reglab/housing_qa huggingface dataset:
NV Rev Stat § 449.4335 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4335 - Administrative sanctions: Imposition by Division; consequences of failure to pay; use of money collected.

  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.  (Added to NRS by 2013, 130; A 2017, 2310; 2019, 2923, 4347)
NV Rev Stat § 449.4336 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4336 - Administrative sanctions: Regulations.

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.  (Added to NRS by 2013, 130)
NV Rev Stat § 449.4337 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4337 - Notice by Division of disciplinary action; exception; appeal.

  1. When the Division intends to deny, suspend or revoke a certificate to operate an intermediary service organization, or to impose any sanction prescribed by NRS 449.4335, the Division shall give reasonable notice to the holder of the certificate by certified mail. The notice must contain the legal authority, jurisdiction and reasons for the action to be taken. Notice is not required if the Division finds that the public health requires immediate action. In that case, the Division may order a summary suspension of a certificate or impose any sanction prescribed by NRS 449.4335, pending proceedings for revocation or other action.  2. If a person wants to contest the action of the Division, the person must file an appeal pursuant to regulations adopted by the Board.  3. Upon receiving notice of an appeal, the Division shall hold a hearing pursuant to regulations adopted by the Board.  4. The Board shall adopt such regulations as are necessary to carry out the provisions of this section.  (Added to NRS by 2013, 131)
NV Rev Stat § 449.4338 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4338 - Action to enjoin violations.

  1. Except as otherwise provided in subsection 2 of NRS 449.431, the Division may bring an action in the name of the State to enjoin any person from operating or maintaining an intermediary service organization within the meaning of NRS 449.4304 to 449.4339, inclusive:  (a) Without first obtaining a certificate to operate an intermediary service organization; or  (b) After the person’s certificate has been revoked or suspended by the Division.  2. It is sufficient in such action to allege that the defendant did, on a certain date and in a certain place, operate and maintain the intermediary service organization without a certificate.  (Added to NRS by 2013, 133; A 2017, 2311; 2019, 2924, 4348)
NV Rev Stat § 449.4339 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4339 - Prosecution by district attorney.

The district attorney of the county in which an intermediary service organization operates shall, upon application by the Division, institute and conduct the prosecution of any action for violation of any provision of NRS 449.4304 to 449.4339, inclusive.  (Added to NRS by 2013, 134; A 2017, 2311)
NV Rev Stat § 449.435 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.435 - Definitions.

As used in NRS 449.435 to 449.448, inclusive, unless the context otherwise requires, the words and terms defined in NRS 449.436 to 449.439, inclusive, have the meanings ascribed to them in those sections.  (Added to NRS by 2009, 528; A 2017, 605)
NV Rev Stat § 449.436 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.436 - "Conscious sedation" defined.

Conscious sedation means a minimally depressed level of consciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, in which the patient retains the ability independently and continuously to maintain an airway and to respond appropriately to physical stimulation and verbal commands.  (Added to NRS by 2009, 528)
NV Rev Stat § 449.437 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.437 - "Deep sedation" defined.

Deep sedation means a controlled state of depressed consciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, and accompanied by a partial loss of protective reflexes and the inability to respond purposefully to verbal commands.  (Added to NRS by 2009, 528)
NV Rev Stat § 449.438 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.438 - "General anesthesia" defined.

General anesthesia means a controlled state of unconsciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, and accompanied by partial or complete loss of protective reflexes and the inability independently to maintain an airway and respond purposefully to physical stimulation or verbal commands.  (Added to NRS by 2009, 528)
NV Rev Stat § 449.439 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.439 - "Physician" defined.

Physician means a person who is licensed to practice medicine pursuant to chapter 630 of NRS or osteopathic medicine pursuant to chapter 633 of NRS.  (Added to NRS by 2009, 528)
NV Rev Stat § 449.441 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.441 - Exemption from provisions if physician’s office or facility only administers certain type of pain medication.

The provisions of NRS 449.435 to 449.448, inclusive, do not apply to an office of a physician or a facility that provides health care, other than a medical facility, if the office of a physician or the facility only administers a medication to a patient to relieve the patient’s anxiety or pain and if the medication is not given in a dosage that is sufficient to induce in a patient a controlled state of depressed consciousness or unconsciousness similar to general anesthesia, deep sedation or conscious sedation.  (Added to NRS by 2009, 529; A 2017, 605)
NV Rev Stat § 449.442 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.442 - Permit required for certain physicians’ offices and facilities to offer services; national accreditation required; cessation of services for failure to maintain accreditation.

  1. An office of a physician or a facility that provides health care, other than a medical facility, must obtain a permit pursuant to NRS 449.443 before offering to a patient a service of general anesthesia, conscious sedation or deep sedation. An office of a physician or a facility that provides health care, other than a medical facility, which operates at more than one location must obtain a permit for each location where a service of general anesthesia, conscious sedation or deep sedation is offered.  2. To offer to a patient a service of general anesthesia, conscious sedation or deep sedation in this State, an office of a physician or a facility that provides health care, other than a medical facility, must maintain current accreditation by a nationally recognized organization approved by the Board. Upon receiving an initial permit, the office or facility shall, within 6 months after obtaining the permit, submit proof to the Division of accreditation by such an organization.  3. If an office of a physician or a facility that provides health care, other than a medical facility, fails to maintain current accreditation or if the accreditation is revoked or is otherwise no longer valid, the office or facility shall immediately cease offering to patients a service of general anesthesia, conscious sedation or deep sedation.  (Added to NRS by 2009, 529)
NV Rev Stat § 449.443 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.443 - Application for permit; fee; inspection by Division; term of permit.

  1. An office of a physician or a facility that provides health care, other than a medical facility, desiring a permit pursuant to NRS 449.435 to 449.448, inclusive, must submit to the Division, on a form prescribed by the Division and accompanied by the appropriate fee, an application for a permit.  2. Before issuing a permit, the Division shall conduct an on-site inspection pursuant to NRS 449.446 of each office of a physician or facility that applies for a permit.  3. Upon receipt of an application and the appropriate fee, the Division may, after conducting an inspection pursuant to NRS 449.446, issue a permit.  4. A permit expires 1 year after the date of issuance and is renewable pursuant to NRS 449.444.  (Added to NRS by 2009, 529)
NV Rev Stat § 449.444 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.444 - Application for renewal of permit; fee.

  1. The holder of a permit issued pursuant to NRS 449.443 may annually submit to the Division, on a form prescribed by the Division and accompanied by the appropriate fee, an application for renewal of the permit before the date on which the permit expires. The application must include proof satisfactory to the Division that the office or facility maintains current accreditation by a nationally recognized organization approved by the Board.  2. Upon receipt of an application for renewal and the accompanying fee, the Division may renew a permit.  (Added to NRS by 2009, 529)
NV Rev Stat § 449.4445 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4445 - Legislative findings and declaration concerning oversight of surgical centers for ambulatory patients.

The Legislature finds and declares that:  1. This State has a compelling interest in assuring that residents of this State have access to health care;  2. Surgical centers for ambulatory patients play an important role in providing essential health care services and have become a critical element in the delivery of health care in this State; and  3. A license issued by this State to operate a surgical center for ambulatory patients pursuant to this chapter should be accompanied by oversight by the agency issuing the license.  (Added to NRS by 2017, 604)
NV Rev Stat § 449.445 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.445 - National accreditation required of surgical center for ambulatory patients; inspection by Division; cessation of operation for failure to maintain accreditation.

  1. To operate in this State, a surgical center for ambulatory patients must maintain current accreditation by a nationally recognized organization approved by the Board. Upon initial licensure, a surgical center for ambulatory patients shall, within 6 months after obtaining its license, submit proof to the Division of the accreditation of the surgical center by such an organization.  2. Before issuing a license to a surgical center for ambulatory patients, the Division shall conduct an on-site inspection of the surgical center pursuant to NRS 449.446.  3. If a surgical center for ambulatory patients fails to maintain current accreditation or if the accreditation is revoked or is otherwise no longer valid, the surgical center shall immediately cease to operate.  (Added to NRS by 2009, 529)
NV Rev Stat § 449.446 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.446 - Annual inspections of holders of permits and surgical centers for ambulatory patients; correction of deficiencies identified in inspections; reporting of inspections to Legislature.

  1. The Division shall conduct annual and unannounced on-site inspections of each office of a physician or a facility that provides health care, other than a medical facility, which holds a permit issued pursuant to NRS 449.443 and each surgical center for ambulatory patients which holds a license issued pursuant to this chapter.  2. An inspection conducted pursuant to this section must focus on the infection control practices and policies of the surgical center for ambulatory patients, the office or the facility that is the subject of the inspection. The Division may, as it deems necessary, conduct a more comprehensive inspection of a surgical center, office or facility.  3. Upon completion of an inspection, the Division shall:  (a) Compile a report of the inspection, including each deficiency discovered during the inspection, if any; and  (b) Forward a copy of the report to the surgical center for ambulatory patients, the office of the physician or the facility where the inspection was conducted.  4. If a deficiency is indicated in the report, the surgical center for ambulatory patients, the office of the physician or the facility shall correct each deficiency indicated in the report in the manner prescribed by the Board pursuant to NRS 449.448.  5. The Division shall annually prepare and submit to the Legislative Committee on Health Care and the Legislative Commission a report which includes:  (a) The number and frequency of inspections conducted pursuant to this section;  (b) A summary of deficiencies or other significant problems discovered while conducting inspections pursuant to this section and the results of any follow-up inspections; and  (c) Any other information relating to the inspections as deemed necessary by the Legislative Committee on Health Care or the Legislative Commission.  (Added to NRS by 2009, 530)
NV Rev Stat § 449.4465 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.4465 - Report of Division concerning surgical centers for ambulatory patients.

The Division shall:  1. Compile the information collected from and submitted by surgical centers for ambulatory patients to the Department pursuant to NRS 439A.240, 439A.250 and 439A.260 and any regulations adopted pursuant thereto, and prepare a quarterly report that:  (a) Identifies the discharge location of each patient of a surgical center for ambulatory patients; and  (b) Compares the discharge location of patients of surgical centers for ambulatory patients in different geographical regions of this State; and  2. Submit the quarterly report prepared pursuant to subsection 1 to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.  (Added to NRS by 2017, 604)
NV Rev Stat § 449.447 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.447 - Disciplinary action for certain violations or failure to correct deficiency; notification to State Board of Osteopathic Medicine of violations; administrative sanctions.

  1. If an office of a physician or a facility that provides health care, other than a medical facility, violates the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto, or fails to correct a deficiency indicated in a report pursuant to NRS 449.446, the Division, in accordance with the regulations adopted pursuant to NRS 449.448, may take any of the following actions:  (a) Decline to issue or renew a permit;  (b) Suspend or revoke a permit; or  (c) 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.  2. The Division may review a report submitted pursuant to NRS 633.524 to determine whether an office of a physician or a facility is in violation of the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto. If the Division determines that such a violation has occurred, the Division shall immediately notify the State Board of Osteopathic Medicine.  3. If a surgical center for ambulatory patients violates the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto, or fails to correct a deficiency indicated in a report pursuant to NRS 449.446, the Division may impose administrative sanctions pursuant to NRS 449.163.  (Added to NRS by 2009, 530; A 2017, 605, 2859)
NV Rev Stat § 449.448 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.448 - Regulations.

  1. The Board shall adopt regulations to carry out the provisions of NRS 449.435 to 449.448, inclusive, including, without limitation, regulations which:  (a) Prescribe the amount of the fee required for applications for the issuance and renewal of a permit pursuant to NRS 449.443 and 449.444.  (b) Prescribe the procedures and standards for the issuance and renewal of a permit.  (c) Identify the nationally recognized organizations approved by the Board for the purposes of the accreditation required for the issuance of a:  (1) License to operate a surgical center for ambulatory patients.  (2) Permit for an office of a physician or a facility that provides health care, other than a medical facility, to offer to a patient a service of general anesthesia, conscious sedation or deep sedation.  (d) Prescribe the procedures and scope of the inspections conducted by the Division pursuant to NRS 449.446.  (e) Prescribe the procedures and time frame for correcting each deficiency indicated in a report pursuant to NRS 449.446.  (f) Prescribe the criteria for the imposition of each sanction prescribed by NRS 449.447, including, without limitation:  (1) Setting forth the circumstances and manner in which a sanction applies;  (2) Minimizing the time between the identification of a violation and the imposition of a sanction; and  (3) Providing for the imposition of incrementally more severe sanctions for repeated or uncorrected violations.  2. The regulations adopted pursuant to this section must require that the practices and policies of each holder of a permit to offer to a patient a service of general anesthesia, conscious sedation or deep sedation and each holder of a license to operate a surgical center for ambulatory patients provide adequately for the protection of the health, safety and well-being of patients.  (Added to NRS by 2009, 531; A 2017, 606)
NV Rev Stat § 449.450 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.450 - Definitions.

As used in NRS 449.450 to 449.530, inclusive, unless the context otherwise requires:  1. "Admitted health insurer" means an insurer authorized to transact health insurance in this State under a certificate of authority issued by the Commissioner of Insurance.  2. "Department" means the Department of Health and Human Services.  3. "Director" means the Director of the Department.  4. "Institution" means any person, place, building or agency which maintains and operates facilities for the diagnosis, care and treatment of human illness and provides beds for inpatient care. The term includes but is not limited to hospitals, convalescent care facilities, nursing care facilities, detoxification centers and all specialized medical health care facilities.  (Added to NRS by 1975, 702; A 1979, 887; 1983, 1127; 1985, 1362; 1989, 1800; 1991, 2114)
NV Rev Stat § 449.460 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.460 - Powers of Director.

The Director may:  1. Adopt regulations respecting the exercise of the powers conferred by NRS 449.450 to 449.530, inclusive.  2. Hold public hearings, conduct investigations and require the filing of information relating to any matter affecting the cost of services in all institutions subject to the provisions of NRS 449.450 to 449.530, inclusive, and may subpoena witnesses, financial papers, records and documents in connection therewith. An order requiring the filing of information or a subpoena issued pursuant to this subsection must state the purpose for which it is issued. The Director may also administer oaths in any hearing or investigation.  3. Exercise, subject to the limitations and restrictions imposed in NRS 449.450 to 449.530, inclusive, all other powers which are reasonably necessary to carry out the expressed objects of those sections.  4. Delegate to any of the divisions of the Department the authority to carry out the provisions of NRS 449.450 to 449.530, inclusive.  (Added to NRS by 1975, 702; A 1985, 1363; 1991, 2114; 1997, 2527)
NV Rev Stat § 449.465 (2021)
2021 Nevada Revised Statutes|Chapter 449 - Medical Facilities and Other Related Entities|NRS 449.465 - Authority of Director to impose fees; maximum amount of fees collected; fee for support of Legislative Committee on Health Care.

  1. The Director may, by regulation, impose fees upon admitted health insurers to cover the costs of carrying out the provisions of NRS 449.450 to 449.530, inclusive. The maximum amount of fees collected must not exceed the amount authorized by the Legislature in each biennial budget.  2. The Director shall impose a fee of $50 each year upon admitted health insurers for the support of the Legislative Committee on Health Care. The fee imposed pursuant to this subsection is in addition to any fee imposed pursuant to subsection 1. The fee collected for the support of the Legislative Committee on Health Care must be deposited in the Legislative Fund.  (Added to NRS by 1983, 1126; A 1985, 1363; 1987, 877)