Senate Bill No. 281–Senator Shaffer (by request)
CHAPTER..........
AN ACT relating to osteopathic physicians; increasing the membership of the State Board of Osteopathic Medicine; requiring an applicant for a licenseto practice osteopathic medicine or an osteopathic physician’s assistant for whom an application to employ an osteopathic physician’s assistantis submitted to the State Board of Osteopathic Medicineto submit a complete set of his fingerprints to the Board for investigation of the criminal history of the applicant or osteopathic physician’s assistant; authorizing an osteopathic physician to be appointed to certain governmental entities; expanding the circumstances under which an osteopathic physician may be designated to carry out certain duties relating to the practice of medicine; revising provisions relating to the confidentiality of investigations conducted by the Board; and providing other matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1 Section 1. Chapter 633 of NRS is hereby amended by adding
1-2 thereto a new section to read as follows:
1-3 1. In addition to any other requirements set forth in this
1-4 chapter, each applicant for a license to practice osteopathic
1-5 medicine, except a temporary or special license, or each
1-6 osteopathic physician’s assistant for whom an application to
1-7 employ an osteopathic physician’s assistant is submitted to the
1-8 Board must submit to the Board a complete set of his fingerprints
1-9 and written permission authorizing the Board to forward the
1-10 fingerprints to the Central Repository for Nevada Records of
1-11 Criminal History for submission to the Federal Bureau of
1-12 Investigation for its report.
1-13 2. The Board may issue a provisional license pending receipt
1-14 of the report of the Federal Bureau of Investigation if the Board
1-15 determines that the applicant is otherwise qualified.
1-16 3. The Board shall revoke a provisional license upon receipt
1-17 of the report from the Federal Bureau of Investigation if the
1-18 report indicates that:
1-19 (a) The applicant or the osteopathic physician’s assistant has
1-20 been convicted of an act that is a ground for disciplinary action
1-21 pursuant to NRS 633.511;
1-22 (b) The applicant or the osteopathic physician’s assistant has
1-23 been convicted of a felony set forth in NRS 633.741; or
2-1 (c) A warrant for the arrest of the applicant or the osteopathic
2-2 physician’s assistant has been issued by a court of competent
2-3 jurisdiction.
2-4 Sec. 2. NRS 633.181 is hereby amended to read as follows:
2-5 633.181 The State Board of Osteopathic Medicine consists of
2-6 [five] seven members appointed by the Governor.
2-7 Sec. 3. NRS 633.191 is hereby amended to read as follows:
2-8 633.191 1. [Four] Five members of the Board must:
2-9 (a) Be licensed under this chapter;
2-10 (b) Be actually engaged in the practice of osteopathic medicine
2-11 in this state; and
2-12 (c) Have been so engaged in this state for a period of more than
2-13 5 years preceding their appointment.
2-14 2. [The remaining member] Two members must be [a resident]
2-15 residents of the State of Nevada:
2-16 (a) Not licensed in any state to practice any healing art; and
2-17 (b) Not actively engaged in the administration of any medical
2-18 facility or facility for the dependent as defined in chapter 449 of
2-19 NRS.
2-20 Sec. 4. NRS 633.611 is hereby amended to read as follows:
2-21 633.611 1. All proceedings [subsequent to] after the filing of
2-22 a complaint are confidential, except to the extent necessary for the
2-23 conduct of an examination, until the Board determines to proceed
2-24 with disciplinary action. [If]
2-25 2. Except as otherwise provided in subsection 3, if the Board
2-26 dismisses the complaint, the proceedings remain confidential. If the
2-27 Board proceeds with disciplinary action, confidentiality concerning
2-28 the proceedings is no longer required.
2-29 3. The Board may disseminate any information or records
2-30 relating to an investigation of a complaint which has been
2-31 dismissed by the Board to any other licensing board, national
2-32 association of registered boards, an agency of the Federal
2-33 Government or of the State, the Attorney General or any law
2-34 enforcement agency.
2-35 Sec. 5. NRS 637A.243 is hereby amended to read as follows:
2-36 637A.243 1. A hearing aid specialist licensed pursuant to this
2-37 chapter may sell hearing aids by catalog or mail if:
2-38 (a) He has received a written statement signed by a physician
2-39 licensed pursuant to chapter 630 or 633 of NRS, an advanced
2-40 practitioner of nursing licensed pursuant to chapter 632 of NRS, an
2-41 audiologist licensed pursuant to chapter 637B of NRS or a hearing
2-42 aid specialist licensed pursuant to this chapter which verifies that he
2-43 has performed an otoscopic examination of that person and that the
2-44 results of the examination indicate that the person may benefit from
2-45 the use of a hearing aid;
3-1 (b) He has received a written statement signed by a physician
3-2 licensed pursuant to chapter 630 or 633 of NRS, audiologist
3-3 licensed pursuant to chapter 637B of NRS or a hearing aid
3-4 specialist licensed pursuant to this chapter which verifies that he has
3-5 performed an audiometric examination of that person in compliance
3-6 with regulations adopted by the Board and that the results of the
3-7 examination indicate that the person may benefit from the use of a
3-8 hearing aid;
3-9 (c) He has received a written statement signed by a hearing aid
3-10 specialist licensed pursuant to this chapter which verifies that an ear
3-11 impression has been taken; and
3-12 (d) The person has signed a statement acknowledging that the
3-13 licensee is selling him the hearing aid by catalog or mail based upon
3-14 the information submitted by the person in accordance with this
3-15 section.
3-16 2. A hearing aid specialist who sells hearing aids by catalog or
3-17 mail shall maintain a record of each sale of a hearing aid made
3-18 pursuant to this section for not less than 5 years.
3-19 3. The Board may adopt regulations to carry out the provisions
3-20 of this section, including, without limitation, the information which
3-21 must be included in each record required to be maintained pursuant
3-22 to subsection 2.
3-23 Sec. 6. NRS 641C.130 is hereby amended to read as follows:
3-24 641C.130 The provisions of this chapter do not apply to:
3-25 1. A physician who is licensed pursuant to the provisions of
3-26 chapter 630 or 633 of NRS;
3-27 2. A nurse who is licensed pursuant to the provisions of chapter
3-28 632 of NRS and is authorized by the State Board of Nursing to
3-29 engage in the practice of counseling alcohol and drug abusers;
3-30 3. A psychologist who is licensed pursuant to the provisions of
3-31 chapter 641 of NRS;
3-32 4. A marriage and family therapist who is licensed pursuant to
3-33 the provisions of chapter 641A of NRS and is authorized by the
3-34 Board of Examiners for Marriage and Family Therapists to engage
3-35 in the practice of counseling alcohol and drug abusers; or
3-36 5. A person who is licensed as a clinical social worker pursuant
3-37 to the provisions of chapter 641B of NRS and is authorized by the
3-38 Board of Examiners for Social Workers to engage in the practice of
3-39 counseling alcohol and drug abusers.
3-40 Sec. 7. NRS 209.3925 is hereby amended to read as follows:
3-41 209.3925 1. Except as otherwise provided in subsection 6,
3-42 the Director may assign an offender to the custody of the Division
3-43 of Parole and Probation of the Department of Public Safety to serve
3-44 a term of residential confinement pursuant to NRS 213.380, for not
3-45 longer than the remainder of his sentence, if:
3-46 (a) The Director has reason to believe that the offender is:
4-1 (1) Physically incapacitated to such a degree that he does not
4-2 presently, and likely will not in the future, pose a threat to the safety
4-3 of the public; or
4-4 (2) In ill health and expected to die within 12 months, and
4-5 does not presently, and likely will not in the future, pose a threat to
4-6 the safety of the public; and
4-7 (b) At least two physicians licensed pursuant to chapter 630 or
4-8 633 of NRS, one of whom is not employed by the Department,
4-9 verify, in writing, that the offender is:
4-10 (1) Physically incapacitated; or
4-11 (2) In ill health and expected to die within 12 months.
4-12 2. If the Director intends to assign an offender to the custody of
4-13 the Division of Parole and Probation pursuant to this section, at least
4-14 45 days before the date the offender is expected to be released from
4-15 the custody of the Department, the Director shall notify:
4-16 (a) If the offender will reside within this state after he is released
4-17 from the custody of the Department, the board of county
4-18 commissioners of the county in which the offender will reside; and
4-19 (b) The Division of Parole and Probation.
4-20 3. If any victim of a crime committed by the offender has,
4-21 pursuant to subsection 4 of NRS 213.130, requested to be notified of
4-22 the consideration of a prisoner for parole and has provided a current
4-23 address, the Division of Parole and Probation shall notify the victim
4-24 that:
4-25 (a) The Director intends to assign the offender to the custody of
4-26 the Division of Parole and Probation pursuant to this section; and
4-27 (b) The victim may submit documents to the Division of Parole
4-28 and Probation regarding such an assignment.
4-29 If a current address has not been provided by a victim as required by
4-30 subsection 4 of NRS 213.130, the Division of Parole and Probation
4-31 must not be held responsible if notification is not received by the
4-32 victim. All personal information, including, but not limited to, a
4-33 current or former address, which pertains to a victim and which is
4-34 received by the Division of Parole and Probation pursuant to this
4-35 subsection is confidential.
4-36 4. If an offender assigned to the custody of the Division of
4-37 Parole and Probation pursuant to this section escapes or violates any
4-38 of the terms or conditions of his residential confinement:
4-39 (a) The Division of Parole and Probation may, pursuant to the
4-40 procedure set forth in NRS 213.410, return the offender to the
4-41 custody of the Department.
4-42 (b) The offender forfeits all or part of the credits for good
4-43 behavior earned by him before the escape or violation, as
4-44 determined by the Director. The Director may provide for a
4-45 forfeiture of credits pursuant to this paragraph only after proof of the
4-46 offense and notice to the offender and may restore credits forfeited
5-1 for such reasons as he considers proper. The decision of the Director
5-2 regarding such a forfeiture is final.
5-3 5. The assignment of an offender to the custody of the Division
5-4 of Parole and Probation pursuant to this section shall be deemed:
5-5 (a) A continuation of his imprisonment and not a release on
5-6 parole; and
5-7 (b) For the purposes of NRS 209.341, an assignment to a facility
5-8 of the Department,
5-9 except that the offender is not entitled to obtain any benefits or to
5-10 participate in any programs provided to offenders in the custody of
5-11 the Department.
5-12 6. The Director may not assign an offender to the custody of
5-13 the Division of Parole and Probation pursuant to this section if the
5-14 offender is sentenced to death or imprisonment for life without
5-15 the possibility of parole.
5-16 7. An offender does not have a right to be assigned to the
5-17 custody of the Division of Parole and Probation pursuant to this
5-18 section, or to remain in that custody after such an assignment, and it
5-19 is not intended that the provisions of this section or of NRS 213.371
5-20 to 213.410, inclusive, create any right or interest in liberty or
5-21 property or establish a basis for any cause of action against the
5-22 State, its political subdivisions, agencies, boards, commissions,
5-23 departments, officers or employees.
5-24 Sec. 8. NRS 433A.430 is hereby amended to read as follows:
5-25 433A.430 1. Whenever the Administrator determines that
5-26 Division facilities within the State are inadequate for the care of any
5-27 mentally ill person, he may designate two physicians, licensed under
5-28 the provisions of chapter 630 or 633 of NRS, and familiar with the
5-29 field of psychiatry, to examine that person. If the two physicians
5-30 concur with the opinion of the Administrator, the Administrator may
5-31 contract with appropriate corresponding authorities in any other
5-32 state of the United States having adequate facilities for such
5-33 purposes for the reception, detention, care or treatment of that
5-34 person, but if the person in any manner objects to the transfer, the
5-35 procedures in subsection 3 of NRS 433.484 and subsections 2 and 3
5-36 of NRS 433.534 must be followed. The two physicians so
5-37 designated are entitled to a reasonable fee for their services which
5-38 must be paid by the county of the person’s last known residence.
5-39 2. Money to carry out the provisions of this section must be
5-40 provided by direct legislative appropriation.
5-41 Sec. 9. NRS 439B.410 is hereby amended to read as follows:
5-42 439B.410 1. Except as otherwise provided in subsection 4,
5-43 each hospital in this state has an obligation to provide emergency
5-44 services and care, including care provided by physicians and nurses,
5-45 and to admit a patient where appropriate, regardless of the financial
5-46 status of the patient.
6-1 2. Except as otherwise provided in subsection 4, it is unlawful
6-2 for a hospital or a physician working in a hospital emergency room,
6-3 to:
6-4 (a) Refuse to accept or treat a patient in need of emergency
6-5 services and care; or
6-6 (b) Except when medically necessary in the judgment of the
6-7 attending physician:
6-8 (1) Transfer a patient to another hospital or health facility
6-9 unless, as documented in the patient’s records:
6-10 (I) A determination has been made that the patient is
6-11 medically fit for transfer;
6-12 (II) Consent to the transfer has been given by the
6-13 receiving physician, hospital or health facility;
6-14 (III) The patient has been provided with an explanation of
6-15 the need for the transfer; andGreen numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).
6-16 (IV) Consent to the transfer has been given by the patient
6-17 or his legal representative; or
6-18 (2) Provide a patient with orders for testing at another
6-19 hospital or health facility when the hospital from which the orders
6-20 are issued is capable of providing that testing.
6-21 3. A physician, hospital or other health facility which treats a
6-22 patient as a result of a violation of subsection 2 by a hospital or a
6-23 physician working in the hospital is entitled to recover from that
6-24 hospital an amount equal to three times the charges for the treatment
6-25 provided that was billed by the physician, hospital or other health
6-26 facility which provided the treatment, plus reasonable attorney’s
6-27 fees and costs.
6-28 4. This section does not prohibit the transfer of a patient from
6-29 one hospital to another:
6-30 (a) When the patient is covered by an insurance policy or other
6-31 contractual arrangement which provides for payment at the
6-32 receiving hospital;
6-33 (b) After the county responsible for payment for the care of an
6-34 indigent patient has exhausted the money which may be
6-35 appropriated for that purpose pursuant to NRS 428.050, 428.285 and
6-36 450.425; or
6-37 (c) When the hospital cannot provide the services needed by the
6-38 patient.
6-39 No transfer may be made pursuant to this subsection until the
6-40 patient’s condition has been stabilized to a degree that allows
6-41 the transfer without an additional risk to the patient.
6-42 5. As used in this section:
6-43 (a) “Emergency services and care” means medical screening,
6-44 examination and evaluation by a physician or, to the extent
6-45 permitted by a specific statute, by a person under the supervision of
6-46 a physician, to determine if an emergency medical condition or
7-1 active labor exists and, if it does, the care, treatment and surgery by
7-2 a physician necessary to relieve or eliminate the emergency medical
7-3 condition or active labor, within the capability of the hospital. As
7-4 used in this paragraph:
7-5 (1) “Active labor” means, in relation to childbirth, labor that
7-6 occurs when:
7-7 (I) There is inadequate time before delivery to transfer the
7-8 patient safely to another hospital; or
7-9 (II) A transfer may pose a threat to the health and safety
7-10 of the patient or the unborn child.
7-11 (2) “Emergency medical condition” means the presence of
7-12 acute symptoms of sufficient severity, including severe pain, such
7-13 that the absence of immediate medical attention could reasonably be
7-14 expected to result in:
7-15 (I) Placing the health of the patient in serious jeopardy;
7-16 (II) Serious impairment of bodily functions; or
7-17 (III) Serious dysfunction of any bodily organ or part.
7-18 (b) “Medically fit” means that the condition of the patient has
7-19 been sufficiently stabilized so that he may be safely transported to
7-20 another hospital, or is such that, in the determination of the
7-21 attending physician, the transfer of the patient constitutes an
7-22 acceptable risk. Such a determination must be based upon the
7-23 condition of the patient, the expected benefits, if any, to the patient
7-24 resulting from the transfer and whether the risks to the patient’s
7-25 health are outweighed by the expected benefits, and must be
7-26 documented in the patient’s records before the transfer.
7-27 6. If an allegation of a violation of the provisions of subsection
7-28 2 is made against a hospital licensed pursuant to the provisions of
7-29 chapter 449 of NRS, the Health Division of the Department of
7-30 Human Resources shall conduct an investigation of the alleged
7-31 violation. Such a violation, in addition to any criminal penalties that
7-32 may be imposed, constitutes grounds for the denial, suspension or
7-33 revocation of such a license, or for the imposition of any sanction
7-34 prescribed by NRS 449.163.
7-35 7. If an allegation of a violation of the provisions of subsection
7-36 2 is made against [a:] :
7-37 (a) A physician licensed to practice medicine pursuant to the
7-38 provisions of chapter 630 of NRS, the Board of Medical Examiners
7-39 shall conduct an investigation of the alleged violation. Such a
7-40 violation, in addition to any criminal penalties that may be imposed,
7-41 constitutes grounds for initiating disciplinary action or denying
7-42 licensure pursuant to the provisions of subsection 3 of
7-43 NRS 630.3065.
7-44 (b) An osteopathic physician licensed to practice osteopathic
7-45 medicine pursuant to the provisions of chapter 633 of NRS, the
7-46 State Board of Osteopathic Medicine shall conduct an
8-1 investigation of the alleged violation. Such a violation, in addition
8-2 to any criminal penalties that may be imposed, constitutes grounds
8-3 for initiating disciplinary action pursuant to the provisions of
8-4 subsection 1 of NRS 633.131.
8-5 Sec. 10. NRS 442.003 is hereby amended to read as follows:
8-6 442.003 As used in this chapter, unless the context requires
8-7 otherwise:
8-8 1. “Advisory Board” means the Advisory Board on Maternal
8-9 and Child Health.
8-10 2. “Department” means the Department of Human Resources.
8-11 3. “Director” means the Director of the Department.
8-12 4. “Fetal alcohol syndrome” includes fetal alcohol effects.
8-13 5. “Health Division” means the Health Division of the
8-14 Department.
8-15 6. “Obstetric center” has the meaning ascribed to it in
8-16 NRS 449.0155.
8-17 7. “Provider of health care or other services” means:
8-18 (a) An alcohol and drug abuse counselor who is licensed or
8-19 certified pursuant to chapter 641C of NRS;
8-20 (b) A physician or a physician assistant who is licensed pursuant
8-21 to chapter 630 or an osteopathic physician who is licensed
8-22 pursuant to chapter 633 of NRS and who practices in the area of
8-23 obstetrics and gynecology, family practice, internal medicine,
8-24 pediatrics or psychiatry;
8-25 (c) A licensed nurse;
8-26 (d) A licensed psychologist;
8-27 (e) A licensed marriage and family therapist;
8-28 (f) A licensed social worker; or
8-29 (g) The holder of a certificate of registration as a pharmacist.
8-30 Sec. 11. NRS 453A.030 is hereby amended to read as follows:
8-31 453A.030 “Attending physician” means a physician who:
8-32 1. Is licensed to practice medicine pursuant to the provisions of
8-33 chapter 630 or 633 of NRS; and
8-34 2. Has primary responsibility for the care and treatment of a
8-35 person diagnosed with a chronic or debilitating medical condition.
8-36 Sec. 12. NRS 453A.500 is hereby amended to read as follows:
8-37 453A.500 The Board of Medical Examiners shall not take any
8-38 disciplinary action against an attending physician on the basis that
8-39 the attending physician:
8-40 1. Advised a person whom the attending physician has
8-41 diagnosed as having a chronic or debilitating medical condition, or a
8-42 person whom the attending physician knows has been so diagnosed
8-43 by another physician licensed to practice medicine pursuant to the
8-44 provisions of chapter 630 or 633 of NRS:
8-45 (a) About the possible risks and benefits of the medical use of
8-46 marijuana; or
9-1 (b) That the medical use of marijuana may mitigate the
9-2 symptoms or effects of the person’s chronic or debilitating medical
9-3 condition,
9-4 if the advice is based on the attending physician’s personal
9-5 assessment of the person’s medical history and current medical
9-6 condition.
9-7 2. Provided the written documentation required pursuant to
9-8 paragraph (a) of subsection 2 of NRS 453A.210 for the issuance of a
9-9 registry identification card or pursuant to subparagraph (1) of
9-10 paragraph (b) of subsection 1 of NRS 453A.230 for the renewal of a
9-11 registry identification card, if:
9-12 (a) Such documentation is based on the attending physician’s
9-13 personal assessment of the person’s medical history and current
9-14 medical condition; and
9-15 (b) The physician has advised the person about the possible risks
9-16 and benefits of the medical use of marijuana.
9-17 Sec. 13. NRS 457.310 is hereby amended to read as follows:
9-18 457.310 1. The Task Force on Prostate Cancer, consisting of
9-19 11 members, is hereby created. The Task Force consists of:
9-20 (a) The following ex officio members:
9-21 (1) The Chief Executive Officer of Family to Family:
9-22 “Americans for Prostate Cancer Awareness and Support”;
9-23 (2) The Nevada Director of Us Too! International, Inc.; and
9-24 (3) The Executive Officer of the Public Employees’ Benefits
9-25 Program; and
9-26 (b) The following members appointed by the Governor:
9-27 (1) Two members who are physicians licensed pursuant to
9-28 chapter 630 or 633 of NRS;
9-29 (2) One member who is an officer or employee of the
9-30 University and Community College System of Nevada;
9-31 (3) One member who is an employee of the Bureau of
9-32 Disease Control and Intervention of the Health Division;
9-33 (4) One member who has had prostate cancer;
9-34 (5) One member who is related to a person who has had
9-35 prostate cancer; and
9-36 (6) Two members who are representatives of business.
9-37 2. If Family to Family: “Americans for Prostate Cancer
9-38 Awareness and Support” or Us Too! International, Inc., ceases to
9-39 exist, the highest officer or person in charge of any successor
9-40 organization shall serve as the ex officio member required by
9-41 subparagraph (1) or (2) of paragraph (a) of subsection 1 or, if there
9-42 is no successor organization, the Governor shall appoint a person to
9-43 serve pursuant to the applicable subparagraph.
9-44 3. Vacancies of members appointed to the Task Force must be
9-45 filled in the same manner as original appointments.
10-1 4. The Task Force shall annually submit a report concerning its
10-2 activities and any recommendations for legislation to the Director of
10-3 the Legislative Counsel Bureau for transmittal to the Legislature.
10-4 Sec. 14. NRS 467.015 is hereby amended to read as follows:
10-5 467.015 Each member of the Board must:
10-6 1. Be licensed to practice medicine pursuant to chapter 630 or
10-7 633 of NRS.
10-8 2. Have at least 5 years of experience in the practice of
10-9 medicine at the time of his appointment.
10-10 Sec. 15. NRS 695G.110 is hereby amended to read as follows:
10-11 695G.110 Each managed care organization shall employ or
10-12 contract with a physician who is licensed to practice medicine in the
10-13 State of Nevada pursuant to chapter 630 or 633 of NRS to serve as
10-14 its medical director.
10-15 Sec. 16. NRS 695G.150 is hereby amended to read as follows:
10-16 695G.150 Each managed care organization shall authorize
10-17 coverage of a health care service that has been recommended for the
10-18 insured by a provider of health care acting within the scope of his
10-19 practice if that service is covered by the health care plan of the
10-20 insured, unless:
10-21 1. The decision not to authorize coverage is made by a
10-22 physician who:
10-23 (a) Is licensed to practice medicine in the State of Nevada
10-24 pursuant to chapter 630 or 633 of NRS;
10-25 (b) Possesses the education, training and expertise to evaluate
10-26 the medical condition of the insured; and
10-27 (c) Has reviewed the available medical documentation, notes of
10-28 the attending physician, test results and other relevant medical
10-29 records of the insured.
10-30 The physician may consult with other providers of health care in
10-31 determining whether to authorize coverage.
10-32 2. The decision not to authorize coverage and the reason for the
10-33 decision have been transmitted in writing in a timely manner to the
10-34 insured, the provider of health care who recommended the service
10-35 and the primary care physician of the insured, if any.
10-36 Sec. 17. NRS 695G.190 is hereby amended to read as follows:
10-37 695G.190 1. As part of a quality assurance program
10-38 established pursuant to NRS 695G.180, each managed care
10-39 organization shall create a quality improvement committee directed
10-40 by a physician who is licensed to practice medicine in the State of
10-41 Nevada pursuant to chapter 630 or 633 of NRS.
10-42 2. Each managed care organization shall:
10-43 (a) Establish written guidelines setting forth the procedure for
10-44 selecting the members of the committee;
10-45 (b) Select members pursuant to such guidelines; and
10-46 (c) Provide staff to assist the committee.
11-1 3. The committee shall:
11-2 (a) Select and review appropriate medical records of insureds
11-3 and other data related to the quality of health care provided to
11-4 insureds by providers of health care;
11-5 (b) Review the clinical processes used by providers of health
11-6 care in providing services;
11-7 (c) Identify any problems related to the quality of health care
11-8 provided to insureds; and
11-9 (d) Advise providers of health care regarding issues related to
11-10 quality of care.
11-11 Sec. 18. The provisions of section 1 of this act apply only to
11-12 an application for a license to practice as an osteopathic physician or
11-13 an application to employ an osteopathic physician’s assistant which
11-14 is received by the State Board of Osteopathic Medicine on or after
11-15 October 1, 2003.
11-16 Sec. 19. As soon as practicable after October 1, 2003, the
11-17 Governor shall appoint to the State Board of Osteopathic Medicine
11-18 pursuant to:
11-19 1. Subsection 2 of NRS 633.191, one member whose term
11-20 expires on September 30, 2006.
11-21 2. Subsection 1 of NRS 633.191, one member whose term
11-22 expires on September 30, 2007.
11-23 20~~~~~03