving of other persons falling sick or being maimed or injured within the contracting county. The contract must be consistent with the provisions of NRS 439B.300 to 439B.340 , inclusive, if applicable.

2. The contracting county may participate in the enlargement or alteration of the hospital.
Nev. Rev. Stat. § 454.221 — NV Code / Title 40 / Chapter 454 / Section 454.221
Furnishing dangerous drug without prescription prohibited; penalty; exceptions
Status: in_force

1. A person who furnishes any dangerous drug except upon the prescription of a practitioner is guilty of a category D felony and shall be punished as provided in NRS 193.130 , unless the dangerous drug was obtained originally by a legal prescription.

2. The provisions of this section do not apply to the furnishing of any dangerous drug by: (a) A practitioner to his or her patients; (b) A physician assistant licensed pursuant to chapter 630 or 633 of NRS if authorized by the Board; (c) A registered nurse while participating in a public health program approved by the Board, or an advanced practice registered nurse who holds a certificate from the State Board of Pharmacy permitting him or her to dispense dangerous drugs; (d) A manufacturer or wholesaler or pharmacy to each other or to a practitioner or to a laboratory under records of sales and purchases that correctly give the date, the names and addresses of the supplier and the buyer, the drug and its quantity; (e) A hospital pharmacy or a pharmacy so designated by a county health officer in a county whose population is 100,000 or more, or by a district health officer in any county within its jurisdiction or, in the absence of either, by the Chief Medical Officer or the Chief Medical Officer's designated Medical Director of Emergency Medical Services, to a person or agency described in subsection 4 of NRS 639.268 to stock ambulances or other authorized vehicles or replenish the stock; or (f) A pharmacy in a correctional institution to a person designated by the Director of the Department of Corrections to administer a lethal injection to a person who has been sentenced to death.
Nev. Rev. Stat. § 439.5276 — NV Code / Title 40 / Chapter 439 / Section 439.5276
Maintenance of Internet website for system for reporting information
Status: in_force

1. If a system for the reporting of information on neurodegenerative diseases is established pursuant to NRS 439.5268 , the designated department shall, except as otherwise provided in subsection 2, establish and maintain an Internet website for the system that may include, without limitation: (a) An annual summary of the activities conducted pursuant to NRS 439.5252 to 439.5284 , inclusive, which may include, without limitation: (1) The incidence and prevalence of Parkinson's disease, Parkinsonisms, multiple sclerosis and Alzheimer's disease reported to the system during the immediately preceding year, in total and disaggregated for each county of this State; (2) The number of reports made to the system pursuant to NRS 439.5274 for the immediately preceding year; and (3) Demographic information concerning the patients to which the reports described in subparagraph (2) pertain, including, without limitation, information concerning the age, sex and race of such patients. (b) Other information relating to the system.

2. The designated department may enter into an agreement with the Chief Medical Officer and the Department for the Chief Medical Officer to establish and maintain the Internet website pursuant to subsection 1.
Nev. Rev. Stat. § 461A.250 — NV Code / Title 40 / Chapter 461A / Section 461A.250
Criminal, civil and administrative penalties; disposition of money collected as civil penalties
Status: in_force

1. Any person who knowingly or willfully violates any of the provisions of this chapter or any order issued by the agency for enforcement is guilty of a misdemeanor.

2. Except as otherwise provided in subsection 4, in addition to any criminal penalty that might be imposed, any person who knowingly or willfully violates any provision of this chapter or any regulation issued pursuant thereto is liable for a civil penalty of not more than $500 for each violation or for each day of a continuing violation. The agency for enforcement may bring an action in the appropriate court to collect the civil penalty.

3. All money collected as civil penalties pursuant to the provisions of this chapter must be deposited in the State General Fund or the general fund of the city or county, as the case may be.

4. In addition to any criminal penalty that might be imposed, the Administrator may, in lieu of bringing an action to collect a civil penalty pursuant to subsection 2, impose on and collect from any person who knowingly or willfully violates any provision of this chapter or any regulation issued pursuant thereto an administrative fine of not more than $500 for each violation or for each day of a continuing violation.
Nev. Rev. Stat. § 459.686 — NV Code / Title 40 / Chapter 459 / Section 459.686
Working group to study issues relating to environmental contamination: Establishment; composition; duties; members serve without compensation
Status: in_force

1. The Division shall establish a working group to study issues relating to environmental contamination resulting from perfluoroalkyl and polyfluoroalkyl substances in this State which must be composed of representatives of interested state and local public agencies, labor organizations, community organizations and trade associations.

2. The working group established pursuant to subsection 1 shall, without limitation: (a) Evaluate the potential for environmental contamination in this State resulting from perfluoroalkyl and polyfluoroalkyl substances; (b) Determine the location of potentially significant discharges or releases of perfluoroalkyl and polyfluoroalkyl substances in this State; (c) Determine the potential sources of exposure to perfluoroalkyl and polyfluoroalkyl substances for residents of this State; (d) Compile information relating to existing federal, state and local actions to monitor, contain and clean up environmental contamination resulting from perfluoroalkyl and polyfluoroalkyl substances; and (e) Develop recommendations for state and local action to monitor, contain and clean up environmental contamination resulting from perfluoroalkyl and polyfluoroalkyl substances.

3. The members of the working group serve without compensation.

4. As used in this section, “ public agency ” means an agency, bureau, board, commission, department or division of the State of Nevada or a political subdivision of the State of Nevada.
Nev. Rev. Stat. § 449A.542 — NV Code / Title 40 / Chapter 449A / Section 449A.542
“Provider Order for Life-Sustaining Treatment form” or “POLST form” defined
Status: in_force

“Provider Order for Life-Sustaining Treatment form” or “POLST form” means the form prescribed pursuant to NRS 449A.548 that:

1. Records the wishes of the patient; and

2. Directs a provider of health care regarding the provision of life-resuscitating treatment and life-sustaining treatment.
Nev. Rev. Stat. § 450.635 — NV Code / Title 40 / Chapter 450 / Section 450.635
Closed meetings of board of trustees
Status: in_force

1. A board of trustees may hold a closed meeting exempt from the provisions of chapter 241 of NRS to discuss: (a) Providing a new health care service in the county hospital district or materially expanding a health care service that is currently provided in the county hospital district; (b) The acquisition of an additional facility by the county hospital district or the material expansion of an existing facility of the county hospital district; (c) Matters before a review committee to deliberate the character, alleged misconduct, professional competence or physical or mental health of a provider of health care; or (d) Matters related to a medical audit or the quality assurance programs of the county hospital district.

2. The provisions of subsection 1 must not be construed to: (a) Authorize the board of trustees to hold a closed meeting to discuss a change of management or ownership or the dissolution of the county hospital district; or (b) Prohibit the public from obtaining a report that is otherwise available to the public pursuant to state or federal law.

3. Except as otherwise provided in this subsection, minutes of a closed meeting held pursuant to subsection 1, any supporting material and any recording or transcript of the closed meeting become public records 5 years after the date on which the meeting is held or when the board of trustees determines that the matters discussed no longer require confidentiality, whichever occurs first. Minutes of a closed meeting held pursuant to subsection 1, any supporting material and any recording or transcript of the closed meeting that contains privileged information are not public records. Nothing in this section shall be construed to limit the disclosure of information that is discoverable as part of a legal proceeding or pursuant to court order.

4. As used in this section: (a) “ Provider of health care ” has the meaning ascribed to it in NRS 629.031 . (b) “ Review committee ” has the meaning ascribed to it in NRS 49.117 .
Nev. Rev. Stat. § 449.370 — NV Code / Title 40 / Chapter 449 / Section 449.370
Application for construction of health facility: Notice and hearing; approval and forwarding
Status: in_force

1. The State Department shall afford to every applicant for assistance for a construction project an opportunity for a fair hearing before the State Department upon 10 days' written notice to the applicant.

2. If the State Department, after affording reasonable opportunity for development and presentation of applications in the order of relative need, finds that an application is in conformity with the state plan, the State Department shall approve the application and shall recommend and forward it to the federal agency.

3. The State Department shall consider and forward applications in the order of relative need set forth in the state plan.
Nev. Rev. Stat. § 445A.260 — NV Code / Title 40 / Chapter 445A / Section 445A.260
Interest and income; deposits; acceptance of gifts, appropriations, contributions, grants and bequests; use of money to benefit public water systems limited
Status: in_force

1. The interest and income earned on money in the Account for the Revolving Fund and the Account for Set-Aside Programs must be credited to the Account for the Revolving Fund and the Account for Set-Aside Programs, respectively.

2. All payments of principal and interest on all loans made to a public water system and all proceeds from the sale, refunding or prepayment of obligations of a public water system acquired or loans made in carrying out the purposes of the Account for the Revolving Fund or the Account for Set-Aside Programs must be deposited in the State Treasury for credit to the Account for the Revolving Fund or the Account for Set-Aside Programs, respectively.

3. The Division may accept gifts, appropriations from the State General Fund, contributions, grants and bequests of money from any public or private source. The money so accepted must be deposited in the State Treasury for credit to the Account for the Revolving Fund, or the Account for Set-Aside Programs, and can be used to provide money from the State to match the federal grant, as required by the Safe Drinking Water Act.

4. Except as otherwise provided in subsection 5, only federal money deposited in a separate subaccount of the Account for the Revolving Fund, including repayments of principal and interest on loans made solely from federal money, and interest and income earned on federal money in the Account for the Revolving Fund, may be used to benefit public water systems not governmentally owned.

5. In addition to the sources described in subsection 4, the proceeds of state securities that are solely secured by and solely payable from one or more of the sources set forth in subsection 4 may be used to benefit public water systems not governmentally owned.
Nev. Rev. Stat. § 459.485 — NV Code / Title 40 / Chapter 459 / Section 459.485
Duties of Commission
Status: in_force

The Commission shall:

1. Adopt regulations governing systems of hazardous waste management, including the plan for management of hazardous waste in the entire State; and

2. Through the Department: (a) Advise, consult and cooperate with other agencies of the State, other states, the Federal Government, municipalities and other persons on matters relating to formulation of plans for managing hazardous waste. (b) Develop a plan for management of hazardous waste in the entire State. (c) Develop a program to encourage the minimization of hazardous waste and the recycling or reuse of hazardous waste by persons who generate hazardous waste within Nevada. The program may include grants or other financial incentives.
Nev. Rev. Stat. § 458A.220 — NV Code / Title 40 / Chapter 458A / Section 458A.220
Hearing to determine whether person should receive treatment; court to advise person of conditions
Status: in_force

1. If the court: (a) Has reason to believe that: (1) A person who has been convicted of a crime is a person with an addictive disorder related to gambling; and (2) The person committed the crime in furtherance or as a result of problem gambling; and (b) Finds that the person is eligible to make the election as provided in NRS 458A.210 , the court shall hold a hearing before it sentences the person to determine whether or not the person committed the crime in furtherance or as a result of problem gambling and whether or not the person should receive treatment under the supervision of a qualified mental health professional. The district attorney may present the court with any evidence concerning whether the person committed the crime in furtherance or as a result of problem gambling and the advisability of permitting the person to make the election.

2. At the hearing, the court shall advise the person that sentencing will be postponed if the person elects to submit to treatment and is accepted into a program for the treatment of problem gambling. In offering the election, the court shall advise the person that: (a) The court may impose any conditions upon the election of treatment that could be imposed as conditions of probation; (b) If the person elects to submit to treatment and is accepted, the person: (1) May be placed under the supervision of the qualified mental health professional for a period of not less than 1 year and not more than 3 years; and (2) Must agree to pay restitution as a condition upon the election of treatment; (c) During treatment, the person may be confined in an institution or, at the discretion of the qualified mental health professional, released for treatment or supervised care in the community; (d) If the person satisfactorily completes treatment and satisfies the conditions upon the election of treatment, as determined by the court, the conviction will be set aside, but if the person does not satisfactorily complete treatment and satisfy the conditions, the person may be sentenced and the sentence executed; and (e) If the person’s conviction is set aside pursuant to NRS 458A.240 , he or she may, at any time after the conviction is set aside, file a petition pursuant to NRS 179.255 for the sealing of all records relating to the setting aside of the conviction.
Nev. Rev. Stat. § 449.1824 — NV Code / Title 40 / Chapter 449 / Section 449.1824
Duties of hospital and licensed entity that provides care for patient upon discharge to ensure dietary needs of patient are met
Status: in_force

1. If a patient will be released from a hospital to his or her residence or a rehabilitation center and a dietitian is assigned to a team of persons formed by the hospital to care for the patient while the patient rehabilitates, the hospital shall ensure that the patient or the person with primary responsibility for the care of the patient meets or knows how to contact the dietitian.

2. If a patient is released by a hospital to his or her residence to receive care from an agency to provide personal care services in the home or any other entity licensed pursuant to this chapter that provides care to the patient in his or her residence, the agency to provide personal care services in the home or other entity shall consult with a dietitian, as appropriate, to ensure that the patient or the person with primary responsibility for the care of the patient understands the dietary needs of the patient.
Nev. Rev. Stat. § 439.475 — NV Code / Title 40 / Chapter 439 / Section 439.475
Notice of order for abatement of nuisance; duty of health district if owner fails to comply with order
Status: in_force

1. A district health officer may issue an order requiring an owner of real property to abate and prevent the recurrence of any mosquitoes, flies, other insects, rats or any breeding place thereof by providing notice of the order to the owner by mail addressed to the last known address of the owner. The order must: (a) Provide that the owner shall abate the nuisance and prevent its recurrence; and (b) Specify the period within which the abatement must be completed.

2. If the owner of the real property does not comply with the order within the time specified, the health district shall abate the nuisance and take all necessary steps to prevent its recurrence.
Nev. Rev. Stat. § 450B.795 — NV Code / Title 40 / Chapter 450B / Section 450B.795
State Board of Health to collect data concerning waiting times for provision of emergency services to certain persons; hospitals and providers of emergency services in certain larger counties required to participate in collection of data; development of system of collecting data; advisory committees; quarterly report to Joint Interim Standing Committee on Health and Human Services; expenses; regulations; written request for repeal of section
Status: in_force

1. The State Board of Health shall collect data, in accordance with the system that is developed by the Board pursuant to subsection 5, concerning the waiting times for the provision of emergency services and care to each person who is in need of such services and care and who is transported to a hospital by a provider of emergency medical services.

2. Each hospital and each provider of emergency medical services in a county whose population is 700,000 or more shall participate in the collection of data pursuant to this section by collecting data, in accordance with the system that is developed by the State Board of Health pursuant to subsection 5, concerning the waiting times for the provision of emergency services and care to each person who is in need of such services and care and who is transported to a hospital by a provider of emergency medical services.

3. Except as otherwise provided in subsection 4, the hospitals and the providers of emergency medical services in a county whose population is less than 700,000 are not required to participate in the collection of data pursuant to this section unless the county health officer, each hospital and each provider of emergency medical services in the county agree in writing that the county will participate in the collection of data. The county health officer shall submit the written agreement to the State Board of Health.

4. If the State Board of Health determines, in a county whose population is 100,000 or more but less than 700,000, that there are excessive waiting times at one or more hospitals in the county for the provision of emergency services and care to persons who are in need of such services and care and who have been transported to the hospital by a provider of emergency medical services, the State Board of Health may require the county to implement a system of collecting data pursuant to subsection 5 concerning the extent of waiting times and the circumstances surrounding such waiting times.

5. For the purpose of collecting data pursuant to this section, the State Board of Health shall develop a system of collecting data concerning the waiting times of persons for the provision of emergency services and care at a hospital and the surrounding circumstances for such waiting times each time a person is transported to a hospital by a provider of emergency medical services. The system must include, without limitation, an electronic method of recording and collecting the following information: (a) The time at which a person arrives at the hospital, which is the time that the person is presented to the emergency room of the hospital; (b) The time at which the person is transferred to an appropriate place in the hospital to receive emergency services and care, which is the time that the person is physically present in the appropriate place and the staff of the emergency room of the hospital have received a report concerning the transfer of the person; (c) If a person is not transferred to an appropriate place in the hospital to receive emergency services and care within 30 minutes after arriving at the hospital, information detailing the reason for such delay, which may be selected from a predetermined list of possible reasons that are available for selection in the electronic system; (d) A unique identifier that is assigned to each transfer of a person to a hospital by a provider of emergency medical services which allows the transfer to be identified and reviewed; and (e) The names of the personnel of the provider of emergency medical services who transported the person to the hospital and of the personnel of the hospital who are responsible for the care of the person after the person arrives at the hospital.

6. The State Board of Health shall ensure that: (a) The data collected pursuant to subsection 5 is reported to the Division on a quarterly basis; (b) The data collected pursuant to subsection 5 is available to any person or entity participating in the collection of data pursuant to this section; and (c) The system of collecting data developed pursuant to subsection 5 and all other aspects of the collection comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191.

7. The State Board of Health shall appoint for each county in which hospitals and providers of emergency medical services are participating in the collection of data pursuant to this section an advisory committee consisting of the health officer of the county, a representative of each hospital in the county and a representative of each provider of emergency medical services in the county. Each member of the advisory committee serves without compensation and is not entitled to receive a per diem allowance or travel expenses for the member's service on the advisory committee. Each advisory committee shall: (a) Meet not less than once each calendar quarter; (b) Review the data that is collected for the county and submitted to the State Board of Health concerning the waiting times for the provision of emergency services and care, the manner in which such data was collected and any circumstances surrounding such waiting times; (c) Review each incident in which a person was transferred to an appropriate place in a hospital to receive emergency services and care more than 30 minutes after arriving at the hospital; and (d) Submit a report of its findings to the State Board of Health.

8. The State Board of Health may delegate its duties set forth in this section to: (a) The district board of health in a county whose population is 700,000 or more. (b) The county or district board of health in a county whose population is less than 700,000.

9. The State Board of Health or any county or district board of health that is performing the duties of the State Board of Health pursuant to subsection 8 shall submit a quarterly report to the Joint Interim Standing Committee on Health and Human Services, which must include a written compilation of the data collected pursuant to this section.

10. The State Board of Health may require each hospital and provider of emergency medical services located in a county that participates in the collection of data pursuant to this section to share in the expense of purchasing hardware, software, equipment and other resources necessary to carry out the collection of data pursuant to this section.

11. The State Board of Health shall adopt regulations to carry out the provisions of this section, including, without limitation, regulations prescribing the duties and responsibilities of each: (a) County or district board of health that is performing the duties of the State Board of Health pursuant to subsection 8; (b) Hospital located in a county that participates in the collection of data pursuant to this section; and (c) Provider of emergency medical services located in a county whose population is less than 700,000 that participates in the collection of data pursuant to this section.

12. The district board of health in each county whose population is 700,000 or more shall adopt regulations consistent with subsection 11 for providers of emergency medical services located in the county to carry out the provisions of this section.

13. The State Board of Health may, in consultation with each hospital and provider of emergency medical services located in a county that participates in the collection of data pursuant to this section, submit a written request to the Director of the Legislative Counsel Bureau for transmission to a regular session of the Legislature for the repeal of this section. Such a written request must include the justifications and reasons for requesting the termination of the collection of data pursuant to this section.

14. As used in this section: (a) “Emergency services and care” has the meaning ascribed to it in NRS 439B.410 . (b) “Hospital” has the meaning ascribed to it in NRS 449.012 . (c) “ Provider of emergency medical services ” means each operator of an ambulance and each fire-fighting agency which has a permit to operate pursuant to this chapter and which provides transportation for persons in need of emergency services and care to hospitals.
Nev. Rev. Stat. § 459.774 — NV Code / Title 40 / Chapter 459 / Section 459.774
Civil penalties for certain violations
Status: in_force

1. In addition to any applicable criminal penalties, the Department may, after providing written notice and an opportunity for a fair and impartial hearing, impose a civil penalty, in an amount determined pursuant to the schedule adopted by the Director pursuant to this section, upon a person who violates a provision of NRS 459.7052 to 459.728 , inclusive, or the regulations adopted pursuant thereto. The notice required by this section must include the amount of the penalty and a description of the violation.

2. The Director shall adopt a schedule of civil penalties for the purposes of this section based on a schedule of recommended fines adopted by a nonprofit organization comprised of representatives from private industry, state agencies, agencies of the Federal Government and other governmental agencies, which is dedicated to improving the safety of commercial vehicles.

3. The Department may bring an action to recover a civil penalty imposed pursuant to this section and shall deposit any money collected with the State Treasurer for credit to the State Highway Fund.
Nev. Rev. Stat. § 449A.551 — NV Code / Title 40 / Chapter 449A / Section 449A.551
Explanation of POLST form to patient; completion of form; validity of form; actions authorized for patient who regains capacity
Status: in_force

1. A physician, physician assistant or advanced practice registered nurse shall take the actions described in subsection 2: (a) If the physician, physician assistant or advanced practice registered nurse diagnoses a patient with a terminal condition; (b) If the physician, physician assistant or advanced practice registered nurse determines, for any reason, that a patient has a life expectancy of less than 5 years; or (c) At the request of a patient.

2. Upon the occurrence of any of the events specified in subsection 1, the physician, physician assistant or advanced practice registered nurse shall explain to the patient: (a) The existence and availability of the Provider Order for Life-Sustaining Treatment form; (b) The features of and procedures offered by way of the POLST form; and (c) The differences between a POLST form and the other types of advance directives.

3. The physician, physician assistant or advanced practice registered nurse shall complete the POLST form based on the preferences and medical indications of the patient, upon the request of: (a) If the patient is 18 years of age or older and the physician, physician assistant or advanced practice registered nurse determines that the patient has the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment, the patient. (b) If the patient is 18 years of age or older and the physician, physician assistant or advanced practice registered nurse determines that the patient lacks the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment: (1) The representative of the patient; or (2) If no person is a representative of the patient and a valid POLST form has not been executed by the patient or the representative of the patient, a surrogate of the patient who has the capacity to make decisions regarding the provision of life-resuscitating treatment and life-sustaining treatment for the patient. (c) If the patient is less than 18 years of age, the patient and a parent or legal guardian of the patient.

4. A POLST form is valid upon execution by a physician, physician assistant or advanced practice registered nurse and: (a) If the patient is 18 years of age or older and the physician, physician assistant or advanced practice registered nurse determines that the patient has the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment, the patient. (b) If the patient is 18 years of age or older and the physician, physician assistant or advanced practice registered nurse determines that the patient lacks the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment: (1) The representative of the patient; or (2) If no person is a representative of the patient and a valid POLST form has not been executed by the patient or the representative of the patient, a surrogate of the patient who has the capacity to make decisions regarding the provision of life-resuscitating treatment and life-sustaining treatment for the patient. (c) If the patient is less than 18 years of age, a parent or legal guardian of the patient.

5. If, pursuant to subsection 3, a valid POLST form has been executed by a representative or surrogate of the patient and a provider of health care or the representative or surrogate of the patient believes that the patient has regained the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment, a physician, physician assistant or advanced practice registered nurse must examine the patient and inform the patient of the execution of the POLST form. If the physician, physician assistant or advanced practice registered nurse determines that the patient regained the capacity to make decisions regarding his or her wishes for the provision of life-resuscitating treatment and life-sustaining treatment, the patient may approve the execution of the POLST form or, pursuant to NRS 449A.554 , revoke the POLST form executed for the patient by his or her representative or surrogate. If the patient approves the execution of the POLST form executed by his or her representative or surrogate, such approval must be made a part of the medical record of the patient and the POLST form is deemed to be valid. The physician, physician assistant or advanced practice registered nurse who examined the patient must notify the representative or surrogate of the patient who executed the POLST form of the decision of the patient to approve or revoke the POLST form.

6. For the purpose of determining whether a surrogate of the patient is authorized to request and execute a POLST form pursuant to subsections 3 and 4, respectively: (a) If a class entitled to decide whether to request and execute a POLST form is not reasonably available for consultation and capable of deciding or declines to decide, the next class is authorized to decide, but an equal division in a class does not authorize the next class to decide. (b) A decision to request and execute a POLST form must be made in good faith and is not valid if it conflicts with the expressed intention of the patient. (c) A decision of the physician, physician assistant or advanced practice registered nurse acting in good faith that a decision to request and execute a POLST form is valid or invalid is conclusive.

7. As used in this section: (a) “ Surrogate of the patient ” means the following persons, in order of priority: (1) The spouse of the patient; (2) An adult child of the patient or, if there is more than one adult child, a majority of the adult children who are reasonably available for consultation; (3) The parents of the patient; (4) An adult sibling of the patient or, if there is more than one adult sibling, a majority of the adult siblings who are reasonably available for consultation; (5) The nearest other adult relative of the patient by blood or adoption who is reasonably available for consultation; or (6) An adult who has exhibited special care or concern for the patient, is familiar with the values of the patient and willing and able to make health care decisions for the patient. (b) “Terminal condition” has the meaning ascribed to it in NRS 449A.430 .
Nev. Rev. Stat. § 457.185 — NV Code / Title 40 / Chapter 457 / Section 457.185
Action on application for certificate of authorization; withdrawal of certificate
Status: in_force

<See notes for changes to this section effective under certain conditions. >

1. The Division shall grant or deny an application for a certificate of authorization to operate a radiation machine for mammography or a certificate of authorization for a radiation machine for mammography within 4 months after receipt of a complete application.

2. The Division shall withdraw the certificate of authorization to operate a radiation machine for mammography if it finds that the person violated the provisions of subsection 7 of NRS 457.183 .

3. The Division shall deny or withdraw the certificate of authorization of a radiation machine for mammography if it finds that the owner, lessee or other responsible person violated the provisions of subsection 1 of NRS 457.184 .

4. If a certificate of authorization to operate a radiation machine for mammography or a certificate of authorization for a radiation machine for mammography is withdrawn, a person must apply for the certificate in the manner provided for an initial certificate.
Nev. Rev. Stat. § 444.065 — NV Code / Title 40 / Chapter 444 / Section 444.065
“Public swimming pool” defined
Status: in_force

1. Except as otherwise provided in subsection 2, as used in NRS 444.065 to 444.120 , inclusive, “ public swimming pool ” means any structure containing an artificial body of water that is intended to be used collectively by persons for swimming or bathing, regardless of whether a fee is charged for its use.

2. The term does not include any such structure at: (a) A private residence if the structure is controlled by the owner or other authorized occupant of the residence and the use of the structure is limited to members of the family of the owner or authorized occupant of the residence or invited guests of the owner or authorized occupant of the residence. (b) A family foster home as defined in NRS 424.013 . (c) A child care facility, as defined in NRS 441A.030 , furnishing care to 12 children or less. (d) Any other residence or facility as determined by the State Board of Health. (e) Any location if the structure is a privately owned pool used by members of a private club or invited guests of the members.
Nev. Rev. Stat. § 439B.754 — NV Code / Title 40 / Chapter 439B / Section 439B.754
Determination of amount owed when no recent contract exists between out-of-network provider and third party; arbitration to resolve dispute; no interest pending resolution of dispute; confidentiality of arbitration
Status: in_force

1. An out-of-network provider shall accept or reject an amount paid pursuant to subsection 2 of NRS 439B.748 or paragraph (c) of subsection 1 or subsection 2 of NRS 439B.751 as payment in full for the medically necessary emergency services for which the payment was offered within 30 days after receiving the payment. If an out-of-network provider fails to comply with the requirements of this section, the amount paid shall be deemed accepted as payment in full for the medically necessary emergency services for which the payment was offered 30 days after the out-of-network provider received the payment.

2. If an out-of-network provider rejects the amount paid as payment in full, the out-of-network provider must request from the third party an additional amount which, when combined with the amount previously paid, the out-of-network provider is willing to accept as payment in full for the medically necessary emergency services.

3. If the third party refuses to pay the additional amount requested by the out-of-network provider pursuant to subsection 2 or fails to pay that amount within 30 days after receiving the request for the additional amount, the out-of-network provider must request a list of five randomly selected arbitrators from an entity authorized by regulations of the Director of the Department to provide such arbitrators. Such regulations must require: (a) For claims of less than $5,000, the use of arbitrators who will conduct the arbitration in an economically efficient manner. Such arbitrators may include, without limitation, qualified employees of the State and arbitrators from the voluntary program for the use of binding arbitration established in the judicial district pursuant to NRS 38.255 or, if no such program has been established in the judicial district, from the program established in the nearest judicial district that has established such a program. (b) For claims of $5,000 or more, the use of arbitrators from nationally recognized providers of arbitration services, which may include, without limitation, the American Arbitration Association, JAMS or their successor organizations.

4. Upon receiving the list of randomly selected arbitrators pursuant to subsection 3, the out-of-network provider and the third party shall each strike two arbitrators from the list. If one arbitrator remains, that arbitrator must arbitrate the dispute concerning the amount to be paid for the medically necessary emergency services. If more than one arbitrator remains, an arbitrator randomly selected from the remaining arbitrators by the entity that provided the list of arbitrators pursuant to subsection 3 must arbitrate that dispute.

5. The out-of-network provider and the third party shall participate in binding arbitration of the dispute concerning the amount to be paid for the medically necessary emergency services conducted by the arbitrator selected pursuant to subsection 4. The out-of-network provider or third party may provide the arbitrator with any relevant information to assist the arbitrator in making a determination.

6. The arbitrator shall require: (a) The out-of-network provider to accept as payment in full for the provision of the medically necessary emergency services, except for any copayment, coinsurance or deductible that the coverage requires the covered person to pay for the services when provided by an in-network provider, the amount paid by the third party pursuant to subsection 2 of NRS 439B.748 or paragraph (c) of subsection 1 or subsection 2 of NRS 439B.751 , as applicable; or (b) The third party to pay the additional amount requested by the out-of-network provider pursuant to subsection 2.

7. If the arbitrator requires: (a) The out-of-network provider to accept the amount paid by the third party pursuant to subsection 2 of NRS 439B.748 or paragraph (c) of subsection 1 or subsection 2 of NRS 439B.751 , as applicable, as payment in full for the provision of the medically necessary emergency services, except for any copayment, coinsurance or deductible that the coverage requires the covered person to pay for the services when provided by an in-network provider, the out-of-network provider must pay the costs of the arbitrator. (b) The third party to pay the additional amount requested by the out-of-network provider pursuant to subsection 2, the third party must pay the costs of the arbitrator.

8. If a qualified employee of the State serves as an arbitrator pursuant to paragraph (a) of subsection 3, the state agency that employs the arbitrator may retain money paid by the out-of-network provider or third party pursuant to subsection 7 for the costs of the arbitrator.

9. An out-of-network provider or a third party must pay its own attorney's fees incurred during the process prescribed by this section.

10. Interest does not accrue on any claim for which an offer of payment is rejected pursuant to subsection 1 for the period beginning on the date of the rejection and ending 30 days after the arbitrator renders a decision.

11. Except as otherwise provided in this subsection and NRS 439B.760 , any decision of an arbitrator pursuant to this section and any documents associated with such a decision are confidential and are not admissible as evidence during a legal proceeding, including, without limitation, a legal proceeding between the third party and the out-of-network provider. The decision of an arbitrator and any documents associated with such a decision may be disclosed and are admissible as evidence during a legal proceeding to enforce the decision.
Nev. Rev. Stat. § 444.550 — NV Code / Title 40 / Chapter 444 / Section 444.550
Municipal solid waste management systems: Authority to acquire land, machinery, equipment or facilities
Status: in_force

1. The governing body of any municipality may contract for the lease or purchase of land, facilities, vehicles, machinery or any other thing necessary to the installation or operation of a solid waste management system.

2. The authority provided for in subsection 1 may also be exercised in combination with another person or governing body of a municipality.
Nev. Rev. Stat. § 450B.154 — NV Code / Title 40 / Chapter 450B / Section 450B.154
Administrative support
Status: in_force

The Division shall provide administrative support and assistance to the Committee.
Nev. Rev. Stat. § 447.150 — NV Code / Title 40 / Chapter 447 / Section 447.150
Exemption from requirement for number of water closets, bathtubs or showers in certain hotels
Status: in_force

1. The health authority may exempt any hotel built prior to October 1, 1945, from having the number of water closets, bathtubs or showers required by this chapter for the following reason: The exemption will not result in detriment to the health of the occupants or to the sanitation of the building.

2. The health authority has no authority under this section to exempt any hotel or portion of a hotel built after October 1, 1945, from having the number of water closets, bathtubs or showers required by this chapter.
Nev. Rev. Stat. § 461.132 — NV Code / Title 40 / Chapter 461 / Section 461.132
“Manufactured building” defined
Status: in_force

“ Manufactured building ” means any modular building or any building which is constructed in whole or in substantial part using modular components, but does not include a recreational park trailer.
Nev. Rev. Stat. § 439B.010 — NV Code / Title 40 / Chapter 439B / Section 439B.010
Definitions
Status: in_force

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 439B.030 to 439B.150 , inclusive, have the meanings ascribed to them in those sections.
Nev. Rev. Stat. § 445B.795 — NV Code / Title 40 / Chapter 445B / Section 445B.795
Compulsory program for control of emissions: Limitations
Status: in_force

The authority set forth in NRS 445B.770 providing for a compulsory inspection program is limited as follows:

1. In a county whose population is 100,000 or more, the following categories of motor vehicles which are powered by motor vehicle fuel or special fuel and require inspection pursuant to the regulations adopted by the Commission under NRS 445B.770 are required to have evidence of compliance upon registration or reregistration: (a) All passenger cars; (b) Light-duty motor vehicles; (c) Heavy-duty motor vehicles that are powered by diesel fuel and have a manufacturer's gross vehicle weight rating which does not exceed 14,000 pounds; and (d) Heavy-duty motor vehicles that are powered by motor vehicle fuel or special fuel, excluding diesel fuel.

2. In areas which have been designated by the Commission for inspection programs and which are located in counties whose populations are 100,000 or more, all used motor vehicles which require inspection pursuant to the regulations adopted by the Commission under NRS 445B.770 are required to have evidence of compliance upon registration or reregistration.

3. In designated areas in other counties where the Commission puts a program into effect, all used motor vehicles which require inspection pursuant to the regulations adopted by the Commission under NRS 445B.770 are required to have evidence of compliance upon registration or reregistration.

4. The board of county commissioners of a county containing a designated area may revise its program for the designated area after receiving the approval of the Commission.

5. Before carrying out the inspections of vehicles required pursuant to the regulations adopted by the Commission pursuant to NRS 445B.770 , the Commission shall, by regulation, adopt testing procedures and standards for emissions for those vehicles.
Nev. Rev. Stat. § 453.016 — NV Code / Title 40 / Chapter 453 / Section 453.016
Definitions
Status: in_force

As used in this chapter, the words and terms defined in NRS 453.021 to 453.141 , inclusive, have the meanings ascribed to them in those sections except in instances where the context clearly indicates a different meaning.
Nev. Rev. Stat. § 455B.050 — NV Code / Title 40 / Chapter 455B / Section 455B.050
Passengers: Prohibited conduct generally
Status: in_force

A passenger shall not:

1. Embark upon an amusement ride when the passenger knows that he or she has insufficient knowledge or physical ability to use the ride safely;

2. Purposefully embark upon or disembark from an amusement ride, except at the time and area designated for such a purpose or at the direction and under the direct supervision of an authorized agent or employee of an operator;

3. Toss, throw or cast or intentionally drop, expel or eject an object from an amusement ride;

4. Toss, throw or cast an object in the direction of an amusement ride;

5. Fail or refuse to comply with instructions given to the passenger by an authorized agent or employee of an operator regarding the use of an amusement ride; or

6. Conduct himself or herself in a manner that could interfere with the safe operation of an amusement ride or with the safety of another passenger.
Nev. Rev. Stat. § 450B.665 — NV Code / Title 40 / Chapter 450B / Section 450B.665
“Host organization” defined
Status: in_force

“ Host organization ” means:

1. If a permit was obtained for a special event, the person who obtained the permit; or

2. If a permit was not obtained for a special event, the person who sponsored the special event.
Nev. Rev. Stat. § 449A.636 — NV Code / Title 40 / Chapter 449A / Section 449A.636
Provider to comply with advance directive; exceptions
Status: in_force

1. When acting under the authority of an advance directive for psychiatric care, an attending physician or other provider of health care shall comply with the advance directive unless: (a) Compliance, in the opinion of the attending physician or other provider, is not consistent with generally accepted standards of care for the provision of psychiatric care for the benefit of the principal; (b) Compliance is not consistent with the availability of psychiatric care requested; (c) Compliance is not consistent with applicable law; (d) The principal is admitted to a mental health facility or hospital pursuant to NRS 433A.145 to 433A.330 , inclusive, or required to receive assisted outpatient treatment pursuant to NRS 433A.335 to 433A.345 , inclusive, and a course of treatment is required pursuant to those provisions; or (e) Compliance, in the opinion of the attending physician or other provider, is not consistent with appropriate psychiatric care in case of an emergency endangering the life or health of the principal or another person.

2. In the event that one part of the advance directive is unable to be followed because of any of the circumstances set forth in subsection 1, all other parts of the advance directive must be followed.
Nev. Rev. Stat. § 453.163 — NV Code / Title 40 / Chapter 453 / Section 453.163
Persons registered to dispense controlled substances required to upload certain information to database; agreements with state agency of another state to receive or exchange information obtained by program; immunity from liability for transmitting information
Status: in_force

1. Except as otherwise provided in this subsection, each person registered pursuant to this chapter to dispense a controlled substance listed in schedule II, III, IV or V for human consumption shall, not later than the end of the next business day after dispensing a controlled substance, upload to the database of the program established pursuant to NRS 453.162 the information described in paragraph (d) of subsection 1 of NRS 453.162 . The requirements of this subsection do not apply if the controlled substance is administered directly by a practitioner to a patient in a health care facility, as defined in NRS 439.960 , a child who is a resident in a child care facility, as defined in NRS 432A.024 , or a prisoner, as defined in NRS 208.085 . The Board shall establish by regulation and impose administrative penalties for the failure to upload information pursuant to this subsection.

2. The Board and the Division may cooperatively enter into a written agreement with an agency of any other state to provide, receive or exchange information obtained by the program with a program established in that state which is substantially similar to the program established pursuant to NRS 453.162 , including, without limitation, providing such state access to the database of the program or transmitting information to and receiving information from such state. Any information provided, received or exchanged as part of an agreement made pursuant to this section may only be used in accordance with the provisions of this chapter.

3. A practitioner who is authorized to write prescriptions for and each person who is authorized to dispense controlled substances listed in schedule II, III, IV or V for human consumption who makes a good faith effort to comply with applicable laws and regulations when transmitting to the Board or the Division a report or information required by this section or NRS 453.162 or 453.164 , or a regulation adopted pursuant thereto, is immune from civil and criminal liability relating to such action.
Nev. Rev. Stat. § 444.430 — NV Code / Title 40 / Chapter 444 / Section 444.430
Power of local government to adopt regulations; procedure
Status: in_force

1. The governing body of any city or county shall, 60 days prior to the adoption of any regulation for the enforcement of the Uniform Plumbing Code or any other regulations pursuant thereto, deliver by certified or registered mail, a copy of the proposed regulation to the State Public Works Board for the Board's recommendation on the proposed regulation.

2. The governing body of the city or county may, 60 days after the State Public Works Board receives the copy of the proposed regulation, adopt the regulation with or without the approval of the State Public Works Board.
Nev. Rev. Stat. § 450B.810 — NV Code / Title 40 / Chapter 450B / Section 450B.810
Maintenance, inspection and compilation of information
Status: in_force

Each holder of a permit shall maintain accurate records upon such forms as may be provided by the health authority and containing such information as may be reasonably required by the board concerning the care or transportation of each patient, or both, within this state and beyond its limits. These records must be available for inspection by the health authority at any reasonable time and copies thereof must be furnished to the health authority upon request. This record does not constitute a diagnosis, and a legal signature is not required on forms dealing with the type of injury sustained by a particular patient. The health authority shall compile and provide a summary of this information.
Nev. Rev. Stat. § 449.1845 — NV Code / Title 40 / Chapter 449 / Section 449.1845
Administrator of residential facility for groups to conduct annual assessment of history of each resident and cause provider of health care to conduct certain examinations and assessments; placement based on assessment
Status: in_force

1. The administrator of a residential facility for groups shall: (a) Annually cause a qualified provider of health care to conduct a physical examination of each resident of the facility; (b) Annually conduct an assessment of the history of each resident of the facility, which must include, without limitation, an assessment of the condition and daily activities of the resident during the immediately preceding year; and (c) Cause a qualified provider of health care to conduct an assessment of the condition and needs of a resident of the facility to determine whether the resident meets the criteria prescribed in paragraph (a) of subsection 2: (1) Upon admission of the resident to the facility; and (2) If a physical examination, assessment of the history of the resident or the observations of the administrator or staff of the facility, the family of the resident or another person who has a relationship with the resident indicate that: (I) The resident may meet those criteria; or (II) The condition of the resident has significantly changed.

2. If, as a result of an assessment conducted pursuant to paragraph (c) of subsection 1, the provider of health care determines that the resident: (a) Suffers from dementia to an extent that the resident may be a danger to himself or herself or others if the resident is not placed in a secure unit or a facility that assigns not less than one staff member for every six residents, any residential facility for groups in which the resident is placed must meet the requirements prescribed by the Board pursuant to subsection 2 of NRS 449.0302 for the licensing and operation of residential facilities for groups which provide care to persons with Alzheimer's disease or other severe dementia. (b) Does not suffer from dementia as described in paragraph (a), the resident may be placed in any residential facility for groups.

3. As used in this section, “provider of health care” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 458.450 — NV Code / Title 40 / Chapter 458 / Section 458.450
“Working Group” defined
Status: in_force

As used in NRS 458.450 to 458.490 , inclusive, unless the context otherwise requires, “ Working Group ” means the Statewide Substance Use Response Working Group created by NRS 458.460 .
Nev. Rev. Stat. § 452.710 — NV Code / Title 40 / Chapter 452 / Section 452.710
Trust fund for endowment care: Trustees
Status: in_force

1. A cemetery authority may appoint a board of trustees of not less than three in number as trustees of its trust fund for the endowment care of the cemetery. The members of the board of trustees hold office subject to the direction of the cemetery authority.

2. The directors of a cemetery authority, if any, may be the trustees of its trust fund. When the fund is in the care of the directors as a board of trustees, the secretary of the cemetery authority shall act as its secretary and keep a true record of all of its proceedings.

3. No sum in excess of 5 percent of the income derived from the fund in any year may be paid as compensation to the board of trustees for its services.

4. In lieu of the appointment of a board of trustees of its trust fund for the endowment care of the cemetery, a cemetery authority may appoint as sole trustee of the fund any bank or trust company qualified pursuant to the laws of this state to engage in the trust business.
Nev. Rev. Stat. § 442.005 — NV Code / Title 40 / Chapter 442 / Section 442.005
Administration of chapter
Status: in_force

The Chief Medical Officer and the Division shall administer the provisions of this chapter in accordance with the regulations of the State Board of Health and subject to administrative supervision by the Director.
Nev. Rev. Stat. § 449.2425 — NV Code / Title 40 / Chapter 449 / Section 449.2425
Division to adopt regulations establishing system for rating certain health care facilities on compliance with requirements relating to staffing: Division to post final star rating and report of unresolved violations of law on Internet website; health care facility to post its rating in facility
Status: in_force

1. The Division shall adopt regulations establishing: (a) A system for rating each health care facility located in a county whose population is 100,000 or more and which is licensed to have more than 70 beds on the compliance by the facility with the provisions of this section and NRS 449.241 to 449.2428 , inclusive, including, without limitation, the number of resolved and unresolved violations and the severity of those violations. The rating system must provide for the assignment of a star rating of not more than five stars and not less than one star to each such facility after: (1) Each inspection conducted by the Division pursuant to NRS 449.132 ; and (2) Each investigation conducted by the Division pursuant to NRS 449.0307 concerning a complaint that alleges a violation of the provisions of this section and NRS 449.241 to 449.2428 , inclusive. (b) Procedures by which a health care facility located in a county whose population is 100,000 or more and which is licensed to have more than 70 beds may, not later than 30 days after an investigation or inspection, appeal a finding concerning a violation of the provisions of this section and NRS 449.241 to 449.2428 , inclusive, or request a follow-up inspection.

2. A star rating assigned pursuant to subsection 1 becomes final: (a) Thirty days after the investigation or inspection on which the star rating is based; or (b) After the completion of any follow-up inspection or the final determination of any appeal pursuant to subsection 1, whichever is later.

3. Not later than 5 days after a star rating becomes final pursuant to subsection 2, the Division shall post on an Internet website maintained by the Division a report which must include: (a) The final star rating assigned to the facility pursuant to subsection 1; and (b) A report of each unresolved violation of an applicable statute or regulation and all proposed actions to correct the violation.

4. A health care facility located in a county whose population is 100,000 or more and which is licensed to have more than 70 beds shall post the final star rating assigned to the facility pursuant to subsection 1 after the most recent investigation or inspection in a conspicuous place near each entrance to the facility that is regularly used by the public and, if the facility maintains an Internet website that is accessible to the public, on that Internet website.
Nev. Rev. Stat. § 439B.700 — NV Code / Title 40 / Chapter 439B / Section 439B.700
Definitions
Status: in_force

As used in NRS 439B.700 to 439B.760 , inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.703 to 439B.739 , inclusive, have the meanings ascribed to them in those sections.
Nev. Rev. Stat. § 449A.115 — NV Code / Title 40 / Chapter 449A / Section 449A.115
Owner and administrator of certain facility prohibited from receiving certain money or property from resident or former resident; exception
Status: in_force

1. Except as otherwise provided in subsection 3 and notwithstanding any other provision of law, an owner or administrator of a medical facility or facility for the dependent is not entitled to receive, and must not receive: (a) Any money, personal property or real property that is devised or bequeathed by will to the owner or administrator by a resident or former resident of the facility. (b) Any proceeds from a life insurance policy upon the life or body of a resident or former resident of the facility.

2. Except as otherwise provided in subsection 3, any money, property, proceeds or interest therein that is described in subsection 1 passes in accordance with law as if the owner or administrator of the medical facility or facility for the dependent had predeceased the decedent resident or former resident.

3. The provisions of subsections 1 and 2 do not apply if the owner or administrator of the medical facility or facility for the dependent is the spouse, legal guardian or next of kin of the resident or former resident of the facility or home, as applicable.
Nev. Rev. Stat. § 459.622 — NV Code / Title 40 / Chapter 459 / Section 459.622
“Participant” defined
Status: in_force

“Participant” means a person whose application to participate in the program has been approved by the Administrator.
Nev. Rev. Stat. § 455A.160 — NV Code / Title 40 / Chapter 455A / Section 455A.160
Skiers and snowboarders to notify operator or patrol of injury; limitation on liability of operator; duty of operator to minimize dangers
Status: in_force

1. A skier or snowboarder who sustains a personal injury shall notify the operator or a member of the patrol of the injury as soon as reasonably possible after discovery of the injury.

2. An operator is not liable for the death or injury of a person or damages to property caused or sustained by a skier or snowboarder who knowingly enters an area which is not designated for skiing or snowboarding or which is outside the boundary of a snow recreation area.

3. An operator shall take reasonable steps to minimize dangers and conditions within the operator’s control.
Nev. Rev. Stat. § 440.110 — NV Code / Title 40 / Chapter 440 / Section 440.110
State Registrar of Vital Statistics
Status: in_force

The Administrator of the Division of Public and Behavioral Health of the Department of Health and Human Services is the State Registrar of Vital Statistics.
Nev. Rev. Stat. § 459.872 — NV Code / Title 40 / Chapter 459 / Section 459.872
“Division” defined
Status: in_force

“ Division ” means the Division of Environmental Protection of the State Department of Conservation and Natural Resources.
Nev. Rev. Stat. § 445C.320 — NV Code / Title 40 / Chapter 445C / Section 445C.320
Fund for Cleaning Up Discharges of Petroleum: Expenditures for certain discharges; limitations; reimbursement
Status: in_force

Notwithstanding any provision of NRS 445C.150 to 445C.410 , inclusive, to the contrary, and except as otherwise provided in this section:

1. The Division may expend not more than $2,000,000 from the Fund per fiscal year as reimbursement for necessary costs incurred by the Division in the response to and cleanup of discharges in the State, including discharges from a storage tank and discharges from a mobile tank that occur during the transportation of petroleum or a petrochemical on roads and highways. The Interim Finance Committee may approve the expenditure of more than $2,000,000 from the Fund in a fiscal year for the purposes described in this subsection. If a discharge also involves another hazardous material, the Division may expend money pursuant to this section in the cleanup of the discharge and the other hazardous material. The Division shall not expend money from the Fund pursuant to this section to clean up discharges from pipelines.

2. Except as otherwise provided in this subsection, money from the Fund expended by the Division pursuant to this section must be used to augment, and must not be used to replace or supplant, any money available from other sources for the cleanup of discharges, including, without limitation, reimbursements by operators required to be made to the Division pursuant to NRS 445C.340 and 445C.360 . If no money is available from those other sources, the Division may expend money from the Fund pursuant to this section to reimburse the Division for any costs specified in subsection 1.

3. If the Division expends money pursuant to this section to clean up a discharge involving: (a) Petroleum, the operator of the tank shall reimburse the Division for the operator's share of the costs for cleaning up the discharge. (b) A petrochemical, the person who is responsible for the discharge shall reimburse the Division for the person's share of the costs for cleaning up the discharge. The Division shall, upon being reimbursed pursuant to this subsection, deposit that money in the Fund.

4. As used in this section: (a) “ Discharge ” means, unless authorized by state or federal law, any: (1) Release of a petrochemical into water or soil; or (2) Release, leaking or spilling of petroleum or a petrochemical from a tank into water or soil. (b) “ Petrochemical ” means a chemical derived from petroleum or a petroleum feedstock, including, without limitation, perchloroethylene and any degradation product of perchloroethylene. (c) “ Tank ” means a storage tank or a mobile tank used to transport petroleum or a petrochemical received for sale or use in this State.
Nev. Rev. Stat. § 449.4336 — NV Code / Title 40 / Chapter 449 / Section 449.4336
Administrative sanctions: Regulations
Status: in_force

The Board shall adopt regulations establishing the criteria for the imposition of each sanction prescribed by NRS 449.4335 . These regulations must:

1. Prescribe the circumstances and manner in which each sanction applies;

2. Minimize the time between identification of a violation and the imposition of a sanction;

3. Provide for the imposition of incrementally more severe sanctions for repeated or uncorrected violations; and

4. Provide for less severe sanctions for lesser violations of applicable state statutes, conditions, standards or regulations.
Nev. Rev. Stat. § 445A.280 — NV Code / Title 40 / Chapter 445A / Section 445A.280
Administration: Limitations on expenditures; imposition and collection of fees to defray costs
Status: in_force

1. The Administrator shall not: (a) Spend more than the amount or percentage authorized for administering the Account for the Revolving Fund and the Account for Set-Aside Programs pursuant to 42 U.S.C. § 300j-12 of the Safe Drinking Water Act; or (b) Spend more than the amount or percentage authorized for set-aside programs pursuant to 42 U.S.C. § 300j-12 of the Safe Drinking Water Act.

2. The Administrator may impose and collect a fee from each public water system that receives a loan or other financial assistance from the Account for the Revolving Fund or the Account for Set-Aside Programs. The fee must be used to defray the costs of administering the Account for the Revolving Fund or the Account for Set-Aside Programs.

3. If the Administrator imposes a fee pursuant to subsection 2, the Commission shall adopt regulations establishing the amount of the fee to be collected.
Nev. Rev. Stat. § 450B.1975 — NV Code / Title 40 / Chapter 450B / Section 450B.1975
Endorsement to administer immunizations, dispense medication and respond to public health needs
Status: in_force

1. An advanced emergency medical technician or a paramedic who holds an endorsement to administer immunizations, dispense medication and prepare and respond to certain public health needs issued in accordance with the regulations adopted pursuant to this section may: (a) Administer immunizations and dispense medications; (b) Participate in activities designed to prepare the community to meet anticipated health needs, including, without limitation, participation in public vaccination clinics; and (c) Respond to an actual epidemic or other emergency in the community, under the direct supervision of the local health officer, or a designee of the local health officer, of the jurisdiction in which the immunization is administered or the medication is dispensed or in which the emergency or need exists.

2. The district board of health, in a county whose population is 700,000 or more, may adopt regulations for the endorsement of advanced emergency medical technicians and paramedics pursuant to this section. The regulations must: (a) Prescribe the minimum training required to obtain such an endorsement; (b) Prescribe the continuing education requirements or other evidence of continued competency for renewal of the endorsement; (c) Prescribe the fee for the issuance and renewal of the endorsement, which must not exceed $5; and (d) Not require licensure as an attendant as a condition of eligibility for an endorsement pursuant to this section.

3. The State Board of Health shall, for counties whose population is less than 700,000, adopt regulations for the endorsement of advanced emergency medical technicians and paramedics pursuant to this section. The regulations must: (a) Prescribe the minimum training required to obtain such an endorsement; (b) Prescribe the continuing education requirements or other evidence of continued competency for renewal of the endorsement; (c) Prescribe the fee for the issuance and renewal of the endorsement, which must not exceed $5; (d) To the extent practicable, authorize local health officers to provide the training and continuing education required to obtain and renew an endorsement; and (e) Not require licensure as an attendant as a condition of eligibility for an endorsement pursuant to this section.

4. As used in this section: (a) “ Emergency ” means an occurrence or threatened occurrence for which, in the determination of the Governor, the assistance of state agencies is needed to supplement the efforts and capabilities of political subdivisions to save lives, protect property and protect the health and safety of persons in this State, or to avert the threat of damage to property or injury to or the death of persons in this State. (b) “ Local health officer ” means a city health officer appointed pursuant to NRS 439.430 , county health officer appointed pursuant to NRS 439.290 or district health officer appointed pursuant to NRS 439.368 or 439.400 .
Nev. Rev. Stat. § 453.091 — NV Code / Title 40 / Chapter 453 / Section 453.091
“Manufacture” defined
Status: in_force

1. “ Manufacture ” means the production, preparation, propagation, compounding, conversion or processing of a substance, either directly or indirectly by extraction from substances of natural origin, or independently by means of chemical synthesis, or by a combination of extraction and chemical synthesis, and includes any packaging or repackaging of the substance or labeling or relabeling of its container.

2. “Manufacture” does not include the preparation, compounding, packaging or labeling of a substance by a pharmacist, physician, physician assistant licensed pursuant to chapter 630 or 633 of NRS , dentist, podiatric physician, advanced practice registered nurse, certified registered nurse anesthetist or veterinarian: (a) As an incident to the administering or dispensing of a substance in the course of his or her professional practice; or (b) By an authorized agent under his or her supervision, for the purpose of, or as an incident to, research, teaching or chemical analysis and not for sale.
Nev. Rev. Stat. § 439.5075 — NV Code / Title 40 / Chapter 439 / Section 439.5075
Creation; membership; vacancies; compensation; Chair; meetings
Status: in_force

1. The Rare Disease Advisory Council is hereby created within the Department of Health and Human Services. The Council consists of: (a) The Chair of the State of Nevada Advisory Council on Palliative Care and Quality of Life created by NRS 232.4855 or his or her designee; and (b) The following members appointed by the Director: (1) Not more than three physicians who practice in the area of cardiology, emergency care, neurology, oncology, orthopedics, pediatrics or primary care and provide care to patients with rare diseases; (2) Two registered nurses who provide care to patients with rare diseases; (3) Not more than two administrators of hospitals that provide care to patients with rare diseases or their designees; (4) One representative of the Division who provides education concerning rare diseases or the management of chronic conditions; (5) The employee of the Division who is responsible for epidemiology services; (6) Two persons over 18 years of age who have suffered from or currently suffer from a rare disease; (7) Two parents or guardians who each have experience caring for a child with a rare disease; (8) One representative of an organization dedicated to providing services to patients suffering from rare diseases in northern Nevada; and (9) One representative of an organization dedicated to providing services to patients suffering from rare diseases in southern Nevada.

2. The Council may, by affirmative vote of a majority of its members, request the Director to appoint to the Council additional members who have expertise on issues studied by the Council. Such members serve for a period determined by the Council.

3. A vacancy in the membership of the Council must be filled in the same manner as the initial appointment.

4. The members of the Council serve without compensation and are not entitled to the per diem and travel expenses provided for state officers and employees generally.

5. Each member of the Council who is an officer or employee of this State or a political subdivision of this State must be relieved from his or her duties without loss of regular compensation so that the officer or employee may prepare for and attend meetings of the Council and perform any work necessary to carry out the duties of the Council in the most timely manner practicable. A state agency or political subdivision of this State shall not require an officer or employee who is a member of the Council to make up the time the officer or employee is absent from work to carry out duties as a member of the Council or use annual leave or compensatory time for the absence.

6. The Department shall provide such administrative support to the Council as is necessary to carry out the duties of the Council.

7. The Council shall: (a) Elect a Chair from among its members; and (b) Meet at least once every 3 months at the times and places specified by a call of the Chair and may meet at such further times as deemed necessary by the Chair.
Nev. Rev. Stat. § 452.019 — NV Code / Title 40 / Chapter 452 / Section 452.019
“Seller” defined
Status: in_force

“Seller” means any person selling a prepaid contract.
Nev. Rev. Stat. § 451.533 — NV Code / Title 40 / Chapter 451 / Section 451.533
“Know” defined
Status: in_force

“ Know ” means to have actual knowledge.
Nev. Rev. Stat. § 461A.105 — NV Code / Title 40 / Chapter 461A / Section 461A.105
Checklist of provisions of chapter: Duties of Division and owners of mobile home parks
Status: reserved

1. The Division shall: (a) Provide to each owner of a mobile home park a checklist of the provisions of this chapter which must include, without limitation: (1) Contact information regarding the Division; and (2) A simple description of each provision of this chapter; and (b) Update the checklist each time a provision of this chapter is added, amended or repealed.

2. Each owner of a mobile home park shall provide a copy of the checklist to each manager and assistant manager of the mobile home park.

3. In preparing the checklist pursuant to this section, the Division may consult with any public or private entities, including, without limitation, the representatives of owners and tenants of mobile home parks.

4. As used in this section, “manager” has the meaning ascribed to it in NRS 118B.0145 .
Nev. Rev. Stat. § 454.001 — NV Code / Title 40 / Chapter 454 / Section 454.001
Definitions
Status: in_force

As used in this chapter, the words and terms defined in NRS 454.0015 to 454.0098 , inclusive, have the meanings ascribed to them in those sections, unless a different meaning clearly appears in the context.
Nev. Rev. Stat. § 457.090 — NV Code / Title 40 / Chapter 457 / Section 457.090
Statement concerning nature and content of drug, medicine or device to be furnished person before treatment; Division may require statement to be posted in office or room for treatment
Status: in_force

After an investigation by the Division of the content or composition of any drug, medicine, compound or device used by any person or association in the diagnosis, treatment or cure of cancer, the Division shall direct that any such person or association shall, prior to prescribing, recommending or making use of any such drug, medicine, compound or device in the treatment of any person, furnish such person with a statement as to the nature and content of such drug, medicine, compound or device. The Division may also require that such person or association post in a conspicuous place in the office or treatment rooms of the person or association a like statement as to the nature and content of such drug, medicine, compound or device in the form and size prescribed by the Division.
Nev. Rev. Stat. § 439A.012 — NV Code / Title 40 / Chapter 439A / Section 439A.012
“Department” defined
Status: in_force

“ Department ” means the Department of Health and Human Services.
Nev. Rev. Stat. § 441A.160 — NV Code / Title 40 / Chapter 441A / Section 441A.160
Investigation: Powers of health authority to conduct investigation of communicable disease; order to require person to submit to examination; order of isolation, quarantine or treatment; regulations concerning appeal of order to submit to examination or testing
Status: in_force

1. A health authority who knows, suspects or is informed of the existence within the jurisdiction of the health authority of any communicable disease that poses a risk to the health of the public and is in an infectious state, at risk of developing into an infectious state or at risk of developing into a progressed state that endangers the health of the person with the communicable disease shall immediately investigate the matter and all circumstances connected with it, and shall take such measures for the prevention, suppression and control of the disease as are required by the regulations of the Board or a district board of health.

2. A health authority may: (a) Enter private property at reasonable hours to investigate any case or suspected case of a communicable disease to determine the danger posed by the case or suspected case to the public, including, without limitation, whether the communicable disease is in an infectious state. (b) Order any person whom the health authority has a reasonable factual and medical basis to suspect has a communicable disease that is in an infectious state and poses a risk to the health of the public to submit to any medical examination or test which the health authority determines is necessary to verify the presence of the disease. The order must be in writing and specify the name of the person to be examined or tested and the time and place of the examination and testing, and may require the person to take other actions that the health authority has determined are necessary to prevent the spread of the communicable disease. (c) Except as otherwise provided in this paragraph, subsection 6 and NRS 441A.210 , issue an order requiring the isolation, quarantine or treatment of any person or group of persons if the health authority has a reasonable factual and medical basis to believe that such action is necessary to protect the public health. The order must be in writing and specify the person or group of persons to be isolated or quarantined, the time during which the order is effective and the place of isolation or quarantine. The order may direct the person or group of persons to take other actions that the health authority has determined are necessary to prevent the spread of the communicable disease. The health authority shall not order isolation or quarantine if the health authority determines that such action may compromise the health of a person who is isolated or quarantined.

3. Each order issued pursuant to this section must: (a) Be served upon each person named in the order by delivering a copy to the person; and (b) State the reasons that each of the actions prescribed by the order are necessary and are the least restrictive means available to prevent, suppress or control the communicable disease.

4. The Board and each district board of health shall adopt regulations to establish a process by which a person may appeal to the health authority an order issued pursuant to paragraph (b) of subsection 2. The health authority shall provide to a person who receives such an order a document stating the rights of the person, including, without limitation, the right to appeal the order, at the time and in the manner prescribed by regulation of the Board or the district board of health, as applicable.

5. If a health authority issues an order to isolate or quarantine a person with a communicable or infectious disease in a medical facility, the health authority must isolate or quarantine the person in the manner set forth in NRS 441A.505 to 441A.720 , inclusive.

6. Except as otherwise provided in NRS 441A.310 and 441A.380 , a health authority may not issue an order requiring the involuntary treatment of a person without a court order requiring the person to submit to treatment. A court shall not order a person to submit to treatment unless the court finds that there is clear and convincing evidence that: (a) The person has a communicable disease in an infectious state; and (b) Because of that disease, the person is likely to pose a risk to the public health.
Nev. Rev. Stat. § 445A.460 — NV Code / Title 40 / Chapter 445A / Section 445A.460
Administrator: Qualifications; disqualification; exception
Status: in_force

1. The Administrator shall be selected with special reference to his or her training, experience, capacity and interest in the field of environmental protection and ability to administer and direct the work of a public agency.

2. The Administrator shall not be a person who receives or has received during the previous 2 years a significant portion of his or her income, as defined by any applicable state or federal law, directly or indirectly from one or more holders of or applicants for a permit required by NRS 445A.300 to 445A.730 , inclusive. The disqualification provided in this subsection does not apply with respect to significant income received from any department or agency of state government which may be a holder of or an applicant for such a permit.
Nev. Rev. Stat. § 450B.237 — NV Code / Title 40 / Chapter 450B / Section 450B.237
Establishment of program for treatment of trauma; designation of hospital as trauma center; approval of designation; compliance with certain requirements
Status: in_force

1. The board shall establish a program for treating persons who require treatment for trauma and for transporting and admitting such persons to centers for the treatment of trauma. The program must provide for the development, operation and maintenance of a system of communication to be used in transporting such persons to the appropriate centers.

2. The State Board of Health shall adopt regulations which establish the standards for the designation of hospitals as centers for the treatment of trauma. The State Board of Health shall consider the standards adopted by the American College of Surgeons for a center for the treatment of trauma as a guide for such regulations. The Administrator of the Division shall not approve a proposal to designate a hospital as a center for the treatment of trauma unless: (a) The hospital meets the standards established pursuant to this subsection; and (b) The Administrator determines, after conducting a comprehensive assessment of needs, that the proposed center for the treatment of trauma will operate in an area that is experiencing a shortage of trauma care. Such an assessment of needs must include, without limitation, consideration of: (1) The impact of the proposed center for the treatment of trauma on the capacity of existing hospitals to provide for the treatment of trauma; (2) The number and locations of cases of trauma that have occurred during the previous 5 calendar years in the county in which the proposed center for the treatment of trauma will be located and the level of treatment that was required for those cases; (3) Any identified need for an additional center for the treatment of trauma in the county in which the proposed center for the treatment of trauma will be located; and (4) Any additional criteria recommended by the American College of Surgeons or its successor organization, other than criteria related to community support for the proposed trauma center.

3. Each district board of health in a county whose population is 700,000 or more shall adopt: (a) Regulations which establish the standards for the designation of hospitals in the county as centers for the treatment of trauma which are consistent with the regulations adopted by the State Board of Health pursuant to subsection 2; and (b) A plan for a comprehensive trauma system concerning the treatment of trauma in the county, which includes, without limitation, consideration of the future trauma needs of the county, consideration of and plans for the development and designation of new centers for the treatment of trauma in the county based on the demographics of the county and the manner in which the county may most effectively provide trauma services to persons in the county.

4. A district board of health in a county whose population is 700,000 or more shall not approve a proposal to designate a hospital as a center for the treatment of trauma unless: (a) The hospital meets the standards established pursuant to subsection 3; (b) The proposal has been approved by the Administrator of the Division pursuant to subsection 2; and (c) The district board of health concludes, based on the plan adopted pursuant to paragraph (b) of subsection 3, that the proposed center for the treatment of trauma will not negatively impact the capacity of existing centers for the treatment of trauma in the county.

5. Upon approval by the Administrator of the Division and, if the hospital is located in a county whose population is 700,000 or more, the district board of health of the county in which the hospital is located, of a proposal to designate a hospital as a center for the treatment of trauma, the Administrator of the Division shall issue written approval which designates the hospital as such a center. As a condition of continuing designation of the hospital as a center for the treatment of trauma, the hospital must comply with the following requirements: (a) The hospital must admit any injured person who requires medical care. (b) Any physician who provides treatment for trauma must be qualified to provide that treatment. (c) The hospital must maintain the standards specified in the regulations adopted pursuant to subsections 2 and 3.
Nev. Rev. Stat. § 449.203 — NV Code / Title 40 / Chapter 449 / Section 449.203
Designation of hospital as comprehensive or primary stroke center; Division to maintain list of hospitals so designated; regulations
Status: in_force

1. A hospital licensed pursuant to NRS 449.029 to 449.2428 , inclusive, may submit to the Division proof that the hospital is certified as a comprehensive or primary stroke center by the Joint Commission, its successor organization or an equivalent organization approved by the Division. Upon receiving proof that a hospital is certified as a comprehensive or primary stroke center, the Division shall include the hospital on the list established pursuant to subsection 2.

2. On or before July 1 of each year, the Division shall post a list of the hospitals designated as comprehensive or primary stroke centers on an Internet website maintained by the Division.

3. If a hospital wishes to be included as a comprehensive or primary stroke center on the list established pursuant to subsection 2, the hospital must annually resubmit the proof required pursuant to this section.

4. The Division may remove a hospital from the list established pursuant to subsection 2 if the certificate recognizing the hospital as a comprehensive or primary stroke center issued by the Joint Commission, its successor organization or an equivalent organization, as applicable, is suspended or revoked.

5. A hospital that is not included on the list established pursuant to subsection 2 as a comprehensive or primary stroke center shall not represent, advertise or imply that the hospital is designated as a comprehensive or primary stroke center.

6. A hospital that is included on the list established pursuant to subsection 2 as a comprehensive or primary stroke center shall report to the Stroke Registry all consensus measures prescribed by the Paul Coverdell National Acute Stroke Registry of the Centers for Disease Control and Prevention of the United States Department of Health and Human Services, the Joint Commission, the American Heart Association and the American Stroke Association.

7. The provisions of this section do not prohibit a hospital that is licensed pursuant to NRS 449.029 to 449.2428 , inclusive, from providing care to a victim of stroke if the hospital does not have a designation as a comprehensive or primary stroke center.

8. The Board may adopt regulations to carry out the provisions of this section and to designate hospitals with similar certifications which are recognized by the Joint Commission, its successor organization or an equivalent organization.

9. As used in this section, “ Stroke Registry ” means the Stroke Registry established pursuant to NRS 439.5295 .
Nev. Rev. Stat. § 459.818 — NV Code / Title 40 / Chapter 459 / Section 459.818
“Release” defined
Status: in_force

“ Release ” means the spilling, leaking, emitting, discharging, escaping, leaching or disposing from a storage tank into groundwater, surface water or surface or subsurface soils.
Nev. Rev. Stat. § 450.590 — NV Code / Title 40 / Chapter 450 / Section 450.590
Establishment of district: Petition of owners of property; adoption, contents and publication of resolution of intention to establish district; exception
Status: in_force

1. Except as otherwise provided in subsection 3, if 25 percent or more of the holders of title or evidence of title to lands lying within the proposed district, whose names appear as such upon the last county assessment roll, present a petition to the board of county commissioners of the county in which the land lies, setting forth the exterior boundaries of the proposed district and asking that the district so described be established within a county hospital district pursuant to the provisions of NRS 450.550 to 450.750 , inclusive, the board of county commissioners shall adopt a resolution declaring the intention of the board to include the territory within a county hospital district, naming the district and describing its exterior boundaries.

2. The resolution must: (a) Fix a time and place for the hearing of the proposed establishment of the district not less than 30 days after its adoption. (b) Direct the clerk of the board of county commissioners to publish: (1) The notice of intention of the board of county commissioners to establish the county hospital district; and (2) The time and place fixed for the hearing. (c) Designate that the notice must be published in a newspaper of general circulation published in the county and circulated in the proposed county hospital district, or if there is no newspaper so published and circulated, then in a newspaper of general circulation circulated in the proposed district.

3. The provisions of this section do not apply to a proposed hospital district if it includes territory within more than one county.
Nev. Rev. Stat. § 451.571 — NV Code / Title 40 / Chapter 451 / Section 451.571
Persons who may receive anatomical gift; purpose of anatomical gift
Status: in_force

1. An anatomical gift may be made to the following persons named in the document of gift: (a) A hospital, accredited medical school, dental school, college, university, organ procurement organization or other appropriate person, for research or education; (b) Subject to subsection 2, a natural person designated by the person making the anatomical gift if the natural person is the recipient of the part; or (c) An eye bank or tissue bank.

2. If an anatomical gift to a natural person under paragraph (b) of subsection 1 is not medically suitable for transplantation into the natural person, the gift, in the absence of an express, contrary indication by the person making the gift: (a) If it is medically suitable for transplantation or therapy for other natural persons, must be used for transplantation or therapy, and the gift passes in accordance with subsection 8. (b) If it is not medically suitable for transplantation or therapy for other natural persons, may be used for research or education and, if so used, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

3. If an anatomical gift of one or more specific parts or of all parts is made in a document of gift that does not name a person described in subsection 1 but identifies the purpose for which an anatomical gift may be used, the following rules apply: (a) If the part is an eye and the gift is for the purpose of transplantation or therapy, the gift passes to the appropriate eye bank. (b) If the part is tissue and the gift is for the purpose of transplantation or therapy, the gift passes to the appropriate tissue bank. (c) If the part is an organ and the gift is for the purpose of transplantation or therapy, the gift passes to the appropriate organ procurement organization as custodian of the organ. (d) If the part is an organ, an eye or tissue and the gift is for the purpose of research or education, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

4. For the purpose of subsection 3, if there is more than one purpose of an anatomical gift set forth in the document of gift but the purposes are not set forth in any priority, the gift, in the absence of an express, contrary indication by the person making the gift: (a) If it is medically suitable for transplantation or therapy, must be used for transplantation or therapy, and the gift passes in accordance with paragraphs (a), (b) and (c) of subsection 3. (b) If it is not medically suitable for transplantation or therapy, may be used for research or education and, if so used, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

5. If an anatomical gift of one or more specific parts is made in a document of gift that does not name a person described in subsection 1 and does not identify the purpose of the gift, the gift, in the absence of an express, contrary indication by the person making the gift: (a) If it is medically suitable for transplantation or therapy, must be used for transplantation or therapy, and the gift passes in accordance with subsection 8. (b) If it is not medically suitable for transplantation or therapy, may be used for research or education and, if so used, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

6. If a document of gift specifies only a general intent to make an anatomical gift by words such as “donor” or “organ donor” or by a symbol or statement of similar import, the gift, in the absence of an express, contrary indication by the person making the gift: (a) If it is medically suitable for transplantation or therapy, must be used for transplantation or therapy, and the gift passes in accordance with subsection 8. (b) If it is not medically suitable for transplantation or therapy, may be used for research or education and, if so used, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

7. If a document of gift specifies only a general intent to make an anatomical gift by words such as “body donor” or by a symbol or statement of similar import, the gift, in the absence of an express, contrary indication by the person making the gift: (a) If any part is medically suitable for transplantation or therapy, must be used for transplantation or therapy, and the gift passes in accordance with subsection 8. (b) If any part is not medically suitable for transplantation or therapy, may be used for research or education and, if so used, the gift passes to the appropriate procurement, research or educational organization or other appropriate person for research or education.

8. For purposes of subsections 2, 5, 6 and 7, if an anatomical gift is medically suitable for transplantation or therapy, the following rules apply: (a) If a family member of the donor resides in this State and is a medically suitable recipient for the gift, the gift passes to the family member. (b) If no family member exists as described in paragraph (a): (1) If the part is an eye, the gift passes to the appropriate eye bank. (2) If the part is tissue, the gift passes to the appropriate tissue bank. (3) If the part is an organ, the gift passes to the appropriate organ procurement organization as custodian of the organ.

9. An anatomical gift of an organ for transplantation or therapy, other than an anatomical gift under paragraph (b) of subsection 1, passes to the organ procurement organization as custodian of the organ.

10. If an anatomical gift does not pass pursuant to subsections 1 to 9, inclusive, or the decedent's body or part is not used for transplantation, therapy, research or education, custody of the body or part passes to the person under obligation to dispose of the body or part.

11. A person may not accept an anatomical gift if the person knows that the gift was not effectively made under NRS 451.558 or 451.568 or if the person knows that the decedent made a refusal under NRS 451.561 that was not revoked. For purposes of this subsection, if a person knows that an anatomical gift was made on a document of gift, the person is deemed to know of any amendment or revocation of the gift or any refusal to make an anatomical gift on the same document of gift.

12. Except as otherwise provided in paragraph (b) of subsection 1 and subsection 8, nothing in NRS 451.500 to 451.598 , inclusive, affects the allocation of organs for transplantation or therapy.

13. As used in this section, “ family member ” means a person who is related to the donor within the fourth degree of consanguinity or affinity.
Nev. Rev. Stat. § 449.2421 — NV Code / Title 40 / Chapter 449 / Section 449.2421
Certain health care facilities in larger counties required to make available to Division written policy that allows refusal of or objection to work assignments and documented staffing plan; requirements of staffing plan and flexibility for adjustments
Status: in_force

1. As a condition of licensing, a health care facility located in a county whose population is 100,000 or more and which is licensed to have more than 70 beds shall make available to the Division a written policy adopted pursuant to NRS 449.2423 , a documented staffing plan and a written certification that the written policy and the documented staffing plan are adequate to meet the needs of the patients of the health care facility. If the health care facility is a hospital, the written policy and the documented staffing plan must: (a) Be signed by each member of the staffing committee of the hospital established pursuant to NRS 449.242 to indicate that the member has received a copy of the written policy and the staffing plan and, if applicable, actively participated in the development of the written policy and the staffing plan; and (b) Include a place where a member of the staffing committee may note any objections to the written policy or the staffing plan.

2. The documented staffing plan must include, without limitation: (a) A detailed written plan setting forth: (1) The number, skill mix and classification of licensed nurses required in each unit in the health care facility, which must take into account the experience of the clinical and nonclinical support staff with whom the licensed nurses collaborate, supervise or otherwise delegate assignments; and (2) The number of certified nursing assistants required in each unit in the health care facility; (b) A description of the types of patients who are treated in each unit, including, without limitation, the type of care required by the patients; (c) A description of the activities in each unit, including, without limitation, discharges, transfers and admissions; (d) A description of the size and geography of each unit; (e) A description of any specialized equipment and technology available for each unit; (f) Any foreseeable changes in the size or function of each unit; and (g) Protocols for adequately staffing the health care facility: (1) In the event of an emergency, including, without limitation, mass casualties and a significant change in the acuity or number of patients; (2) If applicable, in circumstances when a significant number of patients are diverted from another facility; and (3) If a licensed nurse or certified nursing assistant is absent or refuses a work assignment pursuant to NRS 449.2423 .

3. A documented staffing plan must provide sufficient flexibility to allow for adjustments based upon changes in a unit of the health care facility.

4. The health care facility shall ensure that it is staffed in accordance with the documented staffing plan.
Nev. Rev. Stat. § 457.020 — NV Code / Title 40 / Chapter 457 / Section 457.020
Definitions
Status: in_force

As used in this chapter, unless the context requires otherwise:

1. “ Cancer ” means all malignant neoplasms, regardless of the tissue of origin, including malignant lymphoma and leukemia.

2. “ Division ” means the Division of Public and Behavioral Health of the Department of Health and Human Services.

3. “Health care facility” has the meaning ascribed to it in NRS 162A.740 and also includes freestanding facilities for plastic reconstructive, oral and maxillofacial surgery.

4. “ Other treatment facility ” means a facility, other than a health care facility, that provides services to patients with cancer and other neoplasms, including, without limitation, screening, diagnosis and treatment.

5. “Provider of health care” has the meaning ascribed to it in NRS 629.031 .
Nev. Rev. Stat. § 445A.710 — NV Code / Title 40 / Chapter 445A / Section 445A.710
Furnishing false information or tampering with device unlawful; penalties
Status: in_force

1. Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained by the provisions of NRS 445A.300 to 445A.730 , inclusive, or by any permit, rule, regulation or order issued pursuant thereto, or who falsifies, tampers with or knowingly renders inaccurate any monitoring device or method required to be maintained under the provisions of NRS 445A.300 to 445A.730 , inclusive, or by any permit, rule, regulation or order issued pursuant thereto, is guilty of a gross misdemeanor and shall be punished by a fine of not more than $10,000 or by imprisonment in the county jail for not more than 364 days, or by both fine and imprisonment.

2. The penalty imposed by subsection 1 is in addition to any other penalties, civil or criminal, provided pursuant to NRS 445A.300 to 445A.730 , inclusive.
Nev. Rev. Stat. § 449.0178 — NV Code / Title 40 / Chapter 449 / Section 449.0178
“Rural emergency hospital” defined
Status: in_force

“ Rural emergency hospital ” means a hospital that is a rural emergency hospital, as defined in 42 U.S.C. § 1395x(kkk) .
Nev. Rev. Stat. § 449.119 — NV Code / Title 40 / Chapter 449 / Section 449.119
“Facility, hospital, agency, program or home” defined
Status: in_force

“Facility, hospital, agency, program or home” means an agency to provide personal care services in the home, an employment agency that contracts with persons to provide nonmedical services related to personal care to elderly persons or persons with disabilities in the home, an agency to provide nursing in the home, a community health worker pool, a facility for intermediate care, a facility for skilled nursing, a provider of community-based living arrangement services, a hospital described in 42 U.S.C. § 1395ww(d)(1)(B)(iv) , a psychiatric hospital that provides inpatient services to children, a psychiatric residential treatment facility, a residential facility for groups, a program of hospice care, a home for individual residential care, a facility for the care of adults during the day, a facility for hospice care, a nursing pool, the distinct part of a hospital which meets the requirements of a skilled nursing facility or nursing facility pursuant to 42 C.F.R. § 483.5 , a hospital that provides swing-bed services as described in 42 C.F.R. § 482.58 or, if residential services are provided to children, a medical facility or facility for the treatment of alcohol or other substance use disorders.
Nev. Rev. Stat. § 445A.100 — NV Code / Title 40 / Chapter 445A / Section 445A.100
“Interstate agency” defined
Status: in_force

“Interstate agency” has the meaning ascribed to it in NRS 445A.370 .
Nev. Rev. Stat. § 439.529 — NV Code / Title 40 / Chapter 439 / Section 439.529
Administration; duties of Director; use of other programs; prohibition against commingling of money; money for program to be accounted for separately; authorized uses of money
Status: in_force

1. The Department may, to the extent that money is available, administer a program pursuant to 42 U.S.C. §§ 300ff-21 et seq. to provide therapeutics to treat certain persons who have been diagnosed with the human immunodeficiency virus and to prevent the serious deterioration of the health of such persons. The program may include the provision of subsidies and pharmaceutical services.

2. The Director shall: (a) Establish the criteria for eligibility for participation in the program administered pursuant to this section, which must be in accordance with the provisions of 42 U.S.C. §§ 300ff-21 et seq. ; and (b) Prescribe the manner in which the program will be administered and services will be provided.

3. The Department may use any other program administered by the Department to facilitate the provision of subsidies and services pursuant to this section. If the Department uses another program to facilitate the provision of subsidies and services pursuant to this section, the Department shall not commingle the money available to carry out the provisions of this section and the money available to carry out the other program.

4. Money available to carry out the provisions of this section must be accounted for separately by the Department. The Department shall use such money only to pay for or subsidize the cost of: (a) Drugs approved by the United States Food and Drug Administration; (b) Insurance premiums, deductibles, copayments, coinsurance or other cost-sharing obligations associated with private health insurance; and (c) Services that improve access to, adherence to and monitoring of drug treatment.
Nev. Rev. Stat. § 441A.640 — NV Code / Title 40 / Chapter 441A / Section 441A.640
Evaluation teams: Establishment; composition; fees
Status: in_force

1. The health authority shall establish such evaluation teams as are necessary to aid the courts under NRS 441A.630 and 441A.700 .

2. Each team must be composed of at least two physicians, or at least one physician and one physician assistant licensed pursuant to chapter 630 or 633 of NRS .

3. Fees for the evaluations must be established and collected as set forth in NRS 441A.650 .
Nev. Rev. Stat. § 442.110 — NV Code / Title 40 / Chapter 442 / Section 442.110
Penalty
Status: in_force

Any physician, midwife, nurse, manager or person in charge of a freestanding birthing center or hospital, parent, relative or person attending upon or assisting at the birth of an infant who violates any of the provisions of NRS 442.030 to 442.100 , inclusive, shall be punished by a fine of not more than $250.
Nev. Rev. Stat. § 445B.756 — NV Code / Title 40 / Chapter 445B / Section 445B.756
“Registered owner” defined
Status: in_force

“ Registered owner ” means any person, other than a licensee, whose name appears in the records of the Department of Motor Vehicles as the person to whom a vehicle is registered.
Nev. Rev. Stat. § 445D.130 — NV Code / Title 40 / Chapter 445D / Section 445D.130
Contents
Status: in_force

1. An environmental covenant must: (a) State that the instrument is an environmental covenant executed pursuant to this chapter; (b) Contain a legally sufficient description of the real property subject to the covenant; (c) Describe the activity and use limitations on the real property; (d) Identify every holder; (e) Be signed by the agency, every holder and, unless waived by the agency, every owner of the fee simple of the real property subject to the covenant; and (f) Identify the name and location of any administrative record for the environmental response project reflected in the environmental covenant.

2. In addition to the information required by subsection 1, an environmental covenant may contain other information, restrictions and requirements agreed to by the persons who signed it, including: (a) Any requirements for notice following transfer of a specified interest in, or concerning proposed changes in use of, applications for building permits for, or proposals for any site work affecting the contamination on, the property subject to the covenant; (b) Any requirements for periodic reporting describing compliance with the covenant; (c) Any rights of access to the property granted in connection with implementation or enforcement of the covenant; (d) A brief narrative description of the contamination and remedy, including the contaminants of concern, pathways of exposure, limits on exposure, and location and extent of the contamination; (e) Any limitation on amendment or termination of the covenant in addition to those contained in NRS 445D.180 and 445D.190 ; and (f) Any rights of the holder in addition to its right to enforce the covenant pursuant to NRS 445D.200 .

3. In addition to other conditions for its approval of an environmental covenant, the agency may require those persons specified by the agency who have interests in the real property to sign the covenant.
Nev. Rev. Stat. § 458A.200 — NV Code / Title 40 / Chapter 458A / Section 458A.200
Authority of court to establish program of treatment; conditions for assignment; administration
Status: in_force

1. A court may establish a program for the treatment of problem gambling to which it may assign a person pursuant to NRS 458A.210 . The assignment must: (a) Include the terms and conditions for successful completion of the program; (b) Require that the person assigned to the program agree to pay restitution as a condition upon the election of treatment; and (c) Provide for progress reports at intervals set by the court to ensure that the person is making satisfactory progress toward completion of the program.

2. A program established pursuant to this section must be administered by a qualified mental health professional and must include, without limitation: (a) Information and encouragement for the participant to cease problem gambling through educational, counseling and support sessions; (b) The opportunity for the participant to understand the medical, psychological, social and financial implications of problem gambling; and (c) Appropriate referral to community, health, substance use disorder, religious and social service agencies for additional resources and related services, as needed.

3. Before the court assigns a person to a program for the treatment of problem gambling, the person must agree to pay the cost of the program to which he or she is assigned, to the extent of the financial resources of the person. If the person does not have the financial resources to pay all the related costs, the court shall, to the extent practicable, arrange for the person to be assigned to a program that receives a sufficient amount of federal or state funding to offset the remainder of the costs.
Nev. Rev. Stat. § 449A.200 — NV Code / Title 40 / Chapter 449A / Section 449A.200
Definitions
Status: in_force

As used in NRS 449A.200 to 449A.263 , inclusive, unless the context otherwise requires, the words and terms defined in NRS 449A.203 to 449A.230 , inclusive, have the meanings ascribed to them in those sections.
Nev. Rev. Stat. § 441A.200 — NV Code / Title 40 / Chapter 441A / Section 441A.200
Right to receive treatment from physician or clinic of choice; Board may prescribe method of treatment
Status: in_force

This chapter does not empower or authorize the health authority or any other person to interfere in any manner with the right of a person to receive approved treatment for a communicable disease from any physician, clinic or other person of his or her choice, but the Board has the power to prescribe the approved method of treatment to be used by the physician, clinic or other person.
Nev. Rev. Stat. § 459.701 — NV Code / Title 40 / Chapter 459 / Section 459.701
“Commission” defined
Status: in_force

“Commission” means the State Emergency Response Commission.
Nev. Rev. Stat. § 439.140 — NV Code / Title 40 / Chapter 439 / Section 439.140
Appointment or removal of subordinate officer or employee of Division
Status: in_force

1. With the approval of the Director, the Administrator shall appoint and may remove subordinate officers and employees of the Division.

2. For the purpose of insuring the impartial selection of personnel on the basis of merit, the Administrator may fill all positions in the Division, with the exception of the positions of Chief Medical Officer and professional persons employed for part-time duties, from the classified service of the State.
Nev. Rev. Stat. § 450B.083 — NV Code / Title 40 / Chapter 450B / Section 450B.083
“Infectious disease” defined
Status: in_force

“ Infectious disease ” means a disease caused by a living organism or other pathogen, including, without limitation, a fungus, bacillus, parasite, protozoan or virus.
Nev. Rev. Stat. § 452.030 — NV Code / Title 40 / Chapter 452 / Section 452.030
Owner to keep cemetery in orderly condition; enforcement authority of board of county commissioners and district attorney; transfer of title of cemetery to city or county
Status: in_force

1. Every owner of a cemetery shall keep the same in an orderly condition, and authority is conferred on the board of county commissioners of each county to make such rules as will carry out the intent of this section.

2. Except as otherwise provided in subsection 4, in addition to any action that may be taken pursuant to the rules described in subsection 1, the district attorney of the county in which a cemetery is located or a relative of any person interred in a cemetery may bring an action in a court of competent jurisdiction to enforce the provisions of subsection 1. If the court finds that the owner of the cemetery has failed to keep the cemetery in an orderly condition, the court may: (a) Order the owner of the cemetery to take any action necessary to bring the cemetery into such a condition; or (b) If the court also determines that continued ownership of the cemetery by the owner is not in accordance with the health, safety, comfort or welfare of the public, transfer title to the cemetery to the city or, if the cemetery is located in an unincorporated area of a county, the county in which the cemetery is located, if the city or county accepts such a transfer of title.

3. A city or county to which title of a cemetery is transferred pursuant to this section shall: (a) Operate the cemetery; (b) Lease the cemetery to a cemetery authority to operate the cemetery; (c) Enter into a contract with a cemetery authority to operate the cemetery; or (d) Transfer title of the cemetery to a nonprofit organization acting as the cemetery authority of the cemetery.

4. The provisions of subsection 2 do not apply to a cemetery owned by a city or county.
Nev. Rev. Stat. § 450B.071 — NV Code / Title 40 / Chapter 450B / Section 450B.071
“Firefighter” defined
Status: in_force

“ Firefighter ” means a person who holds a license and is employed by or serving as a volunteer with a fire-fighting agency.
Nev. Rev. Stat. § 439A.086 — NV Code / Title 40 / Chapter 439A / Section 439A.086
Chief Research and Statistical Analyst: Position created
Status: in_force

The position of Chief Research and Statistical Analyst is hereby created in the Division of Public and Behavioral Health of the Department. This position is in the unclassified service of the State.
Nev. Rev. Stat. § 439A.083 — NV Code / Title 40 / Chapter 439A / Section 439A.083
Director to establish procedure for review of statutes, regulations and standards governing approval, licensing or certification of health facilities
Status: in_force

The Director shall establish procedures for the review of all statutes, regulations and standards governing the approval, licensing or certification of health facilities. The procedures must provide for participation in the review by providers of health care and the general public.
Nev. Rev. Stat. § 449.4335 — NV Code / Title 40 / Chapter 449 / Section 449.4335
Administrative sanctions: Imposition by Division; consequences of failure to pay; use of money collected
Status: in_force

1. If an intermediary service organization violates any provision related to its certification, including, without limitation, any provision of NRS 449.4304 to 449.4339 , inclusive, or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.4336 , may, as it deems appropriate: (a) Prohibit the intermediary service organization from providing services pursuant to NRS 449.4308 until it determines that the intermediary service organization has corrected the violation; (b) Impose an administrative penalty of not more than $1,000 per day for each violation, together with interest thereon at a rate not to exceed 10 percent per annum; and (c) Appoint temporary management to oversee the operation of the intermediary service organization and to ensure the health and safety of the persons for whom the intermediary service organization performs services, until: (1) It determines that the intermediary service organization has corrected the violation and has management which is capable of ensuring continued compliance with the applicable statutes, conditions, standards and regulations; or (2) Improvements are made to correct the violation.

2. If the intermediary service organization fails to pay any administrative penalty imposed pursuant to paragraph (b) of subsection 1, the Division may: (a) Suspend the certificate to operate an intermediary service organization which is held by the intermediary service organization until the administrative penalty is paid; and (b) Collect court costs, reasonable attorney's fees and other costs incurred to collect the administrative penalty.

3. The Division may require any intermediary service organization that violates any provision of NRS 449.4304 to 449.4339 , inclusive, or any condition, standard or regulation adopted by the Board, to make any improvements necessary to correct the violation.

4. Any money collected as administrative penalties pursuant to this section must be accounted for separately and used to protect the health or property of the persons for whom the intermediary service organization performs services in accordance with applicable federal standards.
Nev. Rev. Stat. § 445B.922 — NV Code / Title 40 / Chapter 445B / Section 445B.922
“Original equipment manufacturer” defined
Status: in_force

“ Original equipment manufacturer ” means a company that builds or assembles the completed drivetrain and chassis of a medium-duty or heavy-duty vehicle.
Nev. Rev. Stat. § 445A.700 — NV Code / Title 40 / Chapter 445A / Section 445A.700
Violations: Civil penalties; enforcement proceedings
Status: in_force

1. Except as otherwise provided in NRS 445C.010 to 445C.120 , inclusive, a person who violates or aids or abets in the violation of any provision of NRS 445A.300 to 445A.730 , inclusive, or of any permit, regulation, standard or final order issued thereunder, except a provision concerning a diffuse source, shall pay a civil penalty of not more than $25,000 for each day of the violation. The civil penalty imposed by this subsection is in addition to any other penalties provided pursuant to NRS 445A.300 to 445A.730 , inclusive.

2. Except as otherwise provided in NRS 445C.010 to 445C.120 , inclusive, in addition to the penalty provided in subsection 1, the Department may recover from the person actual damages to the State resulting from the violation of NRS 445A.300 to 445A.730 , inclusive, any regulation or standard adopted by the Commission, or permit or final order issued by the Department, except the violation of a provision concerning a diffuse source.

3. Damages may include: (a) Any expenses incurred in removing, correcting and terminating any adverse effects resulting from a discharge or the injection of contaminants through a well; and (b) Compensation for any loss or destruction of wildlife, fish or aquatic life.

4. In addition to any other remedy provided by this chapter, the Department may compel compliance with any provision of NRS 445A.300 to 445A.730 , inclusive, or of any permit, regulation, standard or final order adopted or issued thereto, by injunction or other appropriate remedy. The Department may institute and maintain in the name of the State of Nevada any such enforcement proceedings.