reglab/statecodes huggingface dataset:
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.572 - Unlawful acts; penalty.

1. It is unlawful for:
(a) A provider of health care to willfully fail to transfer the care of a patient in accordance with subsection 3 of NRS 449A.563.
(b) A person to willfully conceal, cancel, deface or obliterate a Provider Order for Life-Sustaining Treatment form without the consent of the patient who executed the form.
(c) A person to falsify or forge the POLST form of another person, or willfully conceal or withhold personal knowledge of the revocation of the POLST form of another person, with the intent to cause the withholding or withdrawal of emergency care or life-sustaining treatment contrary to the wishes of the patient.
(d) A person to require or prohibit the execution of a POLST form as a condition of being insured for, or receiving, health care in violation of subsection 3 of NRS 449A.569.
(e) A person to coerce or fraudulently induce another to execute a POLST form.
2. A person who violates any of the provisions of this section is guilty of a misdemeanor.
(Added to NRS by 2013, 2288; A 2017, 461, 1765)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.575 - Actions contrary to reasonable medical standards not required; mercy-killing, euthanasia or assisted suicide not authorized; rights associated with other advance directives not impaired; right to make decisions concerning emergency care or life-sustaining treatment not affected.

The provisions of NRS 449A.500 to 449A.581, inclusive, do not:
1. Require a provider of health care to take any action contrary to reasonable medical standards;
2. Affect the responsibility of a provider of health care to provide treatment for a patient’s comfort or alleviation of pain;
3. Condone, authorize or approve mercy killing, euthanasia or assisted suicide;
4. Except as otherwise provided in NRS 449A.557, affect or impair any right created pursuant to the provisions of any other types of advance directives; or
5. Affect the right of a patient to make decisions concerning the use of emergency care or life-sustaining treatment, if he or she is able to do so.
(Added to NRS by 2013, 2288)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.578 - Validity of POLST form executed in another state.

1. A Provider Order for Life-Sustaining Treatment form executed in another state in compliance with the laws of that state or this State is valid for the purposes of NRS 449A.500 to 449A.581, inclusive.
2. As used in this section, "state" includes the District of Columbia, the Commonwealth of Puerto Rico and a territory or insular possession subject to the jurisdiction of the United States.
(Added to NRS by 2013, 2288; A 2017, 462, 1766)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.600 - Definitions.

As used in NRS 449A.600 to 449A.645, inclusive, unless the context otherwise requires, the words and terms defined in NRS 449A.603 to 449A.615, inclusive, have the meanings ascribed to them in those sections.
(Added to NRS by 2017, 690)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.603 - "Advance directive for psychiatric care" or "advance directive" defined.

"Advance directive for psychiatric care" or "advance directive" means a writing executed in accordance with the requirements of NRS 449A.618 pursuant to which the principal makes a declaration of instructions, information and preferences regarding his or her psychiatric care.
(Added to NRS by 2017, 690)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.618 - Execution of advance directive; period of effectiveness.

1. A person of sound mind who is 18 or more years of age or who has been declared emancipated pursuant to NRS 129.080 to 129.140, inclusive, may execute at any time an advance directive for psychiatric care. The principal may designate another natural person of sound mind and 18 or more years of age to make decisions governing the provision of psychiatric care. The advance directive must be signed by the principal, or another at the principal’s direction, and attested by two witnesses. Neither of the witnesses may be:
(a) The attending physician or provider of health care;
(b) An employee of the attending physician or provider of health care;
(c) An owner or operator of a medical facility in which the principal is a patient or resident or an employer of such an owner or operator; or
(d) A person appointed as an attorney-in-fact by the advance directive.
2. An advance directive becomes effective upon its proper execution and remains valid for a period of 2 years after the date of its execution unless revoked.
(Added to NRS by 2017, 690)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.624 - Requirements for advance directive to become operative; effect.

An advance directive for psychiatric care becomes operative when it is communicated to a physician or any other provider of health care and the principal is determined by two providers of health care, one of whom must be the attending physician or a licensed psychologist and the other of whom must be a physician, a physician assistant, a licensed psychologist, a psychiatrist or an advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120, to be no longer able to make or communicate decisions regarding the provision of psychiatric care. If the principal is determined to be no longer able to make or communicate decisions regarding the provision of psychiatric care and subsequently the principal’s attending physician or an advance practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120 and has an established relationship with the principal determines that the principal has regained the ability to make or communicate decisions regarding the provision of psychiatric care, the advance directive is no longer operative. When the advance directive is operative, a physician and any other provider of health care shall act in accordance with the provisions of the advance directive and with the instructions of a person designated pursuant to NRS 449A.618, or comply with the requirements of NRS 449A.639 to transfer the care of the principal.
(Added to NRS by 2017, 696)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.633 - Revocation.

1. A principal may revoke an advance directive for psychiatric care at any time and in any manner, as long as the principal is capable of making such a decision. The principal may exercise this right of revocation in any manner by which the principal is able to communicate an intent to revoke and by notifying the attending physician or other provider of health care of the revocation.
2. The attending physician or other provider of health care shall make the revocation part of the principal’s medical record.
(Added to NRS by 2017, 696)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.636 - Provider to comply with advance directive; exceptions.

1. When acting under the authority of an advance directive for psychiatric care, an attending physician or other provider of health care shall comply with the advance directive unless:
(a) Compliance, in the opinion of the attending physician or other provider, is not consistent with generally accepted standards of care for the provision of psychiatric care for the benefit of the principal;
(b) Compliance is not consistent with the availability of psychiatric care requested;
(c) Compliance is not consistent with applicable law;
(d) The principal is admitted to a mental health facility or hospital pursuant to NRS 433A.145 to 433A.330, inclusive, or required to receive assisted outpatient treatment pursuant to NRS 433A.335 to 433A.345, inclusive, and a course of treatment is required pursuant to those provisions; or
(e) Compliance, in the opinion of the attending physician or other provider, is not consistent with appropriate psychiatric care in case of an emergency endangering the life or health of the principal or another person.
2. In the event that one part of the advance directive is unable to be followed because of any of the circumstances set forth in subsection 1, all other parts of the advance directive must be followed.
(Added to NRS by 2017, 696; A 2021, 3112)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.639 - Transfer of care of principal.

A physician or other provider of health care who is unable to comply with NRS 449A.600 to 449A.645, inclusive, shall take all reasonable steps as promptly as practicable to transfer the psychiatric care of the principal to another physician or provider of health care.
(Added to NRS by 2017, 697)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.642 - Provider to inquire whether person has advance directive for psychiatric care; immunity from liability for certain actions relating to advance directive.

1. If two providers of health care, one of whom is a physician or a licensed psychologist and the other of whom is a physician, a physician assistant, a licensed psychologist, a psychiatrist or an advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120, determine that a person is incapable of consenting or refusing to consent to psychiatric care, a physician or other provider of health care treating the person must make a reasonable inquiry as to whether the person has executed an advance directive for psychiatric care.
2. A physician or other provider of health care acting in accord with reasonable medical standards is not subject to civil or criminal liability, or discipline for unprofessional conduct, for:
(a) Complying with a direction given or a decision made by a person that the physician or other provider believes, in good faith, has authority to act as an agent for a principal concerning decisions relating to psychiatric care;
(b) Refusing to comply with a direction given or a decision made by a person based on a good faith belief that the person lacks the authority to act as an agency for a principal concerning decisions relating to psychiatric care;
(c) Giving effect to an advance directive for psychiatric care that the physician or other provider assumed was valid;
(d) Disclosing information concerning psychiatric care to another person based on a good faith belief that such disclosure was either authorized or required;
(e) Refusing to comply with a direction given or a decision made by a person because of conflicts with the physician’s or other provider’s contractual network or payment policy restrictions;
(f) Refusing to comply with a direction given or a decision made by a person if such direction or decision violates accepted medical or clinical standards of care;
(g) Making a determination that causes an advance directive to become effective; or
(h) Failing to determine that a person lacks sufficient understanding or capacity to make or communicate decisions regarding psychiatric care, thereby preventing an advance directive from becoming effective.
3. A physician or other provider of health care whose action pursuant to NRS 449A.600 to 449A.645, inclusive, is in accord with reasonable medical standards is not subject to civil or criminal liability, or discipline for unprofessional conduct, with respect to that action.
4. A person designated in an advance directive for psychiatric care pursuant to NRS 449A.618 whose decision is made in good faith pursuant to NRS 449A.600 to 449A.645, inclusive, is not subject to civil or criminal liability, or discipline for unprofessional conduct, with respect to that decision.
(Added to NRS by 2017, 697)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.645 - Validity of advance directive executed in another state or instrument executed before May 26, 2017.

1. An advance directive for psychiatric care executed in another state in compliance with the law of that state or of this State is valid for purposes of NRS 449A.600 to 449A.645, inclusive.
2. An instrument executed anywhere before May 26, 2017, which clearly expresses the intent of the person executing the instrument to direct the provision of psychiatric care for the person when the person is otherwise rendered incapable of communicating with his or her attending physician, if executed in a manner which attests voluntary execution and has not been subsequently revoked, is effective under NRS 449A.600 to 449A.645, inclusive.
3. As used in this section, "state" includes the District of Columbia, the Commonwealth of Puerto Rico and a territory or insular possession subject to the jurisdiction of the United States.
(Added to NRS by 2017, 698)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.700 - Definitions.

As used in NRS 449A.700 to 449A.739, inclusive, unless the context otherwise requires, the words and terms defined in NRS 449A.703, 449A.706 and 449A.709 have the meanings ascribed to them in those sections.
(Added to NRS by 2007, 2515)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.703 - "Advance directive" defined.

"Advance directive" means an advance directive for health care. The term includes:
1. A declaration governing the withholding or withdrawal of life-sustaining treatment as set forth in NRS 449A.400 to 449A.481, inclusive;
2. A durable power of attorney for health care as set forth in NRS 162A.700 to 162A.870, inclusive;
3. An advance directive for psychiatric care as set forth in NRS 449A.600 to 449A.645, inclusive;
4. A do-not-resuscitate order as defined in NRS 450B.420; and
5. A Provider Order for Life-Sustaining Treatment form as defined in NRS 449A.542.
(Added to NRS by 2007, 2515; A 2009, 210; 2013, 2289; 2017, 462, 698, 1767; 2023, 497)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.712 - Establishment and maintenance; information to be included in Registry.

The Secretary of State shall establish and maintain the Registry of Advance Directives for Health Care on the Internet website of the Secretary of State. The Registry must include, without limitation, in a secure portion of the website, an electronic reproduction of each advance directive. The electronic reproduction must be capable of being viewed on the website and downloaded, printed or otherwise retrieved by a person as set forth in NRS 449A.718.
(Added to NRS by 2007, 2515)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.715 - Registration of advance directive: Requirements; duties of Secretary of State.

1. A person who wishes to register an advance directive must submit to the Secretary of State:
(a) An application in the form prescribed by the Secretary of State;
(b) A copy of the advance directive; and
(c) The fee, if any, established by the Secretary of State pursuant to NRS 449A.733.
2. If the person satisfies the requirements of subsection 1, the Secretary of State shall:
(a) Make an electronic reproduction of the advance directive and post it to the Registry and, if the person consents pursuant to NRS 439.591, a health information exchange established pursuant to NRS 439.581 to 439.597, inclusive, if that health information exchange is connected to the Registry;
(b) Assign a registration number and password to the registrant; and
(c) Provide the registrant with a registration card that includes, without limitation, the name, registration number and password of the registrant.
3. The Secretary of State shall establish procedures for:
(a) The registration of an advance directive that replaces an advance directive that is posted on the Registry;
(b) The removal from the Registry of an advance directive that has been revoked following the revocation of the advance directive or the death of the registrant; and
(c) The issuance of a duplicate registration card or the provision of other access to the registrant’s registration number and password if a registration card issued pursuant to this section is lost, stolen, destroyed or otherwise unavailable.
(Added to NRS by 2007, 2515; A 2013, 2289; 2015, 1043)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.718 - Access to advance directive.

1. Except as otherwise provided in this section, the Secretary of State shall not provide access to a registrant’s advance directive unless:
(a) The person requesting access provides the registration number and password of the registrant;
(b) The Secretary of State determines that providing access to the advance directive is in the best interest of the registrant;
(c) Access to the advance directive is required pursuant to the lawful order of a court of competent jurisdiction; or
(d) Access to the advance directive is requested by the registrant or the registrant’s personal representative.
2. A registrant or the personal representative of a registrant may access the registrant’s advance directive for any purpose. A provider of health care to the registrant may access the registrant’s advance directive only in connection with the provision of health care to the registrant.
(Added to NRS by 2007, 2516)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.721 - Removal of advance directive of deceased registrant.

The Secretary of State shall remove from the Registry the advance directives of deceased registrants. The State Registrar of Vital Statistics shall cooperate with the Secretary of State to identify registrants whose advance directives must be removed from the Registry. The Secretary of State shall remove from the Registry the advance directives of deceased registrants at least once every 5 years.
(Added to NRS by 2007, 2516)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.724 - Secretary of State not required to determine accuracy of contents of advance directive or validity of advance directive; effect of registration, failure to register and failure to notify Secretary of State of revocation of advance directive.

1. The provisions of NRS 449A.700 to 449A.739, inclusive, do not require the Secretary of State to determine whether the contents of an advance directive submitted for registration are accurate or the execution or issuance of the advance directive complies with the requirements necessary to make the advance directive valid.
2. The registration of an advance directive does not establish or create a presumption that the contents of the advance directive are accurate or the execution or issuance of the advance directive complies with the requirements necessary to make the advance directive valid.
3. Failure to register an advance directive does not affect the validity of the advance directive.
4. Failure to notify the Secretary of State of the revocation of a registrant’s advance directive does not affect the validity of the revocation.
(Added to NRS by 2007, 2516)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.727 - Provider of health care not required to inquire whether patient has registered advance directive or access Registry; immunity of provider of health care from criminal and civil liability.

1. The provisions of NRS 449A.700 to 449A.739, inclusive, do not require a provider of health care to inquire whether a patient has an advance directive registered on the Registry or to access the Registry to determine the terms of the advance directive.
2. A provider of health care who relies in good faith on the provisions of an advance directive retrieved from the Registry is immune from criminal and civil liability as set forth in:
(a) NRS 449A.460, if the advance directive is a declaration governing the withholding or withdrawal of life-sustaining treatment executed pursuant to NRS 449A.400 to 449A.481, inclusive, or a durable power of attorney for health care executed pursuant to NRS 162A.700 to 162A.870, inclusive;
(b) NRS 449A.642, if the advance directive is an advance directive for psychiatric care executed pursuant to NRS 449A.600 to 449A.645, inclusive;
(c) NRS 449A.500 to 449A.581, inclusive, if the advance directive is a Provider Order for Life-Sustaining Treatment form; or
(d) NRS 450B.540, if the advance directive is a do-not-resuscitate order as defined in NRS 450B.420.
(Added to NRS by 2007, 2516; A 2009, 210; 2013, 2290; 2017, 462, 698, 1767; 2023, 497)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.730 - Immunity of Secretary of State and deputies, employees and attorneys of Secretary of State.

The Secretary of State and the deputies, employees and attorneys of the Secretary of State are not liable for any action or omission made in good faith by the Secretary of State, deputy, employee or attorney in carrying out the provisions of NRS 449A.700 to 449A.739, inclusive.
(Added to NRS by 2007, 2516)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.733 - Suspension of components of Registry and duties of Secretary of State if sufficient money not available; fees authorized; acceptance of gifts and grants.

1. On or before July 1 of each odd-numbered year, the Secretary of State shall make a determination of whether sufficient money is available and authorized for expenditure to fund one or more components of the programs and other duties of the Secretary of State relating to NRS 449A.700 to 449A.739, inclusive.
2. The Secretary of State shall temporarily suspend any components of the programs or duties of the Secretary of State for which he or she determines pursuant to subsection 1 that sufficient money is not available.
3. The Secretary of State may charge and collect fees and accept gifts, grants, bequests and other contributions from any source for the purpose of carrying out the provisions of NRS 449A.700 to 449A.739, inclusive.
(Added to NRS by 2007, 2517)
2023 Nevada Revised Statutes › Chapter 449A - Care and Rights of Patients › NRS 449A.736 - Deposit, accounting and use of money received; interest and income earned on money received; payment of claims.

1. All money received by the Secretary of State pursuant to NRS 449A.700 to 449A.739, inclusive, must be:
(a) Deposited in the State Treasury and accounted for separately in the State General Fund; and
(b) Used only for the purpose of carrying out the provisions of NRS 449A.700 to 449A.739, inclusive.
2. The Secretary of State shall administer the account. The interest and income earned on the money in the account, after deducting any applicable charges, must be credited to the account.
3. The money in the account does not lapse to the State General Fund at the end of any fiscal year.
4. Claims against the account must be paid as other claims against the State are paid.
(Added to NRS by 2007, 2517)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.005 - Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 450.006 and 450.008 have the meanings ascribed to them in those sections.
(Added to NRS by 1975, 641; A 1977, 961; 1979, 150; 1991, 1133; 1999, 191)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.006 - "Allied health profession" defined.

"Allied health profession" means:
1. Psychology as defined in chapter 641 of NRS; or
2. Oriental medicine or acupuncture as defined in chapter 634A of NRS.
(Added to NRS by 1999, 190; A 2001, 1830)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.008 - "Purchasing group" defined.

"Purchasing group" means a cooperative organization of hospitals and other health care organizations that affiliate for the purpose of combining their purchasing power to secure a lower cost for their purchases of supplies, materials, equipment and services than would be available to the members of the purchasing group individually.
(Added to NRS by 1999, 191; A 2019, 3579)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.010 - "Taxpayers" defined.

For the purposes of NRS 450.010 to 450.510, inclusive, "taxpayers" means citizens of the United States of the age of 18 years and upward who, at the time of filing their petition, are registered electors of the county in which an election is proposed to be held and whose names appear on the latest assessment roll of the county as owners of real or personal property.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365]—(NRS A 1975, 79; 1987, 295; 1995, 332; 2015, 1269)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.030 - Petition signed by at least 30 percent of taxpayers; submission of question at next general election.

Whenever the board of county commissioners of any county is presented with a petition signed by at least 30 percent of the taxpayers in such county or in each of a group of counties asking that an annual tax be levied for the establishing and maintenance of a public hospital, at a place in the county or counties named therein, and specifying the maximum amount of money proposed to be expended in purchasing or building the hospital, including the acquisition of a site, the board of county commissioners shall, after a compliance with and subject to the provisions of NRS 350.011 to 350.0165, inclusive, submit the question of issuing bonds therefor to the qualified electors of the county at the next general election to be held in the county, as provided in NRS 350.020 to 350.070, inclusive.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365] + [Part 2:169:1929; A 1937, 194; 1949, 83; 1955, 165]—(NRS A 1965, 632; 1969, 1603; 1981, 962)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.040 - Petition signed by at least 50 percent of taxpayers; submission of question at next primary or general election.

1. Whenever the board of county commissioners of any county is presented with a petition signed by at least 50 percent of the taxpayers in the county or in each of a group of counties asking that an annual tax be levied for the establishment and maintenance of a public hospital, at a place in the county or counties named therein, and specifying the maximum amount of money proposed to be expended in purchasing or building the hospital, including the acquisition of a site, the board of county commissioners shall forthwith comply with the provisions of NRS 350.011 to 350.0165, inclusive, and shall submit the proposal to issue bonds for the project to the county debt management commission for each of the counties.
2. Upon the receipt of the approval thereof of each such commission, each board of county commissioners shall submit the question of issuing bonds for the hospital project designated in the petition to the qualified electors of the county at the next primary or general election, as provided in NRS 350.020 to 350.070, inclusive.
3. If the petition designated in subsection 1 indicates the hospital is to serve more than one county, each county designated shall submit to the commission and to the qualified electors of the county a bond question authorizing the issuance of the county’s bonds for the project in a maximum principal amount at least sufficient to defray the county’s proportional share of the maximum amount designated in the petition to be expended for the project based upon the last assessed valuation of the taxable property in the county and the valuation of that property in all the counties designated in the petition.
[Part 1:169:1929; A 1931, 231; 1943, 213; 1953, 365] + [Part 2:169:1929; A 1937, 194; 1949, 83; 1955, 165]—(NRS A 1965, 633; 1969, 1603; 1981, 962; 1993, 1078; 1995, 773)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.043 - Motion of board of county commissioners; submission of question at special election or next primary or general election.

Whenever the board of county commissioners of any county on its own motion desires to establish a county hospital, the board shall:
1. Specify the maximum amount of money proposed to be expended in purchasing or building the hospital, including the acquisition of a site;
2. Comply with the provisions of NRS 350.011 to 350.0165, inclusive; and
3. 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 bonds for the project 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.
(Added to NRS by 1965, 633; A 1969, 1604; 1981, 963; 1993, 1078; 1995, 773)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.045 - Approval of bond issue; appointment of board of hospital trustees; issuance and sale of bonds.

Whenever a question of issuing bonds submitted to the qualified electors of any county pursuant to NRS 450.030, 450.040 or 450.043 has been approved as provided in NRS 350.070, the board or boards of county commissioners shall immediately proceed to appoint the board of hospital trustees and shall proceed to issue and sell the bonds as provided in NRS 450.010 to 450.510, inclusive, subject to the provisions of the Local Government Securities Law.
(Added to NRS by 1965, 633; A 1969, 1604; 1985, 293)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.050 - Administration, control and government of county hospitals acquired by purchase or construction under provisions of certain legislative acts.

In all cases where any county hospital has been acquired by purchase, construction or otherwise, in any of the several counties of this State under or by virtue of any act of the Legislature other than NRS 450.010 to 450.510, inclusive, and has been governed and administered thereunder by the board of county commissioners, or otherwise, the board of county commissioners is authorized and empowered forthwith to appoint a board of hospital trustees for such county hospital. Thereafter, all the provisions of NRS 450.010 to 450.510, inclusive, relative to the maintenance of hospitals, election of hospital trustees, maintenance of a training school for nurses, provision for suitable care for such hospitals and persons with disabilities, and the administration and government of county hospital and patients therein shall be immediately applicable and controlling with respect to the future administration, control and government of such hospital in like manner and with the same force and effect as if an election had been duly held in accordance with the provisions of NRS 450.010 to 450.510, inclusive, and a majority of all the votes cast had been in favor of establishing such hospital.
[1.1:169:1929; added 1953, 126]—(NRS A 1965, 633)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.060 - Acquisition of additional building or site when board of hospital trustees assumes control of existing hospital.

In all counties where existing hospitals are taken over by a board of hospital trustees, as provided in NRS 450.010 to 450.510, inclusive, additional necessary buildings and sites may be acquired only if a bond issue is approved by the voters at a primary, general or special election according to the terms of NRS 450.010 to 450.510, inclusive, as if no hospital then existed. In a county whose population is 100,000 or more, in cases where buildings or parts thereof have been constructed but remain unfinished and unequipped, the board of hospital trustees may complete the building or buildings or part or parts thereof and furnish and equip them from the board’s current receipts, without a bond issue.
[16:169:1929; A 1937, 194; 1941, 14; 1931 NCL § 2240]—(NRS A 1969, 1543; 1979, 548; 1993, 1079)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.070 - Number; election; terms of office.

1. Except in counties where the board of county commissioners is the board of hospital trustees, the board of hospital trustees for the public hospital consists of five trustees, who must:
(a) Be residents of the county or counties concerned.
(b) Be elected as provided in subsection 2.
2. In any county:
(a) Whose population is less than 100,000, hospital trustees must be elected for terms of 4 years in the same manner as other county officers are elected.
(b) Whose population is 100,000 or more but less than 700,000, hospital trustees must be elected from the county at large for terms of 4 years.
[Part 2:169:1929; A 1937, 194; 1949, 83; 1955, 165]—(NRS A 1959, 556; 1965, 634; 1967, 1255; 1969, 338, 1390, 1543; 1971, 1537; 1973, 127; 1975, 1101; 1979, 548; 1989, 1927; 2011, 1265)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.080 - Office of hospital trustee nonpartisan.

Except in counties where the board of county commissioners is the board of hospital trustees:
1. The offices of hospital trustees are hereby declared to be nonpartisan, and the names of candidates for such offices shall appear alike upon the ballots of all parties at all primary elections.
2. At the general election only the names of those candidates, not to exceed twice the number of hospital trustees to be elected, who received the highest numbers of votes at the primary election shall appear on the ballot.
[Part 2:169:1929; A 1937, 194; 1949, 83; 1955, 165]—(NRS A 1973, 274; 1975, 1102)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.110 - Vacancies.

Except in counties where the board of county commissioners is the board of hospital trustees, a vacancy in the board of hospital trustees occasioned by a resignation, removal or otherwise must be reported to the board or boards of county commissioners and must be filled in the same manner as the original appointment. An appointee shall hold office:
1. Until the next following general election in the usual manner; or
2. If the appointee is a physician appointed to fill the vacancy of a member appointed pursuant to the provisions of paragraph (b) of subsection 5 of NRS 450.090, for the unexpired term of that member.
[5:169:1929; NCL § 2229]—(NRS A 1975, 1103; 2001, 468)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.120 - Officers of board.

Except as provided in subsection 3:
1. Within 10 days after their appointment or election, the trustees shall organize as a board of hospital trustees by the election of one of their number as chair, one as secretary, and by the election of such other officers as they may deem necessary.
2. The county treasurer of the county in which the hospital is located shall be the treasurer of the board of hospital trustees. The treasurer shall receive and pay out all the moneys under the control of the board, as ordered by it, but shall receive no compensation from the board of hospital trustees.
3. In counties where the board of county commissioners is the board of hospital trustees, the chair of the board of county commissioners may be the chair of the board of hospital trustees or the board of county commissioners may, at its first meeting in January of each year, designate another of its members to serve as chair of the board of hospital trustees for a term of 1 year. The vice chair of the board of county commissioners may be the vice chair of the board of hospital trustees, or the board of county commissioners may, at its first meeting in January of each year, designate another of its members to serve as vice chair of the board of hospital trustees for a term of 1 year. The county clerk shall be the secretary of the board of hospital trustees. The county clerk shall receive no compensation from the board of hospital trustees.
[Part 3:169:1929; A 1955, 244]—(NRS A 1975, 1103; 1977, 931)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.130 - Compensation and expenses of trustees.

1. Except in counties where the board of county commissioners is the board of hospital trustees, in any county whose population is less than 100,000:
(a) A hospital trustee is entitled to receive a salary as follows:
(1) The chair and secretary of the board of hospital trustees are entitled to receive $85 for each meeting of the board or a committee appointed by the board that they attend, not to exceed $510 per month.
(2) The other trustees are entitled to receive $80 for each meeting of the board or a committee appointed by the board that they attend, not to exceed $480 per month.
(b) In addition to the salary required by paragraph (a), the board of hospital trustees may provide to each member of the board the same health insurance coverage as the board provides to its employees.
2. Except in counties where the board of county commissioners is the board of hospital trustees, in any county whose population is 100,000 or more, a hospital trustee, subject to the provisions of subsection 3, is entitled to receive a salary of $100 per month and the chair of the board of hospital trustees is entitled to receive a salary of $200 per month.
3. Before any hospital trustee is entitled to any compensation as provided in subsection 2, he or she must first have devoted a minimum of 1 day during the month exclusively to the business and affairs of the hospital, exclusive of regular meetings of the board of hospital trustees.
4. Any trustee of any county hospital is entitled to receive reimbursement for any cash expenditures actually made for personal expenses incurred as a trustee. An itemized statement of all those expenses and money paid out must be made under oath by each of the trustees and filed with the secretary. An itemized statement may be allowed only by an affirmative vote of all trustees present at a meeting of the board.
5. In counties where the county commissioners are the board of hospital trustees, they shall serve without compensation, but are allowed the per diem allowance and traveling expenses fixed by law.
[Part 3:169:1929; A 1955, 244]—(NRS A 1973, 319; 1975, 1103; 1979, 549; 1993, 921; 1995, 792; 2001, 364)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.140 - Meetings of board; quorum; closed meetings.

1. The board of hospital trustees shall hold meetings at least once each month, and shall keep a complete record of all its transactions.
2. Except as otherwise provided in NRS 241.0355:
(a) In counties where three county commissioners are not members of the board, three members of the board constitute a quorum for the transaction of business.
(b) And except as otherwise provided in paragraph (c), in counties where three county commissioners are members of the board, any five of the members constitute a quorum for the transaction of business.
(c) In counties where the board of county commissioners is the board of hospital trustees, a majority of the board constitutes a quorum for the transaction of business.
3. The board of hospital trustees or any hospital governing board appointed pursuant to NRS 450.175 may hold a closed meeting exempt from the provisions of chapter 241 of NRS to discuss:
(a) Providing a new health care service at the county hospital or materially expanding a health care service that is currently provided by the county hospital;
(b) The acquisition of an additional facility by the county hospital or the material expansion of an existing facility of the county hospital;
(c) Matters before a review committee to deliberate the character, alleged misconduct, professional competence or physical or mental health of a provider of health care; or
(d) Matters related to a medical audit or the quality assurance programs of the county hospital.
4. The provisions of subsection 3 must not be construed to:
(a) Authorize the board of hospital trustees or the hospital governing board to hold a closed meeting to discuss a change of management or ownership or the dissolution of the county hospital; or
(b) Prohibit the public from obtaining a report that is otherwise available to the public pursuant to state or federal law.
5. Except as otherwise provided in this subsection, minutes of a closed meeting held pursuant to subsection 3, any supporting material and any recording or transcript of the closed meeting become public records 5 years after the date on which the meeting is held or when the board of hospital trustees or hospital governing board, as applicable, determines that the matters discussed no longer require confidentiality, whichever occurs first. Minutes of a closed meeting held pursuant to subsection 3, any supporting material and any recording or transcript of the closed meeting that contains privileged information are not public records. Nothing in this section shall be construed to limit the disclosure of information that is discoverable as part of a legal proceeding or pursuant to court order.
6. As used in this section:
(a) "Provider of health care" has the meaning ascribed to it in NRS 629.031.
(b) "Review committee" has the meaning ascribed to it in NRS 49.117.
[Part 2:169:1929; A 1937, 194; 1949, 83; 1955, 165] + [Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1960, 93, 407; 1991, 288; 2001, 1129; 2015, 1269; 2023, 866)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.150 - General powers and duties of board.

The board of hospital trustees, in general, shall carry out the spirit and intent of NRS 450.010 to 450.510, inclusive, in establishing and maintaining a county public hospital.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.160 - Rules and regulations.

The board of hospital trustees shall make and adopt such bylaws, rules and regulations for its own guidance and for the government of the hospital, and such rules and regulations governing the admission of physicians to the staff, as may be deemed expedient for the economic and equitable conduct thereof, not inconsistent with NRS 450.010 to 450.510, inclusive, or the ordinances of the city or town wherein such hospital is located.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1963, 346)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.165 - Board authorized to acquire building or other facility for provision of health care in county adjacent to county where hospital is established; board authorized to issue special obligations to finance facility.

1. A board of hospital trustees may acquire a building or other facility for the provision of health care in a county adjacent to the county or one of the counties where the county hospital is established, may operate such a facility, and may, but need not, enter into a contract with a private hospital or other person to operate such a facility, but only if no tax is levied or appropriation made from the county general fund in the county or counties where the county hospital is established for the maintenance and operation of the county hospital. The board of hospital trustees may use money in the hospital fund or in any separate account established by the board for this purpose.
2. To finance the acquisition of the additional facility, the board of hospital trustees may issue, without any election, special obligations payable only from revenues of the additional facility or from those revenues and the revenues of the county hospital and any related facilities. These obligations are not an indebtedness of the county or counties where the county hospital is established or of the county in which the additional facility is located.
3. As used in this section, "acquire" and "acquisition" have the meaning attributed to them in NRS 350.506.
(Added to NRS by 1995, 332)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.170 - Visits and examinations of hospital; report to board of county commissioners.

1. One of the hospital trustees shall visit and examine the hospital twice each month.
2. During the first week in February of each year, the board shall file with the board of county commissioners a report of the proceedings of the board of hospital trustees with reference to the hospital.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.175 - Hospital governing board in certain counties: Appointment; powers and duties; compensation of members; bylaws, policies and procedures.

1. In counties where the board of county commissioners is the board of hospital trustees, the board of hospital trustees may appoint a hospital governing board which shall exercise only the powers and duties delegated to the governing board by the board of hospital trustees. In counties in which the board of hospital trustees appoints a hospital governing board, the governing board is the governing body of the county hospital when exercising powers and duties delegated to the governing board pursuant to this chapter.
2. Members of a hospital governing board must be appointed by a majority vote of the board of hospital trustees and shall serve at the pleasure of the board.
3. Members of the hospital governing board may receive compensation for their services in an amount not to exceed $500 per month.
4. The hospital governing board shall adopt bylaws and related policies and procedures consistent with this chapter and all applicable ordinances.
(Added to NRS by 1975, 1101; A 1995, 793; 2011, 917; 2023, 867)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.180 - Employment or removal of employees or appointed persons; contract for medical services.

The board of hospital trustees or any hospital governing board appointed pursuant to NRS 450.175 may:
1. Appoint a chief executive officer and necessary assistants, and fix their compensations.
2. Employ physicians, interns and dentists, either full-time or part-time, as the board determines necessary, and fix their compensations.
3. Remove those appointees and employees.
4. Control the admission of physicians and interns to the staff by promulgating appropriate rules, regulations and standards governing those appointments.
5. Contract with individual physicians or private medical associations for the provision of certain medical services as may be required by the hospital.
[Part 4:169:1929; A 1937, 194; 1943, 17; 1955, 194]—(NRS A 1963, 346; 1979, 444; 1987, 387; 2005, 2557; 2023, 868)
2023 Nevada Revised Statutes › Chapter 450 - County Hospitals and Hospital Districts › NRS 450.191 - Contract for management of hospital.

1. The governing body of a county hospital may contract with a company which manages hospitals for the rendering of management services in a county hospital under the ultimate authority of the governing body.
2. The agreement may provide:
(a) That the administrator of the hospital must be an employee of the company which manages the hospital; and
(b) Except as otherwise provided in this paragraph, that the hospital may, in accordance with the requirements of NRS 450.530, purchase supplies, materials, equipment and services through the purchasing contracts of the company which manages the hospital, or through a purchasing group, without complying with the requirements for competitive bidding set forth in chapter 332 of NRS. The hospital may not purchase services or otherwise enter into an agreement pursuant to this paragraph for:
(1) The hiring of temporary or permanent staff through a vendor or employment agency to perform any medical or nursing care.
(2) Any work for which a contractor’s license issued pursuant to chapter 624 of NRS is required.
The provisions of this paragraph do not prohibit the 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 1975, 1101; A 1979, 444; 1987, 295; 1999, 191; 2019, 3580)