NevadaSB2483rd Regular Session (2025)SenateWALLET

AN ACT relating to emergency medical services; providing for the certification and regulation of emergency medical responders; prescribing certain duties and authority of an emergency medical responder; prohibiting a person from representing himself or herself as an emergency medical responder without a valid certification; applying certain legal protections for emergency medical services to emergency medical responders; authorizing the collection of certain data from an applicant for the renewal of a certificate as an emergency medical responder; requiring the reporting of certain data concerning veterans who apply for and receive certification as an emergency medical responder; providing a penalty; and providing other matters properly relating thereto.

Sponsored By: Senate Committee on Health and Human Services

Signed by Governor

BDR 40-292

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 7 benefits, 0 costs, 0 mixed.

More workers’ comp for first responders

Beginning January 1, 2026, workers’ comp covers preventive tests and treatment if you were exposed to a contagious disease while giving medical care, including emergency care. If you have five or more continuous years as a police officer, full‑time firefighter, or emergency medical attendant (including EMRs), hepatitis that causes disability or death is presumed work‑related. You must take required blood tests, and your employer must pay for tests and required vaccines. First responders, including EMRs at public safety agencies, may get workers’ comp for certain stress‑related mental injuries with clear and convincing medical evidence, and agencies must provide mental‑health training.

Stronger legal protections for first responders

Starting January 1, 2026, EMRs, EMTs, AEMTs and paramedics are treated as first responders for tougher sentencing. If a crime is committed because the victim was a first responder, courts may add 1 to 20 years of prison. Assaults on these providers while on duty can face harsher penalties when the attacker knew or should have known their role. Certified EMRs may sue for injuries from willful acts or lack of ordinary care under existing rules, and training on developmental disabilities does not raise their legal duty of care.

Wider access to epinephrine and naloxone

Starting January 1, 2026, certified EMRs and other EMS providers may give auto‑injector epinephrine and opioid overdose antidotes when they reasonably believe a person needs them. Authorized entities must have a standing order from a supervising clinician, train staff, and report any epinephrine use within 30 days. Anyone who, in good faith and with reasonable care, prescribes, dispenses, or gives an opioid antagonist is immune from criminal charges, civil lawsuits, and professional discipline. There is no duty to prescribe or dispense these drugs.

On-scene guidance immunity and bike relief

Beginning January 1, 2026, clinicians who give good‑faith instructions at an emergency scene are immune from civil damages unless they act with gross negligence. Emergency medical attendants, including EMRs, who follow those good‑faith instructions are also protected. On duty, EMRs and other responders may disregard some bicycle and e‑scooter rules while responding to an emergency or in pursuit, but must use due care for safety.

College fee help for EMR dependents

Beginning January 1, 2026, dependent children of certified EMRs, EMTs, AEMTs, or paramedics who are public‑agency employees or volunteers become eligible for the state trust that pays registration fees, lab fees, and required textbooks if their parent was killed in the line of duty. The help covers undergraduate courses and generally ends at age 23. You must meet the program’s existing eligibility rules.

Statewide certification for EMRs begins 2026

Beginning January 1, 2026, the state creates a formal Emergency Medical Responder (EMR) certificate, valid for up to two years, with required courses on terrorism readiness and on working with people with developmental disabilities. Training programs must meet statewide standards and be supervised by a physician or use approved national curricula. EMRs are added to EMS and health care provider definitions, and are included in nominations to the state EMS committee, which must seek applicants who serve on tribal land. It is illegal to call yourself an EMR, EMT, AEMT or paramedic without a valid certificate; renewal forms may include a voluntary, confidential DHHS data link with no penalty for skipping it. If you hold a valid EMR certificate on January 1, 2026 under earlier rules, you may keep working until it expires and can renew after completing the new trainings.

Counties can staff small emergency clinics

From January 1, 2026, county boards may set up and staff limited medical facilities in outlying areas for outpatient and emergency care. Staff may include certified EMRs, EMTs, AEMTs, paramedics, and other licensed clinicians. Counties may also buy and operate ambulances and set charges or give free care to indigent residents under county rules.

Sponsors & Cosponsors

Sponsor

  • Senate Committee on Health and Human Services

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 59 • No: 4

House vote 5/19/2025

Final Passage - Assembly (As Introduced)

Yes: 42 • No: 0

Senate vote 4/22/2025

Final Passage - Senate (As Introduced)

Yes: 17 • No: 4

Actions Timeline

  1. Chapter 34.

    5/27/2025legislature
  2. Approved by the Governor.

    5/26/2025legislature
  3. Enrolled and delivered to Governor.

    5/23/2025legislature
  4. In Senate. To enrollment.

    5/19/2025Senate
  5. Read third time. Passed. Title approved. (Yeas: 42, Nays: None.) To Senate.

    5/19/2025House
  6. Taken from General File. Placed on General File for next legislative day.

    5/16/2025House
  7. Taken from General File. Placed on General File for next legislative day.

    5/15/2025House
  8. Read second time.

    5/14/2025House
  9. From committee: Do pass.

    5/12/2025House
  10. Read first time. Referred to Committee on Health and Human Services. To committee.

    4/24/2025House
  11. In Assembly.

    4/24/2025House
  12. Read third time. Passed. Title approved. (Yeas: 17, Nays: 4.) To Assembly.

    4/22/2025Senate
  13. Taken from Secretary's desk. Placed on General File.

    4/22/2025Senate
  14. Taken from General File. Placed on Secretary's desk.

    4/17/2025Senate
  15. Taken from General File. Placed on General File for next legislative day.

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

    4/15/2025Senate
  17. Read second time.

    4/14/2025Senate
  18. Placed on Second Reading File.

    4/14/2025Senate
  19. From committee: Do pass.

    4/14/2025Senate
  20. Read first time. To committee.

    2/3/2025Senate
  21. From printer.

    11/12/2024Senate
  22. Prefiled. Referred to Committee on Health and Human Services. To printer.

    11/7/2024Senate

Bill Text

  • As Enrolled

  • As Introduced

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