reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.990 - Staff and volunteers to complete training; requirements for training.

All staff and volunteers of a sterile hypodermic device program shall complete training which includes, without limitation, the following information:
1. The policies and procedures of the program and relevant regulations, including, without limitation, emergency and safety policies and procedures;
2. Legal and law enforcement issues and policies regarding hypodermic devices;
3. Overdose prevention, recognition and response;
4. The risk of blood-borne diseases that may result from the use of hypodermic devices;
5. Methods for preventing the transmission or contraction of blood-borne diseases;
6. The dangers of injecting drugs and the manner in which to access treatment;
7. Information concerning the human immunodeficiency virus and hepatitis virus and the prevention of the spread of these viruses;
8. The safe disposal of hypodermic devices, including, without limitation, procedures concerning accidental needle sticks; and
9. Cultural competency, including, without limitation, sensitivity to the needs of children, lesbian, gay, bisexual and transgender individuals, racial and ethnic minorities, women, sex workers and any other participant population.
(Added to NRS by 2013, 3172)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.991 - Program authorized to provide material for safer injection drug use and certain information.

A sterile hypodermic device program may provide:
1. Sterile hypodermic devices and other related material for safer injection drug use; and
2. Information concerning:
(a) The risks associated with the use of controlled substances;
(b) Drug dependence treatment services and other health services;
(c) Support services for people with drug dependence and their families;
(d) Methods for preventing the transmission or contraction of blood-borne diseases;
(e) Employment and vocational training services and centers; and
(f) Legal aid services.
(Added to NRS by 2013, 3172)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.992 - Immunity from civil liability.

The State, any political subdivision thereof, a sterile hypodermic device program and the staff and volunteers thereof are not subject to civil liability in relation to any act or failure to act in connection with the operation of a sterile hypodermic device program, if the act or failure to act was in good faith for the purpose of executing the provisions of NRS 439.985 to 439.994, inclusive, and was not a reckless act or failure to act.
(Added to NRS by 2013, 3172)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.993 - Confidentiality of records; use of information.

1. Any record of a person which is created or obtained for use by a sterile hypodermic device program must be kept confidential and:
(a) Is not open for public inspection or disclosure;
(b) Must not be shared with any other person or entity without the consent of the person to whom the record relates; and
(c) Must not be discoverable or admissible during any legal proceeding.
2. A record described in subsection 1 must not be used:
(a) To initiate or substantiate any criminal charge against a person who participates in the sterile hypodermic device program; or
(b) As grounds for conducting any investigation of a person who participates in the sterile hypodermic device program.
3. The staff and volunteers of a sterile hypodermic device program shall not be compelled to provide evidence in any criminal proceeding conducted pursuant to the laws of this State concerning any information that was entrusted to them or became known to them through the program.
4. The use of any personal information of any person who participates in a sterile hypodermic device program or of the staff or volunteers of the sterile hypodermic device program in research and evaluation must be done in such a manner as to guarantee the anonymity of the person.
5. Aggregate data from a sterile hypodermic device program, including, without limitation, demographic information, the number of clients contacted and the types of referrals may be made available to the public.
(Added to NRS by 2013, 3172)
2023 Nevada Revised Statutes › Chapter 439 - Administration of Public Health › NRS 439.994 - Discrimination prohibited.

No person shall be subject to any discrimination in the operation of a sterile hypodermic device program on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, political affiliation, disability, national origin, residence, frequency of injection or controlled substance used.
(Added to NRS by 2013, 3173)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.010 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 439A.012 to 439A.0195, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 1971, 566; A 1977, 253; 1979, 967; 1981, 1214; 1985, 1357; 1991, 2110; 1995, 1485)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.015 - "Health facility" defined.

"Health facility" means a facility in or through which health services are provided, except for the office of a practitioner used solely to provide routine services for health to the practitioner’s patients. The term includes any parent, affiliate, subsidiary or partner of such a facility and any other entity which has a primary purpose of providing a benefit to such a facility. For the purposes of this section, "office of a practitioner used solely to provide routine services for health to the practitioner’s patients" does not include a facility which is or will be qualified to receive reimbursement, other than for the services of a practitioner, as a health facility from any public agency.
(Added to NRS by 1981, 1213; A 1985, 1358, 1749; 1991, 1075; 1995, 1485)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.017 - "Health services" defined.

"Health services" means the care and observation of patients, the diagnosis of human diseases, the treatment and rehabilitation of patients, or related services. The term includes treatment of patients for alcohol or other substance use disorders, services related to mental health and diagnostic services.
(Added to NRS by 1981, 1213; A 1983, 1524)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.0195 - "Practitioner" defined.

"Practitioner" means a physician licensed under chapter 630, 630A or 633 of NRS, dentist, licensed nurse, dispensing optician, optometrist, registered physical therapist, podiatric physician, licensed psychologist, chiropractic physician, naprapath, doctor of Oriental medicine in any form, medical laboratory director or technician, pharmacist or other person whose principal occupation is the provision of services for health.
(Added to NRS by 1985, 1357; A 1991, 1133; 1993, 2232; 2023, 1706)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.020 - Purposes of chapter.

The purposes of this chapter are to:
1. Promote equal access to quality health care at a reasonable cost;
2. Promote an adequate supply and distribution of health resources;
3. Promote uniform, effective methods of delivering health care;
4. Promote and encourage the adequate distribution of health and care facilities and human resources;
5. Promote and encourage the effective use of methods for controlling increases in the cost of health care;
6. Encourage participation in health planning by members of the several health professions, representatives of institutions and agencies interested in the provision of health care and the reduction of the cost of such care, and the general public;
7. Utilize the viewpoint of the general public for making decisions;
8. Provide information to the general public concerning the charges imposed and the quality of the services provided by the hospitals and surgical centers for ambulatory patients in this State;
9. Encourage public education regarding proper personal health care and methods for the effective use of available health services; and
10. Promote a program of technical assistance to purchasers to contain effectively the cost of health care, including:
(a) Providing information to purchasers regarding the charges made by practitioners.
(b) Training purchasers to negotiate successfully for a policy of health insurance.
(c) Conducting studies and providing other information about measures to assist purchasers in containing the cost of health care.
(Added to NRS by 1971, 566; A 1977, 254; 1983, 1524; 1985, 1358; 2007, 2354)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.081 - Department is state agency for health planning and development; powers of Director; fees.

1. The Department is the agency of the State of Nevada for health planning and development, and shall carry out the state administrative program and perform the functions of health planning and development for the State in accordance with the following priorities:
(a) Providing for the effective use of methods for controlling increases in the cost of health care;
(b) Providing for the adequate supply and distribution of health resources;
(c) Providing for equal access to health care of good quality at a reasonable cost; and
(d) Providing education to the public regarding proper personal health care and methods for the effective use of available health services.
2. In order to carry out the provisions of this chapter, the Director may:
(a) Delegate the duties of the Director and the Department pursuant to this chapter to any of the divisions of the Department;
(b) Hire employees in the classified service;
(c) Adopt such regulations as are necessary; and
(d) Apply for, accept and disburse money granted by the Federal Government for the purposes of health planning and development.
3. The Department may, by regulation, fix fees to be collected from applicants seeking approval of proposed health facilities or services. The amounts of such fees must be based upon the Department’s costs of examining and acting upon the applications.
4. Any application fees collected pursuant to subsection 3 are not refundable and must be deposited in the State Treasury and accounted for separately in the State General Fund. Any interest and income earned on the money in the account, after deducting any applicable charges, must be credited to the account. Any money remaining in the account at the end of a fiscal year does not revert to the State General Fund and the balance in the account must be carried forward to the next fiscal year. Any money remaining in the account that is not committed for expenditure after 2 fiscal years following the date on which the money is paid as a fee reverts to the State General Fund. All claims against the account must be paid as other claims against the State are paid. The money in the account must be used to pay the costs of administering the state administrative program.
5. In developing and revising any state plan for health planning and development, the Department shall consider, among other things, the amount of money available from the Federal Government for health planning and development and the conditions attached to the acceptance of that money, and the limitations of legislative appropriations for health planning and development.
(Added to NRS by 1977, 257; A 1979, 967; 1981, 1216, 1899; 1983, 1525; 1985, 1359; 1989, 1945; 1991, 2110; 1995, 1485; 2015, 2435)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.082 - Director to contract with Nevada System of Higher Education to collect and analyze information from health facilities and purchasers of health care.

The Director, through the Division of Health Care Financing and Policy of the Department, shall contract with the Nevada System of Higher Education to collect and analyze information from health facilities and purchasers of health care to:
1. Respond to requests for information from the Legislature.
2. Provide technical assistance to purchasers of health care.
3. Provide the Department with information necessary to carry out the provisions of this chapter.
4. Provide other persons with information relating to the cost of health care.
(Added to NRS by 1985, 1357; A 1993, 403; 1997, 2632; 1999, 2242)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.083 - Director to establish procedure for review of statutes, regulations and standards governing approval, licensing or certification of health facilities.

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.
(Added to NRS by 1985, 1357; A 2019, 1013)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.086 - Chief Research and Statistical Analyst: Position created.

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.
(Added to NRS by 1989, 1399; A 2005, 22nd Special Session, 55)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.102 - Approval of Director or designee required for closure or conversion of hospital in certain counties; regulations; contents of and criteria for review of application; exception.

1. Except as otherwise provided in this section, no person may close a hospital in a county whose population is 100,000 or more or convert a hospital in such a county into a different type of health facility without first applying for and obtaining the written approval of the Director or the designee of the Director. The Division of Public and Behavioral Health of the Department shall not issue a new license or alter an existing license for conversion to a different type of health facility unless the Director or the designee of the Director has issued such an approval.
2. The Director may adopt regulations which prescribe the process to apply for written approval pursuant to this section.
3. An applicant must provide any information requested by the Director or the designee of the Director for consideration of an application, which must include, without limitation, information related to:
(a) The location of the hospital;
(b) The ownership structure of the hospital;
(c) Whether the closure or conversion is likely to benefit any other health facility in the same geographic area as the hospital in which any person with an ownership interest in the hospital also has an ownership interest;
(d) An explanation of the need for the closure or conversion;
(e) Data regarding the population served by the hospital in the 24 months immediately preceding the application; and
(f) The manner in which and the locations where the population served by the hospital will be able to obtain the health services that were provided by the hospital during the 24 months following the closure or conversion of the hospital.
4. The Director or the designee of the Director shall not approve an application submitted pursuant to subsection 1 without considering the information required to be submitted pursuant to subsection 3.
5. The decision of the Director or the designee of the Director pursuant to this section is a final decision for the purposes of judicial review.
6. The provisions of this section do not apply to any person who ceases to operate hospitals in this State.
(Added to NRS by 2023, 2016)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.111 - Definitions.

As used in NRS 439A.111 to 439A.122, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439A.112 and 439A.114 have the meanings ascribed to them in those sections.
(Added to NRS by 2021, 796)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.118 - Health Care Workforce Working Group: Establishment; membership; Chair; meetings; quorum; service without compensation; members holding public office or employed by governmental entity; administrative support.

1. The Director shall establish the Health Care Workforce Working Group within the Department. The Director shall appoint to the Working Group providers of health care and representatives of:
(a) Groups that represent providers of health care and consumers of health care;
(b) The Nevada System of Higher Education, universities, state colleges, community colleges and other institutions in this State that train providers of health care;
(c) The Department of Health and Human Services; and
(d) Professional licensing boards that license, certify or register providers of health care.
2. The Director shall appoint a Chair of the Working Group. The Working Group shall meet at the call of the Chair. A majority of the members of the Working Group constitutes a quorum and is required to transact any business of the Working Group.
3. The members of the Working Group serve without compensation and are not entitled to receive the per diem allowance and travel expenses provided for state officers and employees generally.
4. A member of the Working Group 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 to prepare for and attend meetings of the Working Group and perform any work necessary to carry out the duties of the Working Group 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 Working Group to:
(a) Make up the time he or she is absent from work to carry out his or her duties as a member of the Working Group; or
(b) Take annual leave or compensatory time for the absence.
5. The Department shall provide such administrative support to the Working Group as is necessary to carry out the duties of the Working Group.
(Added to NRS by 2021, 797)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.121 - Health Care Workforce Working Group: Duties; reports.

1. The Working Group shall:
(a) Make recommendations to the Director concerning the information included in the database pursuant to NRS 439A.116;
(b) Analyze the information contained in the database; and
(c) Make recommendations to the Department of Health and Human Services, the Department of Education, the Board of Regents of the University of Nevada, the Legislature, professional licensing boards that license, certify or register providers of health care and other relevant persons and entities concerning ways in which to:
(1) Attract more persons, including, without limitation, members of underrepresented groups, to pursue the education necessary to practice as a provider of health care and practice as a provider of health care in this State; and
(2) Improve health outcomes and public health in this State.
2. The Working Group may publish reports of any of its findings or recommendations.
(Added to NRS by 2021, 798)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.122 - Regulations; contracts and agreements; gifts, grants and donations.

1. The Director may:
(a) Adopt any regulations necessary to carry out the provisions of NRS 439A.111 to 439A.122, inclusive;
(b) Enter into any contracts or agreements necessary to carry out the provisions of NRS 439A.111 to 439A.122, inclusive; and
(c) Apply for and accept any gifts, grants and donations to carry out the provisions of NRS 439A.111 to 439A.122, inclusive.
2. If the Director enters into a contract or agreement pursuant to this section for the establishment or maintenance of the database, the analysis of data or the issuance of reports pursuant to NRS 439A.116, the contract must provide the Director with unrestricted access to any data maintained by the contracting entity and any analysis or reporting performed by the contracting entity.
(Added to NRS by 2021, 798)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.124 - Data request to Board of Medical Examiners and State Board of Osteopathic Medicine for certain information concerning physicians; confidentiality of information; posting of report on Internet website.

1. The Department shall develop and make available to the Board of Medical Examiners and the State Board of Osteopathic Medicine an electronic data request to be completed by an applicant for the renewal of a license as a physician or a biennial registration pursuant to NRS 630.267. The electronic data request must solicit from each such applicant the following information:
(a) Whether the applicant is employed by a hospital, a health system or an entity owned by a health system or practices independently from a hospital, a health system or an entity owned by a health system;
(b) If the applicant is employed by a hospital, a health system or an entity owned by a health system, the name of the hospital or health system or the entity and the health system that owns the entity, as applicable;
(c) If the applicant is employed by an entity other than a hospital, a health system or an entity owned by a health system, the name of the legal entity which owns the practice and any assumed or fictitious name of that entity known to the applicant; and
(d) If the applicant practices independently from a hospital, a health system or an entity owned by a health system, the name of the practice of the applicant.
2. The Department shall collect and maintain the information collected pursuant to subsection 1. Such information is confidential and any reporting of the information maintained pursuant to this section by the Department must be in an aggregate form that does not reveal the identity of any physician.
3. The Department shall annually prepare and post on an Internet website maintained by the Department a report based on the data collected pursuant to subsection 1 that analyzes trends in the employment and practices of physicians in this State.
(Added to NRS by 2021, 550)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.130 - Definitions.

As used in NRS 439A.130 to 439A.185, inclusive, the words and terms defined in NRS 439A.135 to 439A.165, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2009, 772; A 2013, 3045)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.150 - "J-1 visa physician" defined.

"J-1 visa physician" means a foreign medical graduate who:
1. Has an offer of full-time employment at a health facility in an area designated by the Federal Government as a health care professional shortage area or at a health facility which serves patients from such a designated area, and agrees to begin employment at that facility within 90 days after receiving a J-1 visa waiver;
2. Signs a contract to continue to work at that health facility for a total of 40 hours per week for not less than 3 years;
3. Applies for or has been issued a license to practice medicine pursuant to chapter 630 of NRS; and
4. Applies for a J-1 visa waiver.
(Added to NRS by 2009, 772)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.155 - "J-1 visa waiver" defined.

"J-1 visa waiver" means a waiver of the 2-year foreign residence requirement authorized pursuant to 8 U.S.C. § 1182(e) for a physician who holds a J-1 visa.
(Added to NRS by 2009, 772)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.170 - Establishment; regulations; application fees; accounting and use of money; administration of Program.

1. The Physician Visa Waiver Program is hereby established in the Division. The Administrator shall administer the Program consistent with federal law and the provisions of NRS 439A.130 to 439A.185, inclusive, and the regulations adopted pursuant thereto. The Program must:
(a) Provide for the oversight of employers and J-1 visa physicians in this State;
(b) Evaluate applications for letters of support submitted pursuant to NRS 439A.175; and
(c) Issue letters of support.
2. The State Board of Health shall adopt regulations:
(a) Providing for the administration of the Program; and
(b) Establishing an application fee, not to exceed $2,000, payable to the Program by an employer or J-1 visa physician who applies for a letter of support pursuant to NRS 439A.175.
3. Any application fees collected by the Program are not refundable and must be deposited in the State Treasury and accounted for separately in the State General Fund. Any interest and income earned on the money in the account, after deducting any applicable charges, must be credited to the account. Any money remaining in the account at the end of a fiscal year does not revert to the State General Fund. All claims against the account must be paid as other claims against the State are paid. The money in the account must be used to pay the costs of administering the Program and for training and educating J-1 visa physicians and employers.
4. The Division is hereby designated as the agency of this State to cooperate with the Federal Government in the administration of the Program.
(Added to NRS by 2009, 772; A 2015, 360)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.175 - Application for letter of support; qualifications; conditions for contract between employer and J-1 visa physician.

1. An employer or J-1 visa physician who seeks a letter of support must:
(a) Apply to the Program for a letter of support in the manner prescribed by the State Board of Health;
(b) Include with the application proof satisfactory to the Division that the J-1 visa physician is licensed to practice medicine pursuant to chapter 630 of NRS or has submitted an application for a license to practice medicine pursuant to chapter 630 of NRS; and
(c) Include with the application a copy of the contract entered into by the employer and the J-1 visa physician.
2. The contract entered into by the employer and the J-1 visa physician:
(a) Must comply with:
(1) All applicable provisions of federal law; and
(2) The regulations adopted by the State Board of Health pursuant to NRS 439A.130 to 439A.185, inclusive.
(b) Must not include:
(1) A noncompete clause or restrictive covenant that prevents or discourages the J-1 visa physician from continuing to practice after the term of the contract expires; or
(2) Any provision authorizing termination without cause.
3. The Program may provide a letter of support to a J-1 visa physician:
(a) If the Program determines that the waiver is in the public interest;
(b) If the contract entered into by the employer and the J-1 visa physician complies with the provisions of this section; and
(c) Upon payment of the prescribed application fee.
(Added to NRS by 2009, 773)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.180 - Violations and penalties.

1. In addition to any other penalty prescribed by law:
(a) A J-1 visa physician who:
(1) Does not provide the required minimum hours of health services in an area designated by the Federal Government as a health care professional shortage area;
(2) Refuses to provide health services to medically underserved persons in this State; or
(3) Violates any provision of state law governing physicians or the provision of health services; or
(b) An employer who:
(1) Employs a J-1 visa physician in a manner other than that specified in the contract entered into by the employer and the J-1 visa physician;
(2) Violates any provision of NRS 439A.130 to 439A.185, inclusive, or any regulation adopted pursuant thereto; or
(3) Violates any provision of state law governing physicians or the provision of health services,
is subject to the penalty prescribed by the State Board of Health pursuant to subsection 2.
2. The State Board of Health shall adopt regulations establishing:
(a) The procedure for reporting a violation of this section; and
(b) The penalty for any violation of this section.
(Added to NRS by 2009, 773)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.185 - Civil and criminal immunity for reporting violations.

A person who reports or provides any information concerning a violation of NRS 439A.130 to 439A.185, inclusive, or any regulation adopted pursuant thereto, to a governmental entity is immune from any civil or criminal liability for that action.
(Added to NRS by 2009, 774)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.190 - Official recognition required; duty of Department to maintain Internet website; certain activities deemed not to be unfair methods of competition or unfair or deceptive trade practices.

1. A primary care practice shall not represent itself as a patient-centered medical home unless the primary care practice is certified, accredited or otherwise officially recognized as a patient-centered medical home by a nationally recognized organization for the accrediting of patient-centered medical homes.
2. The Department shall post on an Internet website maintained by the Department links to nationally recognized organizations for the accrediting of patient-centered medical homes and any other information specified by the Department to allow patients to find a patient-centered medical home that meets the requirements of this section and any regulations adopted pursuant thereto.
3. Any coordination between an insurer and a patient-centered medical home or acceptance of an incentive from an insurer by a patient-centered medical home that is authorized by federal law shall not be deemed to be an unfair method of competition or an unfair or deceptive trade practice or other act or practice prohibited by the provisions of chapter 598 or 686A of NRS.
4. As used in this section:
(a) "Patient-centered medical home" means a primary care practice that:
(1) Offers patient-centered, continuous, culturally competent, evidence-based, comprehensive health care that is led by a provider of primary care and a team of health care providers, coordinates the health care needs of the patient and uses enhanced communication strategies and health information technology; and
(2) Emphasizes enhanced access to practitioners and preventive care to improve the outcomes for and experiences of patients and lower the costs of health services.
(b) "Primary care practice" means a federally qualified health center, as defined in 42 U.S.C. § 1396d(l)(2)(B), or a business where health services are provided by one or more advanced practice registered nurses or one or more physicians who are licensed pursuant to chapter 630 or 633 of NRS and who practice in the area of family practice, internal medicine or pediatrics.
(Added to NRS by 2015, 1550)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.200 - Definitions.

As used in NRS 439A.200 to 439A.290, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439A.205, 439A.207 and 439A.210 have the meanings ascribed to them in those sections.
(Added to NRS by 2007, 2350; A 2011, 1802)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.207 - "Potentially preventable readmission" defined.

"Potentially preventable readmission" means an unplanned readmission of a patient which:
1. Occurs not more than 30 days after the patient is discharged;
2. Is clinically related to the initial admission; and
3. Was preventable.
(Added to NRS by 2011, 1802)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.220 - Information concerning hospitals: Establishment of program; information to be collected, maintained and provided through program.

1. The Department shall establish and maintain a program to increase public awareness of health care information concerning the hospitals in this State. The program must be designed to assist consumers with comparing the quality of care provided by the hospitals in this State and the charges for that care.
2. The program must include, without limitation, the collection, maintenance and provision of information concerning:
(a) Inpatients and outpatients of each hospital in this State as reported in the forms submitted pursuant to NRS 449.485;
(b) The quality of care provided by each hospital in this State as determined by applying measures of quality endorsed by the entities described in subparagraph (1) of paragraph (b) of subsection 1 of NRS 439A.230, expressed as a number of events and rate of occurrence, if such measures can be applied to the information reported in the forms submitted pursuant to NRS 449.485;
(c) How consistently each hospital follows recognized practices to prevent the infection of patients, to speed the recovery of patients and to avoid medical complications of patients;
(d) For each hospital, the total number of patients discharged, the average length of stay and the average billed charges, reported by diagnosis-related groups for inpatients and for the 50 medical treatments for outpatients that the Department determines are most useful for consumers;
(e) The total number of patients discharged from the hospital and the total number of potentially preventable readmissions, which must be expressed as a total number and a rate of occurrence of potentially preventable readmissions, and the average length of stay and the average billed charges for those potentially preventable readmissions;
(f) To the extent that money is available for that purpose, for each hospital, the name of each physician who performed a surgical procedure in the hospital and the total number of surgical procedures performed by the physician, reported by diagnosis-related group if the information is available and by principal diagnosis, principal surgical procedure and secondary surgical procedure; and
(g) Any other information relating to the charges imposed and the quality of the services provided by the hospitals in this State which the Department determines is:
(1) Useful to consumers;
(2) Nationally recognized; and
(3) Reported in a standard and reliable manner.
3. As used in this section, "diagnosis-related group" means groupings of medical diagnostic categories used as a basis for hospital payment schedules by Medicare and other third-party health care plans.
(Added to NRS by 2007, 2350; A 2011, 1802, 2126, 2660)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.230 - Information concerning hospitals: Regulations; deadline for submission of information; notice of failure to provide information to be sent to Division of Public and Behavioral Health.

1. The Department shall, by regulation:
(a) Prescribe the information that each hospital in this State must submit to the Department for the program established pursuant to NRS 439A.220.
(b) Prescribe the measures of quality for hospitals that are required pursuant to paragraph (b) of subsection 2 of NRS 439A.220. In adopting the regulations, the Department shall:
(1) Use the measures of quality endorsed by the Agency for Healthcare Research and Quality, the National Quality Forum, Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services, a quality improvement organization of the Centers for Medicare and Medicaid Services and the Joint Commission;
(2) Prescribe a reasonable number of measures of quality which must not be unduly burdensome on the hospitals; and
(3) Take into consideration the financial burden placed on the hospitals to comply with the regulations.
The measures prescribed pursuant to this paragraph must report health outcomes of hospitals, which do not necessarily correlate with the inpatient diagnosis-related groups or the outpatient treatments that are posted on the Internet website pursuant to NRS 439A.270.
(c) Prescribe the manner in which a hospital must determine whether the readmission of a patient must be reported pursuant to NRS 439A.220 as a potentially preventable readmission and the form for submission of such information.
(d) Require each hospital to:
(1) Provide the information prescribed in paragraphs (a), (b) and (c) in the format required by the Department; and
(2) Report the information separately for inpatients and outpatients.
2. The information required pursuant to this section and NRS 439A.220 must be submitted to the Department not later than 45 days after the last day of each calendar month.
3. If a hospital fails to submit the information required pursuant to this section or NRS 439A.220 or submits information that is incomplete or inaccurate, the Department shall send a notice of such failure to the hospital and to the Division of Public and Behavioral Health of the Department.
(Added to NRS by 2007, 2350; A 2011, 1803)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.240 - Information concerning surgical centers for ambulatory patients: Establishment of program; information to be collected, maintained and provided through program.

1. The Department shall establish and maintain a program to increase public awareness of health care information concerning the surgical centers for ambulatory patients in this State. The program must be designed to assist consumers with comparing the quality of care provided by the surgical centers for ambulatory patients in this State and the charges for that care.
2. The program must include, without limitation, the collection, maintenance and provision of information concerning:
(a) The charges imposed on outpatients by each surgical center for ambulatory patients in this State as reported in the forms submitted pursuant to NRS 439A.250;
(b) The quality of care provided by each surgical center for ambulatory patients in this State as determined by applying uniform measures of quality prescribed by the Department pursuant to NRS 439A.250;
(c) How consistently each surgical center for ambulatory patients follows recognized practices to prevent the infection of patients, to speed the recovery of patients and to avoid medical complications of patients;
(d) For each surgical center for ambulatory patients, the total number of patients discharged and the average billed charges, reported for 50 medical treatments for outpatients that the Department determines are most useful for consumers;
(e) To the extent that money is available for that purpose, for each surgical center for ambulatory patients, the name of each physician who performed a surgical procedure in the surgical center for ambulatory patients and the total number of surgical procedures performed by the physician, reported by type of medical treatment, principal diagnosis and, if the information is available, by principal surgical procedure and secondary surgical procedure; and
(f) Any other information relating to the charges imposed and the quality of the services provided by the surgical centers for ambulatory patients in this State which the Department determines is:
(1) Useful to consumers;
(2) Nationally recognized; and
(3) Reported in a standard and reliable manner.
(Added to NRS by 2007, 2351; A 2011, 2661)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.250 - Information concerning surgical centers for ambulatory patients: Regulations; deadline for submission of information; notice of failure to provide information to be sent to Division of Public and Behavioral Health.

1. The Department shall, by regulation:
(a) Prescribe the information that each surgical center for ambulatory patients in this State must submit to the Department for the program as set forth in NRS 439A.240 and the form for submission of such information.
(b) Prescribe the measures of quality for surgical centers for ambulatory patients that are required pursuant to paragraph (b) of subsection 2 of NRS 439A.240. In adopting the regulations, the Department shall:
(1) Use measures of quality which are substantially similar to those required pursuant to subparagraph (1) of paragraph (b) of subsection 1 of NRS 439A.230;
(2) Prescribe a reasonable number of measures of quality which must not be unduly burdensome on the surgical centers for ambulatory patients; and
(3) Take into consideration the financial burden placed on the surgical centers for ambulatory patients to comply with the regulations.
The measures prescribed pursuant to this paragraph must report health outcomes of surgical centers for ambulatory patients, which do not necessarily correlate with the outpatient treatments posted on the Internet website pursuant to NRS 439A.270.
(c) Require each surgical center for ambulatory patients to provide the information prescribed in paragraphs (a) and (b) in the format required by the Department.
(d) Prescribe which surgical centers for ambulatory patients in this State must participate in the program established pursuant to NRS 439A.240.
2. The information required pursuant to this section and NRS 439A.240 must be submitted to the Department not later than 45 days after the last day of each calendar month.
3. If a surgical center for ambulatory patients fails to submit the information required pursuant to this section or NRS 439A.240 or submits information that is incomplete or inaccurate, the Department shall send a notice of such failure to the surgical center for ambulatory patients and to the Division of Public and Behavioral Health of the Department.
(Added to NRS by 2007, 2352)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.260 - Department to collect and maintain information and make summary of information available to certain persons; information to be aggregated.

1. The Department shall collect and maintain all information that it receives from the hospitals and surgical centers for ambulatory patients in this State pursuant to NRS 439A.220 to 439A.250, inclusive. Upon request, the Department shall make a summary of the information available to:
(a) Consumers of health care;
(b) Providers of health care;
(c) Representatives of the health insurance industry; and
(d) The general public.
2. The Department shall ensure that the information it provides pursuant to this section is aggregated so as not to reveal the identity of a specific inpatient or outpatient of a hospital or of a surgical center for ambulatory patients.
(Added to NRS by 2007, 2352)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.280 - Suspension of certain components of program or duties of Department if sufficient money not available; acceptance of gifts and grants.

1. On or before July 1 of each odd-numbered year, the Department shall make a determination of whether sufficient money is available and authorized for expenditure to fund one or more components of the programs and other duties of the Department relating to NRS 439A.200 to 439A.290, inclusive.
2. The Department shall temporarily suspend any components of the program or duties of the Department, other than those set forth in NRS 439A.240 and 439A.250, for which it determines pursuant to subsection 1 that sufficient money is not available.
3. The Department may accept any gift, donation, bequest, grant or other source of money for the purpose of carrying out the provisions of NRS 439A.200 to 439A.290, inclusive.
(Added to NRS by 2007, 2354; A 2017, 604)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.290 - Duty of Department to consult; Department allowed to contract with certain entities for analysis of information collected and maintained by Department; regulations for review and release of information; annual report concerning requests for release of information.

1. In carrying out the provisions of NRS 439A.200 to 439A.290, inclusive, the Department:
(a) Shall work in consultation with a quality improvement organization of the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services; and
(b) May contract with the Nevada System of Higher Education or any appropriate, independent and qualified person or entity to analyze the information collected and maintained by the Department pursuant to NRS 439A.200 to 439A.290, inclusive. Such a contractor may release or publish or otherwise use information made available to it pursuant to the contract if the Department determines that the information is accurate and the contractor complies with the regulations adopted pursuant to subsection 2.
2. The Department shall adopt regulations for the review and release of information collected and maintained by the Department pursuant to NRS 439A.200 to 439A.290, inclusive. The regulations must require, without limitation, the Department to review each request for information if the request is for purposes other than research.
3. The Department shall, on or before July 1 of each year, submit to the Joint Interim Standing Committee on Health and Human Services a report concerning each request that is made pursuant to subsection 2 and the determination of the Department with regard to each request.
(Added to NRS by 2007, 2354)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.300 - Injunctions.

1. Except as provided in subsection 2, the Department may apply to any court of competent jurisdiction to enjoin any person, state agency or local governmental agency which has engaged in or is about to engage in any act which violates any provision of this chapter or the regulations adopted pursuant thereto. Such injunction may be issued without proof of actual damage sustained by any person.
2. The Department shall not seek injunctive relief under this section if it has imposed a civil penalty for the same violation.
(Added to NRS by 1977, 257; A 1983, 1528)
2023 Nevada Revised Statutes › Chapter 439A - Planning for the Provision of Health Care › NRS 439A.310 - Civil penalties.

1. Except as otherwise provided in subsection 2, any person who violates any of the provisions of this chapter is liable to the State for a civil penalty of:
(a) Where the provision violated governs the licensing of a project which is required to be approved pursuant to NRS 439A.100 or 439A.102, not more than 10 percent of the proposed expenditure for the project.
(b) Where any other provision is violated, not more than $20,000 for each violation.
2. The Department shall not impose a penalty under this section if it applies for injunctive relief to prevent the same violation.
(Added to NRS by 1983, 1523; A 1991, 1077; 1995, 1488; 2023, 2018)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.010 - Definitions.

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.
(Added to NRS by 1987, 862; A 1991, 2111, 2333; 1993, 619, 620; 1999, 2238)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.090 - "Fiscal year" defined.

1. Except as otherwise provided in subsection 2, "fiscal year" means a period beginning on July 1 and ending on June 30 of the following year.
2. A hospital’s "fiscal year" is the period of 12 months used by a hospital for the purposes of accounting and the preparation of annual budgets and financial statements.
(Added to NRS by 1987, 863)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.115 - "Major hospital" defined.

"Major hospital" means a hospital in this State which has 200 or more licensed or approved beds, or any hospital in a group of affiliated hospitals in a county which have a combined total of 200 or more licensed or approved beds, that is not operated by a federal, state or local governmental agency.
(Added to NRS by 1991, 2332)