S.B. 427
Senate Bill No. 427–Committee on Commerce and Labor
(On
Behalf of the Board of Veterinary
Medical Examiners)
March 24, 2003
____________
Referred to Committee on Commerce and Labor
SUMMARY—Makes various changes relating to veterinarians. (BDR 54‑472)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: No.
~
EXPLANATION
– Matter in bolded italics is new; matter
between brackets [omitted material] is material to be omitted.
Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).
AN ACT
relating to veterinarians; eliminating
the requirement that a complaint filed with the Nevada State Board of
Veterinary Medical Examiners must be verified; eliminating the requirement that
an application for the renewal of a license must be notarized; clarifying
the provisions governing the attorney’s fees and costs that the Board may
recover from a licensee for certain actions committed by the licensee; revising
the procedure for the disposition of complaints filed with the Board; revising
certain provisions relating to the confidentiality of records and information
concerning an investigation 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 638 of NRS is hereby amended by adding
1-2 thereto a new section to read as follows:
1-3 1. The Board may recover from a licensee all administrative
1-4 expenses, attorney’s fees and costs incurred by the Board relating
1-5 to:
2-1 (a) Any disciplinary action taken against the licensee,
2-2 including, without limitation, any investigation or hearing relating
2-3 to the disciplinary action;
2-4 (b) Any action to impose or collect a civil penalty from a
2-5 licensee, if the Board is so entitled; or
2-6 (c) Any petition of the licensee for judicial review of a decision
2-7 or order of the Board or any appeal of a decision or order of a
2-8 court relating thereto, if the Board is the prevailing party.
2-9 2. The Board may recover all administrative expenses,
2-10 attorney’s fees and costs incurred by the Board relating to:
2-11 (a) The enforcement of a subpoena for which a court has
2-12 entered an order compelling compliance; or
2-13 (b) Any other judicial proceeding relating to the enforcement
2-14 of any provision of this chapter or any regulation adopted
2-15 pursuant thereto.
2-16 Sec. 2. NRS 638.013 is hereby amended to read as follows:
2-17 638.013 “Veterinary technician” means a person who is
2-18 [formally:] :
2-19 1. Licensed by the Board pursuant to NRS 638.122; and
2-20 2. Formally trained for the specific purpose of assisting a
2-21 licensed veterinarian in the performance of professional or technical
2-22 services in the field of veterinary medicine.
2-23 Sec. 3. NRS 638.020 is hereby amended to read as follows:
2-24 638.020 1. The Nevada State Board of Veterinary Medical
2-25 Examiners is hereby created.
2-26 2. The Board consists of seven members appointed by the
2-27 Governor.
2-28 3. Six of the members must:
2-29 (a) Be residents of the State of Nevada.
2-30 (b) Be graduates of a veterinary college [approved] accredited
2-31 by the American Veterinary Medical Association.
2-32 (c) Have been lawfully engaged in the [private] practice of
2-33 veterinary medicine in the State of Nevada for at least 5 years next
2-34 preceding the date of their appointment.
2-35 4. One member appointed by the Governor must be a
2-36 representative of the general public.
2-37 5. Any member may be removed from the Board by the
2-38 Governor for good cause.
2-39 Sec. 4. NRS 638.060 is hereby amended to read as follows:
2-40 638.060 1. The Board shall meet at least annually and on the
2-41 call of the President or any four of its members.
2-42 2. Four members of the Board constitute a quorum[.] , and a
2-43 quorum is necessary to conduct the business of the Board. Any
2-44 action taken by the Board must be approved by at least a majority
2-45 of the members present at a hearing or meeting of the Board.
3-1 Sec. 5. NRS 638.087 is hereby amended to read as follows:
3-2 638.087 1. The Board shall keep a record of:
3-3 (a) All charges filed against a licensee;
3-4 (b) The proceedings of any formal hearing conducted by the
3-5 Board or a hearing officer;
3-6 (c) Any order filed by the Board; and
3-7 (d) All licenses issued by the Board including the name of the
3-8 holder of the license, his business [and residential addresses,]
3-9 address, the date the license was issued and the [serial] number of
3-10 the license.
3-11 2. The records of the Board listed in subsection 1 must be open
3-12 to the public at reasonable times and places.
3-13 Sec. 6. NRS 638.089 is hereby amended to read as follows:
3-14 638.089 1. Except as otherwise provided in this section, all
3-15 information received by the Board concerning an applicant for a
3-16 license or a licensee, including the results of an investigation, is
3-17 confidential.
3-18 2. [If the Board takes disciplinary action against an applicant or
3-19 licensee, the complaint and the action taken are no longer required
3-20 to be confidential.
3-21 3. If the Board conducts any proceeding other than a
3-22 disciplinary action regarding an applicant or licensee, its statement
3-23 of findings and any order issued relating thereto are no longer
3-24 required to be confidential.
3-25 4. Information concerning an applicant or a licensee may be
3-26 disclosed, pursuant to procedures established by regulation of the
3-27 Board, to a court or an agency of the Federal Government, any state
3-28 or any political subdivision of this state. Notice of the disclosure and
3-29 the contents of the information must be given to the applicant or
3-30 licensee within 3 business days before the disclosure.] Except as
3-31 otherwise provided in subsection 3, any records or information
3-32 relating to an investigation by the Board are public records only
3-33 if:
3-34 (a) Disciplinary action is imposed by the Board as a result of
3-35 the investigation; or
3-36 (b) The person who is the subject of the investigation submits a
3-37 written request to the Board requesting that the records be made
3-38 public records.
3-39 3. The Board may provide any record or information
3-40 described in subsection 2 to any other licensing board or agency,
3-41 including a law enforcement agency, which is investigating a
3-42 person who is licensed pursuant to this chapter.
3-43 Sec. 7. NRS 638.100 is hereby amended to read as follows:
3-44 638.100 1. Any person who desires to secure a license to
3-45 practice veterinary medicine, surgery, obstetrics or dentistry in the
4-1 State of Nevada must make written application to the Executive
4-2 Director of the Board.
4-3 2. The application must include the social security number of
4-4 the applicant and any other information required by the Board and
4-5 must be accompanied by satisfactory proof that the applicant:
4-6 (a) Is of good moral character;
4-7 (b) Except as otherwise provided in subsection 3, has received a
4-8 diploma conferring the degree of doctor of veterinary medicine or
4-9 its equivalent from a school of veterinary medicine [within the
4-10 United States or Canada] that is accredited by the Council on
4-11 Education of the American Veterinary Medical Association or, if
4-12 the applicant is a graduate of a school of veterinary medicine
4-13 [located outside the United States or Canada,] that is not accredited
4-14 by the Council on Education of the American Veterinary Medical
4-15 Association, that he has received an educational certificate issued
4-16 [after December 31, 1972,] by the Educational [Committee on]
4-17 Commission for Foreign Veterinary Graduates of the American
4-18 Veterinary Medical Association[;] or, if the Educational
4-19 Commission for Foreign Veterinary Graduates of the American
4-20 Veterinary Medical Association ceases to exist, by an organization
4-21 approved by the Board that certifies that the holder of the
4-22 certificate has demonstrated knowledge and skill of veterinary
4-23 medicine that is equivalent to the knowledge and skill of veterinary
4-24 medicine of a graduate of a college of veterinary medicine that is
4-25 accredited by the Council on Education of the American
4-26 Veterinary Medical Association;
4-27 (c) Has passed each examination required by the Board pursuant
4-28 to NRS 638.110; and
4-29 (d) Is a citizen of the United States or is lawfully entitled to
4-30 remain and work in the United States.
4-31 3. A veterinary student in his final year at a school accredited
4-32 by the American Veterinary Medical Association may submit an
4-33 application to the Board and take the state examination administered
4-34 by the Board, but the Board may not issue him a license until he has
4-35 complied with the requirements of subsection 2.
4-36 4. The application must be signed by the applicant, notarized
4-37 and accompanied by a fee set by the Board, not to exceed $500.
4-38 5. The Board may refuse to issue a license [upon satisfactory
4-39 proof that the] if the Board determines that an applicant has
4-40 committed an act which would be a ground for disciplinary action if
4-41 the applicant were a licensee.
4-42 [6. If an applicant brings a civil action against the Board for
4-43 denial of a license and the decision of the Board is upheld, the
4-44 Board may recover all administrative expenses and attorney’s fees
5-1 and costs incurred by the Board in defending the action brought
5-2 against it.]
5-3 Sec. 8. NRS 638.123 is hereby amended to read as follows:
5-4 638.123 1. Each applicant for a license as a veterinary
5-5 technician must pass:
5-6 (a) The state examination administered by the Board; and
5-7 (b) The [national] Veterinary Technician National Examination
5-8 [administered by the American Veterinary Medical Association ;
5-9 and
5-10 (c) Any] or any other examination [required] approved by the
5-11 Board . [which has been approved by the Board or the American
5-12 Veterinary Medical Association.]
5-13 2. The Board may supplement the written examination required
5-14 by this section with oral interviews and practical demonstrations as
5-15 the Board considers necessary.
5-16 3. The Board shall adopt regulations prescribing the
5-17 requirements for examination.
5-18 Sec. 9. NRS 638.127 is hereby amended to read as follows:
5-19 638.127 1. On or before November 15 of each year, the
5-20 Executive Director shall mail to each person licensed under the
5-21 provisions of this chapter an application form for the renewal of his
5-22 license.
5-23 2. Each applicant for renewal must complete the form and
5-24 return it to the Executive Director, accompanied by the statement
5-25 required pursuant to NRS 638.103, the renewal fee and full payment
5-26 of all fines which he owes to the Board, on or before January 1 of
5-27 each year. Each application for renewal must be signed by the
5-28 applicant . [and notarized.] The renewal fee for licensees and
5-29 persons on inactive status must be in an amount determined by the
5-30 Board.
5-31 3. Upon receipt of the application and statement and payment
5-32 of the renewal fee and all fines owed, the Board shall issue to that
5-33 person a certificate of renewal.
5-34 4. Any person who fails to renew his license on or before
5-35 March 1 of each year forfeits his license.
5-36 5. When a person has forfeited his license in the manner
5-37 provided in subsection 4, the Board may reinstate the license and
5-38 issue a certificate of renewal upon receipt of the statement required
5-39 pursuant to NRS 638.103 and payment of:
5-40 (a) The renewal fee;
5-41 (b) All fines owed; and
5-42 (c) A delinquency penalty of $50 for each month or fraction
5-43 thereof the license was not renewed after January 1.
6-1 6. If a licensee does not practice for more than 12 consecutive
6-2 months, the Board may require him to take an examination to
6-3 determine his competency before renewing his license.
6-4 7. If a licensee does not renew his license and he is licensed to
6-5 practice in another state or territory of the United States, the Board
6-6 may not issue him a license to practice in the State by reciprocity.
6-7 Such a licensee must reinstate his license in the manner prescribed
6-8 by the Board.
6-9 Sec. 10. NRS 638.1413 is hereby amended to read as follows:
6-10 638.1413 1. The Board or any of its members who becomes
6-11 aware of any fact which may be any one or a combination of the
6-12 grounds for initiating disciplinary action shall, and any other person
6-13 who is so aware may, file with the Board a [verified] written
6-14 complaint specifying the relevant facts.
6-15 2. The Board may, upon its own motion, and shall, upon
6-16 receipt of such a complaint, investigate the actions of any applicant
6-17 for a license or any holder of a license issued pursuant to the
6-18 provisions of this chapter.
6-19 3. The Executive Director shall send written notice by certified
6-20 mail with return receipt requested to the person being investigated.
6-21 The notice must contain the name of the person who filed the
6-22 complaint against the licensee, the nature of the complaint and a
6-23 request for any medical records the licensee may have relating to the
6-24 complaint.
6-25 Sec. 11. NRS 638.1419 is hereby amended to read as follows:
6-26 638.1419 [1.] The Board shall appoint one of its members to
6-27 conduct the investigation of a complaint. The member conducting
6-28 the investigation may request assistance from the Attorney General
6-29 or the Executive Director of the Board, and may employ
6-30 investigators, professional consultants, and any other personnel
6-31 necessary to conduct the investigation.
6-32 [2. Immediately after his appointment, the member conducting
6-33 the investigation shall notify the person being investigated by
6-34 telephone or by certified mail with return receipt requested. The
6-35 member conducting the investigation shall describe the reasons for
6-36 the investigation.]
6-37 Sec. 12. NRS 638.1429 is hereby amended to read as follows:
6-38 638.1429 1. [If] After the investigation of the complaint is
6-39 completed, the member of the Board [conducting ] who conducted
6-40 the investigation shall submit to the Board a written report of his
6-41 findings and recommendations concerning the disposition of the
6-42 complaint.
6-43 2. If the Board determines that there [is a reasonable basis for
6-44 the complaint, he shall submit to the Board a written statement of
6-45 his findings.
7-1 2. If the member conducting the investigation] is not sufficient
7-2 evidence to believe that a licensee has committed an act which
7-3 constitutes a cause for disciplinary action, the Board shall dismiss
7-4 the complaint and send a written notice to the person who filed the
7-5 complaint and the licensee who was the subject of the
7-6 investigation that the complaint was dismissed.
7-7 3. If the Board determines that there [is a reasonable basis for
7-8 the complaint, he may:
7-9 (a) Recommend a formal hearing. If the Board agrees with this
7-10 recommendation it shall, by motion, fix] is sufficient evidence to
7-11 believe that a licensee has committed an act which constitutes a
7-12 ground for disciplinary action, the Board may enter into a
7-13 settlement agreement with the licensee. The settlement agreement
7-14 must be signed by the licensee and the President of the Board. The
7-15 Board shall send a written notice of the settlement to the person
7-16 who filed the complaint against the licensee. The notice must
7-17 include a copy of the settlement agreement. The complaint and the
7-18 settlement agreement are public records.
7-19 4. If the Board does not enter into a settlement agreement
7-20 with the licensee, the Board shall:
7-21 (a) Cause an accusation to be filed against the licensee. The
7-22 accusation must:
7-23 (1) Include a written statement of the charges alleged;
7-24 (2) Set forth in ordinary and concise language the acts or
7-25 omissions with which the licensee is charged;
7-26 (3) Specify the statutes and regulations which the licensee
7-27 is alleged to have violated; and
7-28 (4) Be signed by the President of the Board.
7-29 (b) Fix a time and place for a hearing and so notify the [person]
7-30 licensee at least [20] 30 days before the date of the hearing. The
7-31 notice must include a copy of the [statement of findings.
7-32 (b) Recommend that the Board conduct an informal hearing
7-33 based on the allegations in the verified complaint and the results of
7-34 the investigation.
7-35 (c) Submit his statement of findings to the person under
7-36 investigation.
7-37 If he agrees in writing to the findings of the member conducting the
7-38 investigation, the Board may adopt that report and take such
7-39 disciplinary action as is necessary without conducting a hearing.]
7-40 accusation and any disciplinary action the Board may impose
7-41 pursuant to NRS 638.147.
7-42 Sec. 13. NRS 638.147 is hereby amended to read as follows:
7-43 638.147 If the Board determines that any applicant for a license
7-44 or any person licensed pursuant to this chapter has committed any of
7-45 the acts which are grounds for disciplinary action, the Board may:
8-1 1. Refuse to issue a license.
8-2 2. Refuse to renew a license.
8-3 3. Revoke a license.
8-4 4. Suspend a license for a definite period or until further order
8-5 of the Board.
8-6 5. Impose a fine in an amount not to exceed $10,000 for each
8-7 act which constitutes a ground for disciplinary action.
8-8 6. Place a licensee on probation subject to any reasonable
8-9 conditions imposed by the Board, including requiring courses in
8-10 continuing education or a periodic or continuous review of his
8-11 practice.
8-12 7. Administer a public or private reprimand.
8-13 8. Limit the practice of the licensee to specified branches of
8-14 veterinary medicine.
8-15 9. Require the licensee to take a competency examination or a
8-16 mental or physical examination.
8-17 [10. Require the licensee to pay all costs incurred by the Board
8-18 in taking disciplinary action against the licensee.]
8-19 Sec. 14. NRS 638.148 is hereby amended to read as follows:
8-20 638.148 1. Any person against whom disciplinary action has
8-21 been taken by the Board is entitled to judicial review of the Board’s
8-22 order.
8-23 2. Every order of the Board imposing a sanction pursuant to
8-24 NRS 638.147 is effective from the date the President and Executive
8-25 Director certify the order until the date the order is modified or
8-26 reversed by a final judgment of the court.
8-27 [3. The district court shall give priority to a petition for judicial
8-28 review of the Board’s order over other civil matters which are not
8-29 expressly given priority by law.]
8-30 Sec. 15. NRS 638.1515 is hereby amended to read as follows:
8-31 638.1515 In any proceeding before the Board[:
8-32 1. Proof of actual injury need not be established where the
8-33 statement of findings charges deceptive or unethical professional
8-34 conduct.
8-35 2. A] , a certified copy of the record of a court or a licensing
8-36 agency showing a conviction or the suspension, limitation,
8-37 modification, denial or revocation of a license of a veterinarian or
8-38 veterinary technician is conclusive evidence of its occurrence. A
8-39 plea of nolo contendere is a conviction for the purpose of this
8-40 section.
8-41 Sec. 16. NRS 638.1426, 638.145 and 638.154 are hereby
8-42 repealed.
9-1 TEXT OF REPEALED SECTIONS
9-2 638.1426 Stay by court of Board’s summary order for
9-3 suspension prohibited; exception. If the Board issues an order
9-4 summarily suspending the license of a veterinarian or veterinary
9-5 technician pending proceedings for disciplinary action, the court
9-6 shall not stay that order unless the Board fails to institute and
9-7 determine such proceedings as promptly as practicable.
9-8 638.145 Satisfactory proof of violation required for
9-9 refusing to issue license or taking disciplinary action. The
9-10 Board shall not refuse to issue a license to an applicant or take any
9-11 disciplinary action except upon satisfactory proof that the applicant
9-12 or licensee has engaged in one or more of the practices prohibited
9-13 by the provisions of this chapter.
9-14 638.154 Court may award costs and reasonable attorney’s
9-15 fees incurred by Board. A court may award costs and reasonable
9-16 attorney’s fees incurred by the Board to:
9-17 1. Enforce a subpoena if the court enters an order compelling
9-18 compliance; or
9-19 2. Enforce the provisions of this chapter.
9-20 H