reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4313 - Application for certificate: Statement regarding obligation of child support; grounds for denial; duty of Division. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

1. An applicant for the issuance or renewal of a certificate to operate an intermediary service organization must submit to the Division the statement prescribed by the Division of Welfare and Supportive Services of the Department pursuant to NRS 425.520. The statement must be completed and signed by the applicant.
2. The Division shall include the statement required pursuant to subsection 1 in:
(a) The application or any other forms that must be submitted for the issuance or renewal of the certificate; or
(b) A separate form prescribed by the Division.
3. A certificate as an intermediary service organization may not be issued or renewed by the Division if the applicant:
(a) Fails to submit the statement required pursuant to subsection 1; or
(b) Indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order.
4. If an applicant indicates on the statement submitted pursuant to subsection 1 that the applicant is subject to a court order for the support of a child and is not in compliance with the order or a plan approved by the district attorney or other public agency enforcing the order for the repayment of the amount owed pursuant to the order, the Division shall advise the applicant to contact the district attorney or other public agency enforcing the order to determine the actions that the applicant may take to satisfy the arrearage.
(Added to NRS by 2013, 127)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4314 - Application for certificate: Fee.

Each application for a certificate to operate an intermediary service organization must be accompanied by such fee as may be determined by regulation of the Board. The Board may, by regulation, allow or require payment of a fee for a certificate in installments and may fix the amount of each payment and the date on which the payment is due.
(Added to NRS by 2013, 128)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4315 - Prohibition on denial of application based on immigration or citizenship status; alternative personally identifying number required by applicant with no social security number; confidentiality of social security or alternative personally identifying number.

1. The Division shall not deny the application of a person for a certificate to operate an intermediary service organization pursuant to NRS 449.4311 based solely on his or her immigration status.
2. Notwithstanding the provisions of NRS 449.4312, an applicant for a certificate to operate an intermediary service organization who does not have a social security number must provide an alternative personally identifying number, including, without limitation, his or her individual taxpayer identification number, when completing an application for a certificate to operate an intermediary service organization.
3. The Division shall not disclose to any person who is not employed by the Division the social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, of an applicant for a license for any purpose except:
(a) Tax purposes;
(b) Licensing purposes; and
(c) Enforcement of an order for the payment of child support.
4. A social security number or alternative personally identifying number, including, without limitation, an individual taxpayer identification number, provided to the Division is confidential and is not a public record for the purposes of chapter 239 of NRS.
(Added to NRS by 2019, 4346)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4317 - Issuance of certificate; nontransferability.

1. The Division shall issue the certificate to operate an intermediary service organization to the applicant if, after investigation, the Division finds that the:
(a) Applicant is in full compliance with the provisions of NRS 449.4304 to 449.4339, inclusive; and
(b) Applicant is in substantial compliance with the standards and regulations adopted by the Board.
2. A certificate applies only to the person to whom it is issued and is not transferable.
(Added to NRS by 2013, 128)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4318 - Form and contents of certificate.

Each certificate to operate an intermediary service organization issued by the Division pursuant to NRS 449.4304 to 449.4339, inclusive, must be in the form prescribed by the Division and must contain:
1. The name of the person or persons authorized to operate the intermediary service organization;
2. The location of the intermediary service organization; and
3. The services offered by the intermediary service organization.
(Added to NRS by 2013, 128)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4319 - Expiration and renewal of certificate.

1. Each certificate to operate an intermediary service organization issued pursuant to NRS 449.4304 to 449.4339, inclusive, expires on December 31 following its issuance and is renewable for 1 year upon reapplication and payment of all fees required pursuant to NRS 449.4314 unless the Division finds, after an investigation, that the intermediary service organization has not satisfactorily complied with the provisions of NRS 449.4304 to 449.4339, inclusive, or the standards and regulations adopted by the Board.
2. Each reapplication for an intermediary service organization must include, without limitation, a statement that the organization is in compliance with the provisions of NRS 449.4329 to 449.4332, inclusive.
(Added to NRS by 2013, 128)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.432 - Application for renewal of certificate: Information concerning state business license required; conditions which require denial.

1. In addition to any other requirements set forth in NRS 449.4304 to 449.4339, inclusive, an applicant for the renewal of a certificate as an intermediary service organization must indicate in the application submitted to the Division whether the applicant has a state business license. If the applicant has a state business license, the applicant must include in the application the business identification number assigned by the Secretary of State upon compliance with the provisions of chapter 76 of NRS.
2. A certificate as an intermediary service organization may not be renewed by the Division if:
(a) The applicant fails to submit the information required by subsection 1; or
(b) The State Controller has informed the Division pursuant to subsection 5 of NRS 353C.1965 that the applicant owes a debt to an agency that has been assigned to the State Controller for collection and the applicant has not:
(1) Satisfied the debt;
(2) Entered into an agreement for the payment of the debt pursuant to NRS 353C.130; or
(3) Demonstrated that the debt is not valid.
3. As used in this section:
(a) "Agency" has the meaning ascribed to it in NRS 353C.020.
(b) "Debt" has the meaning ascribed to it in NRS 353C.040.
(Added to NRS by 2013, 2730)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4321 - Grounds for denial, suspension or revocation of certificate.

The Division may deny an application for a certificate to operate an intermediary service organization or may suspend or revoke any certificate issued under the provisions of NRS 449.4304 to 449.4339, inclusive, upon any of the following grounds:
1. Violation by the applicant or the holder of a certificate of any of the provisions of NRS 449.4304 to 449.4339, inclusive, or of any other law of this State or of the standards, rules and regulations adopted thereunder.
2. Aiding, abetting or permitting the commission of any illegal act.
3. Conduct inimical to the public health, morals, welfare and safety of the people of the State of Nevada in the operation of an intermediary service organization.
4. Conduct or practice detrimental to the health or safety of a person under contract with or employees of the intermediary service organization.
(Added to NRS by 2013, 128; A 2017, 2310; 2019, 2923, 4347)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4322 - Suspension of certificate for failure to pay child support or comply with certain subpoenas or warrants; reinstatement of certificate. [Effective until the date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to establish procedures for withholding, suspending and restricting the professional, occupational and recreational licenses for child support arrearages and for noncompliance with certain processes relating to paternity or child support proceedings.]

1. If the Division receives a copy of a court order issued pursuant to NRS 425.540 that provides for the suspension of all professional, occupational and recreational licenses, certificates and permits issued to a person who is the holder of a certificate to operate an intermediary service organization, the Division shall deem the certificate issued to that person to be suspended at the end of the 30th day after the date on which the court order was issued unless the Division receives a letter issued to the holder of the certificate by the district attorney or other public agency pursuant to NRS 425.550 stating that the holder of the certificate has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.
2. The Division shall reinstate a certificate to operate an intermediary service organization that has been suspended by a district court pursuant to NRS 425.540 if the Division receives a letter issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose certificate was suspended stating that the person whose certificate was suspended has complied with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.
(Added to NRS by 2013, 128)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4324 - Provisional certificate.

1. The Division may cancel a certificate to operate an intermediary service organization and issue a provisional certificate, effective for a period determined by the Division, to the intermediary service organization if the intermediary service organization:
(a) Is in operation at the time of the adoption of standards and regulations pursuant to the provisions of NRS 449.4304 to 449.4339, inclusive, and the Division determines that the intermediary service organization requires a reasonable time under the particular circumstances within which to comply with the standards and regulations; or
(b) Has failed to comply with the standards or regulations and the Division determines that the intermediary service organization is in the process of making the necessary changes or has agreed to make the changes within a reasonable time.
2. The provisions of subsection 1 do not require the issuance of a certificate or prevent the Division from refusing to renew or from revoking or suspending any certificate if the Division deems such action necessary for the health and safety of a person for whom the intermediary service organization provides services.
(Added to NRS by 2013, 129)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4325 - Deposit of money received; expenses of Division to enforce provisions.

1. Money received from the certification of intermediary service organizations:
(a) Must be forwarded to the State Treasurer for deposit in the State Treasury;
(b) Must be accounted for separately in the State General Fund; and
(c) May only be used to carry out the provisions of NRS 449.4304 to 449.4339, inclusive.
2. The Division shall enforce the provisions of NRS 449.4304 to 449.4339, inclusive, and may incur any necessary expenses not in excess of money appropriated for that purpose by the State or received from the Federal Government.
(Added to NRS by 2013, 129; A 2017, 2310)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4327 - Regulations; powers of Division.

1. The Board shall adopt regulations governing the certification of intermediary service organizations and such other regulations as it deems necessary to carry out the provisions of NRS 449.4304 to 449.4339, inclusive.
2. The Division may:
(a) Upon receipt of an application for a certificate to operate an intermediary service organization, conduct an investigation into the qualifications of personnel, methods of operation and policies and purposes of any person proposing to engage in the operation of an intermediary service organization.
(b) Upon receipt of a complaint against an intermediary service organization, except for a complaint concerning the cost of services, conduct an investigation into the qualifications of personnel, methods of operation and policies, procedures and records of that intermediary service organization or any other intermediary service organization which may have information pertinent to the complaint.
(c) Employ such professional, technical and clerical assistance as it deems necessary to carry out the provisions of NRS 449.4304 to 449.4339, inclusive.
(Added to NRS by 2013, 129)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4335 - Administrative sanctions: Imposition by Division; consequences of failure to pay; use of money collected.

1. If an intermediary service organization violates any provision related to its certification, including, without limitation, any provision of NRS 449.4304 to 449.4339, inclusive, or any condition, standard or regulation adopted by the Board, the Division, in accordance with the regulations adopted pursuant to NRS 449.4336, may, as it deems appropriate:
(a) Prohibit the intermediary service organization from providing services pursuant to NRS 449.4308 until it determines that the intermediary service organization has corrected the violation;
(b) Impose an administrative penalty of not more than $1,000 per day for each violation, together with interest thereon at a rate not to exceed 10 percent per annum; and
(c) Appoint temporary management to oversee the operation of the intermediary service organization and to ensure the health and safety of the persons for whom the intermediary service organization performs services, until:
(1) It determines that the intermediary service organization has corrected the violation and has management which is capable of ensuring continued compliance with the applicable statutes, conditions, standards and regulations; or
(2) Improvements are made to correct the violation.
2. If the intermediary service organization fails to pay any administrative penalty imposed pursuant to paragraph (b) of subsection 1, the Division may:
(a) Suspend the certificate to operate an intermediary service organization which is held by the intermediary service organization until the administrative penalty is paid; and
(b) Collect court costs, reasonable attorney’s fees and other costs incurred to collect the administrative penalty.
3. The Division may require any intermediary service organization that violates any provision of NRS 449.4304 to 449.4339, inclusive, or any condition, standard or regulation adopted by the Board, to make any improvements necessary to correct the violation.
4. Any money collected as administrative penalties pursuant to this section must be accounted for separately and used to protect the health or property of the persons for whom the intermediary service organization performs services in accordance with applicable federal standards.
(Added to NRS by 2013, 130; A 2017, 2310; 2019, 2923, 4347)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4336 - Administrative sanctions: Regulations.

The Board shall adopt regulations establishing the criteria for the imposition of each sanction prescribed by NRS 449.4335. These regulations must:
1. Prescribe the circumstances and manner in which each sanction applies;
2. Minimize the time between identification of a violation and the imposition of a sanction;
3. Provide for the imposition of incrementally more severe sanctions for repeated or uncorrected violations; and
4. Provide for less severe sanctions for lesser violations of applicable state statutes, conditions, standards or regulations.
(Added to NRS by 2013, 130)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4337 - Notice by Division of disciplinary action; exception; appeal.

1. When the Division intends to deny, suspend or revoke a certificate to operate an intermediary service organization, or to impose any sanction prescribed by NRS 449.4335, the Division shall give reasonable notice to the holder of the certificate by certified mail. The notice must contain the legal authority, jurisdiction and reasons for the action to be taken. Notice is not required if the Division finds that the public health requires immediate action. In that case, the Division may order a summary suspension of a certificate or impose any sanction prescribed by NRS 449.4335, pending proceedings for revocation or other action.
2. If a person wants to contest the action of the Division, the person must file an appeal pursuant to regulations adopted by the Board.
3. Upon receiving notice of an appeal, the Division shall hold a hearing pursuant to regulations adopted by the Board.
4. The Board shall adopt such regulations as are necessary to carry out the provisions of this section.
(Added to NRS by 2013, 131)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4338 - Action to enjoin violations.

1. Except as otherwise provided in subsection 2 of NRS 449.431, the Division may bring an action in the name of the State to enjoin any person from operating or maintaining an intermediary service organization within the meaning of NRS 449.4304 to 449.4339, inclusive:
(a) Without first obtaining a certificate to operate an intermediary service organization; or
(b) After the person’s certificate has been revoked or suspended by the Division.
2. It is sufficient in such action to allege that the defendant did, on a certain date and in a certain place, operate and maintain the intermediary service organization without a certificate.
(Added to NRS by 2013, 133; A 2017, 2311; 2019, 2924, 4348)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4339 - Prosecution by district attorney.

The district attorney of the county in which an intermediary service organization operates shall, upon application by the Division, institute and conduct the prosecution of any action for violation of any provision of NRS 449.4304 to 449.4339, inclusive.
(Added to NRS by 2013, 134; A 2017, 2311)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.435 - Definitions.

As used in NRS 449.435 to 449.448, inclusive, unless the context otherwise requires, the words and terms defined in NRS 449.436 to 449.439, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2009, 528; A 2017, 605)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.436 - "Conscious sedation" defined.

"Conscious sedation" means a minimally depressed level of consciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, in which the patient retains the ability independently and continuously to maintain an airway and to respond appropriately to physical stimulation and verbal commands.
(Added to NRS by 2009, 528)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.437 - "Deep sedation" defined.

"Deep sedation" means a controlled state of depressed consciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, and accompanied by a partial loss of protective reflexes and the inability to respond purposefully to verbal commands.
(Added to NRS by 2009, 528)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.438 - "General anesthesia" defined.

"General anesthesia" means a controlled state of unconsciousness, produced by a pharmacologic or nonpharmacologic method, or a combination thereof, and accompanied by partial or complete loss of protective reflexes and the inability independently to maintain an airway and respond purposefully to physical stimulation or verbal commands.
(Added to NRS by 2009, 528)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.441 - Exemption from provisions if physician’s office or facility only administers certain type of pain medication.

The provisions of NRS 449.435 to 449.448, inclusive, do not apply to an office of a physician or a facility that provides health care, other than a medical facility, if the office of a physician or the facility only administers a medication to a patient to relieve the patient’s anxiety or pain and if the medication is not given in a dosage that is sufficient to induce in a patient a controlled state of depressed consciousness or unconsciousness similar to general anesthesia, deep sedation or conscious sedation.
(Added to NRS by 2009, 529; A 2017, 605)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.442 - Permit required for certain physicians’ offices and facilities to offer services; national accreditation required; cessation of services for failure to maintain accreditation.

1. An office of a physician or a facility that provides health care, other than a medical facility, must obtain a permit pursuant to NRS 449.443 before offering to a patient a service of general anesthesia, conscious sedation or deep sedation. An office of a physician or a facility that provides health care, other than a medical facility, which operates at more than one location must obtain a permit for each location where a service of general anesthesia, conscious sedation or deep sedation is offered.
2. To offer to a patient a service of general anesthesia, conscious sedation or deep sedation in this State, an office of a physician or a facility that provides health care, other than a medical facility, must maintain current accreditation by a nationally recognized organization approved by the Board. Upon receiving an initial permit, the office or facility shall, within 6 months after obtaining the permit, submit proof to the Division of accreditation by such an organization.
3. If an office of a physician or a facility that provides health care, other than a medical facility, fails to maintain current accreditation or if the accreditation is revoked or is otherwise no longer valid, the office or facility shall immediately cease offering to patients a service of general anesthesia, conscious sedation or deep sedation.
(Added to NRS by 2009, 529)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.443 - Application for permit; fee; inspection by Division; term of permit.

1. An office of a physician or a facility that provides health care, other than a medical facility, desiring a permit pursuant to NRS 449.435 to 449.448, inclusive, must submit to the Division, on a form prescribed by the Division and accompanied by the appropriate fee, an application for a permit.
2. Before issuing a permit, the Division shall conduct an on-site inspection pursuant to NRS 449.446 of each office of a physician or facility that applies for a permit.
3. Upon receipt of an application and the appropriate fee, the Division may, after conducting an inspection pursuant to NRS 449.446, issue a permit.
4. A permit expires 1 year after the date of issuance and is renewable pursuant to NRS 449.444.
(Added to NRS by 2009, 529)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.444 - Application for renewal of permit; fee.

1. The holder of a permit issued pursuant to NRS 449.443 may annually submit to the Division, on a form prescribed by the Division and accompanied by the appropriate fee, an application for renewal of the permit before the date on which the permit expires. The application must include proof satisfactory to the Division that the office or facility maintains current accreditation by a nationally recognized organization approved by the Board.
2. Upon receipt of an application for renewal and the accompanying fee, the Division may renew a permit.
(Added to NRS by 2009, 529)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4445 - Legislative findings and declaration concerning oversight of surgical centers for ambulatory patients.

The Legislature finds and declares that:
1. This State has a compelling interest in assuring that residents of this State have access to health care;
2. Surgical centers for ambulatory patients play an important role in providing essential health care services and have become a critical element in the delivery of health care in this State; and
3. A license issued by this State to operate a surgical center for ambulatory patients pursuant to this chapter should be accompanied by oversight by the agency issuing the license.
(Added to NRS by 2017, 604)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.445 - National accreditation required of surgical center for ambulatory patients; inspection by Division; cessation of operation for failure to maintain accreditation.

1. To operate in this State, a surgical center for ambulatory patients must maintain current accreditation by a nationally recognized organization approved by the Board. Upon initial licensure, a surgical center for ambulatory patients shall, within 6 months after obtaining its license, submit proof to the Division of the accreditation of the surgical center by such an organization.
2. Before issuing a license to a surgical center for ambulatory patients, the Division shall conduct an on-site inspection of the surgical center pursuant to NRS 449.446.
3. If a surgical center for ambulatory patients fails to maintain current accreditation or if the accreditation is revoked or is otherwise no longer valid, the surgical center shall immediately cease to operate.
(Added to NRS by 2009, 529)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.446 - Annual inspections of holders of permits and surgical centers for ambulatory patients; correction of deficiencies identified in inspections; reporting of inspections to Legislature.

1. The Division shall conduct annual and unannounced on-site inspections of each office of a physician or a facility that provides health care, other than a medical facility, which holds a permit issued pursuant to NRS 449.443 and each surgical center for ambulatory patients which holds a license issued pursuant to this chapter.
2. An inspection conducted pursuant to this section must focus on the infection control practices and policies of the surgical center for ambulatory patients, the office or the facility that is the subject of the inspection. The Division may, as it deems necessary, conduct a more comprehensive inspection of a surgical center, office or facility.
3. Upon completion of an inspection, the Division shall:
(a) Compile a report of the inspection, including each deficiency discovered during the inspection, if any; and
(b) Forward a copy of the report to the surgical center for ambulatory patients, the office of the physician or the facility where the inspection was conducted.
4. If a deficiency is indicated in the report, the surgical center for ambulatory patients, the office of the physician or the facility shall correct each deficiency indicated in the report in the manner prescribed by the Board pursuant to NRS 449.448.
5. The Division shall annually prepare and submit to the Joint Interim Standing Committee on Health and Human Services and the Legislative Commission a report which includes:
(a) The number and frequency of inspections conducted pursuant to this section;
(b) A summary of deficiencies or other significant problems discovered while conducting inspections pursuant to this section and the results of any follow-up inspections; and
(c) Any other information relating to the inspections as deemed necessary by the Joint Interim Standing Committee on Health and Human Services or the Legislative Commission.
(Added to NRS by 2009, 530)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.4465 - Report of Division concerning surgical centers for ambulatory patients.

The Division shall:
1. Compile the information collected from and submitted by surgical centers for ambulatory patients to the Department pursuant to NRS 439A.240, 439A.250 and 439A.260 and any regulations adopted pursuant thereto, and prepare a quarterly report that:
(a) Identifies the discharge location of each patient of a surgical center for ambulatory patients; and
(b) Compares the discharge location of patients of surgical centers for ambulatory patients in different geographical regions of this State; and
2. Submit the quarterly report prepared pursuant to subsection 1 to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.
(Added to NRS by 2017, 604)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.447 - Disciplinary action for certain violations or failure to correct deficiency; notification to State Board of Osteopathic Medicine of violations; administrative sanctions.

1. If an office of a physician or a facility that provides health care, other than a medical facility, violates the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto, or fails to correct a deficiency indicated in a report pursuant to NRS 449.446, the Division, in accordance with the regulations adopted pursuant to NRS 449.448, may take any of the following actions:
(a) Decline to issue or renew a permit;
(b) Suspend or revoke a permit; or
(c) Impose an administrative penalty of not more than $1,000 per day for each violation, together with interest thereon at a rate not to exceed 10 percent per annum.
2. The Division may review a report submitted pursuant to NRS 633.524 to determine whether an office of a physician or a facility is in violation of the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto. If the Division determines that such a violation has occurred, the Division shall immediately notify the State Board of Osteopathic Medicine.
3. If a surgical center for ambulatory patients violates the provisions of NRS 449.435 to 449.448, inclusive, or the regulations adopted pursuant thereto, or fails to correct a deficiency indicated in a report pursuant to NRS 449.446, the Division may impose administrative sanctions pursuant to NRS 449.163.
(Added to NRS by 2009, 530; A 2017, 605, 2859)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.448 - Regulations.

1. The Board shall adopt regulations to carry out the provisions of NRS 449.435 to 449.448, inclusive, including, without limitation, regulations which:
(a) Prescribe the amount of the fee required for applications for the issuance and renewal of a permit pursuant to NRS 449.443 and 449.444.
(b) Prescribe the procedures and standards for the issuance and renewal of a permit.
(c) Identify the nationally recognized organizations approved by the Board for the purposes of the accreditation required for the issuance of a:
(1) License to operate a surgical center for ambulatory patients.
(2) Permit for an office of a physician or a facility that provides health care, other than a medical facility, to offer to a patient a service of general anesthesia, conscious sedation or deep sedation.
(d) Prescribe the procedures and scope of the inspections conducted by the Division pursuant to NRS 449.446.
(e) Prescribe the procedures and time frame for correcting each deficiency indicated in a report pursuant to NRS 449.446.
(f) Prescribe the criteria for the imposition of each sanction prescribed by NRS 449.447, including, without limitation:
(1) Setting forth the circumstances and manner in which a sanction applies;
(2) Minimizing the time between the identification of a violation and the imposition of a sanction; and
(3) Providing for the imposition of incrementally more severe sanctions for repeated or uncorrected violations.
2. The regulations adopted pursuant to this section must require that the practices and policies of each holder of a permit to offer to a patient a service of general anesthesia, conscious sedation or deep sedation and each holder of a license to operate a surgical center for ambulatory patients provide adequately for the protection of the health, safety and well-being of patients.
(Added to NRS by 2009, 531; A 2017, 606)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.450 - Definitions.

As used in NRS 449.450 to 449.530, inclusive, unless the context otherwise requires:
1. "Admitted health insurer" means an insurer authorized to transact health insurance in this State under a certificate of authority issued by the Commissioner of Insurance.
2. "Department" means the Department of Health and Human Services.
3. "Director" means the Director of the Department.
4. "Institution" means any person, place, building or agency which maintains and operates facilities for the diagnosis, care and treatment of human illness and provides beds for inpatient care. The term includes but is not limited to hospitals, convalescent care facilities, nursing care facilities, detoxification centers and all specialized medical health care facilities.
(Added to NRS by 1975, 702; A 1979, 887; 1983, 1127; 1985, 1362; 1989, 1800; 1991, 2114)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.460 - Powers of Director.

The Director may:
1. Adopt regulations respecting the exercise of the powers conferred by NRS 449.450 to 449.530, inclusive.
2. Hold public hearings, conduct investigations and require the filing of information relating to any matter affecting the cost of services in all institutions subject to the provisions of NRS 449.450 to 449.530, inclusive, and may subpoena witnesses, financial papers, records and documents in connection therewith. An order requiring the filing of information or a subpoena issued pursuant to this subsection must state the purpose for which it is issued. The Director may also administer oaths in any hearing or investigation.
3. Exercise, subject to the limitations and restrictions imposed in NRS 449.450 to 449.530, inclusive, all other powers which are reasonably necessary to carry out the expressed objects of those sections.
4. Delegate to any of the divisions of the Department the authority to carry out the provisions of NRS 449.450 to 449.530, inclusive.
(Added to NRS by 1975, 702; A 1985, 1363; 1991, 2114; 1997, 2527)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.465 - Authority of Director to impose fees; maximum amount of fees collected; requirement to impose fee for support of Joint Interim Standing Committee on Health and Human Services.

1. The Director may, by regulation, impose fees upon admitted health insurers to cover the costs of carrying out the provisions of NRS 449.450 to 449.530, inclusive. The maximum amount of fees collected must not exceed the amount authorized by the Legislature in each biennial budget.
2. The Director shall impose a fee of $50 each year upon admitted health insurers for the support of the Joint Interim Standing Committee on Health and Human Services. The fee imposed pursuant to this subsection is in addition to any fee imposed pursuant to subsection 1. The fee collected for the support of the Joint Interim Standing Committee on Health and Human Services must be deposited in the Legislative Fund.
(Added to NRS by 1983, 1126; A 1985, 1363; 1987, 877; 2021, 2534)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.470 - Director may use staff or contract for services.

In carrying out the duties prescribed by NRS 449.450 to 449.530, inclusive, the Director may utilize his or her own staff or may contract with any appropriate, independent and qualified organization. Such a contractor shall not release or publish or otherwise use any information made available to it under its contractual responsibility unless permission is specifically granted by the Director.
(Added to NRS by 1975, 703; A 1985, 1363)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.476 - Committee to ensure quality of care: Formation by hospital; general requirements.

1. Each hospital licensed to operate in this state shall form a committee to ensure the quality of care provided by the hospital. The committee must be composed of, but is not limited to, physicians and nurses.
2. Each committee formed pursuant to subsection 1 must meet the requirements for programs or plans for ensuring the quality of care specified by the Joint Commission on Accreditation of Healthcare Organizations or by the Federal Government pursuant to Title XIX of the Social Security Act (42 U.S.C. §§ 1396 et seq.).
(Added to NRS by 1989, 1799)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.485 - Hospital required to use discharge form prescribed by Director; electronic monthly reporting; exception to electronic reporting; use of information by Department.

1. Each hospital in this State shall use for all patients discharged a form prescribed by the Director and shall include in the form all information required by the Department. Any form prescribed by the Director must be a form that is commonly used nationwide by hospitals, if applicable, and comply with federal laws and regulations.
2. Each hospital in this State shall, on a monthly basis, report to the Department the information required to be included in the form for each patient. The information reported must be complete, accurate and timely.
3. Each insurance company or other payer shall accept the form as the bill for services provided by hospitals in this State.
4. Except as otherwise provided in subsection 5, each hospital in this State shall provide the information required pursuant to subsection 2 in an electronic form specified by the Department.
5. The Director may exempt a hospital from the requirements of subsection 4 if requiring the hospital to comply with the requirements would cause the hospital financial hardship.
6. The Department shall use the information submitted pursuant to this section for the program established pursuant to NRS 439A.220 to increase public awareness of health care information concerning the hospitals in this State.
(Added to NRS by 1987, 875; A 2005, 1736; 2007, 661, 2355)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.500 - Director to carry out analyses and studies concerning cost of health care.

The Director shall engage in or carry out analyses and studies relating to the cost of health care in Nevada and other states, the financial status of any institution subject to the provisions of NRS 449.450 to 449.530, inclusive, and any other appropriate related matters, and the Director may publish and disseminate any information relating to the financial aspects of health care as the Director deems desirable in the public interest and in accordance with the provisions of NRS 449.450 to 449.530, inclusive. The Director shall further require the filing of information concerning the total financial needs of each institution and the resources available or expected to become available to meet such needs, including but not limited to the effect of proposals made by comprehensive areawide and state health planning agencies. The information must be divided into at least the following components of an institution’s expenses:
1. Operating expenses related to patient care.
2. Expenses incurred for rendering services to patients for whom payment is not made in full including, but not limited to, the separate expenses for contractual allowances imposed by federal or state law, charity care and uncollectible accounts.
3. All incurred interest charges on indebtedness for both capital and operating needs.
4. Costs of education, both primary and continuing.
5. Expenses for research related to patient care.
6. Depreciation expenses of both property and equipment.
7. Amortization of incurred capital and operating related indebtedness.
8. Requirements for capital expenditures for replacement, modernization, renovation and expansion of services and facilities.
9. Requirements for necessary working capital, including but not limited to operating cash, patients’ accounts receivable and inventories.
10. Federal, state and local taxes not ordinarily considered operating expenses where applicable.
11. Operating surpluses necessary for a fair return to their owners equal to returns on investments in industries of comparable risk, or for the purpose of assuring continuity of operation and prudent management.
(Added to NRS by 1975, 703; A 1985, 1364)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.510 - Director to prepare and file summaries, compilations or other reports; public inspection; collection, maintenance, disclosure or publication of contracts or identification of party to contract prohibited.

1. The Director shall prepare and file such summaries, compilations or other supplementary reports based on the information filed with the Director pursuant to NRS 449.450 to 449.530, inclusive, as will advance the purposes of those sections. All such summaries, compilations and reports are open to public inspection, must be made available to requesting agencies and must be prepared within a reasonable time following the end of each institution’s fiscal year or more frequently as specified by the Director.
2. The Director shall not collect, maintain, disclose, report or publish the details of contracts entered into by a hospital, or collect, maintain, disclose, report or publish information pursuant to this section in a manner that would allow identification of an individual payer or other party to a contract with the hospital, except that the Director may disclose to other state agencies the details of contracts between the hospital and a related entity. A state agency shall not collect, maintain, disclose, report or publish information disclosed to the agency by the Director pursuant to this subsection in a manner that would allow identification of an individual payer or other party to a contract with the hospital. The Director may review any such contracts at the hospital or at a location specified by the hospital.
3. As used in this section, "related entity" means an affiliated person or subsidiary as those terms are defined in NRS 439B.430.
(Added to NRS by 1975, 704; A 1985, 1365; 1991, 2333; 1993, 619; 1997, 2527)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.520 - Reports to Governor and legislative committees; development of comprehensive plan by Joint Interim Standing Committee on Health and Human Services.

1. On or before October 1 of each year, the Director shall prepare and transmit to the Governor, the Joint Interim Standing Committee on Health and Human Services and the Interim Finance Committee a report of the Department’s operations and activities for the preceding fiscal year.
2. The report prepared pursuant to subsection 1 must include:
(a) Copies of all reports, summaries, compilations and supplementary reports required by NRS 449.450 to 449.530, inclusive, together with such facts, suggestions and policy recommendations as the Director deems necessary;
(b) A summary of the trends of the audits of hospitals in this State that the Department required or performed during the previous year;
(c) An analysis of the trends in the costs, expenses and profits of hospitals in this State;
(d) An analysis of the methodologies used to determine the corporate home office allocation of hospitals in this State;
(e) An examination and analysis of the manner in which hospitals are reporting the information that is required to be filed pursuant to NRS 449.490, including, without limitation, an examination and analysis of whether that information is being reported in a standard and consistent manner, which fairly reflect the operations of each hospital;
(f) A review and comparison of the policies and procedures used by hospitals in this State to provide discounted services to, and to reduce charges for services provided to, persons without health insurance;
(g) A review and comparison of the policies and procedures used by hospitals in this State to collect unpaid charges for services provided by the hospitals; and
(h) A summary of the status of the programs established pursuant to NRS 439A.220 and 439A.240 to increase public awareness of health care information concerning the hospitals and surgical centers for ambulatory patients in this State, including, without limitation, the information that was posted in the preceding fiscal year on the Internet website maintained for those programs pursuant to NRS 439A.270.
3. The Joint Interim Standing Committee on Health and Human Services shall develop a comprehensive plan concerning the provision of health care in this State which includes, without limitation:
(a) A review of the health care needs in this State as identified by state agencies, local governments, providers of health care and the general public; and
(b) A review of the capital improvement reports submitted by hospitals pursuant to subsection 2 of NRS 449.490.
(Added to NRS by 1975, 704; A 1983, 1127; 1985, 1365; 2005, 1738; 2007, 2357; 2011, 969; 2021, 2534)
2023 Nevada Revised Statutes › Chapter 449 - Medical Facilities and Other Related Entities › NRS 449.530 - Administrative fine for violation.

The Director may impose upon the institutions subject to supervision under NRS 449.450 to 449.530, inclusive, an administrative fine not exceeding $500 per day for each violation of any of the provisions of NRS 449.450 to 449.530, inclusive.
(Added to NRS by 1975, 704; A 1985, 1365)