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).

Whereas, The occurrence of birth defects, mental retardation, attention

2-1 Section 1. Chapter 442 of NRS is hereby amended by adding thereto

2-2 the provisions set forth as sections 2 to 21, inclusive, of this act.

2-3 Sec. 2. 1. Except as otherwise provided in subsection 2, each

2-4 person who contracts with this state to treat, advise or counsel a pregnant

2-5 woman or a mother of a child suffering from fetal alcohol syndrome

2-6 shall post in a conspicuous place in his office the written warnings and

2-7 give to the woman or mother the oral warnings prescribed by the

2-8 regulations adopted by the department pursuant to section 3 of this act

2-9 relating to the possible problems, complications and injuries that the

2-10 consumption of alcohol during pregnancy may cause to the woman and

2-11 her fetus.

2-12 2. A person is not required to post the written warnings described in

2-13 subsection 1 if the office in which he works has at least one copy of those

2-14 warnings posted in a conspicuous place.

2-15 Sec. 3. The department shall adopt regulations prescribing the form

2-16 and content of the written warnings that are required to be posted and

2-17 the oral warnings that are required to be given to a pregnant woman or a

2-18 mother of a child suffering from fetal alcohol syndrome.

3-1 Sec. 4. As used in sections 4 to 9, inclusive, of this act, unless the

3-2 context otherwise requires, "board" means the advisory board on fetal

3-3 alcohol syndrome.

3-4 Sec. 5. 1. The advisory board on fetal alcohol syndrome is hereby

3-5 created. The board consists of 18 members, as follows:

3-6 (a) The director of the department of human resources shall appoint:

3-7 (1) One member who is an employee of the health division; and

3-8 (2) One member who is an employee of the division of child and

3-9 family services.

3-10 (b) The Nevada State Medical Association shall appoint:

3-11 (1) One member who is a physician certified by the American

3-12 Board of Pediatrics, or an equivalent organization; and

3-13 (2) One member who is a physician certified by the American

3-14 Board of Obstetrics and Gynecology, or an equivalent organization.

3-15 (c) The Nevada Hospital Association shall appoint one member who is

3-16 an administrator of a hospital.

3-17 (d) The Nevada Association of Health Plans shall appoint one

3-18 member as its representative.

3-19 (e) The Great Basin Primary Care Association shall appoint one

3-20 member as its representative.

3-21 (f) The governor shall appoint:

3-22 (1) One member who is a member of the advisory board on

3-23 maternal and child health;

3-24 (2) One member who represents a clinic for health care that

3-25 specializes in caring for women and children;

3-26 (3) One member who represents persons who operate community-

3-27 based programs for the prevention or treatment of substance abuse; and

3-28 (4) One member who is a resident of this state and represents the

3-29 general public.

3-30 (g) The dean of the University of Nevada School of Medicine shall

3-31 appoint one member who is a member of the faculty of the University of

3-32 Nevada School of Medicine.

3-33 (h) The chief justice of the supreme court shall appoint:

3-34 (1) One member who is a judge of a juvenile court in this state; and

3-35 (2) One member who is a judge of a family court in this state.

3-36 (i) The State Bar of Nevada shall appoint one member who is an

3-37 attorney who practices law in the juvenile courts of this state.

3-38 (j) The director of the department of employment, training and

3-39 rehabilitation shall appoint one member who is an employee of the

3-40 department of employment, training and rehabilitation.

4-1 (k) The superintendent of public instruction and the director of the

4-2 department of prisons are ex officio members of the board and each may,

4-3 if he wishes, designate a person to serve on the board in his place or to

4-4 attend a meeting of the board in his place.

4-5 2. If any of the appointing entities listed in subsection 1 cease to

4-6 exist, the appointments required by subsection 1 must be made by the

4-7 successor in interest of the entity or, if there is no successor in interest, by

4-8 the governor.

4-9 3. The board may appoint one or more persons who have special

4-10 expertise relating to fetal alcohol syndrome to assist the board in the

4-11 performance of its duties.

4-12 Sec. 6. 1. At the first meeting of the board and each year

4-13 thereafter, the board shall elect a chairman and vice chairman from

4-14 among its members. If a vacancy occurs in the chairmanship or vice

4-15 chairmanship, the board shall elect a member to serve the remainder of

4-16 the unexpired term.

4-17 2. Except for the initial and ex officio members, the term of office of

4-18 each member of the board is 2 years. Each appointed member shall

4-19 continue in office until his successor is appointed. An appointed member

4-20 of the board may be reappointed for not more than two additional terms

4-21 and thereafter may be appointed to assist the board pursuant to

4-22 subsection 3 of section 5 of this act. A vacancy in an appointed position

4-23 must be filled by appointment for the unexpired term in the same manner

4-24 as the original appointment.

4-25 3. The membership of a judge who is appointed to the board

4-26 pursuant to section 5 of this act and who does not become a candidate for

4-27 reelection or who is defeated for reelection terminates upon the

4-28 expiration of the term of office of the judge. The vacancy created by such

4-29 a termination must be filled in the manner set forth in subsection 2.

4-30 Sec. 7. 1. The board shall meet at the call of the chairman as often

4-31 as required to perform its duties, but not less than once a year.

4-32 2. A majority of the board constitutes a quorum for the transaction

4-33 of business, and a majority of those members present at any meeting is

4-34 sufficient for any action taken by the board.

4-35 3. The department shall provide necessary staff to assist the board in

4-36 performing its duties.

4-37 Sec. 8. 1. Each member of the board serves without compensation.

4-38 2. While engaged in the business of the board, each member is

4-39 entitled to receive the per diem allowance and travel expenses provided

4-40 for state officers and employees generally. The per diem allowance and

4-41 travel expenses of:

5-1 (a) A member of the board who is an officer or employee of this state

5-2 or a local government thereof must be paid by the state agency or the

5-3 local government of this state that employs him; and

5-4 (b) Any other member of the board must be paid by the department.

5-5 3. Each member of the board who is an officer or employee of this

5-6 state or a local government must be relieved from the duties of his

5-7 employment without loss of his regular compensation so that he may

5-8 perform his duties on the board in the most timely manner practicable. A

5-9 state agency or local government shall not require an officer or employee

5-10 who is a member of the board to make up the time he is absent from

5-11 work to fulfill his obligations as a member, and shall not require the

5-12 member to take annual leave or compensatory time for the absence.

5-13 Sec. 9. The board shall assist:

5-14 1. The health division in developing the program of public education

5-15 that it is required to develop pursuant to section 10 of this act, including,

5-16 without limitation, preparing and obtaining information relating to fetal

5-17 alcohol syndrome for distribution to patients;

5-18 2. The department in reviewing, amending and distributing the

5-19 guidelines developed by the University of Nevada School of Medicine

5-20 pursuant to section 12 of this act;

5-21 3. The department in determining, based upon the annual report

5-22 submitted to the board pursuant to section 18 of this act, the most

5-23 effective methods of:

5-24 (a) Preventing fetal alcohol syndrome; and

5-25 (b) Collecting information relating to the incidence of fetal alcohol

5-26 syndrome in this state;

5-27 4. The department in developing and promoting the guidelines for

5-28 prevention of the consumption of alcohol by women during pregnancy

5-29 that it is required to develop and promote pursuant to section 18 of this

5-30 act;

5-31 5. The department in developing and carrying out those programs

5-32 for women who have abused alcohol during their pregnancy and for the

5-33 children of those women that it is required to develop and carry out

5-34 pursuant to section 20 of this act; and

5-35 6. The department in reviewing the statistical data reported to the

5-36 department relating to the incidence of fetal alcohol syndrome in this

5-37 state.

5-38 Sec. 10. 1. The health division shall develop and carry out a

5-39 program of public education to increase public awareness about the

5-40 dangers of fetal alcohol syndrome and other adverse effects on a fetus

5-41 that may result from the consumption of alcohol during pregnancy. The

5-42 program must include, without limitation:

6-1 (a) Educational messages that are directed toward the general public

6-2 and specific geographical areas and groups of persons in this state that

6-3 are identified pursuant to subsection 1 of section 19 of this act as having

6-4 women who are at a high risk of consuming alcohol during pregnancy.

6-5 (b) Providing training materials to school personnel to assist them in

6-6 identifying pupils who are suffering from fetal alcohol syndrome, caring

6-7 for those pupils and referring the parents of those pupils to programs for

6-8 the treatment of substance abuse, providers of health care or other

6-9 services and other available resources.

6-10 (c) A toll-free telephone service for providing information relating to

6-11 programs for the treatment of substance abuse, providers of health care

6-12 or other services and other available resources, and referrals to those

6-13 programs, if appropriate. The telephone number must be disclosed in the

6-14 educational messages provided pursuant to this section.

6-15 (d) Preparation of information relating to fetal alcohol syndrome for

6-16 distribution to patients in an obstetrical unit of a hospital, obstetric

6-17 center, a clinic for family planning and other health facilities in this

6-18 state.

6-19 2. The department shall conduct periodic evaluations of the program

6-20 to determine its effectiveness.

6-21 Sec. 11. 1. The health division may apply for and accept gifts,

6-22 grants and contributions from any public or private source to carry out

6-23 its duties pursuant to the provisions of section 10 of this act.

6-24 2. The department shall account separately for the money received

6-25 from those gifts, grants or contributions. The director shall administer

6-26 the account.

6-27 3. The money in the account must be used only to develop and carry

6-28 out the program of public education set forth in section 10 of this act.

6-29 4. The advisory board on fetal alcohol syndrome may make

6-30 recommendations to the director concerning the use of the money in the

6-31 account. The director shall consider the recommendations of the board.

6-32 Sec. 12. 1. The University of Nevada School of Medicine shall

6-33 develop guidelines to assist a provider of health care or other services in

6-34 identifying:

6-35 (a) Pregnant women who are at a high risk of consuming alcohol

6-36 during pregnancy; and

6-37 (b) Children who are suffering from fetal alcohol syndrome.

6-38 2. The department shall:

6-39 (a) Review, amend, adopt and distribute the guidelines developed by

6-40 the University of Nevada School of Medicine pursuant to subsection 1;

6-41 and

7-1 (b) Within the limits of available appropriations, develop and

7-2 administer programs of perinatal care that include, without limitation,

7-3 screening a pregnant woman to determine whether her fetus is at a high

7-4 risk of developing fetal alcohol syndrome.

7-5 Sec. 13. 1. A provider of health care or other services who treats,

7-6 advises or counsels a pregnant woman shall use the guidelines developed

7-7 by the University of Nevada School of Medicine pursuant to section 12 of

7-8 this act to determine if the woman is at a high risk of consuming alcohol

7-9 during her pregnancy. If the provider of health care or other services

7-10 determines that the woman is at a high risk of consuming alcohol during

7-11 her pregnancy, the provider of health care or other services shall:

7-12 (a) Provide the woman with the list of licensed providers of health

7-13 care or other services and public agencies established pursuant to section

7-14 20 of this act;

7-15 (b) Inform the woman that he may refer her to the department to

7-16 obtain additional information concerning other available resources; and

7-17 (c) If the woman consents to such a referral, file a report of referral

7-18 with the department within 72 hours. The report of referral must be on a

7-19 form prescribed by the department.

7-20 2. Upon receipt of a report of referral, the department shall provide

7-21 information to the woman concerning resources available to the woman

7-22 and her family.

7-23 3. The information contained in a report of referral made pursuant

7-24 to this section must be made available to the health division without any

7-25 identifying information and may be used by the division only for

7-26 statistical purposes.

7-27 4. The consent required by this section shall be deemed a waiver of

7-28 the doctor-patient privilege set forth in NRS 49.215 to 49.245, inclusive,

7-29 solely for the purpose of making a report of referral pursuant to this

7-30 section.

7-31 5. The fact that a woman is referred to the department, the report of

7-32 referral and any other associated documentation required to be provided

7-33 pursuant to this section is confidential and must not be used in any

7-34 criminal prosecution of the woman.

7-35 6. A provider of health care or other services shall:

7-36 (a) Maintain a record of the number of pregnant women he treats;

7-37 and

7-38 (b) Submit that information to the department on or before February

7-39 1 of each year.

7-40 7. A provider of health care or other services is not liable in a civil

7-41 action for any act performed in good faith and within the scope of

7-42 complying with the provisions of this section.

8-1 Sec. 14. The division of child and family services of the department

8-2 or a licensed child-placing agency shall inquire, during its initial contact

8-3 with a natural parent of a child who is to be placed for adoption, about

8-4 consumption of alcohol or substance abuse by the mother of the child

8-5 during pregnancy. The information obtained from the inquiry must be:

8-6 1. Included in the report provided to the adopting parents of the child

8-7 pursuant to NRS 127.152; and

8-8 2. Reported to the department on a form prescribed by the

8-9 department. The report must not contain any identifying information and

8-10 may be used only for statistical purposes.

8-11 Sec. 15. 1. The division of child and family services of the

8-12 department shall inquire, during its initial contact with a natural parent

8-13 of a child who is to be placed in a family foster home, about consumption

8-14 of alcohol or substance abuse by the mother of the child during

8-15 pregnancy. The information obtained from the inquiry must be:

8-16 (a) Provided to the provider of family foster care pursuant to NRS

8-17 424.038; and

8-18 (b) Reported to the department on a form prescribed by the

8-19 department. The report must not contain any identifying information and

8-20 may be used only for statistical purposes.

8-21 2. As used in this section, "family foster home" has the meaning

8-22 ascribed to it in NRS 424.013.

8-23 Sec. 16. An agency which provides protective services shall inquire,

8-24 during its initial contact with a natural parent of a child whom a court

8-25 has determined must be kept in temporary or permanent custody, about

8-26 consumption of alcohol or substance abuse by the mother of the child

8-27 during pregnancy. The information obtained from the inquiry must be:

8-28 1. Included in the report the agency is required to make pursuant to

8-29 NRS 432B.540; and

8-30 2. Reported to the department on a form prescribed by the

8-31 department. The report must not contain any identifying information and

8-32 may be used only for statistical purposes.

8-33 Sec. 17. The department shall adopt regulations necessary to carry

8-34 out the provisions of sections 13 to 16, inclusive, of this act.

8-35 Sec. 18. 1. The department shall:

8-36 (a) Conduct research to determine the most effective methods of:

8-37 (1) Preventing fetal alcohol syndrome; and

8-38 (2) Collecting information relating to the incidence of fetal alcohol

8-39 syndrome in this state.

8-40 (b) Develop and promote guidelines for prevention of the consumption

8-41 of alcohol by women during pregnancy. The guidelines must be

9-1 developed with the goal of increasing the use of programs for the

9-2 treatment of substance abuse by women before, during and after

9-3 pregnancy.

9-4 2. On or before a date specified by the advisory board on fetal

9-5 alcohol syndrome, the department shall submit to the advisory board an

9-6 annual report consisting of its findings from the research conducted

9-7 pursuant to subsection 1 and such other information as the board may

9-8 request.

9-9 Sec. 19. The department shall develop and maintain a program for

9-10 monitoring fetal alcohol syndrome, that includes, without limitation, a

9-11 method of:

9-12 1. Identifying the geographical areas in this state in which women

9-13 are at a high risk of consuming alcohol during pregnancy and groups of

9-14 persons in this state that include such women;

9-15 2. Identifying and evaluating deficiencies in existing systems for

9-16 delivering perinatal care;

9-17 3. Collecting and analyzing data relating to systems for delivering

9-18 perinatal care; and

9-19 4. Monitoring the effectiveness of the program.

9-20 Sec. 20. The department shall develop and carry out programs for

9-21 women who have abused alcohol during their pregnancy and for the

9-22 children of those women to the extent possible within the limits of

9-23 available appropriations, including, without limitation, programs

9-24 offering:

9-25 1. A comprehensive interdisciplinary plan for care that includes,

9-26 without limitation:

9-27 (a) Training in the identification and treatment of fetal alcohol

9-28 syndrome for families, providers of health care or other services,

9-29 educators and the staff of public agencies who care for or are involved

9-30 with children who may be suffering from fetal alcohol syndrome; and

9-31 (b) A list of licensed providers of health care or other services and

9-32 public agencies that provide the services prescribed in the

9-33 interdisciplinary plan for care;

9-34 2. Outreach services and programs for education and prevention of

9-35 alcohol or substance abuse in high schools and clinics for family

9-36 planning to identify pregnant women who are abusing alcohol and enroll

9-37 them in programs of perinatal care and programs for the treatment of

9-38 substance abuse;

9-39 3. Assistance in developing and carrying out systems for delivering

9-40 perinatal care in specific geographical regions of this state, particularly

9-41 in those geographical regions of this state that are medically

9-42 underserved;

10-1 4. Coordinated delivery of obstetrical care and treatment for

10-2 substance abuse;

10-3 5. Pediatric care that includes, without limitation, therapeutic

10-4 treatments for neurologically, behaviorally or developmentally impaired

10-5 infants;

10-6 6. Child care for a sibling of a child suffering from fetal alcohol

10-7 syndrome;

10-8 7. Classes on parenting skills;

10-9 8. Home visitation for those women who need additional support or

10-10 who are reluctant to enter a program for the treatment of substance

10-11 abuse;

10-12 9. Access to the special supplemental nutrition program for women,

10-13 infants and children established pursuant to 42 U.S.C. § 1786;

10-14 10. Vocational training for those women who are mothers and who

10-15 are seeking employment;

10-16 11. Low-income housing; and

10-17 12. Assistance in developing and carrying out a follow-up program

10-18 for infants who are at a high risk of developing fetal alcohol syndrome.

10-19 Sec. 21. As used in NRS 442.130 to 442.170, inclusive, unless the

10-20 context otherwise requires, "advisory board" means the advisory board

10-21 on maternal and child health.

10-22 Sec. 22. NRS 442.003 is hereby amended to read as follows:

10-23 442.003 As used in this chapter, unless the context requires otherwise:

10-42 (g) A holder of a certificate of registration as a pharmacist.

11-1 Sec. 23. NRS 442.170 is hereby amended to read as follows:

11-2 442.170 1. The state treasurer is custodian of all money appropriated

11-11 therefor, and the state treasurer shall pay them.

11-12 Sec. 24. Chapter 458 of NRS is hereby amended by adding thereto a

11-28 place.

11-29 Sec. 25. NRS 458.025 is hereby amended to read as follows:

11-30 458.025 The bureau of alcohol and drug abuse is hereby created in the

11-43 of alcohol and drug abusers, and a plan to provide the necessary treatment.

12-1 In developing and revising the state plan, the bureau shall consider, among

12-2 other things, the amount of money available from the Federal Government

12-3 for alcohol and drug abuse programs and the conditions attached to the

12-4 acceptance of the money, and the limitations of legislative appropriations

12-5 for alcohol and drug abuse programs.

12-6 2. Is responsible for coordinating efforts to carry out the state plan and

12-7 coordinating all state and federal financial support of alcohol and drug

12-8 abuse programs in the state. The bureau must be consulted in the planning

12-9 of projects and advised of all applications for grants from within the state

12-10 which are concerned with alcohol and drug abuse programs, and shall

12-11 review and advise concerning the applications.

12-12 3. Shall develop and publish standards of certification and may certify

12-13 or deny certification of any facilities, programs or personnel on the basis of

12-14 the standards, and publish a list of certified facilities, programs and

12-15 personnel. Any facilities, programs or personnel which are not certified are

12-16 ineligible to receive state and federal money for alcohol and drug abuse

12-17 programs. The chief shall establish requirements for continuing education

12-18 for persons certified as counselors and administrators of the programs and

12-19 may set fees for certification of facilities, programs or personnel. The fees

12-20 must be calculated to produce the revenue estimated to cover the costs

12-21 related to the certifications, but in no case may the fee for a certificate

12-22 exceed $100.

12-23 4. Shall ensure that the requirements for continuing education

12-24 established pursuant to subsection 3 include the completion every 2 years

12-25 of at least 2 hours of instruction relating to the effects of consuming

12-26 alcohol during pregnancy. The instruction must include, without

12-27 limitation, training:

12-28 (a) That increases the knowledge and develops the practical skills of a

12-29 person who has been certified as a counselor or an administrator relating

12-30 to addressing the needs of pregnant women who are at a high risk of

12-31 consuming alcohol during pregnancy, children suffering from fetal

12-32 alcohol syndrome and the families of those children;

12-33 (b) That develops the skills of a person who has been certified as a

12-34 counselor or an administrator relating to screening, counseling and

12-35 referring for treatment women who consume alcohol during pregnancy

12-36 and providing follow-up treatment for those women and their children;

12-37 and

12-38 (c) Relating to methods for the diagnosis and evaluation of fetal

12-39 alcohol syndrome.

12-40 5. Upon request from a facility which is self-supported, may certify the

12-41 facility, its programs and personnel and add them to the list of certified

12-42 facilities, programs and personnel.

13-1 Sec. 26. NRS 458.031 is hereby amended to read as follows:

13-2 458.031 The department shall administer the provisions of NRS

13-4 of the State of Nevada for that purpose.

13-5 Sec. 27. Chapter 630 of NRS is hereby amended by adding thereto a

13-21 copy of those warnings posted in a conspicuous place.

13-22 Sec. 28. NRS 630.253 is hereby amended to read as follows:

13-23 630.253 1. The board shall [,] require each holder of a license as a

13-43 children;

14-1 (2) That develops the skills of the holder of the license relating to

14-2 screening, counseling and referring for treatment women who consume

14-3 alcohol during pregnancy and providing follow-up treatment for those

14-4 women and their children; and

14-5 (3) Relating to methods for the diagnosis and evaluation of fetal

14-6 alcohol syndrome.

14-7 (b) May provide for the completion of one or more courses of

14-8 instruction relating to risk management in the performance of medical

14-9 services.

14-10 Sec. 29. Chapter 632 of NRS is hereby amended by adding thereto a

14-23 copy of those warnings posted in a conspicuous place.

14-24 Sec. 30. NRS 632.343 is hereby amended to read as follows:

14-25 632.343 1. The board shall not renew any license issued under this

14-43 and their children; and

15-1 (c) Relating to methods for the diagnosis and evaluation of fetal

15-2 alcohol syndrome.

15-3 3. The board shall review all courses offered to nurses for the

15-4 completion of the requirement set forth in subsection 1. The board may

15-5 approve nursing and other courses which are directly related to the practice

15-6 of nursing as well as others which bear a reasonable relationship to current

15-7 developments in the field of nursing or any special area of practice in which

15-8 a licensee engages. These may include academic studies, workshops,

15-9 extension studies, home study and other courses.

15-10 Sec. 31. Chapter 639 of NRS is hereby amended by adding thereto a

15-24 in a conspicuous place.

15-25 Sec. 32. NRS 639.2176 is hereby amended to read as follows:

15-26 639.2176 The board shall adopt regulations necessary to carry out the

16-1 (b) That develops the skills of the pharmacist relating to screening,

16-2 counseling and referring for treatment women who consume alcohol

16-3 during pregnancy and providing follow-up treatment for those women

16-4 and their children; and

16-5 (c) Relating to methods for the diagnosis and evaluation of fetal

16-6 alcohol syndrome.

16-7 5. Such other regulations consistent with NRS 639.2171 to 639.2176,

16-8 inclusive, as the board may determine to be necessary.

16-9 Sec. 33. Chapter 641 of NRS is hereby amended by adding thereto a

16-22 copy of those warnings posted in a conspicuous place.

16-23 Sec. 34. NRS 641.220 is hereby amended to read as follows:

16-24 641.220 1. To renew a license issued pursuant to this chapter, each

16-42 the holder of the license relating to addressing the needs of pregnant

17-1 women who are at a high risk of consuming alcohol during pregnancy,

17-2 children suffering from fetal alcohol syndrome and the families of those

17-3 children;

17-4 (b) That develops the skills of the holder of the license relating to

17-5 screening, counseling and referring for treatment women who consume

17-6 alcohol during pregnancy and providing follow-up treatment for those

17-7 women and their children; and

17-8 (c) Relating to methods for the diagnosis and evaluation of fetal

17-9 alcohol syndrome.

17-10 Sec. 35. Chapter 641A of NRS is hereby amended by adding thereto a

17-22 warnings posted in a conspicuous place.

17-23 Sec. 36. NRS 641A.170 is hereby amended to read as follows:

17-24 641A.170 The board shall under the provisions of this chapter:

17-43 5. Collect all fees and make disbursements pursuant to this chapter.

18-1 Sec. 37. Chapter 641B of NRS is hereby amended by adding thereto a

18-14 copy of those warnings posted in a conspicuous place.

18-15 Sec. 38. NRS 641B.280 is hereby amended to read as follows:

18-16 641B.280 1. Every holder of a license issued pursuant to this chapter

18-39 alcohol syndrome.

18-40 Sec. 39. 1. The appointment of the members to the advisory board

18-41 on fetal alcohol syndrome created pursuant to section 5 of this act must be

18-42 made as soon as practicable after October 1, 1999.

19-1 2. The following initial members of the board must be appointed to

19-2 terms that expire on October 1, 2000:

19-3 (a) The member appointed pursuant to subparagraph (1) of paragraph

19-4 (a) of subsection 1 of section 5 of this act;

19-5 (b) The member appointed pursuant to subparagraph (1) of paragraph

19-6 (b) of subsection 1 of section 5 of this act;

19-7 (c) The member appointed pursuant to paragraph (c) of subsection 1 of

19-8 section 5 of this act;

19-9 (d) The member appointed pursuant to paragraph (d) of subsection 1 of

19-10 section 5 of this act;

19-11 (e) The member appointed pursuant to subparagraph (1) of paragraph

19-12 (f) of subsection 1 of section 5 of this act;

19-13 (f) The member appointed pursuant to subparagraph (3) of paragraph

19-14 (f) of subsection 1 of section 5 of this act;

19-15 (g) The member appointed pursuant to paragraph (g) of subsection 1 of

19-16 section 5 of this act; and

19-17 (h) The member appointed pursuant to subparagraph (1) of paragraph

19-18 (h) of subsection 1 of section 5 of this act.

19-19 3. The following initial members of the board must be appointed to

19-20 terms that expire on October 1, 2001:

19-21 (a) The member appointed pursuant to subparagraph (2) of paragraph

19-22 (a) of subsection 1 of section 5 of this act;

19-23 (b) The member appointed pursuant to subparagraph (2) of paragraph

19-24 (b) of subsection 1 of section 5 of this act;

19-25 (c) The member appointed pursuant to paragraph (e) of subsection 1 of

19-26 section 5 of this act;

19-27 (d) The member appointed pursuant to subparagraph (2) of paragraph

19-28 (f) of subsection 1 of section 5 of this act;

19-29 (e) The member appointed pursuant to subparagraph (4) of paragraph

19-30 (f) of subsection 1 of section 5 of this act;

19-31 (f) The member appointed pursuant to subparagraph (2) of paragraph

19-32 (h) of subsection 1 of section 5 of this act;

19-33 (g) The member appointed pursuant to paragraph (i) of subsection 1 of

19-34 section 5 of this act; and

19-35 (h) The member appointed pursuant to paragraph (j) of subsection 1 of

19-36 section 5 of this act.

19-37 Sec. 40. 1. This section and sections 3 and 17 of this act become

19-38 effective upon passage and approval.

19-39 2. Sections 1, 2, 4 to 16, inclusive, and 18 to 39, inclusive, of this act

19-40 become effective on October 1, 1999.