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

7 provisions identified: 2 benefits, 1 costs, 4 mixed.

Set fees for chiropractic licenses and assistants

Beginning October 1, 2025, the Board may charge up to these amounts: license application $200, exam $200, license issuance $300, license renewal $1,000 every two years, reinstatement $500, assistant certificate $100, assistant renewal $200, preceptor application $35, and course review $50. The Board may charge extra for expedited processing. Returned payments are charged the State Controller’s fee.

Reinstating expired licenses now needs fingerprints

Starting October 1, 2025, if your Nevada chiropractic license expired under the cited rule, you must submit fingerprints with signed authorization and an attestation that you will follow Nevada laws and rules. You must pay the biennial renewal fee, the reinstatement fee, and the fingerprint-processing fee. The Board’s fingerprint fee cannot be higher than the combined charges from the state repository and the FBI. If you do not meet these steps, the Board holds a hearing and may require an exam before reinstating you.

Temporary work and hiring rules for assistants

Beginning October 1, 2025, out-of-state chiropractic assistants can get a temporary Nevada certificate. It lasts up to 15 business days and the Board can issue no more than two per year. A Nevada chiropractor must attest to supervise, and the assistant cannot take or develop X‑rays unless certified in Nevada. Hiring an uncertified assistant is unprofessional conduct unless the person has applied and is waiting for a decision or holds a temporary certificate. The 12‑month training minimum is removed; the Board will set training rules. You must pay the assistant certificate fee before the Board reviews your application.

Clear contact info on Board stop orders

Beginning October 1, 2025, any Board cease‑and‑desist order for unlicensed practice must include a mailing address, phone number, and email to reach the Board. If the Board uses fax, the order must list that number too. This makes it easier to respond quickly.

Supervised preceptor work for students

Starting October 1, 2025, final‑year chiropractic students who finished Board‑required clinical work can join the preceptor program. You must apply, pay the $35 fee, and sign a preceptor agreement with a Board‑approved chiropractor. You may perform chiropractic only under direct supervision. Participation cannot exceed one year.

New licensing exams and school requirements

The Board now sets when licensing exams are given and the test format. Passing scores and retake rules are set by the Board or exam body, not in law. Applicants must sign an attestation to follow Nevada chiropractic laws and rules, and schools must send official transcripts directly to the Board. To qualify, applicants must graduate from an accredited chiropractic or Doctor of Chiropractic program (or approved equivalent), pass Parts I–IV and physiotherapy of the national exam, and usually have at least 60 college credits unless licensed and practicing elsewhere for 5 years.

New makeup of Nevada chiropractic board

The Governor appoints five licensed chiropractors who have practiced in Nevada for at least three years and two public members who are not chiropractors, assistants, or close relatives. At least two appointees must have taken a physiotherapy course. The special seat for providers serving indigent or uninsured patients is removed. Members serving before October 1, 2025 keep serving until their terms end; future appointments follow these rules.

Sponsors & Cosponsors

Sponsor

  • Assembly Committee on Commerce and Labor

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 62 • No: 1

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

  1. Chapter 156.

    5/30/2025legislature
  2. Approved by the Governor.

    5/30/2025legislature
  3. Enrolled and delivered to Governor.

    5/27/2025legislature
  4. In Assembly. To enrollment.

    5/22/2025House
  5. Read third time. Passed. Title approved. (Yeas: 21, Nays: None.) To Assembly.

    5/21/2025Senate
  6. Taken from General File. Placed on General File for next legislative day.

    5/20/2025Senate
  7. Taken from General File. Placed on General File for next legislative day.

    5/19/2025Senate
  8. Read second time.

    5/16/2025Senate
  9. From committee: Do pass.

    5/15/2025Senate
  10. Read first time. Referred to Committee on Commerce and Labor. To committee.

    4/28/2025Senate
  11. In Senate.

    4/24/2025Senate
  12. To Senate.

    4/24/2025House
  13. From printer. To engrossment. Engrossed. First reprint.

    4/24/2025House
  14. To printer.

    4/22/2025House
  15. Read third time. Passed, as amended. Title approved. (Yeas: 41, Nays: 1.)

    4/22/2025House
  16. Taken from General File. Placed on General File for next legislative day.

    4/21/2025House
  17. Dispensed with reprinting.

    4/18/2025House
  18. Read second time. Amended. (Amend. No. 481.)

    4/18/2025House
  19. Placed on Second Reading File.

    4/18/2025House
  20. From committee: Amend, and do pass as amended.

    4/18/2025House
  21. From printer. To committee.

    3/26/2025House
  22. Read first time. Referred to Committee on Commerce and Labor. To printer.

    3/24/2025House

Bill Text

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