MINUTES OF THE

SENATE Committee on Commerce and Labor

 

Seventy-First Session

 

February 23, 2001

 

 

The Senate Committee on Commerce and Laborwas called to order by Chairman Randolph J. Townsend, at 9:01 a.m., on Friday, February 23, 2001, in Room 2135 of the Legislative Building, Carson City, Nevada.  Exhibit A is the Agenda.  Exhibit B is the Attendance Roster.  All exhibits are available and on file at the Research Library of the Legislative Counsel Bureau.

 

COMMITTEE MEMBERS PRESENT:

 

Senator Randolph J. Townsend, Chairman

Senator Ann O’Connell, Vice Chairman

Senator Dean A. Rhoads

Senator Mark Amodei

Senator Michael A. (Mike) Schneider

Senator Maggie Carlton

 

COMMITTEE MEMBERS ABSENT:

 

Senator Raymond C. Shaffer (Excused)

 

STAFF MEMBERS PRESENT:

 

Scott Young, Committee Policy Analyst

Laura Adler, Committee Secretary

 

Senator Townsend opened the hearing and said that Senate Bill (S.B.) 4, commonly known as the file-and-use bill will not be heard because of the interest of multiple groups.  The insurance counsel and her party expressed concerns regarding the technical nature of the bill.  They have asked that the bill be heard next week.

 

SENATE BILL 4:  Makes various changes regarding insurance. (BDR 57-734)

 

Senator Townsend opened the hearing on Senate Bill (S.B.) 6.

 

 

 

SENATE BILL 6:  Prohibits practice of requiring borrowers to insure improvements to real property for more than replacement value as condition of obtaining loan. (BDR 57-665)

 

Senator Townsend stated concern was expressed at a previous meeting over the term “improvement,” and wanted it changed to “improvements.”

 

SENATOR O'CONNELL MOVED TO AMEND AND DO PASS SENATE BILL 6.

 

SENATOR SCHNEIDER SECONDED THE MOTION.

THE MOTION CARRIED.  (SENATOR SHAFFER WAS ABSENT FOR THE VOTE.)

 

*****

 

Senator Townsend said since S.B. 6 was a Title 57 of Nevada Revised Statutes (NRS) that Senator Schneider could handle that on the Senate floor.  Senator Townsend opened the hearing on Senate Bill (S.B.) 45.

 

SENATE BILL 45:  Provides remedy for dilution of marks. (BDR 52-256)

 

SENATOR O'CONNELL MOVED TO DO PASS SENATE BILL 45.

SENATOR SCHNEIDER SECONDED THE MOTION.

THE MOTION CARRIED.  (SENATOR SHAFFER WAS ABSENT FOR THE VOTE.)

 

*****

 

Senator Townsend opened the hearing on Senate Bill (S.B.) 50.

 

SENATE BILL 50: Revises provisions governing trade secrets. (BDR 52-257)

 

SENATOR O'CONNELL MOVED TO DO PASS SENATE BILL 50.

SENATOR SCHNEIDER SECONDED THE MOTION.

THE MOTION CARRIED.  (SENATOR SHAFFER WAS ABSENT FOR THE VOTE.)

 

*****

 

Senator Townsend opened the hearing on Senate Bill (S.B.) 52.

 

SENATE BILL 52:  Authorizes advanced practitioner of nursing to prescribe controlled substances under certain circumstances. (BDR 54-291)

 

SENATOR AMODEI MOVED TO DO PASS SENATE BILL 52.

SENATOR SCHNEIDER SECONDED THE MOTION.

 

Senator O'Connell mentioned there was some discussion regarding supervision for the controlled substance.

 

Senator Townsend paraphrased the memo from the Nevada State Medical Association (Exhibit C) regarding the supervisory versus the collaborative relationship to permitting prescribed controlled substances.  There is a regulation that deals with collaborative.  The Board of Medical Examiners deals with that under the guidelines and protocols necessary to cover this situation.

 

Senator Carlton stated it was her understanding that the definition of supervisory and collaborative is somewhat similar.  She said in the past the nurses have been collaborative, and it worked.  Supervision would be a little more intense and possibly a little restrictive.  She conveyed that the nurses want to stay collaborative.  She said the thing that impressed her the most during the hearing was that this is totally optional for the doctor to do.  She concluded that the relationship the doctors currently have with their nurses is collaborative and totally optional.

 

Senator Townsend said for everyone’s understanding he would read NRS 630.271.  “Physician assistant: Authorized services. 1. A physician’s assistant may perform such medical services as he is authorized to perform pursuant to the terms of a license issued to him by the board, if those services are rendered under the supervision and control of a supervising physician.”

 

Senator Townsend quoted from Nevada Administrative Code (NAC) 630.490.  “Collaboration with advanced practitioner of nursing (NRS 630.130).  1. A physician shall not collaborate with an advanced practitioner of nursing unless the physician holds an active license to practice medicine . . . .  2. No physician may collaborate with an advanced practitioner whose scope of practice or medical competence is other than the scope of practice or medical competence of the physician.  3. The collaborating physician or his substitute shall be available at all times that the advanced practitioner of nursing is providing medical services . . . . ”

 

Discussion ensued in which it was understood that the collaborating physician has the ultimate control.

 

THE MOTION CARRIED.  (SENATOR SHAFFER WAS ABSENT FOR THE VOTE.)

 

*****

 

Senator Townsend stated that Scott Young, Committee Policy Analyst, Research Division, Legislative Counsel Bureau, would provide floor explanation on S.B. 45 and S.B. 50 to Senator Shaffer.  He said Senator Carlton, as chairperson on the subcommittee on licensing, will handle S.B. 52.

 

Hearing no further business, the meeting was adjourned at 9:12 a.m.

 

 

RESPECTFULLY SUBMITTED:

 

 

 

                

Laura Adler,

Committee Secretary

 

APPROVED BY:

 

 

 

                                                                                         

Senator Randolph J. Townsend, Chairman

 

 

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