# Nevada AB319: AN ACT relating to health care; making various revisions governing the qualifications and procedure for licensure as a physician, physician assistant, practitioner of respiratory care or perfusionist; requiring screening of youth for certain health conditions when certain physical examinations are conducted; revising the authority of a practitioner of respiratory care to perform certain laboratory tests; requiring certain sharing of information between the Board of Medical Examiners and the State Board of Osteopathic Medicine; authorizing the Board of Medical Examiners to require certain competency demonstrations; eliminating certain special licenses; revising provisions related to fees owed to the Board of Medical Examiners or the State Board of Osteopathic Medicine; eliminating certain fees; revising investigation procedures and grounds for discipline against a licensee of the Board of Medical Examiners; revising requirements governing certain medical procedures; authorizing a medical assistant to perform tasks under the supervision of a registered nurse; authorizing a certified registered nurse anesthetist to perform certain tasks in certain hospitals; authorizing discipline against a registered nurse who fails to adequately supervise a medical assistant; and providing other matters properly relating thereto. Nevada AB319, AN ACT relating to health care; making various revisions governing the qualifications and procedure for licensure as a physician, physician assistant, practitioner of respiratory care or perfusionist; requiring screening of youth for certain health conditions when certain physical examinations are conducted; revising the authority of a practitioner of respiratory care to perform certain laboratory tests; requiring certain sharing of information between the Board of Medical Examiners and the State Board of Osteopathic Medicine; authorizing the Board of Medical Examiners to require certain competency demonstrations; eliminating certain special licenses; revising provisions related to fees owed to the Board of Medical Examiners or the State Board of Osteopathic Medicine; eliminating certain fees; revising investigation procedures and grounds for discipline against a licensee of the Board of Medical Examiners; revising requirements governing certain medical procedures; authorizing a medical assistant to perform tasks under the supervision of a registered nurse; authorizing a certified registered nurse anesthetist to perform certain tasks in certain hospitals; authorizing discipline against a registered nurse who fails to adequately supervise a medical assistant; and providing other matters properly relating thereto., is a 83rd Regular Session (2025) House bill sponsored by David Orentlicher (Democratic); status signed, last action 2025-06-03 (Chapter 246.); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/NV-AB319-83rd2025 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nevada AB319 - State: Nevada - Session: 83rd Regular Session (2025) - Title: AN ACT relating to health care; making various revisions governing the qualifications and procedure for licensure as a physician, physician assistant, practitioner of respiratory care or perfusionist; requiring screening of youth for certain health conditions when certain physical examinations are conducted; revising the authority of a practitioner of respiratory care to perform certain laboratory tests; requiring certain sharing of information between the Board of Medical Examiners and the State Board of Osteopathic Medicine; authorizing the Board of Medical Examiners to require certain competency demonstrations; eliminating certain special licenses; revising provisions related to fees owed to the Board of Medical Examiners or the State Board of Osteopathic Medicine; eliminating certain fees; revising investigation procedures and grounds for discipline against a licensee of the Board of Medical Examiners; revising requirements governing certain medical procedures; authorizing a medical assistant to perform tasks under the supervision of a registered nurse; authorizing a certified registered nurse anesthetist to perform certain tasks in certain hospitals; authorizing discipline against a registered nurse who fails to adequately supervise a medical assistant; and providing other matters properly relating thereto. - Status: signed - Chamber: House - Introduced: 2025-02-27 - Last action: 2025-06-03, Chapter 246. - Sponsor: David Orentlicher (Democratic) - Cosponsors: 0 - Subjects: BDR 54-791 - Touches household money: yes - Roll calls: 2 (63 yes, 0 no in all) - Economic provisions PRIA read: 26 ## Summary No summary available. ## Bill overview: provisions PRIA read - CRNAs can prescribe in small hospitals: benefit, medium. In critical access hospitals or hospitals in cities under 25,000 people, a CRNA supervised by a physician may order, prescribe, possess, and give needed drugs and devices. This applies before surgery or childbirth, during the procedure, and through recovery. Outside those settings, CRNAs may posses… - More point-of-care testing allowed: benefit, medium. Beginning January 1, 2026, many licensed health workers can perform simple “CLIA‑waived” tests without getting a separate lab assistant certificate. Respiratory care practitioners may do these tests if trained and within their scope. The law also lets respiratory care practitioners perform certain… - Broader discipline grounds for clinicians: benefit, medium. The law lists more conduct that can lead to discipline or denied licensure. Examples include malpractice proven by a preponderance of the evidence, sexual contact with patients seen in the last 3 years, disruptive behavior that harms care, and certain crimes. It also covers unsafe practice due to i… - Stronger malpractice reporting and fines: benefit, medium. Insurers must report malpractice lawsuits, arbitrations, and outcomes within 45 days or face fines up to $10,000 per failure. Clinicians must self‑report the same events and reportable data bank sanctions within 45 days or face Board fines up to $5,000 per violation. Hospitals and clinics must repo… - Clearer rules for foreign-trained doctors: benefit, low. Nevada recognizes Canada, the United Kingdom, Australia, and New Zealand as equivalent countries for medical education and licensing. The Board can add more countries by regulation if their standards are similar to U.S. rules. A foreign medical school is any school outside the U.S. and outside thos… - Nevada license required for telehealth: benefit, low. A distant‑site provider who uses telehealth to diagnose, manage care, or write orders or prescriptions for a patient in Nevada must hold a Nevada license. A Nevada telemedicine license counts. This brings out‑of‑state telehealth under Nevada rules to protect patients. - Standard teen screening at checkups: benefit, low. Doctors, osteopathic doctors, physician assistants, and advanced practice nurses must ask standard health questions at every routine physical for ages 12–18. The questions come from the national Preparticipation Physical Evaluation forms. The State Board of Nursing also gives nurses who care for ch… - Better coordination between medical boards: benefit, low. The osteopathic board must send the medical examiners board a quarterly list of all its licensed anesthesiologist assistants and physician assistants. The two boards must share information to enforce anesthesiologist assistant and physician assistant laws. Rules tied to simultaneous licensure apply… - More transparent medical board investigations: benefit, low. Only the Board or its investigation committee can file formal charges. Any complaint review committee must have at least three Board members, and at least one member is not a physician. Committee meetings stay confidential. Within 20 days after each meeting ends, the Board must post a summary that… - Tighter checks on risky prescribing: benefit, low. The Board must review tips about improper Schedule II–IV prescribing using the state PDMP. The Executive Director can share findings with other boards or law enforcement and delay notices to avoid harming ongoing cases. The Board must adopt rules to discipline improper prescribers, require added co… - Higher fines to reinstate licenses: cost, high. When the Board lets a suspended license return to active status, it may require a fine up to $10,000. The old cap was $5,000. This raises the possible out‑of‑pocket cost for the license holder. - Tighter rules for eye lasers and anesthesia: cost, medium. Only physicians who completed an approved ophthalmology residency may perform laser surgery or intense pulsed light on the eye. Doctors, PAs, and anesthesiologist assistants may give or directly supervise general, tumescent, conscious, or deep sedation only in permitted offices, permitted facilitie… - Fingerprint and FBI checks for applicants: cost, low. Applicants for licenses in medicine, perfusion, physician assisting, anesthesiologist assisting, and respiratory care must submit fingerprints for state and FBI checks. You must sign to allow the Board to send your prints to the state and FBI. Any Board fees for these background checks are not refu… - New fees from Board of Nursing: cost, low. The Board of Nursing may set and collect new reasonable fees. Fees may cover investigating applicants and licensees, competence checks, hearings, copying and verifying records, and approving nursing schools. Students, licensees, and schools must pay these charges when they apply for these services. - Pay both boards for dual licenses: cost, low. If you seek a simultaneous PA or anesthesiologist assistant license with both boards, you must apply to both and pay all fees. If you pay one board but not the other within 1 year, you will be told to pay the difference and must do so within 30 days. Beginning January 1, 2026, the same one‑year rul… - Faster licenses for physician assistants: mixed, medium. The Board must tell you within 15 business days if your endorsement application needs more info. If you qualify, it must issue the license fast: within 45 days, or within 10 days after your fingerprint report or final proof arrives. The Board may grant a provisional PA license so you can start work… - New physician license paths and rules: mixed, medium. You must have your medical school send proof it was accredited when you graduated. Foreign graduates must also provide an ECFMG certificate or proof of passing the exam. The Board can issue administrative‑only licenses, plus locum tenens, temporary, and telemedicine licenses for out‑of‑state doctor… - New rules for medical assistants: mixed, medium. A medical assistant is an unlicensed person who does clinical tasks under a registered nurse’s supervision. The Board of Nursing may set supervision rules and limit when a medical assistant can have or give dangerous drugs. The Board can discipline a licensee who fails to adequately supervise a med… - New rules for perfusionist licenses: mixed, medium. To get a perfusionist license, you must hold a current ABCP certification and finish an approved program. The Board may issue a temporary license for 1 year, renewable once, but you must work under a licensed perfusionist. The Board will set rules for qualifications, ethics, continuing education, a… - Tougher discipline and quicker hearings: mixed, medium. If the Board sanctions you, the order takes effect when certified and stays in place unless a court later changes it. Courts cannot pause a summary suspension or restriction. You may petition to remove a suspension or limit, but you may need exams and must prove fitness by clear and convincing evid… - Updated rules to practice respiratory care: mixed, medium. To practice respiratory care, finish an approved program, pass the National Board exam, get that Board’s certification, and obtain a Nevada license with the fee. You may work as an intern for up to 12 months after school under supervision. The law removes the old high school diploma or GED rule. - Faster action on unsafe providers: mixed, medium. If patients face imminent or ongoing harm, the Board can immediately limit a provider’s practice or suspend the license. The Board or its committee can order mental, physical, or skills exams; applicants and licensees are treated as having consented to such exams. Refusing an ordered exam leads to… - Mixed changes to physician licensing rules: mixed, low. The Board may accept medical degrees, training, and exams from Board‑recognized equivalent foreign countries. The Board can also require extra exams and set scoring rules for licensure by regulation. For military‑affiliated endorsement, applicants must hold a specialty certification recognized by t… - Board fees capped, plus new charges: mixed, low. The law caps many fees. Examples: physician application and issuance $600; PA $400; PA biennial registration $800; perfusionist renewal $600; license verification $50; duplicate license $50; list of new physicians $100. If you apply by endorsement under certain sections, the initial issuance fee is… - Hearing rules and court backup: mixed, low. The Board serves hearing papers in person, by certified mail, or by email if you consent; those abroad must consent to email. Board members not involved in the investigation may join to issue a final order after arguments from both sides. The Board may limit argument time and decide by majority vot… - 2026 license transitions and grace periods: mixed, low. Starting January 1, 2026, any special purpose license issued before that date is treated as a telemedicine license. Providers giving or directly supervising tumescent anesthesia in a now‑unauthorized location on January 1, 2026 may keep doing so until July 1, 2026. The law also repeals NRS 630.1606… ## Sponsors and cosponsors - Sponsor: David Orentlicher (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | Senate | Final Passage - Senate (2nd Reprint) | pass | 21 | 0 | | | 2025-04-22 | House | Final Passage - Assembly (1st Reprint) | pass | 42 | 0 | | ## Actions (23) - 2025-06-03: Chapter 246. (legislature) - 2025-06-03: Approved by the Governor. (legislature) - 2025-05-29: Enrolled and delivered to Governor. (legislature) - 2025-05-27: Senate Amendment No. 682 concurred in. To enrollment. (House) - 2025-05-26: In Assembly. (House) - 2025-05-23: From printer. To re-engrossment. Re-engrossed. Second reprint. To Assembly. (Senate) - 2025-05-22: Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer. (Senate) - 2025-05-21: Reprinting dispensed with. (Senate) - 2025-05-21: Read second time. Amended. (Amend. No. 682.) (Senate) - 2025-05-20: Placed on Second Reading File. (Senate) - 2025-05-20: From committee: Amend, and do pass as amended. (Senate) - 2025-04-29: 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. (Yeas: 42, Nays: None.) (House) - 2025-04-21: Dispensed with reprinting. (House) - 2025-04-21: Read second time. Amended. (Amend. No. 248.) (House) - 2025-04-21: Placed on Second Reading File. (House) - 2025-04-21: From committee: Amend, and do pass as amended. (House) - 2025-02-28: From printer. To committee. (House) - 2025-02-27: Read first time. Referred to Committee on Commerce and Labor. To printer. (House) ## Bill text - As Enrolled: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_EN.pdf) - As Introduced: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319.pdf) - Reprint 1: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_R1.pdf) - Reprint 2: [PDF](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_R2.pdf) ## Related bills - 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) - 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) - AB301: AN ACT relating to community development; requiring certain records to be maintained by the board of trustees of certain general improvement districts; increas… (signed) ## Sources - [As Enrolled (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_EN.pdf) - [As Introduced (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319.pdf) - [Reprint 1 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_R1.pdf) - [Reprint 2 (PDF)](https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB319_R2.pdf) ## Related - [AB259: AN ACT relating to health care; prohibiting certain actions related to pricing…](https://policyrisk.com/state-bill/NV-AB259-83rd2025) - [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) - [AB301: AN ACT relating to community development; requiring certain records to be maint…](https://policyrisk.com/state-bill/NV-AB301-83rd2025) - [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-AB319-83rd2025 (as of 2026-11-01).