Amendment No. 541

 

Senate Amendment to Senate Bill No. 156                                                                         (BDR 40‑710)

Proposed by: Committee on Human Resources and Facilities

Amendment Box: Replaces Amendment No. 325.

Resolves Conflicts with: N/A

Amends:         Summary:              Title:              Preamble:               Joint Sponsorship:

 

ASSEMBLY ACTION              Initial and Date              |SENATE ACTION                        Initial and Date

       Adopted       Lost                                               |          Adopted       Lost                                           

Concurred In                     Not                                                        |Concurred In  Not                                 

       Receded        Not                                               |         Receded        Not                                           

 

     Amend section 1, page 3, by deleting lines 26 through 33 and inserting:

              “(III) Is a spine and pain hospital at which services are performed primarily by neurosurgeons;

              (IV) Has 15 licensed or approved beds;

              (V) Does not have a unit for intensive care;

              (VI) Operates research and educational programs for spinal disorders and pain as an integral component of the hospital;

              (VII) Provides a proportionate share of care for indigent inpatients pursuant to NRS 439B.320; and

              (VIII) Designates the same ratio of bad debt as other hospitals in the community in which it is located;”.

     Amend the bill as a whole by adding new sections designated sections 2 and 3, following section 1, to read as follows:

     “Sec. 2.  Notwithstanding the provisions of NRS 449.080, if the Health Division of the Department of Human Resources issues a license pursuant to chapter 449 of NRS to a hospital described in subparagraph (1) of paragraph (h) of subsection 2 of NRS 439B.425 before October 1, 2009, the Health Division shall not issue a license pursuant to chapter 449 of NRS to a similar facility until on or after October 1, 2009.

     Sec. 3. On or before January 1 of each odd-numbered year before January 1, 2010, a hospital which qualifies for an exemption pursuant to paragraph (h) of subsection 2 of NRS 439B.425 shall submit a report to the Legislative Committee on Health Care and to the Office for Consumer Health Assistance. The report must include for the 2 years immediately preceding the date of the report:

     1.  The total number of patients served by the hospital;

     2.  The number of indigent patients served by the hospital;

     3.  The impact of the hospital on the other hospitals that are located in the county in which the hospital is located, including, without limitation, any adverse economic impact on those hospitals; and

     4.  Such other information as the Legislative Committee on Health Care requires.”.

     Amend the title of the bill, fourth line, after “interest;” by inserting:

“prohibiting the Health Division of the Department of Human Resources from issuing licenses to certain medical facilities under certain circumstances;”.

     Amend the summary of the bill to read as follows:

“SUMMARYľMakes various changes concerning facilities which are excepted from prohibition against practitioner referring patients to facility in which practitioner has financial interest. (BDR 40‑710)”.