Assembly Bill No. 73–Assemblywoman Segerblom
Prefiled January 28, 1999
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Referred to Committee on Health and Human Services
SUMMARY—Revises provisions governing withholding of life-resuscitating treatment pursuant to do-not-resuscitate order. (BDR 40-205)
FISCAL NOTE: Effect on Local Government: No.
Effect on the State or on Industrial Insurance: No.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
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Section 1. NRS 450B.430 is hereby amended to read as follows: 450B.430 "Do-not-resuscitate protocol" means the standardized1-3
procedure and guidelines established by the1-4
withholding of emergency life-resuscitating treatment in compliance with a1-5
do-not-resuscitate order or a do-not-resuscitate identification.1-6
Sec. 2. NRS 450B.490 is hereby amended to read as follows:1-7
450B.490 1. The1-8
carry out the provisions of NRS 450B.400 to 450B.590, inclusive. The1-9
regulations must establish:1-10
(a) A do-not-resuscitate protocol1-11
(b) The procedure to apply for a do-not-resuscitate identification.1-12
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2. The board may establish a fee for a do-not-resuscitate identification1-14
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exceed the actual cost to the health authority1-16
(a) Manufacturing or obtaining the identification from a manufacturer,1-17
including the cost of shipping and handling1-18
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(b) Engraving the identification.2-1
3. In the case of a county or district board of health, such regulations2-2
take effect immediately upon approval by the state board of health.2-3
Sec. 3. NRS 450B.520 is hereby amended to read as follows: 450B.520 1. A qualified patient may apply to the health authority for2-5
a do-not-resuscitate identification by submitting an application on a form2-6
provided by the health authority. To obtain a do-not-resuscitate2-7
identification, the patient must comply with the requirements prescribed by2-8
the2-9
informed each member of his family within the first degree of2-10
consanguinity or affinity, whose whereabouts are known to him, or if no2-11
such members are living, his legal guardian, if any, or if he has no such2-12
members living and has no legal guardian, his caretaker, if any, of his2-13
decision to apply for an identification.2-14
2. An application must include, without limitation:2-15
(a) Certification by the patient’s attending physician that the patient2-16
suffers from a terminal condition;2-17
(b) Certification by the patient’s attending physician that the patient:2-18
(1) Is capable of making an informed decision; or2-19
(2) When he was capable of making an informed decision, executed:2-20
(I) A written directive that life-resuscitating treatment be withheld2-21
under certain circumstances; or2-22
(II) A durable power of attorney for health care pursuant to NRS2-23
449.800 to 449.860, inclusive;2-24
(c) A statement that the patient does not wish that life-resuscitating2-25
treatment be undertaken in the event of a cardiac or respiratory arrest;2-26
(d) The name, signature and telephone number of the patient’s attending2-27
physician; and2-28
(e) The name and signature of the patient or the attorney in fact who is2-29
authorized to make health care decisions on the patient’s behalf pursuant to2-30
a durable power of attorney for health care.2-31
Sec. 4. This act becomes effective upon passage and approval.~