Assembly Amendment to Assembly Bill No. 533 (BDR 40-1549)
Proposed by: Committee on Health and Human Services
Amendment Box:
Amends: Summary: Title: Preamble: Joint Sponsorship:
ASSEMBLY ACTION
Initial and Date | SENATE ACTION Initial and DateAdopted Lost | Adopted Lost
Concurred In Not | Concurred In Not
Receded Not | Receded Not
Amend section 1, page 1, by deleting lines 3 through 5 and inserting:
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1. A board of county commissioners may create a hospital district in an area where no hospital district exists for the sole purpose of contracting with a public agency or a privately owned hospital to provide".Amend section 1, page 1, by deleting lines 13 through 15 and inserting:
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2. A board of county commissioners shall not create a hospital district pursuant to this section unless it determines that:(a) The proposed hospital district constitutes a geographic area of the county that is not served by adequate medical services;
(b) There is no county hospital or the county hospital is not capable of providing the necessary services; and
(c) The proposal is approved by a majority of the votes cast on the issue by persons in the proposed hospital district.
3. If a hospital district is created pursuant to this section, the board of county commissioners may be designated by ordinance as, ex officio, the board of trustees of the hospital district, notwithstanding the provisions of subsection 3 of NRS 450.620.
".Amend the bill as a whole by adding a new section, designated sec. 3, following sec. 2, to read as follows:
"Sec. 3. NRS 450.620 is hereby amended to read as follows:
(a) The number of members of the board of trustees;
(b) The term of office of the trustees, which must not exceed 4 years; and
(c) The times and manner of the election of the trustees, which must be nonpartisan.
2. If a hospital district specified in subsection 1 does not include territory within more than one county, the board of county commissioners may enact an ordinance providing that the board of county commissioners is, ex officio, the board of hospital trustees of the district hospital. If such an ordinance is enacted in a county:
(a) The county commissioners shall serve as the hospital trustees of the district hospital during their terms of office as county commissioners; and
(b) If hospital trustees have been elected pursuant to subsection 1, the term of office of each hospital trustee of the district hospital who is serving in that capacity on the effective date of the ordinance is terminated as of the effective date of the ordinance.
3.
(a) The county has fully funded its indigent care account created pursuant to NRS 428.010;
(b) The county has fulfilled its duty to reimburse the hospital for indigent care provided to qualified indigent patients; and
(c) During the previous calendar year:
(1) At least one of the hospital’s accounts payable was more than 90 days in arrears;
(2) The hospital failed to fulfill its statutory financial obligations, including the payment of taxes, premiums for industrial insurance or contributions to the public employees’ retirement system;
(3) One or more of the conditions relating to financial emergencies set forth in subsection 1 of NRS 354.685 existed at the hospital; or
(4) The hospital received notice from the Federal Government or the State of Nevada that the certification or license of the hospital was in imminent jeopardy of being revoked because the hospital had not carried out a previously established plan of action to correct previously noted deficiencies found by the regulatory body.".
Amend the title of the bill to read as follows:
"AN ACT relating to hospital districts; authorizing a board of county commissioners to create a hospital district for the sole purpose of contracting for hospital services under certain circumstances; and providing other matters properly relating thereto.".
Amend the summary of the bill to read as follows:
"SUMMARY—Authorizes board of county commissioners to create hospital district for sole purpose of entering contract for services with independent hospital under certain circumstances. (BDR 40-1549)".