# Nevada AB183: AN ACT relating to optometry; providing that a license to practice optometry issued by the Nevada State Board of Optometry is a revocable privilege; establishing procedures by which the Board may summarily suspend a license to practice optometry; specifying the substances which may be prescribed by an optometrist who holds a certificate to administer and prescribe pharmaceutical agents; increasing the number of members which constitute the Board; revising the requirements for the issuance of a license by endorsement; revising provisions governing the issuance of certain certificates by the Board; revising the circumstances under which certain optometrists are authorized to prescribe controlled substances; revising provisions relating to investigations conducted by the Board; clarifying that the practice of optometry includes optometric telemedicine; establishing certain circumstances under which a licensee is not required to report certain events to the Board; establishing certain provisions governing the temporary ownership of an optometry practice of a licensee who is permanently incapacitated; revising provisions governing the issuance of citations; and providing other matters properly relating thereto. Nevada AB183, AN ACT relating to optometry; providing that a license to practice optometry issued by the Nevada State Board of Optometry is a revocable privilege; establishing procedures by which the Board may summarily suspend a license to practice optometry; specifying the substances which may be prescribed by an optometrist who holds a certificate to administer and prescribe pharmaceutical agents; increasing the number of members which constitute the Board; revising the requirements for the issuance of a license by endorsement; revising provisions governing the issuance of certain certificates by the Board; revising the circumstances under which certain optometrists are authorized to prescribe controlled substances; revising provisions relating to investigations conducted by the Board; clarifying that the practice of optometry includes optometric telemedicine; establishing certain circumstances under which a licensee is not required to report certain events to the Board; establishing certain provisions governing the temporary ownership of an optometry practice of a licensee who is permanently incapacitated; revising provisions governing the issuance of citations; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by Gregory S. Koenig (Republican); status signed, last action 2025-05-29 (Chapter 111.) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB183-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB183 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to optometry; providing that a license to practice optometry issued by the Nevada State Board of Optometry is a revocable privilege; establishing procedures by which the Board may summarily suspend a license to practice optometry; specifying the substances which may be prescribed by an optometrist who holds a certificate to administer and prescribe pharmaceutical agents; increasing the number of members which constitute the Board; revising the requirements for the issuance of a license by endorsement; revising provisions governing the issuance of certain certificates by the Board; revising the circumstances under which certain optometrists are authorized to prescribe controlled substances; revising provisions relating to investigations conducted by the Board; clarifying that the practice of optometry includes optometric telemedicine; establishing certain circumstances under which a licensee is not required to report certain events to the Board; establishing certain provisions governing the temporary ownership of an optometry practice of a licensee who is permanently incapacitated; revising provisions governing the issuance of citations; and providing other matters properly relating thereto. - Status: signed - Chamber: House - Introduced: 2025-02-03 - Last action: 2025-05-29, Chapter 111. - Sponsor: Gregory S. Koenig (Republican) - Cosponsors: 0 - Subjects: BDR 54-151 - Touches household money: no - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Guardian can run practice for one year: benefit, medium. If a sole‑owner optometrist is permanently incapacitated and a guardian is appointed, the guardian may own the practice for up to one year without a license. The guardian must get a written opinion from a board‑certified physician (neurology, neurological surgery, critical care, or intensive care)… - Citation limits and no NPDB reporting: benefit, low. The Board may issue citations only for issues that do not involve patient care or unethical conduct. These citations and fines are not formal discipline and are not reported to the National Practitioner Data Bank. You have 30 days from the citation date to request a hearing in writing. You also do… - Telemedicine and assistant duties expanded in eye care: benefit, low. Optometric telemedicine counts as practicing optometry in Nevada. Under direct supervision, assistants may do prep work, collect patient history and data, perform simple noninvasive tests, use ophthalmic devices, and give certain noncontrolled eye drops. The licensed optometrist must perform the fi… - Higher fines and fast suspensions for optometrists: cost, high. The Nevada Board of Optometry can fine you up to $5,000 per violation after a hearing. It can also issue citations with fines up to $1,000 per violation, or up to $5,000 for certain violations. The Board may order you to appear in an investigation when a complaint is not frivolous, and it keeps suc… - Stricter proof for out-of-state licenses: cost, low. If you apply for a Nevada license by endorsement, you must show proof you passed each part of the national optometry exam used for your other license. You still need an active, unrestricted license elsewhere, five years of continuous practice, no recent Data Bank reports, and no discipline or inves… - Optometrist drug changes and opioid caps: mixed, low. Pharmaceutical agents now include topical or oral drugs in schedules III, IV, and V for eye care. The law removes the old 40‑hour ophthalmologist‑supervised training for the certificate to prescribe; you still must be licensed and pass the ocular disease exam. For the glaucoma certificate, you may… - Optometry Board grows to five members: mixed, low. The State Board of Optometry now has five members: four licensed, active optometrists and one public member not related to a licensee. Members cannot own an optometry school, have financial ties to optical suppliers, or have certain convictions. ## Sponsors and cosponsors - Sponsor: Gregory S. Koenig (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-23 | Senate | Final Passage - Senate (1st Reprint) | pass | 21 | 0 | | | 2025-04-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | ## Actions (25) - 2025-05-29: Chapter 111. (legislature) - 2025-05-29: Approved by the Governor. (legislature) - 2025-05-27: Enrolled and delivered to Governor. (legislature) - 2025-05-26: In Assembly. To enrollment. (House) - 2025-05-23: Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly. (Senate) - 2025-05-22: Taken from General File. Placed on General File for next legislative day. (Senate) - 2025-05-21: Taken from General File. Placed on General File for next legislative day. (Senate) - 2025-05-20: Taken from General File. Placed on General File for next legislative day. (Senate) - 2025-05-19: Read second time. (Senate) - 2025-05-16: From committee: Do pass. (Senate) - 2025-04-28: Read first time. Referred to Committee on Commerce and Labor. To committee. (Senate) - 2025-04-28: In Senate. (Senate) - 2025-04-25: To Senate. (House) - 2025-04-25: From printer. To engrossment. Engrossed. First reprint. (House) - 2025-04-22: To printer. (House) - 2025-04-22: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 42, Nays: None.) (House) - 2025-04-21: Dispensed with reprinting. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 67.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-02-05: From printer. To committee. (House) - 2025-02-04: To printer. (House) - 2025-02-04: Read first time. (House) - 2025-02-03: Referred to Committee on Commerce and Labor. (House) - 2025-02-03: Prefiled. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183_R1.pdf) ## Related bills - AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board of the Public Employees' Benefits Program to report certain information relating… (vetoed) - SB217: AN ACT relating to health care; prohibiting a governmental entity from substantially burdening certain activity relating to assisted reproduction under certain… (vetoed) - AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered voter show photo identification to vote in person; requiring the Department of M… (vetoed) - AB397: AN ACT relating to higher education; revising provisions governing certain waivers of fees provided by the Board of Regents of the University of Nevada; revisi… (vetoed) - AB259: AN ACT relating to health care; prohibiting certain actions related to pricing and reimbursement for certain drugs; creating a cause of action for violating su… (vetoed) - AB169: AN ACT relating to insurance; establishing the applicability of provisions requiring policies of health insurance to include certain coverage; requiring that c… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB183_R1.pdf) ## Related - [AB188: AN ACT relating to the Public Employees' Benefits Program; requiring the Board…](https://policyrisk.com/state-bill/NV-AB188-83rd2025) - [SB217: AN ACT relating to health care; prohibiting a governmental entity from substant…](https://policyrisk.com/state-bill/NV-SB217-83rd2025) - [AB499: AN ACT relating to elections; requiring, with certain exceptions, a registered…](https://policyrisk.com/state-bill/NV-AB499-83rd2025) - [AB397: AN ACT relating to higher education; revising provisions governing certain waiv…](https://policyrisk.com/state-bill/NV-AB397-83rd2025) - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [AB169: AN ACT relating to insurance; establishing the applicability of provisions requ…](https://policyrisk.com/state-bill/NV-AB169-83rd2025) - [Nevada bills](https://policyrisk.com/states/nevada/bills) - [Nevada state hub](https://policyrisk.com/states/nevada) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NV-AB183-83rd2025 (as of 2026-11-01).