All Roll Calls
Yes: 62 • No: 0
NevadaSB12483rd Regular Session (2025)SenateWALLET
AN ACT relating to health care; providing for the limited licensure of certain foreign physicians; prescribing the conditions under which such a limited licensee is authorized to practice medicine; providing for the unrestricted licensure of certain limited licensees; requiring the Board of Medical Examiners to submit certain reports to the Legislature; updating certain references; and providing other matters properly relating thereto.
Sponsored By: Cecelia González (Democratic), FabianDeputy Majority Whip Doñate (Democratic)
Signed by Governor
BDR 54-38
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 1 costs, 1 mixed.
Board rules, specialties, and timeline
The Nevada Board of Medical Examiners must set rules for the program. The rules cover practice agreements, which specialties limited‑license doctors may work in, and limits on prescribing controlled substances (you cannot prescribe drugs your supervisor cannot prescribe). The Board may set ID and monitoring standards and allow certain emergency procedures without the supervisor present. The law defines federally qualified health centers, medically underserved areas, and physician group practices. The Board can start rulemaking now; the program operates on July 1, 2026. The act also exempts its new or revised legislative reporting from a general reporting limit.
Path to full Nevada medical license
If you hold a Nevada limited license, you can apply for a full, unrestricted license after at least two years of full‑time supervised practice. You must be in good standing and have written recommendations from all current supervising physicians that you meet Board evaluations and are ready for independent practice. This pathway is available beginning July 1, 2026.
Strict supervision for limited‑license doctors
Starting July 1, 2026, limited‑license doctors may practice only under a Nevada physician in the same or similar specialty with at least two years’ experience. A written practice agreement with each supervisor must be filed with and approved by the Board, and the doctor must follow it. Supervising physicians are legally responsible and must monitor, evaluate, and report as the Board requires. The Board may require newly licensed doctors to report job offers from FQHCs, state or local facilities, qualifying nonprofits, or physician groups in medically underserved areas. The Board can discipline limited‑license doctors and can suspend or revoke a limited license if the doctor is no longer employed in Nevada, after notice and a hearing.
Nevada license path for foreign doctors
Beginning July 1, 2026, Nevada offers a limited medical license for some foreign‑trained doctors (not Canada). You must have an unrestricted foreign license (current or prior), graduate from a Board‑accepted foreign medical school, complete recent training or practice, pass all USMLE steps, and meet English and character standards. You must have Educational Commission for Foreign Medical Graduates (ECFMG) certification, and your medical school must send your degree directly (or another source the Board allows if the school cannot). If you have not practiced for 24 straight months before you apply, the Board may require a clinical skills exam.
Sponsors & Cosponsors
Sponsors
Cecelia González
Democratic • House
FabianDeputy Majority Whip Doñate
Democratic • Senate
Cosponsors
Angela D. Taylor
Democratic • Senate
Edgar Flores
Democratic • Senate
JeffAssistant Minority Leader Stone
Republican • Senate
Roll Call Votes
House vote • 5/23/2025
Final Passage - Assembly (1st Reprint)
Yes: 41 • No: 0
Senate vote • 4/22/2025
Final Passage - Senate (1st Reprint)
Yes: 21 • No: 0
Actions Timeline
Chapter 164.
5/30/2025legislatureApproved by the Governor.
5/30/2025legislatureEnrolled and delivered to Governor.
5/27/2025legislatureTo enrollment.
5/23/2025SenateIn Senate.
5/23/2025SenateRead third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.
5/23/2025HouseTaken from General File. Placed on General File for next legislative day.
5/22/2025HouseTaken from General File. Placed on General File for next legislative day.
5/21/2025HouseRead second time.
5/20/2025HouseFrom committee: Do pass.
5/19/2025HouseRead first time. Referred to Committee on Commerce and Labor. To committee.
4/28/2025HouseIn Assembly.
4/28/2025HouseTo Assembly.
4/28/2025SenateFrom printer. To engrossment. Engrossed. First reprint.
4/25/2025SenateRead third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.
4/22/2025SenateReprinting dispensed with.
4/21/2025SenateRead second time. Amended. (Amend. No. 300.)
4/21/2025SenatePlaced on Second Reading File.
4/21/2025SenateFrom committee: Amend, and do pass as amended.
4/21/2025SenateRead first time. To committee.
2/3/2025SenateFrom printer.
1/30/2025SenatePrefiled. Referred to Committee on Commerce and Labor. To printer.
1/28/2025Senate
Bill Text
As Enrolled
As Introduced
Reprint 1
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