All Roll Calls
Yes: 59 • No: 3
NevadaAB5683rd Regular Session (2025)HouseWALLET
AN ACT relating to providers of health care; revising requirements for continuing education and training for certain providers of health care; requiring the Board of Medical Examiners to require a physician assistant on inactive status to pay a biennial registration fee; revising the provisions relating to fees charged and collected by the Board; requiring the Board, if authorized by a licensee, to provide to an employer of the licensee or an entity credentialing the licensee certain documents and information; setting forth certain grounds for the State Board of Osteopathic Medicine to initiate disciplinary action against a licensee or deny licensure to an applicant; revising requirements for the issuance by the Board of a license to practice osteopathic medicine; providing for the biennial renewal of certain licenses issued by the Board; establishing and revising certain fees charged by the Board; and providing other matters properly relating thereto.
Sponsored By: Assembly Committee on Commerce and Labor
Signed by Governor
BDR 54-255
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Bill Overview
Analyzed Economic Effects
17 provisions identified: 4 benefits, 6 costs, 7 mixed.
Stronger penalties for false license info
Starting January 1, 2026, if the osteopathic board finds material false information after a license is issued, it may suspend, review, and declare the license void, report it nationally, refer for prosecution, and fine up to $5,000. Bribery, fraud, and false or misleading statements are explicit grounds to deny or discipline a license.
Easier residency paths for DO licenses
Beginning January 1, 2026, osteopathic license applicants may qualify by completing 3 years of approved U.S. or Canada residency. Applicants enrolled in an approved U.S. or Canada program may also qualify after 24 months with a written promise to finish the program.
Higher fees for MDs and PAs
Starting January 1, 2026, the Medical Examiners Board raises many fees. Examples: physician license application $600 to $800; physician biennial registration $800 to $1,000; PA license application $400 to $600; duplicate and written verification $50 to $100. Increases also apply to perfusionists, anesthesiologist assistants, and respiratory‑care practitioners.
Higher fees for osteopathic licenses
Beginning January 1, 2026, osteopathic fees increase. Examples: DO initial license $800 to $1,600; DO biennial renewal $500 to $1,000; PA initial $400 to $800; PA biennial renewal $400 to $800. Some simultaneous and inactive license fees also double.
Renewal lapses and return from retirement for DOs
Starting January 1, 2026, the Board sends a 15‑day certified‑mail notice before your osteopathic license expires for non‑renewal. If it expires, to restore it you must pay past renewal and late fees, show CE for the listed biennia, and file a sworn child‑support statement. CE waivers are allowed only for disability, military service, absence from the U.S., or reasons beyond your control. If you retire and file an affidavit, you may stop renewing; to return you must pay back all renewal fees and show CE (25 hours if retired ≤1 year, 50 hours if >1 year).
No national certification needed for PA CE
Starting January 1, 2026, Boards cannot require physician assistants to keep national certification (like NCCPA) as the way to meet CE for renewal. You may use other approved CE paths.
Some fee relief for osteopathic licenses
Starting January 1, 2026, active‑duty U.S. Armed Forces and U.S. Public Health Service members do not pay the biennial renewal fee while on active duty. The Board may prorate the initial license fee if the first term is under 12 months. Physician assistants on inactive status under the osteopathic board do not pay the inactive license fee.
Lists of trauma-trained clinicians for disasters
Starting January 1, 2026, the Board keeps and updates lists of licensees who report training to treat disaster‑related mental trauma and those willing to respond. The Board gives these lists to government responders during declared disasters. The Board cannot deny renewal only because someone did not report.
Cultural training for psychiatrists and PAs
Starting January 1, 2026, psychiatrists and physician assistants supervised by a psychiatrist must complete at least 2 hours of training every two years on cultural competency and diversity, equity, and inclusion. The training must cover listed populations and be research‑based.
Extra fees for simultaneous licenses
Starting January 1, 2026, if you want a simultaneous license in the other chapter (for PAs or anesthesiologist assistants), you must apply to both Boards and pay all required fees. This includes the application fee and the biennial simultaneous renewal fee.
Higher CE and topics for DOs
Beginning January 1, 2026, most osteopathic licenses renew in even‑numbered years and must show at least 40 hours of CE from the prior two years, up from 35. Each biennium must also include at least 2 hours in ethics, pain management, addiction care, or SBIRT.
Board can share your application records
Beginning January 1, 2026, if you sign an authorization, the Board must give your employer or credentialing group copies of your application materials. These can include transcripts, training records, malpractice insurance, and hospital or facility privileges.
Inactive PAs pay fee, with cap
Starting January 1, 2026, physician assistants on inactive status under the Medical Examiners Board must pay a biennial registration fee. The inactive fee cannot be more than one‑half of the active PA biennial fee.
New CE rules for physicians
Beginning January 1, 2026, new doctors must complete at least 2 hours of suicide‑prevention training within 2 years of licensure. All licensed physicians must also complete at least 2 hours of suicide‑prevention training every 4 years. The 4‑hour course on medical effects of weapons of mass destruction is removed. Courses on genetic counseling and testing now count toward required continuing education.
New HIV/SBIRT training for ER and primary care
Beginning January 1, 2026, physicians and PAs who provide or supervise emergency or primary care must complete at least 2 hours of SBIRT training and at least 2 hours of training on HIV stigma and bias within 2 years of starting those duties. Primary care means family medicine, pediatrics, internal medicine, obstetrics and gynecology, and midwifery. These trainings aim to improve patient care but add course time and cost.
PA and AA renew in odd years
Starting January 1, 2026, physician assistants and anesthesiologist assistants renew by December 31 of odd‑numbered years. This changes when you must renew and pay related fees.
Most changes start January 1, 2026
Agencies may adopt rules and prepare now. Most new licensing, fee, and training rules take full effect on January 1, 2026.
Sponsors & Cosponsors
Sponsor
Assembly Committee on Commerce and Labor
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/19/2025
Final Passage - Senate (1st Reprint)
Yes: 19 • No: 1
House vote • 4/22/2025
Final Passage - Assembly (1st Reprint)
Yes: 40 • No: 2
Actions Timeline
Chapter 18.
5/27/2025legislatureApproved by the Governor.
5/26/2025legislatureEnrolled and delivered to Governor.
5/23/2025legislatureIn Assembly. To enrollment.
5/20/2025HouseRead third time. Passed. Title approved. (Yeas: 19, Nays: 1, Excused: 1.) To Assembly.
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.
4/28/2025SenateTo Senate.
4/25/2025HouseFrom printer. To engrossment. Engrossed. First reprint.
4/25/2025HouseTo printer.
4/22/2025HouseRead third time. Passed, as amended. Title approved, as amended. (Yeas: 40, Nays: 2.)
4/22/2025HouseDispensed with reprinting.
4/21/2025HouseRead second time. Amended. (Amend. No. 108.)
4/21/2025HousePlaced on Second Reading File.
4/21/2025HouseFrom committee: Amend, and do pass as amended.
4/21/2025HouseRead first time. To committee.
2/4/2025HouseFrom printer.
11/26/2024HousePrefiled. Referred to Committee on Commerce and Labor. To printer.
11/20/2024House
Bill Text
As Enrolled
As Introduced
Reprint 1
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