Existing law provides for the regulation of the practice of music therapy, dietetics, medical laboratory personnel, radiation therapy and radiologic imaging by the State Board of Health. (Chapters 640D, 640E, 652 and 653 of NRS) Sections 1.03-1.8 of this bill similarly require the Board and the Division of Public and Behavioral Health of the Department of Health and Human Services to regulate the practice of naprapathy. Section 1.19 of this bill exempts naprapaths employed by the Federal Government and other licensed providers of health care from such regulation. Section 1.18 of this bill defines the term “naprapathy” to mean the use of certain techniques to diagnose and treat various injuries and connective tissue disorders. Sections 1.06-1.15 of this bill define other relevant terms. Sections 5, 30, 63.5, 64.5, 65.5, and 66.5-68 of this bill exempt naprapaths from provisions governing certain other professions. Section 1.2 of this bill creates and prescribes the membership of the Naprapathic Practice Advisory Board. Section 1.2 also prescribes the terms of the members of the Advisory Board and certain procedures governing the appointment and compensation of the members. Section 1.23 of this bill prescribes certain requirements relating to the operations of the Advisory Board. Section 1.26 of this bill requires the State Board of Health, with the advice of the Advisory Board, to adopt regulations governing the licensure of naprapaths, the practice of naprapathy and the approval of programs of education in naprapathy. Section 1.23 requires the Advisory Board to advise the State Board of Health on the adoption of those regulations. Section 1.8 of this bill makes it a misdemeanor for an unlicensed person to engage in or hold himself or herself out to engage in the practice of naprapathy. Section 1.29 of this bill creates certain exceptions to that criminal penalty. Sections 2-4, 6, 7, 35 and 64 of this bill clarify that providers of wellness services and certain providers of health care who are not also licensed as naprapaths are prohibited from engaging in the practice of naprapathy. Section 66 of this bill provides that structural integration, as conducted by massage therapists, does not include the practice of naprapathy. Section 1.32 of this bill prescribes the qualifications to obtain a license to practice naprapathy, which include passing a test in the practice of naprapathy prepared, caused to be prepared or designated by the State Board of Health. Section 1.46 of this bill requires the Board to prepare, cause to be prepared or designate such a test. Sections 1.35 and 1.38 of this bill prescribe the qualifications and procedure to obtain a license by endorsement to practice naprapathy. Section 1.32 of this bill exempts applicants for licensure by endorsement from the standard licensure procedures used by the Board. Section 1.4 of this bill requires an applicant for a license as a naprapath, including a license by endorsement, to submit his or her fingerprints for the purpose of a criminal background check. Section 1.49 of this bill prescribes the expiration date and procedure to renew a license to practice naprapathy. Existing federal law requires each state to adopt procedures to ensure that applicants for certain licenses and certificates comply with child support obligations. (42 U.S.C. § 666) Sections 1.43 and 1.6 of this bill enact such procedures as applicable to an applicant for a license as a naprapath in order to comply with federal law. Sections 87.5 and 91 of this bill remove a requirement that an application for a license as a naprapath include the social security number of the applicant on the date that those federal requirements are repealed, while leaving in place the other requirements of sections 1.43 and 1.6 until 2 years after that date. Section 1.85 of this bill makes a conforming change for applicants for licensure who do not have a social security number. Section 1.52 of this bill requires each licensed naprapath to conspicuously display his or her license and diploma from a program of education in naprapathy at each place where the licensee engages in the practice of naprapathy. Existing law establishes a program whereby providers of health care are authorized to ask patients if they are veterans for the purpose of connecting patients who are veterans with the Department of Veterans Services. (NRS 417.123-417.128) Sections 1.54, 82 and 82.3 of this bill authorize naprapaths to participate in that program as providers of health care. Section 1.55 of this bill requires a naprapath who determines that the diagnosis or treatment of a patient is beyond the scope of practice or the skill, training and competence of the naprapath to refer the patient to an appropriate provider of health care. Section 1.58 of this bill prescribes grounds for discipline against a naprapath. Section 1.65 of this bill requires the Division to hold a hearing upon receiving a report from the Attorney General that a naprapath has committed industrial insurance fraud. Sections 1.7 and 77.5 of this bill provide that certain documents relating to an investigation of a naprapath are confidential. Section 1.7 also provides that certain documents relating to disciplinary proceedings against a naprapath are public records. Section 1.75 of this bill authorizes the Board or Division to apply to a court to enjoin certain misconduct by a naprapath or the unlicensed practice of naprapathy. Sections 77.8 and 79.2-79.8 of this bill make conforming changes to indicate the proper placement of sections 1.03-1.8 in the Nevada Revised Statutes. Existing law defines the term “provider of health care” as a person who practices any of certain professions related to the provision of health care. (NRS 629.031) Existing law imposes certain requirements upon providers of health care, including requirements for billing, standards for advertisements and criminal penalties for acquiring certain debts. (NRS 629.071, 629.076, 629.078) Section 1.95 of this bill includes naprapaths in the definition of “provider of health care,” thereby subjecting naprapaths to those same requirements. Section 8 of this bill requires a naprapath to report misconduct by a person licensed or certified by the State Board of Nursing to the Executive Director of that board. Existing law establishes a privilege for confidential communications between a patient and a physician, dentist or chiropractor or person participating in the diagnosis or treatment of the patient under the direction of such a provider. (NRS 49.215-49.245) Section 72 of this bill extends that same privilege to apply to confidential communications between a patient and a naprapath or a person under the direction of a naprapath. Existing law provides that: (1) assault is generally a misdemeanor, with certain exceptions; and (2) assault upon a provider of health care is a gross misdemeanor or felony, depending on the circumstances. (NRS 200.471) Section 75 of this bill includes a naprapath within the definition of “provider of health care” for that purpose, thereby making assault upon a naprapath a gross misdemeanor or felony, depending on the circumstances. Sections 76 and 82.5 of this bill require a naprapath to report the abuse, neglect, exploitation, isolation or abandonment of an older person or vulnerable person or the abuse or neglect of a child in the same manner as other providers of health care. A naprapath would also be required to report the commercial sexual exploitation of a child. (NRS 432C.110) Existing law makes it a felony to perform a health care procedure for which certain licenses are required without such a license. (NRS 200.800-200.840) Sections 76.6 and 76.9 of this bill similarly make it a felony to perform a procedure for which a license as a naprapath is required without such a license. Sections 1.9, 65, 69-71, 73-74.5, 76, 76.3, 77, 78, 79, 80-82 and 83-87 of this bill make revisions to treat naprapaths in the same manner as other similar providers of health care in other certain respects.

Statutes affected:
As Introduced: 629.031, 629.580, 630.275, 630.279, 630A.090, 630A.299, 632.235, 632.472, 633.011, 633.041, 633.071, 633.111, 633.131, 633.151, 633.171, 633.286, 633.301, 633.305, 633.3617, 633.434, 633.471, 633.472, 633.491, 633.501, 633.511, 633.512, 633.526, 633.527, 633.528, 633.529, 633.531, 633.533, 633.542, 633.561, 633.571, 633.581, 633.591, 633.601, 633.631, 633.641, 633.651, 633.671, 633.681, 633.691, 633.701, 633.711, 633.721, 633.741, 640.190, 640B.085, 640C.085, 640E.090, 644A.150, 7.095, 41A.017, 42.021, 49.215, 52.320, 89.050, 200.471, 200.5093, 202.2491, 287.020, 288.140, 372.7285, 374.731, 417.124, 439A.0195, 604C.300, 685B.120, 686A.2825, 695F.040
Reprint 1: 622.238, 622.520, 629.031, 629.580, 630.275, 630.279, 630A.090, 630A.299, 632.235, 632.472, 633.171, 633.434, 637B.080, 640.190, 640A.070, 640B.085, 640B.145, 640C.085, 640C.100, 640E.090, 644A.150, 7.095, 41.138, 41A.017, 42.021, 49.215, 52.320, 89.050, 89.055, 200.471, 200.5093, 200.5095, 200.810, 200.820, 202.2491, 239.010, 284.013, 287.020, 288.140, 353.005, 353A.020, 353A.025, 353A.045, 372.7285, 374.731, 417.124, 417.126, 432B.220, 439A.0195, 439B.225, 604C.300, 608.0116, 679B.440, 685B.120, 686A.2825, 686B.030, 690B.250, 690B.320, 695F.040
As Enrolled: 622.238, 622.520, 629.031, 629.580, 630.275, 630.279, 630A.090, 630A.299, 632.235, 632.472, 633.171, 633.434, 637B.080, 640.190, 640A.070, 640B.085, 640B.145, 640C.085, 640C.100, 640E.090, 644A.150, 7.095, 41.138, 41A.017, 42.021, 49.215, 52.320, 89.050, 89.055, 200.471, 200.5093, 200.5095, 200.810, 200.820, 202.2491, 239.010, 284.013, 287.020, 288.140, 353.005, 353A.020, 353A.025, 353A.045, 372.7285, 374.731, 417.124, 417.126, 432B.220, 439A.0195, 439B.225, 604C.300, 608.0116, 679B.440, 685B.120, 686A.2825, 686B.030, 690B.250, 690B.320, 695F.040
BDR: 629.031, 629.580, 630.275, 630.279, 630A.090, 630A.299, 632.235, 632.472, 633.011, 633.041, 633.071, 633.111, 633.131, 633.151, 633.171, 633.286, 633.301, 633.305, 633.3617, 633.434, 633.471, 633.472, 633.491, 633.501, 633.511, 633.512, 633.526, 633.527, 633.528, 633.529, 633.531, 633.533, 633.542, 633.561, 633.571, 633.581, 633.591, 633.601, 633.631, 633.641, 633.651, 633.671, 633.681, 633.691, 633.701, 633.711, 633.721, 633.741, 640.190, 640B.085, 640C.085, 640E.090, 644A.150, 7.095, 41A.017, 42.021, 49.215, 52.320, 89.050, 200.471, 200.5093, 202.2491, 287.020, 288.140, 372.7285, 374.731, 417.124, 439A.0195, 604C.300, 685B.120, 686A.2825, 695F.040