reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.200 - Condemnation of property for use by hospital.

If the board of hospital trustees and the owners of any property desired by the board of hospital trustees for hospital purposes in the county or counties where the county hospital is established cannot agree as to the price to be paid therefor, the board of hospital trustees shall report the facts to the board or boards of county commissioners. Condemnation proceedings shall be instituted by the board or boards of county commissioners and prosecuted in the name of the county or counties by the district attorney for such county as may be concerned.
[7:169:1929; NCL § 2231]—(NRS A 1995, 333)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.210 - Approval of plans and specifications for construction of hospital; advertisement of bids.

No hospital buildings shall be erected or constructed until the plans and specifications have been made therefor and adopted by the board of hospital trustees, and bids advertised for according to law for other county public buildings.
[8:169:1929; NCL § 2232]
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.220 - Gifts and bequests to hospital: Title vested in county; control by board of hospital trustees.

Any person, firm, organization, corporation or society desiring to make donations of money, personal property or real property for the benefit of a county public hospital shall have the right to vest title of the money, personal property or real property so donated in the county or counties where the county hospital is established to be controlled, when accepted, by the board of hospital trustees according to the terms of the deed, gift, devise or bequest of such property.
[15:169:1929; NCL § 2239]—(NRS A 1995, 333)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.230 - Budget.

The board of hospital trustees shall file with the board of county commissioners a budget as required of all governmental agencies of this state by chapter 354 of NRS, and in the fiscal management of the affairs of the public hospital and all other institutions under the supervision, government and control of the board of hospital trustees, the board of hospital trustees are governed by the provisions of chapter 354 of NRS.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1963, 455; 1965, 747; 1975, 13; 1987, 296)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.240 - Management of county hospital by board; levy of tax for maintenance and operation.

1. In all counties where a tax for the establishment and maintenance of a public hospital has been authorized by a majority of the voters voting for a bond issue in accordance with law, the supervision, management, government and control of the county hospital vests in and must be exercised by the board of hospital trustees for the county public hospital, and the institution must thereafter be operated by the board of hospital trustees.
2. Annually, upon the request of the board of hospital trustees, the board of county commissioners may levy a tax for the maintenance and operation of the county public hospital, excluding the establishment, maintenance or operation of any facility located outside the county or counties where the county hospital is established.
3. The resolution adopted by the board of county commissioners imposing a tax levy for a county public hospital must state:
(a) The portion of the levy which is necessary to retire hospital bonds and any other outstanding hospital securities, and to pay interest thereon;
(b) The portion of the levy which is necessary to pay for the care of indigent patients; and
(c) The portion of the levy which is necessary to pay for the cost of new equipment, replacement of old equipment and other improvements to the hospital not covered by specific bond issues or other securities and not included in the cost of care of indigent patients as provided in paragraph (b). The cost must be prorated to the county in accordance with the number of patient days of care of county patients.
4. The board of county commissioners may not levy a tax for the care of indigents in the county public hospital as a hospital expense unless the levy and its justification are included in the budget for the hospital fund submitted to the Department of Taxation as provided by law.
[1:67:1931; 1931 NCL § 2243] + [2:67:1931; A 1937, 167; 1941, 15; 1943, 39; 1943 NCL § 2243.01]—(NRS A 1957, 239; 1965, 945; 1969, 1605; 1975, 1745; 1987, 387; 1995, 333)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.250 - Control of expenditures by board; lease of buildings; deposit of money in hospital fund or separate account.

1. The board of hospital trustees has the exclusive control of:
(a) The expenditures of all money collected to the credit of the hospital fund.
(b) The purchase of the site or sites.
(c) The purchase or construction of any hospital building or buildings.
(d) The supervision, care and custody of the grounds, rooms or buildings purchased, constructed, leased or set apart for that purpose.
2. With the approval of the board of county commissioners of the county or counties where the county hospital is established, the board of hospital trustees may lease buildings in that county or those counties for medical purposes or for purposes of related health care activities.
3. All money received for the hospital must be deposited in the county treasury of the county in which the hospital is situated to the credit of the hospital fund, and paid out only upon warrants drawn by the board of hospital trustees of the county or counties upon properly authenticated vouchers of the board of hospital trustees, after their approval by the county auditor, except that all money received for a hospital may be deposited in a separate account established and administered by the board of hospital trustees under the provisions of NRS 354.603.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1971, 1349; 1975, 1811; 1979, 550, 1407, 1408; 1981, 686, 1771; 1993, 1974; 1995, 333)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.255 - Mortgage or pledge of personal property of hospital; acquisition of real property for expansion.

The board of trustees of a county hospital, with the approval of the board of county commissioners, if the board of county commissioners is not the board of hospital trustees, may, by resolution:
1. Mortgage or pledge the personal property of the hospital, including accounts receivable, and enter into agreements for the sale and leasing back to the hospital of its personal property to provide security for acquiring money for the operation of the hospital; and
2. Acquire real property for the expansion of the hospital by entering into a contract for purchase of a type and duration and on such terms as the governing body determines, including a contract secured by a mortgage or other security interest in the real property.
(Added to NRS by 1987, 295; A 1997, 3100)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.260 - Collection or settlement of claims.

The board of hospital trustees may:
1. By proper legal action, collect claims due to the public hospital.
2. Accept as settlement of a claim due an amount less than that of the claim.
3. Pay from the hospital fund all fees and expenses necessarily incurred by the board in connection with the collection of claims.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1987, 296)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.270 - Maximum amount.

Whenever any county or counties in this state shall have provided for the appointment and election of hospital trustees, and have voted for the issuance of bonds for hospital purposes, as authorized by law, each such county shall issue bonds in such sums and amounts as the board of hospital trustees shall certify to the board of county commissioners to be necessary for the purpose stated in the bond question approved at the election, but such bonds in the aggregate shall not exceed the maximum amount authorized by the bond question.
[Part 6:169:1929; NCL § 2230]—(NRS A 1965, 634)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.280 - Purposes and procedure for issuance of general obligation bonds at request of board of hospital trustees.

1. Whenever the board of hospital trustees of any county deems it advisable that bonds be issued for the enlargement, maintenance, repair, improvement or reconstruction of a public hospital, including, without limitation, the construction, installation and other acquisition of additional fixtures, structures, and buildings for the public hospital, equipment and furnishings therefor, and additional sites therefor, or any combination thereof, the board shall, by resolution, request the board of county commissioners of the county to issue general obligation bonds therefor and shall specify in the resolution the maximum amount of money proposed to be expended for any of those purposes.
2. Thereupon the board of county commissioners shall:
(a) Comply with the provisions of NRS 350.011 to 350.0165, inclusive; and
(b) Upon the receipt of the approval of the county debt management commission of the proposal to issue the county hospital bonds, submit the question of issuing the bonds to the qualified electors of the county at a special election or the next primary or general election, as provided in NRS 350.020 to 350.070, inclusive.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365]—(NRS A 1965, 634; 1969, 1605; 1981, 963; 1993, 1079; 1995, 773)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.290 - Issuance of general and special obligation bonds by board of county commissioners.

1. Subject to the provisions of NRS 450.010 to 450.510, inclusive, for any hospital project stated in a bond question approved as provided in NRS 350.070, the board of county commissioners, at any time, in the name and on the behalf of the county, may issue:
(a) General obligation bonds, payable from taxes; and
(b) General obligation bonds, payable from taxes, which payment is additionally secured by a pledge of gross or net revenues derived from the operation of the hospital facilities, and, if so determined by the board of county commissioners, further secured by a pledge of gross or net revenues derived from any other income-producing project of the county or from any license or other excise taxes levied by the county for revenue, as may be legally made available for their payment.
2. The board of county commissioners of any county, in the name and on behalf of the county, may issue, for any hospital project, without the securities being authorized at any election, special obligation municipal securities payable solely from net revenues or gross revenues derived from the operation of hospital facilities.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365]—(NRS A 1965, 635; 1969, 1606; 1975, 1158; 1977, 777; 1979, 550; 1981, 510; 1983, 1670)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.300 - Applicability of Local Government Securities Law.

Subject to the provisions of NRS 450.290, for any hospital facilities authorized by NRS 450.010 to 450.510, inclusive, the board of county commissioners may, on the behalf and in the name of the county, borrow money, otherwise become obligated, and evidence obligations by the issuance of bonds and other county securities, and in connection with the undertaking or facilities, the board may otherwise proceed as provided in the Local Government Securities Law.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365]—(NRS A 1965, 635; 1969, 1606; 1985, 293)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.310 - Schedules of fees, rates and charges for services, facilities and commodities.

In order to insure the payment of the general obligation bonds of the county, the payment of which is additionally secured by a pledge of revenues of such hospital facilities, of any such other income-producing project and of any such excise taxes, as provided in NRS 450.290, or other such additionally secured general obligation securities of the county, there may be established and maintained, and from time to time revised, a schedule or schedules of fees, rates and charges for services, facilities and commodities rendered by or through such facilities and any such other income-producing project and a schedule or schedules of any such excise taxes, as the case may be, by the board of hospital trustees for such hospital facilities and otherwise by the board of county commissioners, in an amount sufficient for that purpose and also sufficient to discharge any covenant in the proceedings authorizing the issuance of any of the bonds or other securities, including any covenant for the establishment of reasonable reserve funds.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365]—(NRS A 1965, 636; 1969, 1607)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.390 - Hospital for benefit of county; payment of charges; exclusion of persons from use of hospital.

1. Every county hospital in this State being supported by public money, and every hospital established under NRS 450.010 to 450.510, inclusive, must be for the benefit of that county or counties and of any person falling sick or being injured or maimed within its limits, but the governing body of the hospital may extend the privileges and use of the hospital to persons residing outside of the county or counties upon such terms and conditions as the governing body may by its rules and regulations prescribe.
2. Every inhabitant or person who is not a pauper and every relative required by the laws of this State to support an inhabitant or person who is a pauper shall pay to the governing body, or an officer it designates, a reasonable compensation for occupancy, nursing, care, medicine and attendance, other than medical or surgical attendance, according to the rules and regulations prescribed by the governing body. If after demand by the governing body, or its designated officer, the inhabitant, person or relative fails, refuses or neglects to pay the compensation, it may be recovered in a suit at law brought by the governing body.
3. The hospital is subject to such reasonable rules and regulations as the governing body may adopt in order to render the use of the hospital of the greatest benefit to the greatest number of people.
4. The governing body may exclude from the use of the hospital any and all inhabitants and persons who willfully violate those rules and regulations.
5. The provisions of this section do not prohibit the hospital from exercising other powers granted to it by the provisions of this chapter.
[9:169:1929; NCL § 2233] + [1:132:1941; 1931 NCL § 2245]—(NRS A 1987, 388)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.400 - Extension of privileges and use of hospital to certain nonresidents: Notice; removal of person to resident county; payment for temporary care; action for recovery of charges.

1. When the privileges and use of the hospital are extended to a resident of another county who is reasonably believed to be indigent, as defined in NRS 439B.310, and who is:
(a) Entitled under the laws of this state to relief, support, care, nursing, medicine or medical or surgical aid from the other county; or
(b) Injured, maimed or falls sick in the other county,
the governing head shall notify the board of county commissioners of that county within 3 working days after the person is admitted to that hospital.
2. The notice must be in writing and addressed to the board of county commissioners of that county.
3. Except in the case of an injury suffered in a motor vehicle crash, the board of county commissioners receiving the notice shall cause the person to be removed immediately to that county, and shall pay a reasonable sum to the hospital for the temporary occupancy, care, nursing, medicine, and attendance, other than medical or surgical attendance, furnished to the person.
4. If the board of county commissioners neglects or refuses to remove the person, or if in the opinion of the attending physician it is not advisable to remove the person, the governing head has a legal claim against the county for all charges for occupancy, nursing, care, medicine, and attendance, other than medical or surgical attendance, necessarily furnished, and may recover those charges in a suit at law.
[2:132:1941; A 1949, 588; 1943 NCL § 2245.01]—(NRS A 1983, 1943; 1991, 1000; 1993, 1974; 2015, 1678)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.410 - Admission of paying patients; charges.

1. Supervising boards of county hospitals may:
(a) Provide for treatment to sick or injured persons and require the payment of reasonable charges therefor.
(b) Contract for the provision of such treatment on a periodic prepaid basis with any person authorized by the Commissioner of Insurance pursuant to title 57 of NRS to arrange for or provide health care services on a periodic prepaid basis.
The treatment of such persons must not be permitted to interfere with the treatment of purely charitable cases.
2. Every person treated by a county hospital and required to pay charges for hospitalization, shall pay the charges fixed by the supervising board therefor, which charges, when paid, must be paid forthwith into the county treasury and deposited to the credit of the hospital fund.
3. Every person treated by a county hospital and required to pay charges to the hospital has the right to the services of a physician or surgeon of the person’s own choice, and has the right to employ such special nurses as may be necessary, but the cost of the physician, surgeon or nurses must not become a claim against the county.
4. Supervising boards shall fix and determine reasonable charges to be paid by sick and injured persons treated by county hospitals, which charges must include the board and lodging of the person and the customary use of hospital facilities by the person admitted.
[1:124:1941; 1931 NCL § 2244] + [2:124:1941; 1931 NCL § 2244.01] + [3:124:1941; 1931 NCL § 2244.02] + [4:124:1941; 1931 NCL § 2244.03]—(NRS A 1987, 389; 1997, 907)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.420 - Board of county commissioners to determine status of patient; charges fixed by board of hospital trustees; costs chargeable to county; exceptions.

1. The board of county commissioners of the county in which a public hospital is located may determine whether patients presented to the public hospital for treatment are subjects of charity. Except as otherwise provided in NRS 439B.330, the board of county commissioners shall establish by ordinance criteria and procedures to be used in the determination of eligibility for medical care as medical indigents or subjects of charity.
2. The board of hospital trustees shall fix the charges for treatment of those persons able to pay for the charges, as the board deems just and proper. The board of hospital trustees may impose an interest charge of not more than 12 percent per annum on unpaid accounts. The receipts must be paid to the county treasurer and credited to the hospital fund. In fixing charges pursuant to this subsection the board of hospital trustees shall not include, or seek to recover from paying patients, any portion of the expense of the hospital which is properly attributable to the care of indigent patients.
3. Except as provided in subsection 4 of this section and subsection 3 of NRS 439B.320, the county is chargeable with the entire cost of services rendered by the hospital and any salaried staff physician or employee to any person admitted for emergency treatment, including all reasonably necessary recovery, convalescent and follow-up inpatient care required for any such person as determined by the board of trustees of the hospital, but the hospital shall use reasonable diligence to collect the charges from the emergency patient or any other person responsible for the support of the patient. Any amount collected must be reimbursed or credited to the county.
4. The county is not chargeable with the cost of services rendered by the hospital or any attending staff physician or surgeon to the extent the hospital is reimbursed for those services pursuant to NRS 428.115 to 428.255, inclusive.
[14:169:1929; NCL § 2238]—(NRS A 1969, 875; 1975, 1305; 1977, 480; 1983, 1943; 1985, 1463; 1987, 389, 878; 1993, 1975)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.425 - Board of county commissioners may levy ad valorem tax to pay cost of services rendered at hospital to certain persons admitted for emergency treatment.

1. The board of county commissioners of a county in which a county hospital is established may, upon approval by a majority of the voters voting on the question in an election held throughout the county, levy an ad valorem tax of not more than 2.5 cents on each $100 of assessed valuation upon all taxable property in the county, to pay the cost of services rendered in the county by the hospital pursuant to subsection 3 of NRS 450.420. The approval required by this subsection may be requested at any primary or general election.
2. Any tax imposed pursuant to this section is in addition to the taxes imposed pursuant to NRS 428.050, 428.185 and 428.285. The proceeds of any tax levied pursuant to this section are exempt from the limitations imposed by NRS 354.59811, 428.050 and 428.285 and must be excluded in determining the maximum rate of tax authorized by those sections.
(Added to NRS by 1987, 878; A 1989, 2086; 1991, 482; 1993, 1079; 1995, 334)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.430 - Equal privileges of practitioners; exception; rights of patients; loss of hospital privileges not adverse action against physician in certain circumstances.

1. Except as otherwise provided in NRS 450.440, in the management of the public hospital, no discrimination may be made against physicians, podiatric physicians or dentists licensed under the laws of this state or licensed practitioners of the allied health professions, and all such physicians, dentists, podiatric physicians and practitioners have privileges in treating patients in the hospital in accordance with their training and ability, except that practitioners of the allied health professions may not be members of the staff of physicians described in NRS 450.440. Practitioners of the allied health professions are subject to the bylaws and regulations established by the board of hospital trustees.
2. The patient has the right to employ, at the patient’s own expense, his or her own physician, if that physician is a member of the hospital staff, or the patient’s own nurse, and when acting for any patient in the hospital, the physician employed by the patient has charge of the care and treatment of the patient, and the nurses in the hospital shall comply with the directions of the physician concerning that patient, subject to the regulations established by the board of hospital trustees.
3. If a physician loses privileges at a hospital because the physician no longer holds a faculty or clinical appointment with the University of Nevada School of Medicine or the University of Nevada, Las Vegas, School of Dental Medicine, as required pursuant to NRS 450.440, that action shall not be deemed to be an adverse action by the hospital against the physician.
[Part 11:169:1929; A 1955, 194]—(NRS A 1957, 780; 1975, 641; 1979, 150; 2001, 1830; 2011, 917)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.450 - General administration of hospital subject to regulations of trustees.

When a county hospital is established, the physicians, nurses, attendants, the persons sick therein, and all persons approaching or coming within the limits of the same, and all furniture and other articles used or brought there shall be subject to such rules and regulations as the board of hospital trustees may prescribe.
[10:169:1929; NCL § 2234]
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.455 - Program for training resident physicians.

A board of hospital trustees may institute and maintain training programs in the county hospital for resident physicians, including interns and postgraduates. Such programs must meet the standards for recognition by the American Medical Association and for accreditation by the Liaison Committee on Graduate Medical Education.
(Added to NRS by 1963, 455; A 1979, 676)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.460 - School for training nurses.

The board of hospital trustees may establish and maintain in connection with a county hospital and as a part thereof a training school for nurses. Upon completion of the prescribed course of training the board of hospital trustees shall give diplomas to such nurses as complete the course satisfactorily.
[12:169:1929; NCL § 2236]
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.470 - Room for examination of persons alleged to be in mental health crisis; room for custodial supervision of persons in mental health crisis and dangerous persons.

1. If the county hospital is located at the county seat, the board of hospital trustees shall, at all times, provide a suitable room that may be used for the examination of persons who are alleged to be persons in a mental health crisis and who are to be brought before the judge of the district court for proceedings to determine the issue of involuntary court-ordered admission as provided in chapter 433A of NRS. This section does not prohibit or limit the examination of persons alleged to be persons in a mental health crisis at a private hospital as provided in chapter 433A of NRS.
2. The board of trustees of such a county hospital, in cooperation with the local law enforcement agencies, may provide a suitable room that may be used for the custodial supervision of persons who are alleged to:
(a) Be persons in a mental health crisis; or
(b) Be dangerous to themselves or others.
[13:169:1929; NCL § 2237]—(NRS A 1967, 1679; 1975, 1634; 1993, 834; 2021, 3112)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.480 - Use of paramedics for emergency care authorized.

A hospital or rescue unit which meets minimum requirements established by the State Board of Health, or an ambulance service which meets minimum requirements established by the State Board of Health in a county whose population is less than 100,000, or a county or district board of health in a county whose population is 100,000 or more, may use paramedics, as defined in NRS 450B.095, for the rendering of emergency medical care to the sick or injured:
1. At the scene of an emergency and during transport to a hospital;
2. While in a hospital emergency department; and
3. Until responsibility for care is assumed by the regular staff of the hospital.
(Added to NRS by 1973, 610; A 1975, 37; 1987, 2206; 1993, 2827; 2013, 937)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.490 - Conveyance or lease of hospital to corporation.

1. The board of county commissioners of any county for which a public hospital has been established or is administered pursuant to NRS 450.010 to 450.510, inclusive, and whose public hospital is the only hospital in the county, may convey the hospital for an amount not less than its appraised value or lease it for a term of not more than 50 years to any corporation if all of the following conditions are met:
(a) The corporation must provide in its articles of incorporation for an advisory board for the hospital. The advisory board must consist of persons who represent a broad section of the people to be served by the hospital.
(b) The corporation must contract to:
(1) Care for indigent patients at a charge to the county which does not exceed the actual cost of providing that care, or in accordance with NRS 439B.300 to 439B.340, inclusive, if applicable; and
(2) Receive any person falling sick or maimed within the county.
(c) The corporation must agree to accept all the current assets, including accounts receivable, to assume all the current liabilities, and to take over and maintain the records of the existing public hospital.
(d) The agreement must provide for the transfer of patients, staff and employees, and for the continuing administration of any trusts or bequests pertaining to the existing public hospital.
(e) The agreement must provide for the assumption by the corporation of all indebtedness of the county which is attributable to the hospital, and:
(1) If the hospital is conveyed, for payment to the county of an amount which is not less than the appraised value of the hospital, after deducting any indebtedness so assumed, immediately or by deferred installments over a period of not more than 30 years.
(2) If the hospital is leased, for a rental which will, over the term of the lease, reimburse the county for its actual capital investment in the hospital, after deducting depreciation and any indebtedness so assumed. The lease may provide a credit against the rental so required for the value of any capital improvements made by the corporation.
2. If any hospital which has been conveyed pursuant to this section ceases to be used as a hospital, unless the premises so conveyed are sold and the proceeds used to erect or enlarge another hospital for the county, the hospital so conveyed reverts to the ownership of the county. If any hospital which has been leased pursuant to this section ceases to be used as a hospital, the lease is terminated.
(Added to NRS by 1981, 1186; A 1987, 879)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.510 - County whose population is less than 100,000 may contract with community nonprofit hospital for care of indigent patients; enlargement or alteration of hospital.

1. The board of county commissioners of any county whose population is less than 100,000 may contract with any nonprofit corporation to which a public hospital has been conveyed or leased, for the care of indigent patients from the contracting county and the receiving of other persons falling sick or being maimed or injured within the contracting county. The contract must be consistent with the provisions of NRS 439B.300 to 439B.340, inclusive, if applicable.
2. The contracting county may participate in the enlargement or alteration of the hospital.
(Added to NRS by 1969, 216; A 1969, 1545; 1979, 551; 1987, 881; 1993, 2661)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.520 - Determination that emergency exists before submission of certain questions at special election.

1. For the purposes of NRS 450.043, 450.060 and 450.280, a special election may be held only if the board of county commissioners determines, by a unanimous vote, that an emergency exists.
2. The determination made by the board is conclusive unless it is shown that the board acted with fraud or a gross abuse of discretion. An action to challenge the determination made by the board must be commenced within 15 days after the board’s determination is final.
3. As used in this section, "emergency" means any unexpected occurrence or combination of occurrences which requires immediate action by the board to prevent or mitigate a substantial financial loss to the county or to enable the board to provide an essential service to the residents of the county.
(Added to NRS by 1993, 1078; A 1995, 334)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.525 - Membership of hospital in purchasing group.

1. A county hospital may, with the approval of the governing body of the hospital, become a member of a purchasing group for the purpose of purchasing supplies, materials, equipment and services used by the county hospital.
2. Except as otherwise provided in this subsection, a county hospital that becomes a member of a purchasing group may, in accordance with the requirements of NRS 450.530, purchase supplies, materials, equipment and services through the purchasing group without complying with the requirements for competitive bidding set forth in chapter 332 of NRS. A county hospital may not purchase services or otherwise enter into an agreement pursuant to this subsection for:
(a) The hiring of temporary or permanent staff through a vendor or employment agency to perform any medical or nursing care.
(b) Any work for which a contractor’s license issued pursuant to chapter 624 of NRS is required.
The provisions of this subsection do not prohibit a county hospital from purchasing specialty equipment which requires installation services that must be performed by a person who holds a contractor’s license issued pursuant to chapter 624 of NRS and which are specific to a particular project and are not commonly used in public works projects.
(Added to NRS by 1999, 190; A 2019, 3580)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.530 - Purchase of supplies, materials, equipment and services through certain purchasing contracts or purchasing group without complying with certain requirements for competitive bidding.

A county hospital that is authorized pursuant to NRS 450.191 or 450.525 to purchase supplies, materials, equipment and services in accordance with this section through the purchasing contracts of the company that manages the hospital or through a purchasing group may purchase the supplies, materials, equipment and services without complying with the requirements for competitive bidding set forth in chapter 332 of NRS if:
1. The documents pertaining to the proposed purchase, including, without limitation, the prices available to the company or purchasing group, are summarized in writing and, together with a sworn statement by an officer or agent of the company or purchasing group that the prices were obtained by the company or purchasing group through a process of competitive bidding, are presented to the governing body of the county hospital at its next regularly scheduled meeting; and
2. The governing body, after reviewing the summary and statement, finds that the proposed purchase will be made at a lower price than the lowest price reasonably obtainable by the hospital through competitive bidding pursuant to chapter 332 of NRS or available to the hospital pursuant to NRS 333.470 and approves the proposed purchase.
(Added to NRS by 1999, 190; A 2019, 3580)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.550 - Definitions.

As used in NRS 450.550 to 450.760, inclusive, unless the context otherwise requires:
1. "Board of trustees" means:
(a) A board of hospital trustees:
(1) Elected pursuant to NRS 450.620 and a physician who is appointed pursuant to subsection 1 of NRS 450.640, if applicable; or
(2) Appointed pursuant to NRS 450.625 and a physician who is appointed pursuant to subsection 1 of NRS 450.640, if applicable; or
(b) A board of county commissioners, if that board enacts an ordinance which provides that the board of county commissioners is, ex officio, the board of hospital trustees, and a physician who is appointed pursuant to subsection 1 of NRS 450.640, if applicable.
2. "District hospital" means a hospital constructed, maintained and governed pursuant to NRS 450.550 to 450.760, inclusive.
(Added to NRS by 1969, 1387; A 1989, 1011; 1993, 1975; 1995, 793; 1997, 3100, 3135; 1999, 639, 2076; 2001, 468; 2005, 1448; 2023, 868)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.560 - Establishment of district on motion of board of county commissioners.

1. The board of county commissioners of any county may of its own motion establish a hospital district in the manner prescribed in NRS 450.550 to 450.750, inclusive. The establishment of a hospital district is in addition to any other powers granted to a board of county commissioners pursuant to NRS 450.010 to 450.510, inclusive.
2. Except as otherwise provided in this subsection, a hospital district specified in subsection 1 may include territory within more than one county. If the establishment of such a district is proposed by a board of county commissioners, the district may be established only if the board of county commissioners of each county included within the district, other than the county of the board of county commissioners that proposes to establish the district, adopts a resolution approving the establishment of the district.
(Added to NRS by 1969, 1387; A 1997, 3100, 3135; 1999, 639)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.570 - Notice of intent to establish district: Contents; publication.

The notice of intent to establish a hospital district must:
1. State the name of the proposed district and the name of the county or counties in which the proposed district is located.
2. State the time and place fixed by the board of county commissioners for a hearing on the proposed establishment of the district.
3. Describe the territory or specify the exterior boundaries of the territory proposed to be included within the district, which boundaries, so far as practicable, must be the centerlines of highways.
4. Be published once a week for 2 successive weeks before the time fixed for the hearing in a newspaper designated by the board of county commissioners.
(Added to NRS by 1969, 1387; A 1997, 3101, 3136; 1999, 639)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.580 - Objections to formation of district; hearing.

1. At or before the time fixed for the hearing of the proposed establishment of a hospital district, any person interested may file written objections to the establishment of the district with the clerk of the board of county commissioners that proposes to establish the district.
2. At the hearing, the board of county commissioners shall hear and consider any objections filed pursuant to subsection 1.
3. The board may:
(a) Sustain any objections filed pursuant to subsection 1;
(b) Change or alter the boundaries of the proposed district to conform to the requirements of the district; and
(c) Exclude from the district any land that will not be benefited by the establishment of the district.
(Added to NRS by 1969, 1387; A 1997, 3101, 3136; 1999, 639)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.590 - Establishment of district: Petition of owners of property; adoption, contents and publication of resolution of intention to establish district; exception.

1. Except as otherwise provided in subsection 3, if 25 percent or more of the holders of title or evidence of title to lands lying within the proposed district, whose names appear as such upon the last county assessment roll, present a petition to the board of county commissioners of the county in which the land lies, setting forth the exterior boundaries of the proposed district and asking that the district so described be established within a county hospital district pursuant to the provisions of NRS 450.550 to 450.750, inclusive, the board of county commissioners shall adopt a resolution declaring the intention of the board to include the territory within a county hospital district, naming the district and describing its exterior boundaries.
2. The resolution must:
(a) Fix a time and place for the hearing of the proposed establishment of the district not less than 30 days after its adoption.
(b) Direct the clerk of the board of county commissioners to publish:
(1) The notice of intention of the board of county commissioners to establish the county hospital district; and
(2) The time and place fixed for the hearing.
(c) Designate that the notice must be published in a newspaper of general circulation published in the county and circulated in the proposed county hospital district, or if there is no newspaper so published and circulated, then in a newspaper of general circulation circulated in the proposed district.
3. The provisions of this section do not apply to a proposed hospital district if it includes territory within more than one county.
(Added to NRS by 1969, 1388; A 1997, 3101, 3136; 1999, 639; 2023, 868)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.600 - Hearing on petition.

Upon the hearing of the petition, the board of county commissioners shall determine whether or not the petition complies with the requirements and purposes of NRS 450.550 to 450.750, inclusive, and must hear all competent and relevant testimony offered in support or in objection thereto.
(Added to NRS by 1969, 1388)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.610 - Resolution creating district.

If after a hearing, the board of county commissioners determines that the creation of the proposed hospital district is desirable, the board shall by resolution provide for the creation of such district, designating the name of the district and establishing the boundaries of the district.
(Added to NRS by 1969, 1388)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.620 - Enactment of ordinance regarding number, terms and election of trustees; service of board of county commissioners ex officio as board of trustees.

1. Except as otherwise provided in subsection 2 and NRS 450.625, if a hospital district is created pursuant to NRS 450.550 to 450.750, inclusive, the board of county commissioners shall provide by ordinance for:
(a) The number of members of the board of trustees;
(b) The term of office of the trustees, which must not exceed 4 years; and
(c) The times and manner of the election of the trustees, which must be nonpartisan.
2. If a hospital district specified in subsection 1 does not include territory within more than one county, the board of county commissioners may enact an ordinance providing that the board of county commissioners is, ex officio, the board of hospital trustees of the district hospital. If such an ordinance is enacted in a county:
(a) The county commissioners shall serve as the hospital trustees of the district hospital during their terms of office as county commissioners; and
(b) If hospital trustees have been elected pursuant to subsection 1, the term of office of each hospital trustee of the district hospital who is serving in that capacity on the effective date of the ordinance is terminated as of the effective date of the ordinance.
3. Except as otherwise provided in NRS 450.710, a board of county commissioners shall not enact an ordinance pursuant to subsection 2 unless it determines that:
(a) The county has fully funded its indigent care account created pursuant to NRS 428.010;
(b) The county has fulfilled its duty to reimburse the hospital for indigent care provided to qualified indigent patients; and
(c) During the previous calendar year:
(1) At least one of the hospital’s accounts payable was more than 90 days in arrears;
(2) The hospital failed to fulfill its statutory financial obligations, including the payment of taxes, premiums for industrial insurance or contributions to the Public Employees’ Retirement System;
(3) One or more of the conditions relating to financial emergencies set forth in subsection 2 of NRS 354.685 existed at the hospital; or
(4) The hospital received notice from the Federal Government or the State of Nevada that the certification or license of the hospital was in imminent jeopardy of being revoked because the hospital had not carried out a previously established plan of action to correct previously noted deficiencies found by the regulatory body.
(Added to NRS by 1969, 1388; A 1995, 793; 1997, 572, 3102, 3137; 1999, 639, 2077; 2015, 740)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.625 - Trustees of district that includes territory within more than one county.

1. If a hospital district created pursuant to NRS 450.550 to 450.750, inclusive, includes territory within more than one county, the board of trustees of the hospital district must consist of three members of the board of county commissioners that created the district and:
(a) Three members of the board of county commissioners of each county other than the county of the board of county commissioners that created the district, if the portion of the county included in the district is two-thirds or more of the total area of the county;
(b) Two members of the board of county commissioners of each county other than the county of the board of county commissioners that created the district, if the portion of the county included in the district is more than one-third of the total area of the county but less than two-thirds of the total area of the county; or
(c) One member of the board of county commissioners of each county other than the county of the board of county commissioners that created the district, if the portion of the county included in the district is one-third or less of the total amount of the area of the county.
2. Each member of the board of trustees appointed pursuant to this section must be appointed by the board of county commissioners of which he or she is a member.
3. The term of office of the members of the board of trustees is 3 years.
4. A member who ceases to be a member of the board of county commissioners that appointed him or her ceases to be a member of the board of trustees.
5. Any vacancy must be filled for the unexpired term by the board of county commissioners that appointed the member who created the vacancy.
(Added to NRS by 1997, 3099; A 1997, 3134; 1999, 639)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.630 - General powers and duties of board of trustees; rules and regulations.

The board of trustees shall:
1. Carry out the spirit and intent of NRS 450.550 to 450.750, inclusive, in establishing and maintaining a hospital in each district created pursuant to NRS 450.550 to 450.750, inclusive.
2. Make and adopt bylaws, rules and regulations:
(a) For its own guidance and the government of any such hospital; and
(b) Fixing the charges for treatment of patients.
(Added to NRS by 1969, 1388; A 1987, 390)