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).

1-1 Section 1. Chapter 445A of NRS is hereby amended by adding

1-2 thereto the provisions set forth as sections 2 and 3 of this act.

1-3 Sec. 2. 1. The state board of health shall adopt regulations

1-4 requiring the fluoridation of each public water system in a county whose

1-5 population is 100,000 or more.

2-1 2. The regulations must include, without limitation:

2-2 (a) The minimum and maximum permissible concentrations of

2-3 fluoride to be maintained in such public water systems, except that:

2-4 (1) The minimum permissible concentration of fluoride must not be

2-5 less than 0.7 parts per million; and

2-6 (2) The maximum permissible concentration of fluoride must not

2-7 exceed 1.2 parts per million;

2-8 (b) The requirements and procedures for maintaining proper

2-9 concentrations of fluoride, including any necessary equipment, testing,

2-10 recordkeeping and reporting;

2-11 (c) Requirements for the addition of fluoride to such a public water

2-12 system if the natural concentration of fluorides in that system is lower

2-13 than the minimum permissible concentration established pursuant to

2-14 paragraph (a); and

2-15 (d) Criteria pursuant to which the state board of health may exempt a

2-16 public water system from the requirement of fluoridation upon the

2-17 request of the public water system.

2-18 3. The state board of health shall not require the fluoridation of a

2-19 public water system if the natural water supply of the system contains

2-20 fluoride in a concentration that is at least equal to the minimum

2-21 permissible concentration established pursuant to paragraph (a) of

2-22 subsection 2.

2-23 4. The state board of health may make an exception to the minimum

2-24 permissible concentration of fluoride to be maintained in a public water

2-25 system based on:

2-26 (a) The climate of the regulated area;

2-27 (b) The amount of processed water purchased by the residents of the

2-28 regulated area; and

2-29 (c) Any other factor that influences the amount of public water that is

2-30 consumed by the residents of the regulated area.

2-31 5. The health division of the department of human resources shall

2-32 make reasonable efforts to secure any available sources of financial

2-33 support, including, without limitation, grants from the Federal

2-34 Government, for the enforcement of the standards established pursuant

2-35 to this section and any related capital improvements.

2-36 6. A public water system may submit to the health division a claim

2-37 for payment of the initial costs of the public water system to begin

2-38 complying with the provisions of this section. The administrator of the

2-39 health division may approve such claims to the extent of legislative

2-40 appropriations and any other money available for that purpose.

2-41 Approved claims must be paid as other claims against the state are paid.

3-1 The ongoing operational expenses of a public water system in complying

3-2 with the provisions of this section are not compensable pursuant to this

3-3 subsection.

3-4 7. A supplier of water who fails to maintain the concentrations of

3-5 fluoride in a public water system within the limits of the minimum and

3-6 maximum permissible concentrations established in the regulations of

3-7 the state board of health adopted pursuant to this section is guilty of a

3-8 misdemeanor.

3-9 8. As used in this section, "public water system" and "supplier of

3-10 water" have the meanings ascribed to them in NRS 445A.840 and

3-11 445A.845, respectively.

3-12 Sec. 3. The provisions of NRS 445A.025 to 445A.050, inclusive,

3-13 apply only in a county whose population is less than 100,000.

3-14 Sec. 4. NRS 232.320 is hereby amended to read as follows:

3-15 232.320 1. Except as otherwise provided in subsection 2, the

3-43 the Federal Government;

4-1 (4) Identify the sources of funding for services provided by the

4-2 department and the allocation of that funding;

4-3 (5) Set forth sufficient information to assist the department in

4-4 providing those services and in the planning and budgeting for the future

4-5 provision of those services; and

4-6 (6) Contain [any] all other information that is necessary for the

4-7 department to communicate effectively with the Federal Government

4-8 concerning demographic trends, formulas for the distribution of federal

4-9 money and any need for the modification of programs administered by the

4-10 department.

4-11 (d) May, by regulation, require nonprofit organizations and state and

4-12 local governmental agencies to provide information to him regarding the

4-13 programs of those organizations and agencies, excluding detailed

4-14 information relating to their budgets and payrolls, which he deems

4-15 necessary for his performance of the duties imposed upon him pursuant to

4-16 this section.

4-17 (e) Has such other powers and duties as are provided by law.

4-18 2. The governor shall appoint the administrator of the mental hygiene

4-19 and mental retardation division.

4-20 Sec. 5. The amendatory provisions of this act do not apply to offenses

4-21 that were committed before October 1, 1999.

4-22 Sec. 6. 1. This section becomes effective upon passage and

4-23 approval.

4-24 2. Section 2 of this act becomes effective upon passage and approval

4-25 for the purpose of adopting regulations and on October 1, 1999, for all

4-26 other purposes.

4-27 3. Sections 1, 3, 4 and 5 of this act become effective on October 1,

4-28 1999.