reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.330 - Deputy county health officer: Appointment; compensation; duties.

1. With the approval of the board of county commissioners, the county health officer is empowered to appoint such deputies as may be necessary.
2. Deputies shall receive such compensation as is fixed by the board of county commissioners.
3. Not later than the 5th day of each month, deputy health officers shall file monthly reports with the county health officer. The reports shall be compiled by the county health officer and forwarded to the Division not later than the 10th day of each month.
[Part 6:199:1911; A 1913, 126; 1919, 221; 1919 RL § 2957; NCL § 5240]—(NRS A 1963, 941)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.340 - County board of health: Supervision by Division; reports.

The county board of health shall be subject to the supervision of the Division, and shall make such reports to the Division as the State Board of Health may require.
[Part 28:199:1911; added 1919, 221; 1919 RL p. 2891; NCL § 5262]—(NRS A 1963, 941; 2013, 3039)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.350 - County board of health: Duties.

The county board of health shall:
1. Oversee all sanitary conditions of the county in which the board is created.
2. Adopt such regulations as may be necessary for the prevention, suppression and control of any contagious or infectious disease dangerous to the public health, which regulations take effect immediately upon approval by the State Board of Health.
3. File a copy of all of its adopted regulations with the county clerk.
[Part 28:199:1911; added 1919, 221; 1919 RL p. 2891; NCL § 5262]—(NRS A 1983, 1130)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.360 - County board of health: Powers; requirements for order for isolation, quarantine or treatment.

1. The county board of health may:
(a) Abate nuisances in accordance with law.
(b) Establish and maintain an isolation hospital or quarantine station when necessary for the isolation or quarantine of a person or a group of persons.
(c) Isolate any person or group of persons with a communicable disease that is in an infectious state and poses a risk to the public health.
(d) Quarantine any person or group of persons who has been exposed to any communicable disease that is in an infectious state and poses a risk to the public health.
(e) Treat any person or group of persons with a communicable disease that is in an infectious state and poses a risk to the public health or who has been exposed to such a communicable disease.
(f) Monitor and treat any person or group of persons with a communicable disease that poses a risk to the public health if there is a risk that the communicable disease will develop into:
(1) A progressed state that endangers the health of the person or persons; or
(2) An infectious state.
(g) Appoint quarantine officers when necessary to enforce a quarantine.
(h) Subject to the prior review and approval of the board of county commissioners and except as otherwise provided in NRS 576.128, adopt a schedule of reasonable fees to be collected for issuing or renewing any health permit or license required to be obtained from the board pursuant to a law of this state or an ordinance adopted by any political subdivision of this state. Such fees must be for the sole purpose of defraying the costs and expenses of the procedures for issuing licenses and permits, and investigations related thereto, and not for the purposes of general revenue.
2. Any order to isolate, quarantine or treat a person or group of persons issued pursuant to subsection 1 must state the reasons that each of the actions prescribed by the order are the least restrictive means available to prevent, suppress or control the communicable disease. If a county board of health issues an order to isolate, quarantine or treat a person pursuant to subsection 1, the county board of health must:
(a) Isolate, quarantine or treat the person in the manner set forth in NRS 441A.505 to 441A.720, inclusive.
(b) Provide whatever medicines, disinfectants and provisions may be required and arrange for the payment of all debts or charges so incurred from any funds available, but each patient shall, if the patient is able, pay for his or her food, medicine, clothes and medical attendance.
3. As used in this section, "communicable disease" has the meaning ascribed to it in NRS 441A.040.
[Part 28:199:1911; added 1919, 221; 1919 RL p. 2891; NCL § 5262]—(NRS A 1973, 1137; 1997, 1616, 3173; 1999, 649; 2003, 2195; 2021, 3181)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.361 - Applicability.

The provisions of NRS 439.361 to 439.3685, inclusive, apply to a county whose population is 700,000 or more.
(Added to NRS by 2005, 2464; A 2011, 1255; 2015, 2961; 2021, 3234; 2023, 1264)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.364 - District board of health: Meetings; quorum; duties.

1. The district board of health may meet at such times and in such locations as the board determines by resolution.
2. Special meetings may be held upon notice to each member of the district board of health as often as and in such places within the county as the needs of the board require.
3. A majority of the members of the district board of health constitutes a quorum.
4. The district board of health shall adopt written policies and procedures for administering the board and maintaining its programs, projects and activities.
(Added to NRS by 2005, 2465)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.365 - District board of health: Budget; adoption by board of county commissioners; annual allocation.

1. The district board of health shall prepare an annual operating budget for the health district. The district board of health shall submit the budget to the board of county commissioners before April 1 for funding for the following fiscal year. The budget must be adopted by the board of county commissioners as part of the annual county budget.
2. The board of county commissioners shall annually allocate for the support of the health district an amount that does not exceed an amount calculated by multiplying the assessed valuation of all taxable property in the county by the rate of 3.5 cents on each $100 of assessed valuation. The amount allocated pursuant to this subsection must be transferred from the county general fund to the health district fund created by the board of county commissioners pursuant to NRS 439.363.
(Added to NRS by 2005, 2465)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.366 - Powers and jurisdiction of district board of health and district health department; regulations of district board of health.

1. The district board of health has the powers, duties and authority of a county board of health in the health district.
2. The district health department has jurisdiction over all public health matters in the health district.
3. In addition to any other powers, duties and authority conferred on a district board of health by this section, the district board of health may by affirmative vote of a majority of all the members of the board adopt regulations consistent with law, which must take effect immediately on their approval by the State Board of Health, to:
(a) Prevent and control nuisances;
(b) Regulate sanitation and sanitary practices in the interests of the public health;
(c) Provide for the sanitary protection of water and food supplies;
(d) Protect and promote the public health generally in the geographical area subject to the jurisdiction of the health district; and
(e) Improve the quality of health care services for members of minority groups and medically underserved populations.
4. Before the adoption, amendment or repeal of a regulation, the district board of health must give at least 30 days’ notice of its intended action. The notice must:
(a) Include a statement of either the terms or substance of the proposal or a description of the subjects and issues involved, and of the time when, the place where and the manner in which interested persons may present their views thereon;
(b) State each address at which the text of the proposal may be inspected and copied; and
(c) Be mailed to all persons who have requested in writing that they be placed on a mailing list, which must be kept by the board for such purpose.
5. All interested persons must be afforded a reasonable opportunity to submit data, views or arguments, orally or in writing, on the intended action to adopt, amend or repeal the regulation. With respect to substantive regulations, the district board of health shall set a time and place for an oral public hearing, but if no one appears who will be directly affected by the proposal and requests an oral hearing, the district board of health may proceed immediately to act upon any written submissions. The district board of health shall consider fully all written and oral submissions respecting the proposal.
6. The district board of health shall file a copy of all of its adopted regulations with the county clerk.
(Added to NRS by 2005, 2466; A 2020, 32nd Special Session, 97; 2023, 45)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.367 - District board of health: Powers.

1. The district board of health may:
(a) Receive and disburse federal money;
(b) Submit project applications and programs of projects to federal agencies; and
(c) Enter into formal agreements with federal agencies concerning projects and programs.
2. The district board of health may accept and disburse contributions from private sources, the State, the county, and the cities and towns within the jurisdiction of the board to match federal money for any project or program. All such contributions must be deposited with the county treasurer to the credit of the health district fund created by the board of county commissioners pursuant to NRS 439.363.
(Added to NRS by 2005, 2466)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.3672 - District board of health: Power to create voluntary financial assistance program to pay cost to connect to community sewerage disposal system; voluntary annual fee.

1. The district board of health may create a voluntary financial assistance program to pay 100 percent of the cost for a property owner with an existing septic system whose property is served by a municipal water system to abandon the septic system and connect to the community sewerage disposal system.
2. Upon an affirmative vote of two-thirds of all the members of the district board of health, the district board of health may impose a voluntary annual fee on property owners with existing septic systems whose property is served by a municipal water system to carry out the provisions of this section.
3. If the district board of health imposes a voluntary annual fee pursuant to subsection 2:
(a) The fee must not exceed the annual sewer rate charged by the largest community sewerage disposal system in the county or counties, as applicable, in which the district board of health has been established; and
(b) The district board of health shall not provide financial assistance to any property owner who does not pay the voluntary fee.
4. As used in this section:
(a) "Community sewerage disposal system" means a public system of sewage disposal which is operated for the benefit of a county, city, district or other political subdivision of this State.
(b) "Septic system" means a well that is used to place sanitary waste below the surface of the ground that is typically composed of a septic tank and a subsurface fluid distribution or disposal system. The term includes a residential individual system for disposal of sewage.
(Added to NRS by 2023, 1264)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.368 - Appointment, duties and compensation of district health officer; duties of district board of health concerning district health officer; clinical program requiring medical assessment must be supervised by physician.

1. The district board of health shall appoint a district health officer for the health district who shall have full authority as a county health officer in the health district.
2. The district health officer shall direct the work of the health district, administer the health district and perform any other duties specified by the district board of health.
3. The district board of health shall:
(a) Approve a job description, qualifications and compensation for a district health officer; and
(b) Oversee the recruitment and selection process for a district health officer.
4. The district health officer is entitled to receive the compensation approved by the district board of health and serves at the pleasure of the board.
5. Any clinical program of a district board of health which requires medical assessment must be carried out under the direction of a physician.
(Added to NRS by 2005, 2465; A 2013, 3178; 2015, 2963)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.3685 - Duties of district health officer concerning chief medical officer; compensation of chief medical officer.

1. The district health officer shall, with the approval of the district board of health:
(a) Approve a job description, qualifications and compensation for a chief medical officer; and
(b) Oversee the recruitment and selection process for and appoint a chief medical officer, who serves under the direction of the district health officer.
2. The chief medical officer is entitled to receive the compensation approved by the district health officer and serves at the pleasure of the district board of health.
(Added to NRS by 2015, 2961)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.370 - Health district: Creation.

By affirmative vote of:
1. The boards of county commissioners of two or more counties;
2. The governing bodies of two or more cities or towns within any county; or
3. The board of county commissioners and the governing body or bodies of any incorporated city or cities, town or towns, in such county,
and with the approval of the State Board of Health, there may be created a health district with a health department consisting of a district health officer and a district board of health.
[Part 35:199:1911; added 1939, 297; 1931 NCL § 5268.01]—(NRS A 1959, 104; 2023, 1511)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.380 - County or city board of health abolished upon creation of district board of health.

When any county and one or more incorporated cities within the county establish a district board of health, the county board of health and the board of health of the city or cities must be abolished, and the district board of health must be given the same powers, duties and authority that county board of health had before the establishment of the district board of health.
[Part 35:199:1911; added 1939, 297; 1931 NCL § 5268.01]—(NRS A 1959, 104; 1987, 1723)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.390 - District board of health: Composition; qualifications of members.

1. A district board of health must consist of two members from each county, city or town which participated in establishing the district, to be appointed by the governing body of the county, city or town in which they reside, together with one additional member to be chosen by the members so appointed.
2. The additional member must be a physician licensed to practice medicine in this State.
3. If the appointive members of the district board of health fail to choose the additional member within 30 days after the organization of the district health department, the additional member may be appointed by the Chief Medical Officer.
[Part 35:199:1911; added 1939, 297; 1931 NCL § 5268.01]—(NRS A 1959, 104; 1963, 941; 1991, 1379)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.400 - Appointment, qualifications, powers and compensation of district health officer; clinical program requiring medical assessment must be supervised by physician.

1. The district board of health shall appoint a district health officer for the district.
2. The district health officer must be appointed on the basis of his or her graduate education in public health, training, experience and interest in public health and related programs.
3. The district health officer has full authority as a county health officer in the health district.
4. Any clinical program of a district board of health which requires medical assessment must be carried out under the direction of a physician.
5. The district health officer is entitled to receive a salary fixed by the district board of health and serves at the pleasure of that board.
[Part 35:199:1911; added 1939, 297; 1931 NCL § 5268.01]—(NRS A 1959, 104; 1981, 603)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.410 - Powers and jurisdiction of district board of health and district health department; regulations of district board of health.

1. The district board of health has the powers, duties and authority of a county board of health in the health district.
2. The district health department has jurisdiction over all public health matters in the health district, except in matters concerning emergency medical services pursuant to the provisions of chapter 450B of NRS.
3. In addition to any other powers, duties and authority conferred on a district board of health by this section, the district board of health may by affirmative vote of a majority of all the members of the board adopt regulations consistent with law, which must take effect immediately on their approval by the State Board of Health, to:
(a) Prevent and control nuisances;
(b) Regulate sanitation and sanitary practices in the interests of the public health;
(c) Provide for the sanitary protection of water and food supplies; and
(d) Protect and promote the public health generally in the geographical area subject to the jurisdiction of the health district.
4. Before the adoption, amendment or repeal of a regulation, the district board of health must give at least 30 days’ notice of its intended action. The notice must:
(a) Include a statement of either the terms or substance of the proposal or a description of the subjects and issues involved, and of the time when, the place where and the manner in which interested persons may present their views thereon.
(b) State each address at which the text of the proposal may be inspected and copied.
(c) Be mailed to all persons who have requested in writing that they be placed on a mailing list, which must be kept by the district board for such purpose.
5. All interested persons must be afforded a reasonable opportunity to submit data, views or arguments, orally or in writing, on the intended action to adopt, amend or repeal the regulation. With respect to substantive regulations, the district board shall set a time and place for an oral public hearing, but if no one appears who will be directly affected by the proposal and requests an oral hearing, the district board may proceed immediately to act upon any written submissions. The district board shall consider fully all written and oral submissions respecting the proposal.
6. Each district board of health shall file a copy of all of its adopted regulations with the county clerk of each county in which it has jurisdiction.
[Part 35:199:1911; added 1939, 297; 1931 NCL § 5268.01]—(NRS A 1959, 104; 1973, 314; 1979, 161; 1983, 330; 1995, 2546; 2005, 2467; 2020, 32nd Special Session, 98; 2023, 46)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.420 - City board of health: Creation by ordinance.

1. Every city of population categories one and two shall provide by ordinance for the establishment of a board of health.
2. A city of population category three may provide by ordinance for the establishment of a board of health.
[Part 29:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5263]—(NRS A 2001, 635)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.430 - City board of health: Members; appointments; qualifications and compensation of city health officer.

1. The city board of health shall be composed of three members appointed by the mayor, at least one of whom may be learned in sanitary science and public health practice and experienced in the diagnosis of infectious diseases, in which case that member shall be the city health officer and the executive officer of the city board of health.
2. If no member, or if more than one member, is experienced in the diagnosis of infectious diseases and learned in sanitary science, the city board of health shall appoint the city health officer.
3. The compensation of the city health officer shall be prescribed by the city council and the compensation, together with his or her necessary expenses, shall be paid by the municipality in which the city health officer serves.
[Part 29:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5263]
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.440 - Inclusion of city in county or district health department.

The governing authorities of any incorporated city may abolish the offices of the city board of health and the office of the city health officer for such city and thereby signify the city’s consent to be included in a county or district health department. The powers and duties of the city board of health and the city health officer shall devolve upon the county or district health department.
[Part 36:199:1911; added 1939, 297; 1931 NCL § 5268.02]
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.450 - Withdrawal of city from county or district health department; re-establishment of city health department.

The governing authorities of any incorporated city which has consented to be included in a county or district health department may, after a period of 3 years following such inclusion, provide by resolution for withdrawal therefrom and for the re-establishment of a city health department for the city.
[Part 36:199:1911; added 1939, 297; 1931 NCL § 5268.02]
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.460 - City board of health: Duties.

The city board of health shall:
1. Oversee all sanitary conditions of the city in which the board is created.
2. Adopt such regulations as may be necessary for the prevention, suppression and control of any contagious or infectious disease dangerous to the public health, which regulations take effect immediately upon approval by the State Board of Health.
3. File a copy of all of its adopted regulations with the city clerk.
[Part 30:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5264]—(NRS A 1983, 1130)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.470 - City board of health: Powers; requirements for order for isolation, quarantine or treatment.

1. The city board of health may:
(a) Abate nuisances in accordance with law.
(b) Establish a temporary isolation hospital or quarantine station when an emergency demands the isolation or quarantine of a person or a group of persons.
(c) Isolate any person or a group of persons with a communicable disease that is in an infectious state and poses a risk to the public health.
(d) Quarantine any person or group of persons who has been exposed to any communicable disease that is in an infectious state and poses a risk to the public health.
(e) Treat any person or group of persons with a communicable disease that is in an infectious state and poses a risk to the public health or who has been exposed to such a communicable disease.
(f) Monitor and treat any person or group of persons with a communicable disease that poses a risk to the public health if there is a risk that the communicable disease will develop into:
(1) A progressed state that endangers the health of the person or persons; or
(2) An infectious state.
(g) Appoint quarantine officers when necessary to enforce a quarantine.
(h) Subject to the prior review and approval of the governing body of the city and except as otherwise provided in NRS 576.128, adopt a schedule of reasonable fees to be collected for issuing or renewing any health permit or license required to be obtained from such board pursuant to state law or an ordinance adopted by any political subdivision. Such fees must be for the sole purpose of defraying the costs and expenses of the procedures for issuing licenses and permits, and investigations related thereto, and not for the purposes of general revenue.
2. Any order issued to isolate, quarantine, or treat a person or group of persons issued pursuant to subsection 1 must state the reasons that each of the actions prescribed by the order are the least restrictive means available to prevent, suppress or control the communicable disease. If a city board of health issues an order to isolate, quarantine or treat a person pursuant to subsection 1, the city board of health must:
(a) Isolate, quarantine or treat the person in the manner set forth in NRS 441A.505 to 441A.720, inclusive.
(b) Provide whatever medicines, disinfectants and provisions may be required. The city council shall pay all debts or charges so incurred from any funds available, but each patient shall, if the patient is able, pay for his or her food, medicine, clothes and medical attendance.
3. As used in this section, "communicable disease" has the meaning ascribed to it in NRS 441A.040.
[Part 30:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5264]—(NRS A 1973, 1137; 1997, 3173; 2003, 2195; 2021, 3182)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.473 - Authority of district health officer to issue order for extermination or abatement of nuisance; authorized actions.

A district health officer or his or her designee who issues an order for the extermination or abatement of mosquitoes, flies, other insects, rats or any breeding place thereof may authorize and take any action necessary to abate the nuisance or prevent its recurrence, including, without limitation:
1. Abate any stagnant pool of water or other breeding place for mosquitoes, flies, other insects or rats;
2. Treat with oil, other larvicidal material, other chemicals or other material any breeding place of mosquitoes, flies, other insects or rats;
3. Build, construct, repair and maintain necessary dikes, levees, cuts, canals or ditches upon any land, and acquire by purchase, condemnation or other lawful means, in the name of the health district, any land, right-of-way, easement, property or material necessary for the extermination or abatement of mosquitoes, flies, other insects, rats or any breeding place thereof;
4. Enter into contracts to indemnify or compensate any owner of real or other property for any injury or damage caused by the use or taking of property for dikes, levees, cuts, canals or ditches;
5. Enter upon without hindrance any land, within or without the health district, to determine whether breeding places of mosquitoes, flies, other insects or rats exist upon that land; and
6. Determine whether any person subject to an order issued pursuant to NRS 439.475 has complied with the order.
(Added to NRS by 2009, 1499)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.475 - Notice of order for abatement of nuisance; duty of health district if owner fails to comply with order.

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.
(Added to NRS by 2009, 1499)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.477 - Lien on real property for costs of abating nuisance; action to foreclose lien.

1. All money expended by a health district in abating a nuisance and preventing its recurrence on real property pursuant to NRS 439.475 constitutes a lien upon the property and may be recovered by an action against the property.
2. Notice of the lien must be filed and recorded by the health district in the office of the county recorder of the county in which the property is situated not later than 6 months after the date on which the health district completes the abatement.
3. Any action to foreclose the lien must be commenced not later than 6 months after the filing and recording of the notice of the lien.
4. An action commenced pursuant to subsection 3 must be brought by the health district in the name of the health district.
5. When the property is sold, enough of the proceeds to satisfy the lien and the costs of foreclosure must be paid to the health district and the surplus, if any, must be paid to the owner of the property if known, and if not known, must be paid into the court in which the lien was foreclosed for the use of the owner if ascertained.
(Added to NRS by 2009, 1499)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4797 - Powers of boards of health; regulations by State Environmental Commission.

1. The board of health or its agent shall, for the purposes of NRS 40.140, 40.770, 202.450 and 489.776, evaluate the removal or remediation by any entity certified or licensed to do so of:
(a) Substances involving a controlled substance, immediate precursor or controlled substance analog; and
(b) Any material, compound, mixture or preparation that contains any quantity of methamphetamine.
2. The State Environmental Commission shall adopt regulations:
(a) To carry out the provisions of subsection 1;
(b) Establishing standards pursuant to which a building or place which was used for the purpose of unlawfully manufacturing a controlled substance, immediate precursor or controlled substance analog may be deemed safe for habitation for the purposes of NRS 40.140 and 202.450; and
(c) Establishing standards pursuant to which any property that is or has been the site of a crime that involves the manufacturing of any material, compound, mixture or preparation that contains any quantity of methamphetamine may be deemed safe for habitation for the purposes of NRS 40.770 and 489.776.
3. As used in this section:
(a) "Board of health" means:
(1) In a county whose population is 700,000 or more, the district board of health; or
(2) In a county whose population is less than 700,000, the State Board of Health.
(b) "Controlled substance analog" has the meaning ascribed to it in NRS 453.043.
(c) "Immediate precursor" has the meaning ascribed to it in NRS 453.086.
(Added to NRS by 2009, 824; A 2011, 1255)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.480 - Local health officer: Supervision; jurisdiction.

The county health officer has supervision over all matters pertaining to the preservation of the lives and health of the people of the county, except incorporated cities of population categories one and two having a health officer appointed pursuant to the provisions of this chapter, which are under the jurisdiction of the city health officer, subject to the supervision and control of the Division.
[Part 31:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5265]—(NRS A 1963, 942; 2001, 635)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.490 - Abatement or removal of nuisance.

Every health officer or a designee of the health officer may order the abatement or removal of any nuisance detrimental to the public health in accordance with the laws relating to such matters.
[Part 31:199:1911; added 1919, 221; 1919 RL p. 2892; NCL § 5265]—(NRS A 2009, 1501)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4905 - Payment of assessment; exemption; regulations.

1. Unless an exemption is approved pursuant to subsection 3, each county shall pay an assessment to the Division, in an amount determined by the Division, for the costs of services provided in that county by the Division or by the Chief Medical Officer, including, without limitation, services provided pursuant to this chapter and chapters 441A, 444, 446 and 583 of NRS and the regulations adopted pursuant to those chapters, regardless of whether the county has a local health authority.
2. Each county shall pay the assessment to the Division in quarterly installments that are due on the first day of the first month of each calendar quarter.
3. A county may submit a proposal to the Governor for the county to carry out the services that would otherwise be provided by the Division or the Chief Medical Officer pursuant to this chapter and chapters 441A, 444, 446 and 583 of NRS and the regulations adopted pursuant to those chapters. If the Governor approves the proposal, the Governor shall submit a recommendation to the Interim Finance Committee to exempt the county from the assessment required pursuant to subsection 1. The Interim Finance Committee, upon receiving the recommendation from the Governor, shall consider the proposal and determine whether to approve the exemption. In considering whether to approve the exemption, the Interim Finance Committee shall consider, among other things, the best interests of the State, the effect of the exemption and the intent of the Legislature in requiring the assessment to be paid by each county.
4. An exemption that is approved by the Interim Finance Committee pursuant to subsection 3 must not become effective until at least 6 months after that approval.
5. A county that receives approval pursuant to subsection 3 to carry out the services that would otherwise be provided by the Division or the Chief Medical Officer pursuant to this chapter and chapters 441A, 444, 446 and 583 of NRS and the regulations adopted pursuant to those chapters shall carry out those services in the manner set forth in those chapters and regulations.
6. The Division may adopt such regulations as necessary to carry out the provisions of this section.
(Added to NRS by 2011, 2505; A 2013, 3039)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4921 - Definitions.

As used in NRS 439.4921 to 439.4943, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439.4923, 439.4925 and 439.4927 have the meanings ascribed to them in those sections.
(Added to NRS by 2019, 2158)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4927 - "Sickle cell disease and its variants" defined.

"Sickle cell disease and its variants" means an inherited disease caused by a mutation in a gene for hemoglobin in which red blood cells have an abnormal crescent shape that causes them to block small blood cells and die sooner than normal red blood cells and may include sickle cell disease, one or more variants or a combination thereof, as applicable.
(Added to NRS by 2019, 2158)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4929 - Establishment and maintenance of system for reporting information; objectives; persons required to report information.

1. The Chief Medical Officer shall, pursuant to the regulations adopted by the State Board of Health pursuant to NRS 439.4931, establish and maintain a system for the reporting of information on sickle cell disease and its variants.
2. The system established pursuant to subsection 1 must include a record of the cases of sickle cell disease and its variants which occur in this State along with such information concerning the cases as may be appropriate to form the basis for:
(a) Conducting comprehensive epidemiologic surveys of sickle cell disease and its variants in this State; and
(b) Evaluating the appropriateness of measures for the treatment of sickle cell disease and its variants.
3. Hospitals, medical laboratories and other facilities that provide screening, diagnostic or therapeutic services to patients with respect to sickle cell disease and its variants shall report the information prescribed by the State Board of Health pursuant to NRS 439.4931 to the system established pursuant to subsection 1.
4. Any provider of health care who diagnoses or provides treatment for sickle cell disease and its variants, except for cases directly referred to the provider or cases that have been previously admitted to a hospital, medical laboratory or other facility described in subsection 3, shall report the information prescribed by the State Board of Health pursuant to NRS 439.4931 to the system established pursuant to subsection 1.
5. As used in this section, "medical laboratory" has the meaning ascribed to it in NRS 652.060.
(Added to NRS by 2019, 2158)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4931 - Regulations of State Board of Health.

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.
(Added to NRS by 2019, 2159)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4933 - Records of health care facility: Availability to Chief Medical Officer; abstracting of information; schedule of fees for abstracting; administrative penalty for violation of section.

1. The chief administrative officer of each health care facility in this State shall make available to the Chief Medical Officer or his or her representative the records of the health care facility for each case of sickle cell disease and its variants.
2. The Division shall abstract from the records of a health care facility or shall require a health care facility to abstract from the records of the health care facility such information as is required by the State Board of Health. The Division shall compile the information in a timely manner and not later than 6 months after the Division abstracts the information or receives the abstracted information from the health care facility.
3. The State Board of Health shall by regulation adopt a schedule of fees which must be assessed to a health care facility for each case from which information is abstracted by the Division pursuant to subsection 2.
4. Any person who violates this section is subject to an administrative penalty established by regulation by the State Board of Health.
(Added to NRS by 2019, 2159)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4935 - Publication of reports; provision of data fee to cover cost of providing data.

1. The Division shall publish reports based upon the information obtained pursuant to NRS 439.4929, 439.4931 and 439.4933 and shall make other appropriate uses of the information to report and assess trends in the usage of and access to health care services by patients with sickle cell disease and its variants in a particular area or population, advance research and education concerning sickle cell disease and its variants and improve treatment of sickle cell disease and its variants and associated disorders. The reports must include, without limitation:
(a) Information concerning the locations in which patients diagnosed with sickle cell disease and its variants reside, the demographics of such patients and the utilization of health care services by such patients;
(b) The information described in paragraph (a), specific to patients diagnosed with sickle cell disease and its variants who are over 60 years of age; and
(c) The transition of patients diagnosed with sickle cell disease and its variants from pediatric to adult care upon reaching 18 years of age.
2. The Division shall provide any qualified researcher whom the Division determines is conducting valid scientific research with data from the reported information upon the researcher’s:
(a) Compliance with appropriate conditions as established under the regulations of the State Board of Health; and
(b) Payment of a fee established by the Division by regulation to cover the cost of providing the data.
(Added to NRS by 2019, 2159)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4937 - Analysis of information, records and reports; investigation of trends.

1. The Chief Medical Officer or a qualified person designated by the Administrator of the Division shall analyze the information obtained pursuant to NRS 439.4929, 439.4931 and 439.4933 and the reports published pursuant to NRS 439.4935 to determine whether any trends exist in the usage of and access to health care services by patients with sickle cell disease and its variants in a particular area or population.
2. If the Chief Medical Officer or the person designated pursuant to subsection 1 determines that a trend exists in the usage of and access to health care services by patients with sickle cell disease and its variants in a particular area or population, the Chief Medical Officer or the person designated pursuant to subsection 1 shall work with appropriate governmental, educational and research entities to investigate the trend, advance research in the trend and facilitate the treatment of sickle cell disease and its variants and associated disorders.
(Added to NRS by 2019, 2160)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4939 - Gifts, grants and donations.

The Division shall apply for and accept any gifts, grants and donations available to:
1. Carry out the provisions of NRS 439.4921 to 439.4943, inclusive;
2. Coordinate and administer any other state programs relating to research concerning sickle cell disease and its variants or assistance to patients diagnosed with sickle cell disease and its variants;
3. Pay for research concerning sickle cell disease and its variants;
4. Provide education concerning sickle cell disease and its variants; and
5. Provide support to persons diagnosed with sickle cell disease and its variants.
(Added to NRS by 2019, 2160)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4941 - Consent required before disclosure of identity of patient, physician or health care facility.

The Division shall not reveal the identity of any patient, physician or health care facility which is involved in the reporting required by NRS 439.4933 unless the patient, physician or health care facility gives prior written consent to such a disclosure.
(Added to NRS by 2019, 2160)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.4943 - Limitation on civil and criminal liability.

A person or governmental entity that provides information to the Division in accordance with NRS 439.4929, 439.4931 and 439.4933 must not be held liable in a civil or criminal action for sharing confidential information unless the person or organization has done so in bad faith or with malicious purpose.
(Added to NRS by 2019, 2160)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.495 - Establishment; purpose.

Within the limits of available money, the Division shall establish the Chronic Obstructive Pulmonary Disease Program to establish strategies for reducing the impact of chronic obstructive pulmonary disease and to coordinate efforts to assist persons with chronic obstructive pulmonary disease in this State, including, without limitation:
1. Developing effective strategies for the prevention and early diagnosis of chronic obstructive pulmonary disease;
2. Making recommendations to health care professionals concerning the treatment and management of chronic obstructive pulmonary disease, including, without limitation, recommendations to increase access to nonpharmacologic therapies;
3. Increasing public knowledge and awareness of chronic obstructive pulmonary disease, including, without limitation, the education of persons with chronic obstructive pulmonary disease, their families, health care professionals, providers of health care and the public on matters relating to chronic obstructive pulmonary disease; and
4. Soliciting funding and other resources to ensure the continuation of the Chronic Obstructive Pulmonary Disease Program and other programs which address issues relating to chronic obstructive pulmonary disease.
(Added to NRS by 2009, 303)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.496 - Powers of Division to apply for and accept gifts, grants and bequests; disposition of money; administration of account.

1. The Division may apply for and accept gifts, grants and bequests to carry out the provisions of this section and NRS 439.495.
2. Any money that is accepted by the Division pursuant to subsection 1 and any legislative appropriations made to carry out the Chronic Obstructive Pulmonary Disease Program established pursuant to NRS 439.495 must be deposited in the State Treasury and accounted for separately in the State General Fund.
3. Except as otherwise provided by the terms of a gift, grant or bequest, expenditures from the account must be made only for carrying out the provisions of this section and NRS 439.495.
4. The Administrator shall administer the account.
5. Money in the account does not revert to the State General Fund at the end of a fiscal year. The interest and income earned on the money in the account, after deducting any applicable charges, must be credited to the account. Any claims against the account must be paid as other claims against the State are paid.
(Added to NRS by 2009, 304)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.497 - Definitions.

As used in NRS 439.497 to 439.499, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439.4972 and 439.4974 have the meanings ascribed to them in those sections.
(Added to NRS by 2021, 3132)