reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.721 - "Out-of-network provider" defined.

"Out-of-network provider" means, for a particular covered person, a provider of health care that has not entered into a provider contract with a third party for the provision of health care to the covered person.
(Added to NRS by 2019, 320)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.730 - "Prudent person" defined.

"Prudent person" means a person who:
1. Is not a provider of health care;
2. Possesses an average knowledge of health and medicine; and
3. Is acting reasonably under the circumstances.
(Added to NRS by 2019, 321)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.736 - "Third party" defined. [Effective through December 31, 2025.] "Third party" defined. [Effective January 1, 2026.]

1. "Third party" includes, without limitation:
(a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services;
(b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043; and
(c) Any other entity or organization that elects pursuant to NRS 439B.757 for the provisions of NRS 439B.700 to 439B.760, inclusive, to apply to the provision of medically necessary emergency services by out-of-network providers to covered persons.
2. The term does not include the State Plan for Medicaid, the Children’s Health Insurance Program or a health maintenance organization, as defined in NRS 695C.030, or managed care organization, as defined in NRS 695G.050, when providing health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department.
(Added to NRS by 2019, 321)
1. "Third party" includes, without limitation:
(a) The issuer of a health benefit plan, as defined in NRS 695G.019, which provides coverage for medically necessary emergency services;
(b) The Public Employees’ Benefits Program established pursuant to subsection 1 of NRS 287.043;
(c) The Public Option established pursuant to NRS 695K.200; and
(d) Any other entity or organization that elects pursuant to NRS 439B.757 for the provisions of NRS 439B.700 to 439B.760, inclusive, to apply to the provision of medically necessary emergency services by out-of-network providers to covered persons.
2. The term does not include the State Plan for Medicaid, the Children’s Health Insurance Program or a health maintenance organization, as defined in NRS 695C.030, or managed care organization, as defined in NRS 695G.050, when providing health care services through managed care to recipients of Medicaid under the State Plan for Medicaid or insurance pursuant to the Children’s Health Insurance Program pursuant to a contract with the Division of Health Care Financing and Policy of the Department.
(Added to NRS by 2019, 321; A 2021, 3644, effective January 1, 2026)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.742 - Inapplicability of provisions to certain hospitals, persons and health care services.

The provisions of NRS 439B.745 and 439B.748 do not apply to:
1. A hospital which has been certified as a critical access hospital by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 1395i-4(e) or any medically necessary emergency services provided at such a hospital;
2. A person who is covered by a policy of health insurance that was sold outside this State; or
3. Any health care services provided more than 24 hours after notification is provided pursuant to NRS 439B.745 that a person has been stabilized.
(Added to NRS by 2019, 321)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.745 - Limitation on amount out-of-network provider may collect from covered person; duties of out-of-network emergency facility upon providing services.

1. An out-of-network provider shall not collect from a covered person for medically necessary emergency services, and a covered person is not responsible for paying, an amount that exceeds the copayment, coinsurance or deductible required for such services provided by an in-network provider by the coverage for that person.
2. An out-of-network emergency facility that provides medically necessary emergency services to a covered person shall:
(a) When possible, notify the third party that provides coverage for the covered person not later than 8 hours after the covered person presents at the out-of-network emergency facility to receive medically necessary emergency services; and
(b) Notify the third party that the condition of the covered person has stabilized to such a degree that the person may be transferred to an in-network emergency facility not later than 24 hours after the person’s emergency medical condition is stabilized. Not later than 24 hours after the third party receives such notice, the third party shall arrange for the transfer of the person to such a facility.
(Added to NRS by 2019, 321)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.748 - Payment to out-of-network emergency facility by third party.

1. If an out-of-network emergency facility had a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person, the third party that provides coverage for the covered person shall pay to the out-of-network emergency facility for those services, and the out-of-network emergency facility shall accept as payment in full for those services, except for any copayment, coinsurance or deductible that the coverage requires the covered person to pay for the services when provided by an in-network emergency facility:
(a) If the out-of-network emergency facility was an in-network emergency facility within the 12 months immediately preceding the provision of medically necessary emergency services, 108 percent of the amount that would have been paid for those services pursuant to the most recent applicable provider contract between the third party and the out-of-network emergency facility, less the amount of the copayment, coinsurance or deductible, if applicable.
(b) If the out-of-network emergency facility was an in-network emergency facility within the 24 months immediately preceding the provision of medically necessary emergency services, but not within the 12 months immediately preceding the provision of those services, 115 percent of the amount that would have been paid for those services pursuant to the most recent applicable provider contract between the third party and the out-of-network emergency facility, less the amount of the copayment, coinsurance or deductible, if applicable.
2. If an out-of-network emergency facility did not have a provider contract as an in-network emergency facility within the 24 months immediately preceding the date on which the medically necessary emergency services were rendered to a covered person, the third party that provides coverage to the covered person shall pay to the out-of-network emergency facility an amount that the third party has determined to be fair and reasonable as payment for the medically necessary emergency services, except for any copayment, coinsurance or deductible that the coverage requires the covered person to pay for the services when provided by an in-network emergency facility.
(Added to NRS by 2019, 322)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.757 - Election by certain entities and organizations not otherwise covered to submit to provisions; regulations.

Any entity or organization, not otherwise subject to the provisions of NRS 439B.700 to 439B.760, inclusive, that provides coverage for emergency medical services, including, without limitation, a participating public agency, as defined in NRS 287.04052, and any other local governmental agency which provides a system of health insurance for the benefit of its officers and employees, and the dependents of such officers and employees, pursuant to chapter 287 of NRS, may elect for the provisions of NRS 439B.700 to 439B.760, inclusive, to apply to the provision of medically necessary emergency services by out-of-network providers to covered persons. The Director of the Department of Health and Human Services shall:
1. Publish on an Internet website maintained by the Department a list of third parties that have made such an election; and
2. Adopt regulations governing such an election, which may include, without limitation, regulations that establish the procedure by which a third party may make such an election.
(Added to NRS by 2019, 325)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.760 - Reports; confidentiality of information.

1. On or before December 31 of each year, an arbitrator who arbitrated a matter pursuant to NRS 439B.754 during the immediately preceding 12 months shall report to the Department of Health and Human Services in the form prescribed by the Department:
(a) The number of cases arbitrated by the arbitrator;
(b) The types of providers of health care and third parties involved in those cases;
(c) The prevailing party in each such arbitration;
(d) Information concerning the geographic location of the provider of health care that provided medically necessary emergency services; and
(e) Any other information requested by the Department.
2. A provider of health care or third party:
(a) Shall provide to the Department any information requested by the Department to complete the report required by subsection 3; and
(b) May provide to the Department any other information relevant to that report.
3. On or before January 31 of each year, the Department shall:
(a) Compile a report which consists of:
(1) Aggregated information provided to the Department pursuant to subsections 1 and 2, presented in a manner that does not reveal the identity of any provider of health care, third party or patient;
(2) An analysis of any identifiable trends in the information described in subparagraph (1); and
(3) An analysis of the impact of actions taken pursuant to NRS 439B.700 to 439B.760, inclusive, on provider contracts and the provision of health care in this State;
(b) Post the report on an Internet website maintained by the Department; and
(c) Submit the report to the Director of the Legislative Counsel Bureau for transmittal to:
(1) In even-numbered years, the Joint Interim Standing Committee on Health and Human Services; and
(2) In odd-numbered years, the next regular session of the Legislature.
4. Any information disclosed to the Department pursuant to this section is confidential.
(Added to NRS by 2019, 325)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.800 - Definitions.

As used in NRS 439B.800 to 439B.875, inclusive, unless the context otherwise requires, the words and terms defined in NRS 439B.805 to 439B.830, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2021, 3050)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.815 - "Direct patient identifier" defined.

"Direct patient identifier" means data that directly identifies a patient, including, without limitation, a name, telephone number, social security number, number associated with a medical record, health plan beneficiary number or electronic mail address.
(Added to NRS by 2021, 3051)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.820 - "Proprietary financial information" defined.

"Proprietary financial information" means data that discloses or allows the determination of:
1. A specific term of a contract, discount or other agreement between any or all of a provider of health care, a health facility, a manufacturer of prescription drugs and an entity described in NRS 439B.840; or
2. An internal fee schedule or other unique pricing mechanism used by a provider of health care, a health facility or an entity described in NRS 439B.840.
(Added to NRS by 2021, 3051)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.835 - Establishment of database; duties of Department; advisory committees.

1. The Department shall, to the extent that federal money is available for this purpose, establish an all-payer claims database of information relating to health insurance claims resulting from medical, dental or pharmacy benefits provided in this State.
2. If the Department establishes an all-payer claims database pursuant to subsection 1, the Department shall:
(a) Establish a secure process for uploading data to the database pursuant to NRS 439B.840. When establishing that process, the Department shall consider the time and cost incurred to upload data to the database.
(b) Establish and carry out a process to review the data submitted to the database to:
(1) Ensure the accuracy of the data and the consistency of records; and
(2) Identify and remove duplicate records.
3. If the Department establishes an all-payer claims database pursuant to subsection 1, the Department:
(a) Shall adopt regulations to establish an advisory committee to make recommendations to the Department concerning the collection, analysis and reporting of data in the all-payer claims database, secure access to such data and the release of such data pursuant to NRS 439B.800 to 439B.875, inclusive.
(b) May adopt regulations to establish any other advisory committee if necessary to assist the Department in carrying out the provisions of NRS 439B.800 to 439B.875, inclusive.
4. The membership of any advisory committee established pursuant to subsection 3 must include, without limitation, representatives of providers of health care, health facilities, health authorities, as defined in NRS 439.005, health maintenance organizations, private insurers, nonprofit organizations that represent consumers of health care services and each of the two entities that submit data concerning the largest number of claims to the database.
(Added to NRS by 2021, 3051)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.840 - Entities required and authorized to submit data to database; removal of direct patient identifiers and assignment of unique identifiers.

If an all-payer claims database is established pursuant to NRS 439B.835:
1. Except as otherwise provided in this section, each health carrier, governing body of a local governmental agency that provides health insurance through a self-insurance reserve fund pursuant to NRS 287.010 or entity required by the regulations adopted pursuant to NRS 439B.875 to submit data to the database and the Public Employees’ Benefits Program shall submit to the all-payer claims database the data prescribed by the Department pursuant to NRS 439B.875 in the format prescribed by the Department pursuant to that section. The provisions of this subsection do not apply to:
(a) An issuer of insurance that only provides limited-scope dental or vision benefits or coverage that is only for a specified disease or illness, with respect to such coverage;
(b) An issuer of a Medicare supplemental policy, with respect to such a policy; or
(c) Any health carrier or other entity that provides health coverage to a total of less than 1,000 residents of this State.
2. A provider of health coverage for federal employees, a provider of health coverage that is subject to the Employee Retirement Income Security Act of 1974 or the administrator of a Taft-Hartley trust formed pursuant to 29 U.S.C. § 186(c)(5) are not required but may submit to the all-payer claims database the data prescribed by the Department pursuant to NRS 439B.875.
3. Before submitting data to the all-payer claims database pursuant to subsection 1 or 2, an entity described in either of those subsections shall:
(a) Remove all direct patient identifiers from the data; and
(b) Assign a unique identifier to all data concerning a specific patient.
4. As used in this section:
(a) "Health carrier" means an entity subject to the insurance laws and regulations of this State, or subject to the jurisdiction of the Commissioner of Insurance, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including, without limitation, a sickness and accident health insurance company, a health maintenance organization, a nonprofit hospital and health service corporation or any other entity providing a plan of health insurance, health benefits or health care services.
(b) "Medicare supplemental policy" has the meaning ascribed to it in 42 C.F.R. § 403.205 and additionally includes policies offered by public entities that otherwise meet the requirements of that section.
(Added to NRS by 2021, 3052)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.845 - Confidentiality of data; compliance with certain federal law; use of data in enforcement proceedings.

1. Except as otherwise provided in subsection 3 and NRS 439B.855, data contained in the all-payer claims database, if established pursuant to NRS 439B.835, is confidential and is not a public record or subject to subpoena.
2. The Department shall comply with the provisions of the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, and any regulations adopted pursuant thereto as if the Department were a covered entity maintaining protected health information, as defined in 45 C.F.R. § 160.103, with regard to the collection of data pursuant to NRS 439B.840, the storage of data in the all-payer claims database and the procedures for releasing data from the all-payer claims database pursuant to NRS 439B.855.
3. To the extent authorized by federal law, the Department may use data contained in the all-payer claims database in any proceeding to enforce the provisions of NRS 439B.800 to 439B.875, inclusive.
(Added to NRS by 2021, 3052)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.850 - Data requests.

To obtain data pursuant to subsection 3 of NRS 439B.855 from the all-payer claims database, if established pursuant to NRS 439B.835, a person or entity must submit a request to the Department. The request must include, without limitation:
1. A description of the data the person or entity wishes to receive;
2. The purpose for requesting the data;
3. A description of the proposed use of the data, including, without limitation:
(a) The methodology of any study that will be conducted and any variables that will be used; and
(b) The names of any persons or entities to whom the applicant plans to disclose data from the all-payer claims database and the reasons for the proposed disclosure;
4. The measures that the requester plans to take to ensure the security of the data and prevent unauthorized use of the data in accordance with NRS 439B.855 and the regulations adopted pursuant to NRS 439B.875; and
5. The method by which the data will be stored, destroyed or returned to the Department at the completion of the activities for which the data will be used.
(Added to NRS by 2021, 3053)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.855 - Access to and use of data; prohibition on release of data to certain entities; duties of recipient of data; requirement to include certain information in report which contains or uses data.

If the all-payer claims database is established pursuant to NRS 439B.835:
1. The Department or any Division thereof may access and use data from the all-payer claims database for any purpose.
2. The Department shall release data from the all-payer claims database to the Attorney General upon request for the purpose of enforcing the provisions of chapters 598 and 598A of NRS.
3. Except as otherwise provided in subsection 4, the Department may release data from the all-payer claims database that does not contain proprietary financial information:
(a) In de-aggregated form with unique identifiers upon the submission of a request that meets the requirements of NRS 439B.850 to:
(1) A state or federal governmental entity, including, without limitation, a college or university within the Nevada System of Higher Education; or
(2) Any entity that submits data to the database pursuant to NRS 439B.840.
(b) In aggregated form to any person or entity approved by the Department that has submitted a request that meets the requirements of NRS 439B.850.
4. The Department shall not release data from the all-payer claims database in any form to any entity that is required or authorized to submit data to the all-payer claims database pursuant to NRS 439B.840 and fails to submit substantially complete data in accordance with the regulations adopted pursuant to NRS 439B.875.
5. A person or entity that receives data from the all-payer claims database pursuant to this section:
(a) Shall comply with any regulations of the Department adopted pursuant to NRS 439B.875.
(b) Shall not disclose or use the data in any manner other than as described in the request submitted pursuant to NRS 439B.850.
6. The Department shall notify each person or entity to whom data is released pursuant to subsection 3 of the percentage of residents of this State who have health coverage for which data was submitted to the all-payer claims database for the time period to which the released data pertains. Any published document that contains or uses data from the all-payer claims database, including, without limitation, the report published by the Department pursuant to NRS 439B.860, must state the percentage of residents of this State who have health coverage for which data was submitted to the database for the time period to which the data contained in or used by the published document pertains.
(Added to NRS by 2021, 3053)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.860 - Report concerning quality, efficiency and cost of health care based on data; publication of list of reports Department intends to publish in next calendar year.

1. The Department shall, at least annually, publish a report concerning the quality, efficiency and cost of health care in this State based on the data in the all-payer claims database, if the all-payer claims database is established pursuant to NRS 439B.835. Such a report must be peer-reviewed by entities that submit data pursuant to NRS 439B.840 before the report is released. The Department shall submit the report to:
(a) The Governor;
(b) The Patient Protection Commission created by NRS 439.908; and
(c) The Director of the Legislative Counsel Bureau for transmittal to the Joint Interim Standing Committee on Health and Human Services and the next regular session of the Legislature.
2. A report published pursuant to subsection 1 must, where feasible, separate data by demographics, income, health status and the geography of, and the language spoken by, patients to assist in the identification of variations in the efficiency and quality of care.
3. Any comparison of cost among providers of health care or health care systems presented in a report published pursuant to subsection 1 must account for differences in costs attributable to populations served, severity of illness, subsidies for uninsured patients and recipients of Medicaid and Medicare and expenses for educating providers of health care, where applicable.
4. A report published pursuant to subsection 1 must not:
(a) Contain proprietary financial information. Such a report may contain data concerning aggregate costs calculated using proprietary financial information if the manner in which the data is displayed does not disclose proprietary financial information.
(b) Include in any comparison of the performance of providers of health care information concerning a provider of health care who is a solo practitioner or practices in a group of fewer than four providers.
5. A report published pursuant to subsection 1 must not contain information identified as relating to a specific provider of health care, health facility or entity that submits data pursuant to NRS 439B.840 unless the provider of health care, health facility or entity to which the information pertains is allowed to view the report before publication, request corrections of any errors in the information and comment on the reasonableness of the conclusions of the report.
6. On or before October 31 of each year, the Department shall publish on an Internet website maintained by the Department a list of reports the Department intends to publish pursuant to this section during the next calendar year. The Department may solicit public comment concerning that list.
(Added to NRS by 2021, 3054)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.865 - Reports concerning cost, performance and effectiveness of database and information concerning grants.

If the all-payer claims database is established pursuant to NRS 439B.835:
1. On or before December 31 of each even-numbered year, the Department shall submit to the Director of the Legislative Counsel Bureau for transmittal to the next regular session of the Legislature a report concerning the cost, performance and effectiveness of the all-payer claims database and any recommendations to improve the all-payer claims database.
2. On or before July 1 and December 31 of each year, the Department shall:
(a) Compile a report of any grants received by the Department to carry out the provisions of NRS 439B.800 to 439B.875, inclusive; and
(b) Submit the report to the Director of the Legislative Counsel Bureau for transmittal to:
(1) On December 31 of an even-numbered year, the next regular session of the Legislature; and
(2) In all other cases, the Interim Finance Committee.
(Added to NRS by 2021, 3055)
2023 Nevada Revised Statutes › Chapter 439B - Restraining Costs of Health Care › NRS 439B.870 - Immunity from certain civil or criminal liability.

1. No person or entity providing information to the Department, including, without limitation, data submitted to the all-payer claims database, if established pursuant to NRS 439B.835, in accordance with NRS 439B.800 to 439B.875, inclusive, may be held liable in a civil or criminal action for disclosing confidential information unless the person or entity has done so in bad faith or with malicious purpose.
2. The Department and its members, officers and employees are not liable in any civil or criminal action for any damages resulting from any act, omission, error or technical problem that causes incorrect information from the all-payer claims database to be provided to any person or entity.
(Added to NRS by 2021, 3055)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.020 - "Dead body" defined.

As used in this chapter, "dead body" means a lifeless human body, or such severed parts of the human body or the bones thereof, from the state of which it reasonably may be concluded that death had recently occurred, and where the circumstances under which such dead body was found indicate that the death has not been recorded.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.030 - "Live birth" defined.

As used in this chapter, "live birth" means a birth in which the child shows evidence of life after complete birth. A birth is complete when the child is entirely outside the person giving birth, even if the cord is uncut and the placenta still attached. The words "evidence of life" include heart action, breathing or coordinated movement of voluntary muscle.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]—(NRS A 2021, 3428)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.035 - "Midwife" defined.

As used in this chapter, "midwife" means:
1. A person certified as:
(a) A Certified Professional Midwife by the North American Registry of Midwives, or its successor organization; or
(b) A Certified Nurse-Midwife by the American Midwifery Certification Board, or its successor organization; or
2. Any other type of midwife.
(Added to NRS by 2021, 3428)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.040 - "Person in charge of interment" defined.

As used in this chapter, "person in charge of interment" means any person who places, or causes to be placed, a deceased stillborn child, or dead body, or, after cremation, the ashes thereof, in the earth, a grave, tomb, vault, urn or other receptacle, either in a cemetery or at any other place, or otherwise disposes thereof.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.050 - "Physician" defined.

As used in this chapter, "physician" is limited to a person authorized under the laws of this State to practice as such.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]—(NRS A 1977, 960)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.060 - "State Registrar" defined.

As used in this chapter, "State Registrar" means the State Registrar of Vital Statistics.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]—(NRS A 1985, 290)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.070 - "Stillbirth" defined.

As used in this chapter, "stillbirth" means a birth after at least 20 weeks of gestation, in which the child shows no evidence of life after complete birth.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.080 - "Vital statistics" defined.

As used in this chapter, "vital statistics" means records of birth, legitimation of birth, death, fetal death, marriage, annulment of marriage, divorce and data incidental thereto.
[Part 25a:199:1911; added 1941, 381; 1931 NCL § 5259.01]—(NRS A 1967, 1107)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.090 - Requisites of certificates.

All certificates, either of birth, death or stillbirth, shall be written legibly, in unfading black ink, or typewritten, and no certificate shall be held to be complete and correct that does not supply all of the items of information called for, or satisfactorily account for their omission.
[Part 14:199:1911; A 1941, 381; 1931 NCL § 5248]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.100 - Persons required to furnish information.

All physicians, registered nurses, midwives, informants or funeral directors, and all other persons having knowledge of the facts, shall furnish such information as they may possess regarding any birth or death upon demand of the State Registrar, in person, by mail, or through the local health officer.
[Part 18:199:1911; RL § 2969; NCL § 5252]—(NRS A 1983, 134; 1993, 1159)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.110 - State Registrar of Vital Statistics.

The Administrator of the Division of Public and Behavioral Health of the Department of Health and Human Services is the State Registrar of Vital Statistics.
[Part 5:199:1911; A 1939, 297; 1945, 130; 1943 NCL § 5239]—(NRS A 1983, 834; 2013, 3047)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.120 - Regulations of State Board of Health concerning registration; enforcement by State Registrar.

1. The Board shall provide an adequate system for the registration of births and deaths by adopting and enforcing regulations prescribing the method and form of making such registration.
2. The State Registrar shall carry into effect the regulations and orders of the Board.
[1:119:1929; NCL § 5277] + [2:119:1929; NCL § 5278]—(NRS A 1985, 369)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.125 - State Registrar required to ensure security and confidentiality of vital statistics; release of certain vital statistics.

1. In accordance with the regulations adopted by the Board, the State Registrar shall ensure the security and confidentiality of vital statistics maintained by his or her office.
2. Except as otherwise provided in this section and NRS 440.170, 440.175 and 440.650, information relating to vital statistics may be released:
(a) If the vital statistic is a certificate of birth, 125 years after the date of the birth.
(b) If the vital statistic is a certificate of death, 50 years after the date of the death.
(Added to NRS by 2013, 147)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.130 - Preparation and distribution of forms and blanks; charge for blank certificate.

1. The Board shall prepare, print and supply to all local health officers all blanks and forms used in registering, recording and preserving the returns, or in otherwise carrying out the purposes of this chapter.
2. The State Registrar shall charge for each blank certificate of birth, death or stillbirth a fee of $1.
[Part 18:199:1911; RL § 2969; NCL § 5252]—(NRS A 1983, 894)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.135 - Form for reporting divorce or annulment of marriage: Preparation; contents; distribution.

1. The Board shall prescribe, and the State Registrar shall furnish in sufficient numbers to each county clerk for distribution, a form for the reporting of divorces and annulments of marriage.
2. The information required by such form must be limited to:
(a) The names of the parties;
(b) The court and county in which the decree is granted; and
(c) The date of the decree.
(Added to NRS by 1967, 1108; A 1997, 2338; 2007, 1314)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.140 - Preparation and issuance of instructions; use of other forms and blanks prohibited.

The Board shall prepare and issue such detailed instructions as may be required to procure the uniform observance of this chapter and the maintenance of a perfect system of registration, and no forms or blanks other than those so prepared shall be used.
[Part 18:199:1911; RL § 2969; NCL § 5252]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.150 - Examination and supplementation of certificates.

The State Registrar shall carefully examine the certificates received from the local health officers, and if they are incomplete or unsatisfactory the State Registrar shall require such further information to be furnished as may be necessary to make the record complete and satisfactory.
[Part 18:199:1911; RL § 2969; NCL § 5252]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.155 - Registration of altered or amended certificates.

1. The State Registrar may approve an application for the registration of an altered or amended certificate if:
(a) The applicant has submitted an application prescribed by the Board;
(b) The State Registrar has received all documentation which is required in support of the altered certificate; and
(c) The State Registrar has verified the validity and adequacy of the documentation.
2. The evidence affecting the alteration of a certificate, after it has been filed with the State Registrar, must be kept in a special permanent file.
3. The State Registrar shall dismiss an application for the registration of an altered certificate if the documentation submitted by the applicant does not comply with the requirements prescribed by the Board or if the State Registrar has cause to question the validity or adequacy of the documentation submitted by the applicant.
4. If the State Registrar dismisses an application for the registration of an altered certificate, the State Registrar shall inform the applicant of his or her right to seek a court order for the registration.
(Added to NRS by 2013, 147)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.160 - Preservation, indexing and copying of certificates.

The State Registrar shall:
1. Arrange and permanently preserve the certificates in a systematic manner.
2. Prepare and maintain a comprehensive and continuous index of all births and deaths registered. The index must show the name of the child or the deceased, the place and date of birth or death and the number of the certificate. When a certificate of birth indicates that a person has changed his or her name, the index must contain an entry for each name.
3. Make a complete and accurate copy of each vital statistic, including, without limitation, using typewritten, photographic, electronic or other means of reproduction approved by the Board. Such a copy, when verified and approved by the State Registrar, shall be deemed to be the original record, and the original record may be disposed of in accordance with the regulations adopted by the Board.
[Part 18:199:1911; RL § 2969; NCL § 5252]—(NRS A 1960, 157; 1981, 464; 2013, 148)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.165 - Reproduction of original records and files.

To preserve vital statistics, the State Registrar is authorized to prepare typewritten, photographic, electronic or other reproductions of original records and files in his or her office. Such reproductions, when verified and approved by the State Registrar, shall be deemed to be the original record, and the original record may be disposed of in accordance with the regulations adopted by the Board.
(Added to NRS by 1967, 1108; A 1971, 808; 2013, 148)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.170 - Records open to inspection; use of data restricted.

1. All certificates in the custody of the State Registrar are open to inspection subject to the provisions of this chapter. It is unlawful for any employee of the State to disclose data contained in vital statistics, except as authorized by this chapter or by the Board.
2. Information in vital statistics indicating that a birth occurred out of wedlock must not be disclosed except upon order of a court of competent jurisdiction.
3. The Board:
(a) Shall allow the use of data contained in vital statistics to carry out the provisions of NRS 442.300 to 442.330, inclusive;
(b) Shall allow the use of certificates of death by a multidisciplinary team:
(1) To review the death of the victim of a crime that constitutes domestic violence organized or sponsored pursuant to NRS 217.475; and
(2) To review the death of a child established pursuant to NRS 432B.405 and 432B.406;
(c) Shall allow the use of certificates of death by the:
(1) Committee on Domestic Violence appointed pursuant to NRS 228.470; and
(2) Committee to Review Suicide Fatalities created by NRS 439.5104; and
(d) May allow the use of data contained in vital statistics for other research purposes, but without identifying the persons to whom the records relate.
[Part 45:199:1911; added 1941, 381; 1931 NCL § 5268.14]—(NRS A 1967, 1107; 1999, 3508; 2003, 865; 2011, 740; 2013, 368; 2017, 2468)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.175 - Furnishing statistical data; limitation on preparation or issuance of certain documents; charging fees to homeless persons, imprisoned persons and certain persons released from prison prohibited; remittance of fees required for issuing copies; notification concerning missing documents.

1. Upon request, the State Registrar may furnish statistical data to any federal, state, local or other public or private agency, upon such terms or conditions as may be prescribed by the Board.
2. No person may prepare or issue any document which purports to be an original, certified copy, certified abstract or official copy of:
(a) A certificate of birth, death or fetal death, except as authorized in this chapter or by the Board.
(b) A certificate of marriage, except a county clerk, county recorder or a person so required pursuant to NRS 122.120.
(c) A decree of divorce or annulment of marriage, except a county clerk or the judge of a court of record.
3. A person or governmental organization which issues certified or official copies pursuant to paragraph (a) of subsection 2 shall:
(a) Not charge a fee for issuing a certified or official copy of a certificate of birth to:
(1) A homeless person who submits on a form prescribed by the State Registrar a statement signed under penalty of perjury that the person is homeless. The issuing person or governmental organization shall not require such a statement to be notarized.
(2) A person who submits documentation from the Department of Corrections verifying that the person is imprisoned or was released from prison within the immediately preceding 90 days.
(b) Remit to the State Registrar fees collected which are charged in an amount established by the State Registrar by regulation:
(1) For each registration of a birth or death in its district.
(2) For each copy issued of a certificate of birth in its district, other than a copy issued pursuant to paragraph (a).
(3) For each copy issued of a certificate of death in its district.
4. A person or governmental organization which issues certified or official copies pursuant to paragraph (a) of subsection 2 shall, upon determining that required documents are missing from an application for a certified or official copy of a certificate of birth, notify the applicant of the deficiency. Such notice must include, without limitation, notice of the additional documents that the applicant must submit. If the applicant is a homeless person who submits on a form prescribed by the State Registrar a statement signed under penalty of perjury that the person is homeless, the person or governmental organization shall allow the applicant at least 30 days after the date of the notice to submit the missing documents. The issuing person or governmental organization shall not require the signed statement to be notarized.
(Added to NRS by 1967, 1108; A 1981, 464; 1983, 894; 1991, 69, 848, 849; 2003, 2570; 2005, 1213; 2007, 890; 2010, 26th Special Session, 89; 2011, 2602; 2021, 33; 2023, 1863)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.210 - Certificates of birth and death: Examination by local health officer.

Each local health officer shall carefully examine each certificate of birth or death when presented for record to see that it has been made out in accordance with the provisions of this chapter and the instructions of the Board.
[Part 19:199:1911; RL § 2970; NCL § 5253]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.220 - Certificates of birth and death: Enforcement of requirements by local health officer.

1. If any certificate of death is incomplete or unsatisfactory, the local health officer shall call attention to the defects in the return and withhold issuing the burial or removal permit until the defects are corrected.
2. If any certificate of birth is incomplete, the local health officer shall immediately notify the person who produced the certificate and require him or her to supply the missing items if they can be obtained.
[Part 19:199:1911; RL § 2970; NCL § 5253]—(NRS A 2013, 148)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.230 - Certificates of birth and death: Numbering; attestation of date of filing by local health officer.

The local health officer shall number consecutively the certificates of birth and death, in two separate series, beginning with the number 1 for the first birth and the first death occurring in each calendar year, and sign his or her name as health officer in attest of the date of filing in his or her office.
[Part 19:199:1911; RL § 2970; NCL § 5253]
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.240 - Certificates of birth and death: Preservation of copies by local health officer.

The local health officer shall make a complete and accurate copy of each birth and death certificate registered by him or her in the format prescribed by the State Registrar. The copies shall be preserved permanently in his or her office as the local record in such manner as directed by the Board.
[Part 19:199:1911; RL § 2970; NCL § 5253]—(NRS A 1963, 942; 2013, 148)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.250 - Certificates of birth and death: Filing by deputy county health officer; filing of list of deceased persons with public administrator or certain other persons.

1. Not later than the fifth day of each month, deputy county health officers shall file with the county health officer all original birth and death certificates executed by them.
2. Within 5 days after receipt of the original death certificates, the county health officer shall file with the public administrator or a person employed or contracted with pursuant to NRS 253.125, as applicable, a written list of the names, social security numbers and residential addresses of all deceased persons and the names of their next of kin as those names appear on the certificates.
[Part 6:199:1911; A 1913, 126; 1919, 221; 1919 RL § 2957; NCL § 5240]—(NRS A 1971, 508; 1997, 2338; 2019, 1551; 2021, 992)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.260 - Certificates of birth and death: Time for delivery to State Registrar.

On the 10th day of each month the local health officer shall transmit to the State Registrar all original certificates registered by him or her during the preceding month. If no births or deaths occurred in any month, the local health officer shall report that fact to the State Registrar, on the 10th day of the following month, on a card provided for that purpose.
[Part 19:199:1911; RL § 2970; NCL § 5253]—(NRS A 1963, 943)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.283 - Voluntary acknowledgment of paternity: Board to develop and distribute declarations to be signed; certain entities to provide services and notice concerning effect of declaration.

1. The Board shall:
(a) Develop a declaration to be signed under penalty of perjury for the voluntary acknowledgment of paternity in this State that complies with the requirements prescribed by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 652(a); and
(b) Distribute the declarations to:
(1) Each hospital or freestanding birthing center in this State; and
(2) Any other entity authorized to provide services relating to the voluntary acknowledgment of paternity pursuant to the regulations adopted by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 666(a)(5)(C).
2. Subject to the provisions of subsection 3, the State Registrar of Vital Statistics and the entities described in paragraph (b) of subsection 1 shall offer to provide services relating to the voluntary acknowledgment of paternity in the manner prescribed in the regulations adopted by the Secretary of Health and Human Services pursuant to 42 U.S.C. § 666(a)(5)(C).
3. Before providing a declaration for the acknowledgment of paternity to the person who gave birth to a child or a person who wishes to acknowledge the paternity of the child, the agencies described in paragraph (b) of subsection 1 shall ensure that the person who gave birth and the person who wishes to acknowledge paternity are given notice, orally and in writing, of the rights, responsibilities and legal consequences of, and the alternatives to, signing the declaration for the acknowledgment of paternity.
(Added to NRS by 1997, 2337; A 2007, 1528; 2021, 3430)
2023 Nevada Revised Statutes › Chapter 440 - Vital Statistics › NRS 440.285 - Voluntary acknowledgment of parentage: Board to develop and distribute declarations to be signed; certain entities to provide notice concerning effect of declaration.

1. The Board shall:
(a) Develop a declaration to be signed under penalty of perjury for the voluntary acknowledgment of parentage in this State; and
(b) Distribute the declarations to each hospital or freestanding birthing center in this State.
2. Before providing a declaration for the acknowledgment of parentage to the person who gave birth to a child or a person who wishes to acknowledge the parentage of a child, the agencies described in paragraph (b) of subsection 1 shall ensure that the person who gave birth and the person who wishes to acknowledge parentage are given notice, orally and in writing, of the rights, responsibilities and legal consequences of, and the alternatives to, signing the declaration for the acknowledgment of parentage.
(Added to NRS by 2017, 250; A 2021, 3430)