Senate Bill No. 199–Committee on Commerce and Labor
(On Behalf of Board of Osteopathic Medicine)
February 16, 1999
____________
Referred to Committee on Commerce and Labor
SUMMARY—Revises provisions relating to osteopathic medicine. (BDR 54-402)
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:
1-1
Section 1. Chapter 633 of NRS is hereby amended by adding thereto1-2
the provisions set forth as sections 2, 3 and 4 of this act.1-3
Sec. 2. "Complaint" means a written complaint filed with the board1-4
pursuant to the provisions of NRS 633.531.1-5
Sec. 3. "Formal complaint" means a complaint prepared by the1-6
board pursuant to the provisions of NRS 633.551.1-7
Sec. 4. "Report" means a report filed with the board pursuant to the1-8
provisions of NRS 633.541.1-9
Sec. 5. NRS 633.011 is hereby amended to read as follows: 633.011 As used in this chapter, unless the context otherwise requires,1-11
the words and terms defined in NRS 633.021 to 633.131, inclusive, and1-12
sections 2, 3 and 4 of this act have the meanings ascribed to them in those1-13
sections.2-1
Sec. 6. NRS 633.271 is hereby amended to read as follows: 633.271 The board may:2-3
1. Appoint an executive director who is entitled to such compensation2-4
as determined by the board.2-5
2. Maintain offices in as many localities in the state as it finds2-6
necessary to carry out the provisions of this chapter.2-7
2-8
consultants and clerical personnel necessary to the discharge of its duties.2-9
Sec. 7. NRS 633.311 is hereby amended to read as follows: 633.311 Except as otherwise provided in NRS 633.315, an applicant2-11
for a license to practice osteopathic medicine may be issued a license by2-12
the board if2-13
2-14
1. He is 21 years of age or older;2-15
2.2-16
remain and work in the United States;2-17
3.2-18
4.2-19
(a) Graduated from a school of osteopathic medicine before 1995, and2-20
has completed:2-21
(1) A hospital internship; or2-22
(2) One year of postgraduate training that complies with the2-23
standards of intern training established by the American Osteopathic2-24
Association;2-25
(b)2-26
education as a resident in the United States or Canada in a program2-27
approved by the board, the Bureau of Professional Education of the2-28
American Osteopathic Association or the Accreditation Council for2-29
Graduate Medical Education; or2-30
(c)2-31
2-32
2-33
2-34
2-35
program in this state, has completed 24 months of the training program2-36
and has committed, in writing, to completing the training program;2-37
5. He applies for the license as provided by law;2-38
6.2-39
(a) All parts of the licensing examination2-40
Board of Osteopathic Medical Examiners;2-41
(b) All parts of the licensing examination of the Federation of2-42
Medical Examiners;3-1
(c) All parts of the licensing examination of the board, a state,3-2
territory or possession of the United States, or the District of Columbia,3-3
and he is certified by a specialty board of the American Osteopathic3-4
Association or by the American Board of Medical Specialties; or3-5
(d) A combination of the parts of the licensing examinations described3-6
in paragraphs (a), (b) and (c) that is approved by the board;3-7
7.3-8
provisions of NRS 633.326; and3-9
8.3-10
Sec. 8. NRS 633.321 is hereby amended to read as follows: 633.321 1. Every applicant for a license shall:3-12
(a) File an application with the board in the manner prescribed by3-13
regulations of the board;3-14
(b) Submit verified proof satisfactory to the board that he meets the age,3-15
citizenship and educational requirements prescribed by this chapter; and3-16
(c) Pay in advance to the board the application and initial license fee3-17
specified in this chapter.3-18
2. An application filed with the board pursuant to subsection 1 must3-19
include the social security number of the applicant.3-20
3. The board may hold hearings and conduct investigations into any3-21
matter related to the application and, in addition to the proofs required by3-22
subsection 1, may take such further evidence and require such other3-23
documents or proof of qualifications as it deems proper.3-24
4. The board may reject an application if it appears that any credential3-25
submitted is false.3-26
Sec. 9. NRS 633.341 is hereby amended to read as follows: 633.341 1. If an applicant fails in a first examination, he may be re-3-28
examined after not less than 6 months.3-29
2. If he fails in a second examination, he is not thereafter entitled to3-30
another examination within less than 1 year after the date of the second3-31
examination, and prior thereto he shall furnish proof to the board of further3-32
postgraduate study following the second examination satisfactory to the3-33
board.3-34
3. Each applicant who fails an examination and who is permitted to be3-35
re-examined shall pay for each re-examination the re-examination fee3-36
specified in this chapter.3-37
4. If an applicant does not appear for examination, for any reason3-38
deemed sufficient by the board, the board may refund a portion of the3-39
application and initial license fee not to exceed $100 upon the request of3-40
the applicant.3-41
the application and initial license fee if3-42
examination.4-1
Sec. 10. NRS 633.361 is hereby amended to read as follows: 633.361 1. Except as otherwise provided in NRS 633.315, the board4-3
may issue a license without examination to a person:4-4
(a) Who has completed a hospital internship and is licensed in any4-5
country, state, territory or province to practice osteopathic medicine, if the4-6
licensing requirements of that country, state, territory or province at the4-7
time the license was issued are deemed by the board to be practically4-8
equivalent to the licensing requirements in force in this state at that time.4-9
(b) Who is a graduate of a school of osteopathic medicine, has4-10
completed a hospital internship and passed an examination for admission4-11
into the medical corps of any of the Armed Forces of the United States or4-12
the United States Public Health Service or who possesses a certificate from4-13
the National Board of Examiners for Osteopathic Physicians and Surgeons.4-14
2. Any person applying for a license under the provisions of subsection4-15
1 shall:4-16
(a) Furnish to the board such proof of qualifications and pass an oral4-17
examination as the board may require; and4-18
(b) Pay in advance to the board the application and initial license fee4-19
specified in this chapter.4-20
Sec. 11. NRS 633.401 is hereby amended to read as follows: 633.401 1. Except as otherwise provided in NRS 633.315, the board4-22
may issue a special license:4-23
(a) To authorize a person who is licensed to practice osteopathic4-24
medicine in an adjoining state to come into4-25
or assist in the treatment of his own patients in association with an4-26
osteopathic physician in this state who has primary care of the patients.4-27
(b) To a resident4-28
4-29
the provisions of paragraph (d) of subsection 4 of NRS 633.311.4-30
(c) For a specified period and for specified purposes to a person who is4-31
licensed to practice osteopathic medicine in another jurisdiction.4-32
2. A special license issued under this section may be renewed by the4-33
board upon application of the licensee.4-34
3. Every person who applies for or renews a special license under this4-35
section shall pay respectively the special license fee or special license4-36
renewal fee specified in this chapter.4-37
Sec. 12. NRS 633.501 is hereby amended to read as follows: 633.501 The board shall charge and collect4-39
fees not to exceed the following amounts:4-40
1.4-41
2. Annual license renewal fee4-42
3. Temporary license fee5-1
4. Special license fee5-2
5. Special license renewal fee5-3
6. Re-examination fee 2005-4
7. Late payment fee5-5
8. For a certificate as an osteopathic physician’s5-6
assistant5-7
9. Renewal of a certificate as an osteopathic physician’s5-8
assistant5-9
10. For an application to employ an osteopathic5-10
physician’s assistant5-11
Sec. 13. NRS 633.531 is hereby amended to read as follows: 633.531 The board or any of its members, any medical review panel of5-13
a hospital or medical society which becomes aware that any one or5-14
combination of the grounds for initiating disciplinary action may exist as to5-15
a person practicing osteopathic medicine in this state shall, and any other5-16
person who is so aware may, file a written complaint specifying the5-17
relevant facts with the board .5-18
5-19
5-20
Sec. 14. NRS 633.541 is hereby amended to read as follows: 633.541 1.5-22
5-23
director of the board or a member of the board5-24
5-25
5-26
executive director.5-27
2. If, from the complaint or from other official records,5-28
executive director or member of the board determines that the complaint5-29
is not frivolous and the complaint charges:5-30
(a) Unprofessional conduct, a conviction or the suspension or revocation5-31
of a license to practice osteopathic medicine, an investigation of the5-32
complaint must be conducted by:5-33
(1) A member of the board5-34
5-35
(2) A private investigator who is licensed pursuant to chapter 648 of5-36
NRS and designated by the executive director; or5-37
(3) The attorney general, upon the request of the board.5-38
(b) Gross or repeated malpractice or professional incompetence, an5-39
investigation of the complaint must be conducted by a committee5-40
appointed by the board .5-41
5-42
6-1
3. If the investigator, attorney general or the committee determines6-2
that there is a reasonable basis for the complaint, the investigator,6-3
attorney general or committee shall file a report of the results of its6-4
investigation with the board. The report must include a copy of the6-5
complaint.6-6
Sec. 15. NRS 633.551 is hereby amended to read as follows: 633.551 1. The6-8
6-9
6-10
6-11
6-12
6-13
6-14
6-15
action it will take with respect to each6-16
6-17
shall:6-18
(a) Dismiss the complaint; or6-19
(b) Proceed with appropriate disciplinary action.6-20
2. If the board proceeds with disciplinary action, it shall prepare a6-21
formal complaint specifying the grounds for proceeding with disciplinary6-22
action.6-23
Sec. 16. NRS 633.561 is hereby amended to read as follows: 633.561 1.6-25
6-26
to submit to a mental or physical examination by physicians designated by6-27
the board.6-28
2. For the purposes of this section:6-29
(a) Every physician who is licensed under this chapter who accepts the6-30
privilege of practicing osteopathic medicine in this state shall be deemed to6-31
have given his consent to submit to a mental or physical examination6-32
6-33
(b) The testimony or examination reports of the examining physicians6-34
are not privileged communications.6-35
3. Except in extraordinary circumstances, as determined by the board,6-36
the failure of a physician who is licensed under this chapter to submit to an6-37
examination6-38
admission of the charges against him.6-39
Sec. 17. NRS 633.621 is hereby amended to read as follows: 633.621 If6-41
6-42
6-43
7-1
7-2
board7-3
pursuant to the provisions of NRS 633.551, the secretary of the board7-4
shall fix a time and place for a hearing and cause a notice of the hearing7-5
and7-6
person charged at least 20 days before the date fixed for the hearing. If the7-7
board receives a report from the attorney general pursuant to the7-8
provisions of subsection 5 of NRS 228.420,7-9
held within 30 days after receiving the report.7-10
Sec. 18. NRS 633.641 is hereby amended to read as follows: 633.641 In any disciplinary proceeding before the board:7-12
1. Proof of actual injury need not be established where the formal7-13
complaint charges deceptive or unethical professional conduct or medical7-14
practice harmful to the public.7-15
2. A certified copy of the record of a court or a licensing agency7-16
showing a conviction or the suspension or revocation of a license to7-17
practice osteopathic medicine is conclusive evidence of its occurrence.7-18
Sec. 19. NRS 633.651 is hereby amended to read as follows: 633.651 1. The person charged in a formal complaint is entitled to a7-20
hearing before the board, but the failure of the person charged to attend his7-21
hearing or his failure to defend himself7-22
or void the proceedings. The board may, for good cause shown, continue7-23
any hearing from time to time.7-24
2. If the board finds the person guilty as charged in the formal7-25
complaint, it may , by order:7-26
(a) Place the person on probation for a specified period , or until further7-27
order of the board.7-28
(b) Administer to the person a public or private reprimand.7-29
(c) Limit the practice of the person to, or by the exclusion of, one or7-30
more specified branches of osteopathic medicine.7-31
(d) Suspend the license of the person to practice osteopathic medicine7-32
for a specified period , or until further order of the board.7-33
(e) Revoke the license of the person to practice osteopathic medicine.7-34
The order of the board may contain such other terms, provisions or7-35
conditions as the board deems proper and which are not inconsistent with7-36
law.7-37
Sec. 20. NRS 633.691 is hereby amended to read as follows: 633.691 The7-39
review panel of a hospital7-40
who or other organization which initiates or assists in any lawful7-41
investigation or proceeding concerning the discipline of an osteopathic7-42
physician for gross malpractice, repeated malpractice, professional7-43
incompetence or unprofessional conduct is immune from any civil action8-1
for such initiation or assistance or any consequential damages, if the person8-2
or organization acted without malicious intent.8-3
Sec. 21. NRS 633.701 is hereby amended to read as follows: 633.701 The filing ,8-5
dismissal without further action8-6
and any subsequent disposition by the board8-7
reviewing court do not preclude:8-8
1. Any measure by a hospital or other institution8-9
8-10
physician according to its rules or the custom of the profession. No civil8-11
liability attaches to any such action taken without malice even if the8-12
ultimate disposition of the complaint is in favor of the physician.8-13
2. Any appropriate criminal prosecution by the attorney general or a8-14
district attorney based upon the same or other facts.8-15
Sec. 22. This act becomes effective upon passage and approval.~