NevadaAB10283rd Regular Session (2025)HouseWALLET

AN ACT relating to emergency medical services; authorizing a district board of health in certain health districts to regulate emergency medical services within the district with certain exceptions; providing that certain persons are eligible for licensure as an attendant of an ambulance or air ambulance or certification as an emergency medical technician; revising provisions governing persons who are authorized to occupy an ambulance; and providing other matters properly relating thereto.

Sponsored By: Assembly Committee on Health and Human Services

Signed by Governor

BDR 40-345

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 0 costs, 2 mixed.

Low-cost vaccine endorsements for EMTs

Beginning July 1, 2025, advanced EMTs and paramedics can get an endorsement to give vaccines, dispense medicines, and help with public health needs. Local boards or the State Board set training and renewal rules. The fee to issue or renew the endorsement cannot be more than $5. You do not need an attendant license to qualify.

Local health boards can run EMS

Beginning July 1, 2025, a health district with a county of 100,000 to 699,999 people may vote to regulate EMS. A “regulating health district” means a district in a county with 700,000+ people or a district that has voted to regulate EMS. In those districts, the local board is the EMS board and health authority, and the district health officer is the health officer. Elsewhere, the State Board of Health, the Division, and the Chief Medical Officer keep those roles. Any conflicting EMS rules are void and will be removed from the code.

EMS licenses available at 16

Beginning July 1, 2025, the health authority licenses ambulance attendants and firefighters. You can qualify at age 16 if you meet all required qualifications. Licenses are issued on cards, last up to 2 years, and are renewable. Applicants must file training certificates, including training on identifying and interacting with people with developmental disabilities.

Statewide ambulance permits and reciprocity

Beginning July 1, 2025, the health authority issues annual permits to run ambulances, air ambulances, and firefighting‑agency medical vehicles and to provide community paramedicine with the right endorsement. Boards set the permit fee. All permits expire on July 1 after issue and must be renewed each year. A permit from a regulating health district is valid statewide, so no second permit is needed. The Division keeps a central list of permits.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 63 • No: 0

Senate vote 5/31/2025

Final Passage - Senate (1st Reprint)

Yes: 21 • No: 0

House vote 5/27/2025

Final Passage - Assembly (1st Reprint)

Yes: 42 • No: 0

Actions Timeline

  1. Chapter 367.

    6/6/2025legislature
  2. Approved by the Governor.

    6/6/2025legislature
  3. Enrolled and delivered to Governor.

    6/4/2025legislature
  4. In Assembly. To enrollment.

    6/1/2025House
  5. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/31/2025Senate
  6. Read second time.

    5/30/2025Senate
  7. Placed on Second Reading File.

    5/30/2025Senate
  8. From committee: Do pass.

    5/30/2025Senate
  9. Read first time. Referred to Committee on Finance. To committee.

    5/28/2025Senate
  10. In Senate.

    5/28/2025Senate
  11. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) To Senate.

    5/27/2025House
  12. Placed on General File.

    5/27/2025House
  13. From committee: Do pass, as amended.

    5/27/2025House
  14. From printer. To engrossment. Engrossed. First reprint. To committee.

    4/15/2025House
  15. To printer.

    4/14/2025House
  16. Rereferred to Committee on Ways and Means. Exemption effective.

    4/14/2025House
  17. Taken from General File.

    4/14/2025House
  18. Read second time. Amended. (Amend. No. 20.)

    4/14/2025House
  19. From committee: Amend, and do pass as amended.

    4/10/2025House
  20. Notice of eligibility for exemption.

    2/12/2025House
  21. Read first time. To committee.

    2/4/2025House
  22. From printer.

    1/16/2025House
  23. Prefiled. Referred to Committee on Health and Human Services. To printer.

    1/14/2025House

Bill Text

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