All Roll Calls
Yes: 62 • No: 0
NevadaAB23083rd Regular Session (2025)House
AN ACT relating to health care; ratifying and entering into the Audiology and Speech-Language Pathology Interstate Compact; authorizing the sharing of certain information with data systems created by the Compact; providing audiologists and speech-language pathologists practicing in this State under the Compact with the same legal status as persons who are licensed to practice audiology and speech-language pathology in this State; and providing other matters properly relating thereto.
Sponsored By: Elaine H. Marzola (Democratic)
Signed by Governor
BDR 54-568
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 2 benefits, 0 costs, 4 mixed.
Telehealth care from compact providers
You can get audiology or speech therapy by telehealth from a compact-eligible provider. The state where you are during the visit counts as the place of practice. The provider must follow that state's practice laws.
Practice in Nevada with Compact Privilege
Beginning July 1, 2025, eligible audiologists and speech-language pathologists from compact member states can practice in Nevada under a compact privilege. The privilege has the same legal status as a Nevada license unless a law says otherwise. Your home-state license authorizes you to practice in other member states, but you must follow the laws where the client is located.
Stronger cross-state discipline and subpoenas
The state where a client is located can discipline a practitioner's compact privilege and issue subpoenas enforceable in other member states. If the home state disciplines the license, compact privileges are turned off in all states until the order is lifted. States may recover investigation and case costs from the practitioner when allowed by state law. Boards must check and report adverse actions in the Compact’s data system.
Compact privilege: who qualifies and costs
To get a compact privilege, you must hold an active, unencumbered license, meet the Compact's education and supervised experience rules, and pass the approved national exam. You must submit fingerprints or other biometrics for an FBI criminal-history check. You must also have a valid U.S. Social Security number or National Practitioner Identifier. Member states and the Commission may charge fees for the privilege.
How the compact is run and funded
The law creates a multistate Commission to run the Compact and a shared database for licensure and discipline. The Commission’s rules are binding on member states, and conflicting state laws give way. The Commission can charge member-state assessments and other fees, must post proposed rules at least 30 days before with public comment and hearings on request, and may adopt emergency rules with full procedures applied within 90 days. The Compact takes effect after 10 states enact it; a state can withdraw after six months and must keep reporting past actions. The Commission can sue a defaulting state, and Commission officials have immunity for acts within their jobs.
What board records are public or private
Starting July 1, 2025, complaints and investigation files are confidential unless the person asks in writing to make them public. Also starting July 1, 2025, charging documents and the materials the Board uses to decide discipline are public records. The Board must, when feasible, share documents with other boards and law enforcement. In the Compact database, investigative records are shared only with member states, and states can mark some items as not public. Records made confidential by this act are exempt from Nevada’s general open-records law.
Sponsors & Cosponsors
Sponsor
Elaine H. Marzola
Democratic • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/30/2025
Final Passage - Senate (As Introduced)
Yes: 21 • No: 0
House vote • 5/26/2025
Final Passage - Assembly (As Introduced)
Yes: 41 • No: 0
Actions Timeline
Chapter 327.
6/6/2025legislatureApproved by the Governor.
6/5/2025legislatureEnrolled and delivered to Governor.
6/2/2025legislatureIn Assembly. To enrollment.
5/31/2025HouseRead third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
5/30/2025SenateRead second time.
5/29/2025SenatePlaced on Second Reading File.
5/29/2025SenateFrom committee: Do pass.
5/29/2025SenateRead first time. Referred to Committee on Commerce and Labor. To committee.
5/26/2025SenateIn Senate.
5/26/2025SenateRead third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.
5/26/2025HousePlaced on General File.
5/26/2025HouseFrom committee: Do pass.
5/26/2025HouseRereferred to Committee on Ways and Means. Exemption effective. To committee.
3/19/2025HouseTaken from General File.
3/19/2025HouseRead second time.
3/19/2025HouseFrom committee: Do pass.
3/18/2025HouseNotice of eligibility for exemption.
2/25/2025HouseFrom printer. To committee.
2/11/2025HouseRead first time. Referred to Committee on Commerce and Labor. To printer.
2/10/2025House
Bill Text
As Enrolled
As Introduced
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