NevadaSB12483rd Regular Session (2025)Senate

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), Fabian Doñate (Democratic)

Signed by Governor

BDR 54-38

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 1 costs, 1 mixed.

Two-year path to full license

After at least 2 years of full‑time work under a limited license, you can apply for a full, unrestricted Nevada license. You must be in good standing and have written recommendations from each current supervising physician saying you are qualified to practice on your own.

Limited licenses for foreign-trained doctors

The law creates a limited Nevada medical license for doctors trained outside the U.S. (not Canada). You must have or have held a valid foreign license, have recent training or physician work within 5 years (or a Board‑approved recent period), pass all USMLE steps, meet English and character standards, and graduate from a school the Board accepts. You must work under a Nevada physician in a similar specialty who has at least 2 years’ experience, and have a Board‑approved written practice agreement. The Board sets scope of practice and limits on prescribing, and may require a clinical skills exam if you have not practiced for 24 straight months. The Board may require you to tell it about job offers from places like FQHCs, state or local facilities, nonprofits, or groups in underserved areas. Supervisors must monitor and evaluate you, and the Board can discipline or revoke the license, including if you are no longer employed as a physician.

Annual reports on limited licensing

Each year by January 31, the Board reports on the limited‑license program for the prior year. The report shows application counts, how many applied for full licenses, quality findings, employers, specialties, and where licensees work. The Board sends it to the Legislature on a set schedule. These reports are exempt from a separate reporting limit in state law.

Start dates for these changes

Section 7 takes effect when the bill becomes law. Sections 1–6 are effective now only for adopting rules and doing prep work. All main licensing parts take full effect on July 1, 2026.

Foreign grads need ECFMG certification

If you graduated from a foreign medical school, you must have Educational Commission for Foreign Medical Graduates (ECFMG) certification to use that degree for Nevada licensure or a limited‑resident license.

Sponsors & Cosponsors

Sponsors

  • Cecelia González

    Democratic • House

  • Fabian Doñate

    Democratic • Senate

Cosponsors

  • Angela D. Taylor

    Democratic • Senate

  • Edgar Flores

    Democratic • Senate

  • Jeff Stone

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 62 • No: 0

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

  1. Chapter 164.

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

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

    5/27/2025legislature
  4. To enrollment.

    5/23/2025Senate
  5. In Senate.

    5/23/2025Senate
  6. Read third time. Passed. Title approved. (Yeas: 41, Nays: None, Excused: 1.) To Senate.

    5/23/2025House
  7. Taken from General File. Placed on General File for next legislative day.

    5/22/2025House
  8. Taken from General File. Placed on General File for next legislative day.

    5/21/2025House
  9. Read second time.

    5/20/2025House
  10. From committee: Do pass.

    5/19/2025House
  11. Read first time. Referred to Committee on Commerce and Labor. To committee.

    4/28/2025House
  12. In Assembly.

    4/28/2025House
  13. To Assembly.

    4/28/2025Senate
  14. From printer. To engrossment. Engrossed. First reprint.

    4/25/2025Senate
  15. Read third time. Passed, as amended. Title approved, as amended. (Yeas: 21, Nays: None.) To printer.

    4/22/2025Senate
  16. Reprinting dispensed with.

    4/21/2025Senate
  17. Read second time. Amended. (Amend. No. 300.)

    4/21/2025Senate
  18. Placed on Second Reading File.

    4/21/2025Senate
  19. From committee: Amend, and do pass as amended.

    4/21/2025Senate
  20. Read first time. To committee.

    2/3/2025Senate
  21. From printer.

    1/30/2025Senate
  22. Prefiled. Referred to Committee on Commerce and Labor. To printer.

    1/28/2025Senate

Bill Text

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