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
11 provisions identified: 2 benefits, 4 costs, 5 mixed.
Higher license fees for doctors and assistants
The law sets or raises many licensing and renewal fees. Examples: physician application $800 and biennial registration $1,000; physician assistant initial and renewal $800; anesthesiologist assistant biennial registration $800; osteopathic physician initial $1,600 and renewal $1,000; inactive license $400. Initial license fees can be prorated if the first term is under 12 months.
Inactive, retired, and late renewal rules
Beginning January 1, 2026, if you miss your renewal, the Board sends certified notice and gives 15 more days. If you still do not renew, your license expires and the Board files the notice with the DEA; waivers are allowed for disability, military service, being out of the U.S., or reasons beyond your control. To restore, you must pay all past renewal and late fees and show required CE for missed periods. If you retire by affidavit, you stop renewing; to return, pay back biennial fees and show CE: 25 hours if retired 1 year or less, 50 hours if more than 1 year. You may place your license on inactive status by affidavit; you do not renew, must pay the inactive fee every two years, and cannot practice. Physician assistants on inactive status under this board do not pay the inactive fee. Active‑duty members of the U.S. Armed Forces or U.S. Public Health Service do not pay the biennial renewal fee while on active duty.
Board can send your credentials
With your authorization, the Board sends your application documents to your employer or a credentialing group. This includes school and training verification, malpractice insurance, and hospital or facility privileges.
PAs: CE not tied to NCCPA
Beginning January 1, 2026, the Board cannot require physician assistants to get or keep NCCPA or other national certification to meet state CE rules for renewal.
Inactive PAs must pay registration fee
If you are a physician assistant on inactive status under the Board of Medical Examiners, you must pay the biennial registration fee while inactive and before resuming practice. This removes the prior exemption.
More CE and trainings for osteopathic doctors
Beginning January 1, 2026, osteopathic doctors must complete at least 40 hours of continuing education every two years. Within two years after initial licensure, complete at least 2 hours in suicide prevention and at least 2 hours in SBIRT. Every two years, complete at least 2 hours in ethics, pain management, addiction care, or SBIRT; suicide-prevention hours do not replace ethics. Every four years, complete at least 2 hours in suicide prevention. Doctors and PAs who provide or supervise emergency or primary care must take 2 hours on HIV stigma within two years after starting that role. Psychiatrists and the PAs they supervise must complete 2 hours in cultural competency and DEI every two years.
Stronger action on fraudulent licensing
Obtaining or renewing an osteopathic medical license by bribery, fraud, or false or incomplete statements is grounds for denial or discipline by the Board.
Steps and fees for dual licenses
Beginning January 1, 2026, if you want a simultaneous chapter 630 license while renewing a chapter 633 physician assistant license, you must say so, apply separately, and pay the biennial simultaneous renewal and application fees. If you seek a simultaneous chapter 630 license without renewing your chapter 633 license, you must still pay the biennial simultaneous renewal fee and the application/initial fee.
CE audits and content updates
Beginning January 1, 2026, the Board may ask some renewal applicants to submit verified CE proof for the prior two years. Courses on genetic counseling or genetic testing now count toward required CE for doctors, PAs, and AAs. The past 4-hour terrorism medical course is no longer required within two years of initial licensure for physicians, PAs, and AAs.
New biennial renewal dates in 2026
Beginning January 1, 2026, most osteopathic licenses (not PAs or AAs) renew by December 31 of even-numbered years. Anesthesiologist assistants renew by December 31 of odd-numbered years. If you held a license on December 31, 2025, most renew on January 1, 2026 under old rules first; PAs and AAs keep their listed date and the Board prorates the renewal fee. The Board can adopt needed rules now; the new schedules fully apply on January 1, 2026.
Renewal data and emergency responder lists
Beginning January 1, 2026, osteopathic physicians renewing must complete the Department of Health data request online; refusal is not grounds for discipline and the data are confidential. At renewal, you must also report if you have trauma training. The Board keeps and updates lists of trained and willing responders and can share them with government during a declared emergency.
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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