All Roll Calls
Yes: 62 • No: 1
NevadaAB51383rd Regular Session (2025)HouseWALLET
AN ACT relating to chiropractic; enacting provisions relating to temporary certificates for chiropractic assistants; revising provisions relating to unprofessional conduct in the practice of chiropractic; revising the membership of the Chiropractic Physicians' Board of Nevada; revising certain qualifications required to apply for a license as a chiropractic physician or a certificate as a chiropractic assistant; revising certain fees the Board may charge and collect; revising certain requirements for student participation in a preceptor program; revising certain requirements for certain cease and desist orders of the Board; and providing other matters properly relating thereto.
Sponsored By: Assembly Committee on Commerce and Labor
Signed by Governor
BDR 54-630
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 3 benefits, 2 costs, 4 mixed.
Higher Board fees for chiropractors
Starting October 1, 2025, the Board charges set fees. A chiropractic license application costs $200. The licensing exam costs $200. Applying for or getting an assistant certificate costs $100. Renewing a chiropractor license costs $1,000 every two years. The Board may charge extra for expedited service. Fingerprint processing is charged at the rates set by the state repository and the FBI.
Supervised practice for final-year students
Beginning October 1, 2025, final-year chiropractic students can join a preceptor program. You must apply, pay the fee, finish required clinical work, and sign a preceptor agreement with an approved chiropractor. You may do adjustments and other tasks only under direct supervision, for up to one year.
Most changes start October 1, 2025
The Board may start writing rules and preparing now. Most other changes take effect October 1, 2025.
Stronger action against unlicensed practice
Beginning October 1, 2025, the Board can order unlicensed providers to stop and can issue citations and fines. Each separate unlicensed activity can get its own citation. A cease-and-desist order must list Board contact details. You have 30 days to ask the Board for a hearing. Serious cases can bring criminal charges.
Cannabis misuse can trigger discipline
Beginning October 1, 2025, habitual or excessive cannabis use counts as unprofessional conduct for licensed chiropractors and assistants. The Board can discipline you for such use, just as it can for alcohol or controlled substances.
Chiropractic licensing and exams updated
Starting October 1, 2025, the law updates licensing and exams. The high school requirement is removed. You must still graduate from an accredited chiropractic program and usually show at least 60 college credits unless you qualify for an exemption. The Board can choose when and how to give exams, and unlicensed Board members cannot help write them. Applicants must file a verified application, have official transcripts sent directly by the school, and sign an attestation to follow the law. Fixed exam score rules are removed, and you must pay required fees before taking exams. The Board will not consider an assistant application until the fee is paid.
New rules for chiropractic assistants
Beginning October 1, 2025, qualified out-of-state assistants can get a Nevada temporary certificate. Each certificate lasts 15 business days or less, and you can get no more than two per calendar year. A Nevada chiropractor must sponsor and supervise you, and you must pay the Board fee. You are not allowed to take or develop X-rays in Nevada unless you hold Nevada certification. Employers may hire assistants who are certified, who have applied and are waiting, or who hold a temporary certificate. The Board will set the formal training needed for certification; the old 12-month minimum is gone.
Reinstating an expired chiropractic license
Beginning October 1, 2025, you may reinstate an expired Nevada chiropractic license by signing Board attestations instead of taking a written test. You must show recent active practice or good standing elsewhere and meet continuing education rules. You must pay the biennial renewal, reinstatement, and fingerprint-processing fees, and submit fingerprints for state and FBI checks. If you do not meet the standards, the Board can hold a hearing and may require extra exams.
Changes to Chiropractic Board membership
Starting October 1, 2025, the Chiropractic Board has seven members: five practicing chiropractors and two public members. The special seat for a provider for indigent or uninsured patients is removed. Public members cannot be chiropractors or close family of chiropractors. At least two appointees must have had a physiotherapy course in their chiropractic education.
Sponsors & Cosponsors
Sponsor
Assembly Committee on Commerce and Labor
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/21/2025
Final Passage - Senate (1st Reprint)
Yes: 21 • No: 0
House vote • 4/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 41 • No: 1
Actions Timeline
Chapter 156.
5/30/2025legislatureApproved by the Governor.
5/30/2025legislatureEnrolled and delivered to Governor.
5/27/2025legislatureIn Assembly. To enrollment.
5/22/2025HouseRead third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.
5/21/2025SenateTaken from General File. Placed on General File for next legislative day.
5/20/2025SenateTaken from General File. Placed on General File for next legislative day.
5/19/2025SenateRead second time.
5/16/2025SenateFrom committee: Do pass.
5/15/2025SenateRead first time. Referred to Committee on Commerce and Labor. To committee.
4/28/2025SenateIn Senate.
4/24/2025SenateTo Senate.
4/24/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/24/2025HouseTo printer.
4/22/2025HouseRead third time. Passed, as amended. Title approved. (Yeas: 41, Nays: 1.)
4/22/2025HouseTaken from General File. Placed on General File for next legislative day.
4/21/2025HouseDispensed with reprinting.
4/18/2025HouseRead second time. Amended. (Amend. No. 481.)
4/18/2025HousePlaced on Second Reading File.
4/18/2025HouseFrom committee: Amend, and do pass as amended.
4/18/2025HouseFrom printer. To committee.
3/26/2025HouseRead first time. Referred to Committee on Commerce and Labor. To printer.
3/24/2025House
Bill Text
As Enrolled
As Introduced
Reprint 1
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