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--- version:As Introduced+++ version:(document, no version)@@ -1,855 +1,24 @@-REQUIRES TWO-THIRDS MAJORITY VOTE- (§§ 1, 11)- A.B. 513+Committee Action:+ Do Pass __________+ Amend & Do Pass __________+ Other __________-- *AB513*--ASSEMBLY BILL NO. 513–COMMITTEE-ON COMMERCE AND LABOR--MARCH 24, 2025-____________--Referred to Committee on Commerce and Labor--SUMMARY—Revises provisions relating to chiropractic-physicians and chiropract ic assistants.-(BDR 54-630)--FISCAL NOTE: Effect on Local Government: No.- Effect on the State: Yes.--~--EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.--AN ACT relating to chiropractic; enacting provisions relating to-temporary certificates for chiropractic assistants; revising-provisions relating to unprofessional conduct in the-practice of chiropractic; revising the membership of the-Chiropractic Physici ans’ Board of Nevada; revising-certain qualifications required to apply for a license as a-chiropractic physician or a certificate as a chiropractic-assistant; revising certain fees the Board may charge and-collect; revising certain requirements for studen t-participation in a preceptor program; revising certain-requirements for certain cease and desist orders of the-Board; and providing other matters properly relating-thereto.-Legislative Counsel’s Digest:- Existing law regulates the practice of chiropracti c in this State and provides for 1-the licensure of chiropractic physicians and the certification of chiropractic 2-assistants. (Chapter 634 of NRS) Section 1 of this bill authorizes the Chiropractic 3-Physicians’ Board of Nevada, under certain circumstances, to issue a temporary 4-certificate to practice as a chiropractic assistant to a person who holds an existing 5-license, certificate or registration in good stand ing in another jurisdiction where the 6-person resides. Section 1 provides that such a temporary certificate is: (1) valid for 7-15 business days or less; (2) va lid only under the supervision and control of a 8-chiropractic physician; and (3) not renewable, and the Board may grant not more 9-than two temporary certificates to a person during any calendar year. Section 1 10-authorizes the Board to charge a reasonable fee, established by regulation of the 11-Board, for each application for a temporary certificate. 12-- – 2 –--- *AB513*- Existing law provides grounds for initiating disciplinary action against 13-practitioners of chiropractic. (NRS 634.018, 634.140) Section 2 of this bill makes 14-employing a person as a temporary chiropractic assistant if the pe rson has not been 15-issued a temporary certificate pursuant to section 1 grounds for disciplinary action. 16- Existing law creates the Board, consisting of seven members, and requires the 17-Governor to appoint members with certain qualifications. (NRS 634.020) Section 3 18-of this bill revises the membership of the Board by: (1) removing a requirement for 19-the Governor to appoint one member who represents the interests of persons or 20-agencies that regularly provide health care to patients who are indigent, uninsured 21-or unable to afford health care; and (2) increasing from fo ur to five the number of 22-chiropractic physicians the Governor is required to appoint. 23- Existing law requires: (1) the Board to hold certain examinations prescribed by 24-the Board at least semiannually; and (2) examinations prescribed by the Board to 25-include certain subjects. Existing law also authorizes the Board to: (1) determine 26-the form of such examinations; and (2) include additional subjects on such 27-examinations. (NRS 634.070) Section 4 of this bill removes the requirements that 28-such examinations be held semiannually and contain certain subjects, and instead 29-authorizes the Board to: (1) hold examinations semiannually or at other intervals 30-prescribed by the B oard; and (2) determine the content of such examinations. 31-Section 5 of this bill requires an applicant for examination to submit to the Board a 32-statement which attests that the applicant has read, understood and will abide by the 33-provisions of existing law and regulati ons governing chiropractic physicians and 34-providers of health care. Sections 7 and 10 of this bill remove provisions 35-establishing the minimum score to pass the required examination. Section 7 36-additionally removes certain provisions governing applicants who fail to pass the 37-examination. 38- Sections 3, 5, 6 and 12 of this bill revise the educational requirements for 39-licensure as a chiropractic physician to specify that the required education may be 40-obtained through certain doctor of chiropractic degree programs. 41- Existing law authorizes the Board to specify the formal training which an 42-applicant for a certificate as a chiropractic assistant must complete, which must 43-include at least 12 months of study or the equivalent. (NRS 634.123) Section 8 of 44-this bill removes the requirement to include at least 12 months of training or the 45-equivalent. Existing law requires certain licenses and certificates to be renewed 46-biennially, on or before January 1. (NRS 634.130) Section 9 of this bill instead 47-requires renewal by the last day of the month in which the holder of the license or 48-certificate was born. 49- Section 11 of this bill eliminates the authority of the Board to charge a fee for 50-providing to a person who is not licensed to practice chiropractic: (1) a list of 51-persons who were licensed to practice chiropractic following the most recent 52-examination of the Board; (2) a copy of the statutes, regulations and other rule s 53-governing the practice of chiropractic in this State; and (3) a list of continuing 54-education courses approved by the Board. Section 11 also expands the applicability 55-of an existing fee for a review by the Board of certain courses offered for 56-continuing education to include a review of a course offered to satisfy the 57-requirements for the qualifications to perform dry needling. 58- Section 12 revises certain requirements for a student to participate in a 59-preceptor program. Section 13 of this bill revises certain contact information which 60-is required to be included in certain cease and desist orders issued by the Board. 61-- – 3 –--- *AB513*-THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN-SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:-- Section 1. Chapter 634 of NRS is hereby amended by adding 1-thereto a new section to read as follows: 2- 1. Except as otherwise provided in subsection 6, upon 3-submission of the application and materials required by this 4-section and payment of the required fee, the Board may issue a 5-temporary certificate to practice as a chiropractic assistant in this 6-State to a person who holds a corresponding license, certificate or 7-registration which is in good standing to perform the functions of 8-a chiropractic assistant in the District of Colu mbia or any other 9-state or territory of the United States in which the person resides. 10- 2. An applicant for a temporary certificate to practice as a 11-chiropractic assistant must: 12- (a) Hold a license, certificate or registration which is in good 13-standing to perform the functions of a chiropractic assistant in the 14-District of Columbia or any other state or territory of the United 15-States in which the applicant is a resident; 16- (b) Submit to the Board: 17- (1) An application on a form prescribed by the Board; 18- (2) An a ttestation on a form p rescribed by the Board that 19-the applicant has read, understood and will abide by the provisions 20-of this chapter and the regulations adopted thereto; 21- (3) An a ttestation on a form p rescribed by the Board that 22-the applicant under stands he or she is not authorized to take and 23-develop radiographs unless he or she is certified or licensed in this 24-State to do so; and 25- (4) The attestation required by subsection 3; and 26- (c) Pay a reasonable application fee established by regulation 27-of the Board. 28- 3. A chiropractic physician who intends to use the services of 29-a chiropractic assistant who will practice under a temporary 30-certificate must attest on a form provided by the Board that: 31- (a) The chiropractic physician has a need for the assist ance of 32-a chiropractic assistant on a temporary basis; 33- (b) The person who will perform the functions of a 34-chiropractic assistant on a temporary basis, if approved by the 35-Board, will work under the supervision and control of the 36-chiropractic physician, either as an employee or as an independent 37-contractor; 38- (c) The chiropractic physician will be responsible for the acts 39-of the person performed in his or her capacity as a chiropractic 40-assistant; and 41-- – 4 –--- *AB513*- (d) The person will only perform the functions of a 1-chiropractic assistant for the period specified by the chiropractic 2-physician, which must be 15 business days or less. 3- 4. An applicant for a temporary certificate as a chiropractic 4-assistant shall not commence performing the functions of a 5-chiropractic assistant until his or her application is approved and 6-the applicant is issued the certificate. 7- 5. A temporary certificate to practice as a chiropractic 8-assistant is: 9- (a) Valid for the period designated on the certificate, which 10-must be 15 business days or less; 11- (b) Valid only under the supervision and control of the 12-chiropractic physician described in subsection 3; and 13- (c) Not renewable. 14- 6. The Board may not grant more than two temporary 15-certificates to practice as a chiropractic assistant to a pers on 16-during any calendar year. 17- Sec. 2. NRS 634.018 is hereby amended to read as follows: 18- 634.018 “Unprofessional conduct” means: 19- 1. Obtaining a certificate upon fraudulent credentials or gross 20-misrepresentation. 21- 2. Procuring, or aiding or abetting in procuring, criminal 22-abortion. 23- 3. Assuring that a manifestly incurable disease can be 24-permanently cured. 25- 4. Advertising, by any form of public communication, a 26-chiropractic practice: 27- (a) Using grossly improbable statements; or 28- (b) In any manner that will tend to deceive, defraud or mislead 29-the public. 30- As used in this subsection, “public communication” includes, but 31-is not limited to, communications by means of television, radio, 32-motion pictures, Internet websites, electronic mail, social media 33-accounts and newspapers, books, periodicals, handbills, let terhead 34-and other printed matter. 35- 5. Willful disobedience of the law, or of the regulations of the 36-State Board of Health or of the Chiropractic Physicians’ Board of 37-Nevada. 38- 6. Conviction of any offense involving moral turpitude, or the 39-conviction of a felony. The record of the conviction is conclusive 40-evidence of unprofessional conduct. 41- 7. Administering, dispensing or prescribing any controlled 42-substance. 43- 8. Conviction or violation of any federal or state law regulating 44-the possession, distribution or use of any controlled substance. The 45-- – 5 –--- *AB513*-record of conviction is conclusive evidence of unprofessional 1-conduct. 2- 9. Habitual intemperance or excessive use of alcohol or 3-alcoholic beverages , cannabis or any controlled substance. 4- 10. Conduct unbecoming a person licensed to practice 5-chiropractic or detrimental to the best interests of the public. 6- 11. Violating, or attempting to violate, directly or indirectly, or 7-assisting in or abetting the violation of, or conspiring to violate, any 8-provision of this chapter or the regulations adopted by the Board, or 9-any other statute or regulation pertaining to the practice of 10-chiropractic. 11- 12. Employing, directly or indirectly, any suspended or 12-unlicensed practitioner in the practice of any system or mode of 13-treating the sick or afflicted, or the aiding or abetting of any 14-unlicensed person to practice chiropractic under this chapter. 15- 13. Malpractice, which may be evidenced by claims of 16-malpractice settled against a practitioner. 17- 14. Solicitation by the licensee o r the licensee’s designated 18-agent of any person who, at the time of the solicitation, is vulnerable 19-to undue influence, including, without limitation, any person known 20-by the licensee to have recently been involved in a motor vehicle 21-crash, involved in a w ork-related accident, or injured by, or as the 22-result of the actions of, another person. As used in this subsection: 23- (a) “Designated agent” means a person who renders service to a 24-licensee on a contract basis and is not an employee of the licensee. 25- (b) “Solicitation” means the attempt to acquire a new patient 26-through information obtained from a law enforcement agency, 27-medical facility or the report of any other party, which information 28-indicates that the potential new patient may be vulnerable to undue 29-influence, as described in this subsection. 30- 15. Employing, directly or indirectly, any person as a 31-chiropractic assistant unless the person [has] : 32- (a) Has been issued a certificate by the Board pursuant to NRS 33-634.123, or has applied for such a certifica te and is awaiting the 34-determination of the Board concerning the application [.] ; or 35- (b) Has been issued a temporary certificate by the Board 36-pursuant to section 1 of this act. 37- 16. Aiding, abetting, commanding, counseling, encouraging, 38-inducing or soliciting an insurer or other third -party payor to reduce 39-or deny payment or reimbursement for the care or treatme nt of a 40-patient, unless such action is supported by: 41- (a) The medical records of the patient; or 42- (b) An examination of the patient by the chiropractic physician 43-taking such action. 44-- – 6 –--- *AB513*- 17. Violating a lawful order of the Board, a lawful agreement 1-with the B oard, or any of the provisions of this chapter or any 2-regulation adopted pursuant thereto. 3- 18. Practicing below the standard of care required from a 4-chiropractic physician or chiropractic assistant under the 5-circumstances. 6- Sec. 3. NRS 634.020 is hereby amended to read as follows: 7- 634.020 1. The Chiropractic Physicians’ Board of Nevada, 8-consisting of seven members appointed by the Governor, is hereby 9-created. 10- 2. The Governor shall appoint: 11- (a) [Four] Five members who are: 12- (1) Graduates of chiropractic schools or colleges or of doctor 13-of chiropractic degree programs giving a course of study 14-embracing the following subjects: Anatomy, bacteriology, 15-chiropractic theory and practice, diagnosis or analysis, elementary 16-chemistry and toxicology, histology, hygiene and sanitation, 17-obstetrics and gynecology, pathology, physiology and 18-symptomatology; 19- (2) Licensed under this chapter; and 20- (3) Actually engaged in the practice of chiropractic in this 21-State and who have been so engaged in this State for at least 3 years 22-preceding their appointment. 23- (b) [One member who represents the interests of persons or 24-agencies that regularly provide health care to patients who are 25-indigent, uninsured or unable to afford health care. This member 26-may be licensed under the provisions of this chapter. 27- (c)] Two members who are representatives of the general public. 28-A member appointed pursuant to this paragraph must not be: 29- (1) A chiropractic physician or a chiropractic assistant; or 30- (2) The spouse or the parent or child, by blood, marriage or 31-adoption, of a chiropractic physician or a chiropractic assistant. 32- 3. At least two of the appointees must have had a course in 33-physiotherapy in a school or college of chiropractic [.] or in a 34-doctor of chiropractic degree program. 35- Sec. 4. NRS 634.070 is hereby amended to read as follows: 36- 634.070 1. All applicants for licenses to practice chiropractic 37-in Nevada must pass all examinations prescribed by the Board. 38-Examinations [must] may be held [at least ] semiannually [.] or at 39-other intervals prescribed by the Board. 40- 2. The examinations may be written, oral, practical, 41-demonstrative, or any combination thereof, as the Board determines 42-to be sufficient, and [must] may include [, without limitation, ] the 43-following subjects: 44-- – 7 –--- *AB513*- (a) [Chapter] Chapters 629 and 634 of NRS and regulations of 1-the Board; 2- (b) The technique for taking X-rays, including the positioning of 3-the body, and interpretation of X-rays; 4- (c) Chiropractic technique; and 5- (d) Clinical competency and case management. 6- 3. If a member of the Board is not licensed under the 7-provisions of this chapter, the member shall not participate in 8-preparing any examination required by the Board. 9- Sec. 5. NRS 634.080 is hereby amended to read as follows: 10- 634.080 1. An applicant for examination must file an 11-application with the Secretary of the Board on a form to be 12-furnished by the Executive Director of the Board. An applicant may 13-take the examination any time after the Executive Director 14-determines that his or her application is complete. 15- 2. An application must be verified and must state: 16- (a) When and where the applicant was born, the various places 17-of the applicant’s residence during the 5 years immediately 18-preceding the making of the application and the address to which he 19-or she wishes the Board to mail the license. 20- (b) The name, age and sex of the applicant. 21- (c) The names and post office addresses of all persons by whom 22-the applicant has been employed for a period of 5 years immediately 23-preceding the making of the application. 24- (d) Whether or not the applicant has ever applied for a license to 25-practice chiropractic in any other state and, if so, when and where 26-and the results of the application. 27- (e) Whether or not the applicant has ever been admitted to the 28-practice of chiropractic in any other state and, if so, whether any 29-discharge, dismissal, disciplinary or other similar proceedings have 30-ever been instituted against the applicant. Such an applicant must 31-also attach a certificate from the chiropractic boar d of each state in 32-which the applicant was licensed, certifying that the applicant is a 33-member in good standing of the chiropractic profession in that state, 34-and that no proceedings affecting the applicant’s standing as a 35-chiropractic physician are undisposed of and pending. 36- (f) The applicant’s general and chiropractic education, including 37-the schools attended and the time of attendance at each school, and 38-whether the applicant is a graduate of any school or schools. 39- (g) The names of: 40- (1) Two persons who have known the applicant for at least 3 41-years; and 42- (2) A person who is a chiropractic physician licensed 43-pursuant to the provisions of this chapter or a professor at a school 44-of chiropractic. 45-- – 8 –--- *AB513*- (h) All other information required to complete the application. 1- 3. An application must include [a] : 2- (a) A copy of the applicant’s official transcript from the school 3-or college of chiropractic or the doctor of chiropractic degree 4-program from which the applicant received his or her degree of 5-doctor of chiropractic, which must be transmitted by the school or 6-college of chiropractic or the doctor of chiropractic degree 7-program directly to the Board. 8- (b) A statement from the applicant which attests, on a form 9-prescribed by the Board, that the applicant ha s read, understood 10-and will abide by the provisions of this chapter and chapter 629 of 11-NRS and the regulations adopted pursuant thereto. 12- Sec. 6. NRS 634.090 is hereby amended to read as follows: 13- 634.090 1. An applicant must, in addition to the requirements 14-of NRS 634.070 and 634.080, furnish satisfactory evidence to the 15-Board: 16- (a) That the applicant is of good moral character; 17- (b) Except as otherwise provided in subsections 3 and 6, that the 18-applicant [has a high school education and ] is a graduate from a 19-college of chiropractic or a doctor of chiropractic degree program 20-which is accredited by the Council on Chiropractic Education, or its 21-successor organization, or an accrediting agency recognized by that 22-organization; and 23- (c) Except as otherwise provided in subsection 2, that the 24-applicant has successfully completed: 25- (1) Parts I, II, III and IV, and the portion relating to 26-physiotherapy, of the examination administered by the National 27-Board of Chiropractic Examiners, or its successor organization; or 28- (2) An examination that is required to graduate from a 29-college of c hiropractic or a doctor of chiropractic degree program 30-which is accredited by the Council on Chiropractic Education, or its 31-successor organization, or an accrediting agency recognized by that 32-organization. Such an examination must be: 33- (I) Administered by such a college [;] or degree program; 34-and 35- (II) Approved by the Board. 36- 2. If an applicant has actively engaged in the practice of 37-chiropractic in another state, the District of Columbia, the 38-Commonwealth of Puerto Rico or any other territory or posse ssion 39-of the United States for not less than 7 of the immediately preceding 40-10 years without any adverse disciplinary action taken against him 41-or her, the applicant is only required to have successfully completed 42-those parts of the examination administered by the National Board 43-of Chiropractic Examiners, or its successor organization, at the time 44-- – 9 –--- *AB513*-that the applicant graduated from a college of chiropractic [.] or a 1-doctor of chiropractic degree program. 2- 3. The Board may, for good cause shown, waive the 3-requirement for a particular applicant that the college of chiropractic 4-or doctor of chiropractic degree program from which the applicant 5-graduated must be accredited by the Council on Chiropractic 6-Education, or its successor organization, or an accrediting a gency 7-recognized by that organization. 8- 4. Except as otherwise provided in subsections 5 and 6, every 9-applicant is required to submit evidence of the successful 10-completion of not less than 60 credit hours at an accredited college 11-or university. 12- 5. Any applicant who has been licensed to practice in another 13-state, and has been in practice for not less than 5 years, is not 14-required to comply with the provisions of subsection 4. 15- 6. If an applicant has received his or her training and education 16-at a school or college located in a foreign country and the course of 17-study leading to his or her degree of doctor of chiropractic consisted 18-of not less than 4,000 hours of instruction, the Board may, if the 19-Board determines that such training and education is substan tially 20-equivalent to graduation from a college of chiropractic or doctor of 21-chiropractic degree program that is accredited by the Council on 22-Chiropractic Education, or its successor organization, waive the 23-requirement that an applicant attend or graduate f rom a college or 24-degree program that is accredited by the Council on Chiropractic 25-Education, or its successor organization, or an accrediting agency 26-recognized by that organization. 27- Sec. 7. NRS 634.100 is hereby amended to read as follows: 28- 634.100 1. An applicant for a license to practice chiropractic 29-in this State must pay the required fee to the Secretary of the Board 30-before the date of the examination. 31- 2. [Except as otherwise provided in NRS 622.090: 32- (a) For a writt en, closed -book examination which is 33-administered in person by the Board, a score of 75 percent or higher 34-in all subjects taken on the examination is a passing score. 35- (b) For a written, open -book examination which is administered 36-in person by the Board or an examination that is taken online, a 37-score of 90 percent or higher in all subjects taken on the 38-examination is a passing score. 39- 3. If an applicant fails to pass the first examination, the 40-applicant may take a second examination within 1 year without 41-payment of any additional fees. Except as otherwise provided in 42-NRS 622.090, credit must be given on this examination for all 43-subjects previously passed. 44-- – 10 –--- *AB513*- 4.] An applicant for a certificate as a chiropractic assistant must 1-pay the required fee to the Secret ary of the Board before the 2-application may be considered. 3- Sec. 8. NRS 634.123 is hereby amended to read as follows: 4- 634.123 1. The Board may issue a certificate to a properly 5-qualified applicant to perform ancillary ser vices relating to 6-chiropractic, other than chiropractic adjustment, under the 7-supervision of a chiropractic physician. The Board shall specify 8-the formal training [, including at least 12 months of study or the 9-equivalent,] which such an applicant must have completed before 10-the Board awards the applicant a certificate as a chiropractic 11-assistant. 12- 2. An application for the issuance of a certificate as a 13-chiropractic assistant must include all information required to 14-complete the application. 15- Sec. 9. NRS 634.130 is hereby amended to read as follows: 16- 634.130 1. Licenses and certificates must be renewed 17-biennially. Except as otherwise provided in subsection 10 or 11, 18-each person who is licens ed or holds a certificate as a chiropractic 19-assistant pursuant to the provisions of this chapter must, upon the 20-payment of the required renewal fee and the submission of all 21-information required to complete the renewal, be granted a renewal 22-license or cert ificate which authorizes the person to continue to 23-practice for 2 years. 24- 2. Except as otherwise provided in subsection 10 or 11, the 25-renewal fee must be paid and all information required to complete 26-the renewal must be submitted to the Board by [January 1] the last 27-day of the month in which the licensee or holder of a certificate 28-was born, of: 29- (a) Each odd-numbered year for a licensee; and 30- (b) Each even-numbered year for a holder of a certificate as a 31-chiropractic assistant. 32- 3. Except as otherwise provided in subsection 5, 6 or 7, a 33-licensee in active practice within this State must submit satisfactory 34-proof to the Board that, during the 24 months immediately 35-preceding the renewal date of the license, the licensee has attended 36-at least 36 hours of c ontinuing education which is approved or 37-endorsed by the Board. 38- 4. Except as otherwise provided in subsection 5, 6 or 8, a 39-holder of a certificate as a chiropractic assistant in active practice 40-within this State must submit satisfactory proof to the Boar d that, 41-during the 24 months immediately preceding the renewal date of the 42-certificate, the certificate holder has attended at least 12 hours of 43-continuing education which is approved or endorsed by the Board or 44-the equivalent board of another state or jur isdiction that regulates 45-- – 11 –--- *AB513*-chiropractic assistants. The continuing education required by this 1-subsection may include education related to lifesaving skills, 2-including, without limitation, a course in cardiopulmonary 3-resuscitation. The Board shall by regulation determine how many of 4-the required 12 hours of continuing education must be course work 5-related to such lifesaving skills. Any course of continuing education 6-approved or endorsed by the Board or the equivalent board of 7-another state or jurisdiction purs uant to this subsection may be 8-conducted via the Internet or in a live setting, including, without 9-limitation, a conference, workshop or academic course of 10-instruction. The Board shall not approve or endorse a course of 11-continuing education which is self -directed or conducted via home 12-study. 13- 5. The educational requirement of subsection 3 or 4 may be 14-waived by the Board if the licensee or holder of a certificate as a 15-chiropractic assistant files with the Board a statement of a 16-chiropractic physician, osteo pathic physician or doctor of medicine 17-certifying that the licensee or holder of a certificate as a chiropractic 18-assistant is suffering from a serious or disabling illness or physical 19-disability which prevented the licensee or holder of a certificate as a 20-chiropractic assistant from completing the requirements for 21-continuing education during the 24 months immediately preceding 22-the renewal date of the license or certificate. 23- 6. The Board may waive the educational requirement of 24-subsection 3 or 4 for a lice nsee or a holder of a certificate as a 25-chiropractic assistant if the licensee or holder of a certificate submits 26-to the Board proof that the licensee or holder of a certificate was in 27-active military service which prevented the licensee or holder of a 28-certificate from completing the requirements for continuing 29-education during the 24 months immediately preceding the renewal 30-date of the license or certificate. 31- 7. A licensee is not required to comply with the requirements 32-of subsection 3 until the first odd -numbered year after the year the 33-Board issues to the licensee an initial license to practice as a 34-chiropractic physician in this State. 35- 8. A holder of a certificate as a chiropractic assistant is not 36-required to comply with the requirements of subsectio n 4 until the 37-first even -numbered year after the Board issues to the holder of a 38-certificate an initial certificate to practice as a chiropractic assistant 39-in this State. 40- 9. The Board may adopt regulations that provide for random 41-audits of licensees and holders of a certificate as a chiropractic 42-assistant to ensure compliance with subsection 3 or 4, as 43-appropriate. 44-- – 12 –--- *AB513*- 10. The Board may waive the renewal fee for a licensee or 1-holder of a certificate as a chiropractic assistant if the licensee or 2-holder of a certificate submits proof to the Board that the licensee 3-or holder of a certificate was in active military service at the time 4-the renewal fee was due. 5- 11. The Board may adopt regulations that provide for the 6-prorating or waiving of the renewal fee for a licensee or holder of a 7-certificate as a chiropractic assistant if such prorating or waiving is 8-based upon the date on which: 9- (a) The Board issues a license to practice chiropractic or a 10-certificate as a chiropractic assistant; and 11- (b) Such license or certification must be renewed. 12- 12. If a licensee fails to: 13- (a) Except as otherwise provided in subsection 10 or 11, pay the 14-renewal fee by [January 1] the last day of the month in which the 15-licensee was born of an odd-numbered year; 16- (b) Except as otherwise provided in subsection 5 or 6, submit 17-proof of continuing education pursuant to subsection 3; 18- (c) Notify the Board of a change in the location of his or her 19-office pursuant to NRS 634.129; or 20- (d) Submit all information required to complete the renewal, 21- the license automatically expires and, except as otherwise 22-provided in NRS 634.131, may be reinstated only upon the 23-payment, by [January 1 ] the last day of the month in which the 24-licensee was born of the even-numbered year following the year in 25-which the license expired, of the required fee for reinstatement in 26-addition to the renewal fee. 27- 13. If a holder of a certificate as a chiropractic assistant fails to: 28- (a) Except as otherwise provided in subsection 10 or 11, pay the 29-renewal fee by [January 1] the last day of the month in which the 30-holder of the certificate was born of an even-numbered year; 31- (b) Except as otherwise provided in subsection 5 or 6, submit 32-proof of continuing education pursuant to subsection 4; 33- (c) Notify the Board of a change in the location of his or her 34-office pursuant to NRS 634.129; or 35- (d) Submit all information required to complete the renewal, 36- the certificate automatically expires and may be reinstated only 37-upon the payment of the required fee for reinstatement in addition to 38-the renewal fee. 39- Sec. 10. NRS 634.131 is hereby amended to read as follows: 40- 634.131 1. If a license expires pursuant to the provisions of 41-subsection 12 of NRS 634.130 and the license was not reinstated 42-pursuant to the provisions of that subsection, the person who held 43-the license may apply to the Board to have the license reinstated to 44-active status. 45-- – 13 –--- *AB513*- 2. An applicant to have an expired license reinstated to active 1-status pursuant to subsection 1 must: 2- (a) [Either: 3- (1)] Submit satisfactory evidence to the Board: 4- [(I)] (1) That the applicant has maintained an active 5-practice in another state, territory or country within the preceding 5 6-years; 7- [(II)] (2) From all other licensing agencies which have 8-issued the applicant a license that he or she is in good standing and 9-has no legal actions pending against him or her; and 10- [(III)] (3) That the applicant has participated in a program 11-of continuing education in accordance with NRS 634.130 for the 12-year in which he or she seeks to be reinstated to active status; [or 13- (2) Score: 14- (I) For] 15- (b) Submit a [written, closed -book examination which is 16-administered in person] statement from the applicant which attests, 17-on a form prescribed by the Board, [75 percent or higher in all 18-subjects on] that the [examination concerning] applicant has read, 19-understood and will abide by the provisions of this chapter and 20-chapter 629 of NRS and the regulations adopted [by the Board; or 21- (II) For a written, open -book ex amination which is 22-administered in person by the Board or an examination that is taken 23-online, 90 percent or higher in all subjects on the examination 24-concerning the provisions of this chapter and the regulations 25-adopted by the Board;] pursuant thereto; 26- [(b)] (c) Pay: 27- (1) The fee for the biennial renewal of a license to practice 28-chiropractic; 29- (2) The fee for reinstating a license to practice chiropractic 30-which has expired; and 31- (3) The fee for the processing of fingerprints established 32-pursuant to subsection 4; and 33- [(c)] (d) Submit a complete set of fingerprints and written 34-permission authorizing the Board to forward the fingerprints to the 35-Central Repository for Nevada Records of Criminal History for 36-submission to the Federal Bureau of Investigation for its report. 37- 3. If any of the requirements set forth in subsection 2 are not 38-met by an applicant for the reinstatement of an expired license to 39-active status , the Board, before reinstating the license of the 40-applicant to active status: 41- (a) Must ho ld a hearing to determine the professional 42-competency and fitness of the applicant; and 43- (b) May require the applicant to: 44-- – 14 –--- *AB513*- (1) Pass the Special Purposes Examination for Chiropractic 1-prepared by the National Board of Chiropractic Examiners; and 2- (2) Satisfy any additional requirements that the Board deems 3-to be necessary. 4- 4. The Board shall establish by regulation the fee for 5-processing fingerprints. The fee must not exceed the sum of the 6-amounts charged by the Central Repository for Nevada Records of 7-Criminal History and the Federal Bureau of Investigation for 8-processing the fingerprints. 9- Sec. 11. NRS 634.135 is hereby amended to read as follows: 10- 634.135 1. The Board may charge and collect fees not to 11-exceed: 12- 13-For an application for a license to practice 14-chiropractic ............................................................. $200.00 15-For an examination for a license to practice 16-chiropractic ............................................................... 200.00 17-For an application for, and the issuance of, a 18-certificate as a chiropractic assistant ........................ 100.00 19-For an examination for a certificate as a 20-chiropractic assistant ................................................ 100.00 21-For the issuance of a license to practice 22-chiropractic ............................................................... 300.00 23-For the biennial renewal of a license to 24-practice chiropractic .............................................. 1,000.00 25-For the biennial renewal of an inactive 26-license to practice chiropractic ................................. 300.00 27-For the biennial renewal of a certificate as a 28-chiropractic assistant ................................................ 200.00 29-For the restoration to active status of an 30-inactive license to practice chiropractic ................... 300.00 31-For reinstating a license to practice 32-chiropractic which has expired pursuant to 33-NRS 634.130 or has been suspended ....................... 500.00 34-For reinstating a certificate as a chiropractic 35-assistant which has expired pursuant to 36-NRS 634.130 or has been suspended ....................... 100.00 37-For a review of any subject on the 38-examination ................................................................ 25.00 39-For the issuance of a duplicate license or for 40-changing the name on a license .................................. 35.00 41-For written verification of licensure or 42-issuance of a certificate of good standing .................. 25.00 43-- – 15 –--- *AB513*-For providing a list of persons who are 1-licensed to practice chiropractic to a 2-person who is not licensed to practice 3-chiropractic ............................................................... $25.00 4-[For providing a list of persons who were 5-licensed to practice chiropractic following 6-the most recent examination of the Board 7-to a person who is not licensed to practice 8-chiropractic ................................................................ 10.00] 9-For a set of mailing labels containing the 10-names and a ddresses of the persons who 11-are licensed to practice chiropractic in this 12-State ............................................................................ 35.00 13-[For providing a copy of the statutes, 14-regulations and other rules governing the 15-practice of chiropractic in this State to a 16-person who is not licensed to practice 17-chiropractic ................................................................. 25.00 18-For each page of a list of continuing 19-education courses that have been 20-approved by the Board .............................................. .50] 21-For an application to a preceptor program 22-offered by the Board to graduates of 23-chiropractic schools or colleges ................................. 35.00 24-For an application for a student or 25-chiropractic physician to participate in the 26-preceptor program established by the 27-Board pursuant to NRS 634.137 ................................ 35.00 28-For a review by the Board of a course offered 29-[by a chiropractic school or college or a 30-course of] to satisfy the require ments for 31-continuing education [in chiropractic] set 32-forth in NRS 634.130 or a course offered 33-to satisfy the qualifications to perform 34-dry needling pursuant to the regulations 35-adopted pursuant to NRS 634.035 ............................ 50.00 36- 37- 2. In addition to the fees set forth in subsection 1, the Board 38-may charge and collect reasonable and necessary fees for the 39-expedited processing of a request or for any other incidental service 40-it provides. 41- 3. For a check or other method of payment made payable to the 42-Board or tendered to th e Board that is returned to the Board or 43-otherwise dishonored upon presentation for payment, the Board 44-- – 16 –--- *AB513*-shall assess and collect a fee in the amount established by the State 1-Controller pursuant to NRS 353C.115. 2- Sec. 12. NRS 634.1375 is hereby amended to read as follows: 3- 634.1375 1. A student who wishes to participate in the 4-preceptor program established by the Board pursuant to NRS 5-634.137 must: 6- (a) File with the Board an application in the form required by 7-the Board; 8- (b) Pay the fee for filing an application required by 9-NRS 634.135; 10- (c) Be enrolled in his or her final academic year at a college of 11-chiropractic or in a doctor of chiropractic degree program that 12-meets the criteria established in paragraph (b) of subsecti on 1 of 13-NRS 634.090; 14- (d) Have completed all clinical work required by the Board; 15- (e) Enter into a preceptor agreement with a chiropractic 16-physician who is approved by the Board to act as a preceptor 17-pursuant to NRS 634.1379; and 18- (f) Comply with any othe r requirements prescribed by the 19-Board. 20- 2. The Board may approve or deny an application for a student 21-who wishes to participate in the preceptor program and shall provide 22-notice to the student of its decision. 23- 3. A student who is approved to participat e in the preceptor 24-program: 25- (a) May perform chiropractic, including, without limitation, 26-chiropractic adjustment or manipulation, under the direct 27-supervision of a chiropractic physician who is approved to act as a 28-preceptor pursuant to NRS 634.1379. 29- (b) Shall not perform chiropractic as a participant in the 30-preceptor program for more than 1 year. 31- Sec. 13. NRS 634.227 is hereby amended to read as follows: 32- 634.227 1. A person who: 33- (a) Presents to the Board as his or her own the diploma, license , 34-certificate or credentials of another; 35- (b) Gives false or forged evidence of any kind to the Board; or 36- (c) Practices chiropractic under a false or assumed name or 37-falsely personates another licensee, 38- is guilty of a misdemeanor. 39- 2. Except as otherwise provided in NRS 634.105, 634.117 and 40-634.1375, a person who does not hold a license issued pursuant to 41-this chapter and: 42- (a) Practices chiropractic in this State; 43- (b) Holds himself or herself out as a chiropractic physician; 44-- – 17 –--- *AB513*- (c) Uses any combination, variation or abbreviation of the terms 1-“chiropractor,” “chiropractic” or “chiropractic physician” as a 2-professional or commercial representation; or 3- (d) Uses any means which directly or indirec tly conveys to 4-another person the impression that he or she is qualified or licensed 5-to practice chiropractic, 6- is guilty of a category D felony and shall be punished as provided 7-in NRS 193.130, unless a greater penalty is provided pursuant to 8-NRS 200.830 or 200.840. 9- 3. In addition to any other penalty prescribed by law, if the 10-Board determines that a person has committed any act described in 11-subsection 2, the Board may: 12- (a) Issue and serve on the person an order to cease and desist 13-until the person obtains from the Board the proper license or 14-certificate or otherwise demonstrates that he or she is no longer in 15-violation of subsection 2. An order to cease and desist must inclu de 16-a mailing address, telephone number , electronic mail address and, 17-if applicable, facsimile number with which the person may contact 18-the Board. 19- (b) Issue a citation to the person. A citation issued pursuant to 20-this paragraph must be in writing, describe with particularity the 21-nature of the violation and inform the person of the provisions of 22-this paragraph. Each activity in which the person is engaged 23-constitutes a separate offense for which a separate citation may be 24-issued. To appeal a citation , the person must submit a written 25-request for a hearing to the Board not later than 30 days after the 26-date of issuance of the citation. 27- (c) Assess against the person an administrative fine of not more 28-than $5,000. 29- (d) Impose any combination of the penal ties set forth in 30-paragraphs (a), (b) and (c). 31- 4. A person who owns or operates a business entity that offers 32-chiropractic services: 33- (a) Which is not registered with the Board pursuant to NRS 34-634.136; or 35- (b) For which a chiropractic physician who is not licensed 36-pursuant to this chapter engages in the practice of chiropractic, 37- is guilty of a category D felony and shall be punished as provided 38-in NRS 193.130. 39- Sec. 14. The amendatory provisions of section 3 of this act do 40-not affect the current term of appointment of any person who, before 41-October 1, 2025, is a member of the Chiropractic Physicians’ Board 42-of Nevada, and each member continues to serve until the expiration 43-of his or her term or until the member vacates h is or her office, 44-whichever occurs first. On and after the effective date of this act, the 45-- – 18 –--- *AB513*-Governor shall make appointments to the Chiropractic Physicians’ 1-Board of Nevada in accordance with NRS 63 4.020, as amended by 2-section 3 of this act. 3- Sec. 15. 1. Notwithstanding the amendatory provisions of 4-section 9 of this act, a person who on October 1, 2025, holds a 5-license to practice chiropractic or a certificate as a chiropractic 6-physician shall pay the renewal fee for the license or certificate and 7-submit to the Board all information required to be submitted for the 8-renewal on or before January 1 of: 9- (a) For the holder of a license, 2027. 10- (b) For a holder of a certificate, 2026. 11- 2. A person who renews a license or certificate in accordance 12-with subsection 1 shall thereafter renew the license or certificate in 13-accordance with NRS 634.130 as amended by section 9 of this act. 14- Sec. 16. 1. This section becomes effective upon passage and 15-approval. 16- 2. Sections 1 to 13, inclusive, of this act become effective: 17- (a) Upon passage and approval for the purpose of adopting any 18-regulations and performing any other preparatory administrative 19-tasks that are necessary to carry out the provisions of this act; and 20- (b) On October 1, 2025, for all other purposes. 21--H+Senate Committee on Commerce and Labor+This measure may be considered for action during today’s work session.+ASSEMBLY BILL 512 (FIRST REPRINT)+Revises provisions relating to casualty insurance. (BDR 57-1089)+Sponsored By: Assembly Committee on Commerce and Labor+Date Heard: May 9, 2025+Fiscal Notes: Effect on Local Government: No.+ Effect on the State: No.+Assembly Bill 512 expands the definition of casualty insurance to include legal expenses+insurance, which means insurance against any liability of a person or entity for the costs of+specific legal services or legal expenses, and which pays or reimburses the person or entity+for the costs of such services or expenses. The definition of legal expenses insurance+excludes certain arrangements for prepaid legal services. Legal expenses insurance is+included among the various types of insurance that a casualty insurer may be authorized to+transact and subject to any applicable provisions of existing law.+The measure also codifies provisions from the Nevada Administrative Code as to the policies+of casualty insurance to which certain requirements relating to coverage for legal defense+costs are applicable.+Amendments: None.
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