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S.B. 249
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*SB249*
SENATE BILL NO. 249–COMMITTEE ON COMMERCE AND LABOR
(ON BEHALF OF THE JOINT INTERIM STANDING
COMMITTEE ON COMMERCE AND LABOR)
FEBRUARY 26, 2025
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Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to certified registered
nurse anesthetists. (BDR 54-516)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State: No.
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EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
AN ACT relating to health care; authorizing a certified registered
nurse anesthetist to order, prescribe, possess and
administer controlled substances, poisons, dangerous
drugs and devices outside a critical access hospital under
certain circumstances; and providing other matters
properly relating thereto.
Legislative Counsel’s Digest:
Existing law authorizes a certified registered nurse anesthetist working under
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the supervision of a physician licensed to practice medicine or osteopathic medicine
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in this State to order, prescribe, possess and administer controlled substances,
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poisons, dangerous drugs and devices to treat a patient under the care of the
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licensed physician before, during and after surgery or childbirth only in a critical
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access hospital. (NRS 632.2397) This bill authorizes a certified registered nurse
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anesthetist to order, prescribe, possess and administer controlled substances,
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poisons, dangerous drugs and devices under those circumstances outside a critical
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access hospital.
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THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. NRS 632.2397 is hereby amended to read as
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follows:
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632.2397 1. A certified registered nurse anesthetist may:
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*SB249*
(a) Under the supervision of a physician licensed pursuant to
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chapter 630 or 633 of NRS, order, prescribe, possess and administer
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controlled substances, poisons, dangerous drugs and devices to treat
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a patient under the care of a licensed physician [in a critical access
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hospital] in preparation for surgery or childbirth, during surgery or
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childbirth and while a patient recovers from surgery or childbirth.
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(b) Possess and administer controlled substances, poisons,
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dangerous drugs and devices in other circumstances under which a
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registered nurse is authorized to possess and administer controlled
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substances, poisons, dangerous drugs and devices.
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2. A certified registered nurse anesthetist shall not order or
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prescribe a controlled substance, poison, dangerous drug or device
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except as authorized by paragraph (a) of subsection 1.
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[3. As used in this section, “critical access hospital” means a
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hospital which has been certified as a critical access hospital by the
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Secretary of Health and Human Services pursuant to 42 U.S.C.
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1395i-4(e).]
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Sec. 2. This act becomes effective on July 1, 2025.
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