Assembly Bill No. 13–Assemblywoman Parnell
Prefiled January 11, 2001
____________
Referred to Committee on Health and Human Services
SUMMARY—Revises provisions governing membership of
boards of hospital trustees in certain counties. (BDR 40‑436)
FISCAL NOTE: Effect on Local Government: No.
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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).
AN ACT relating to hospitals; authorizing a board of county commissioners to appoint a
physician to serve as a voting member of the board of hospital trustees of the
public hospital for the county under certain circumstances; and providing other
matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1 Section
1. NRS 450.090 is hereby
amended to read as follows:
1-2 450.090 1. In
any county whose population is 400,000 or more, the
1-3 board of county commissioners is, ex officio, the
board of hospital trustees,
1-4 and the county commissioners shall serve as hospital
trustees during their
1-5 terms of office as county commissioners.
1-6 2. In any county whose population is less than
400,000, the board of
1-7 county commissioners may enact an ordinance
providing that the board of
1-8 county commissioners is, ex officio, the board of
hospital trustees. If such
1-9 an ordinance is enacted in a county:
1-10 (a) The
county commissioners shall serve as hospital trustees during
1-11 their terms of office as county commissioners; and
1-12 (b) If
hospital trustees have been elected pursuant to NRS 450.070 and
1-13 450.080, the term of office of each hospital trustee
who is serving in that
1-14 capacity on the effective date of the ordinance is
terminated as of the
1-15 effective date of the ordinance.
1-16 3. A board of county commissioners shall not
enact an ordinance
1-17 pursuant to subsection 2 unless it determines that:
1-18 (a) The
county has fully funded its indigent care account created
1-19 pursuant to NRS 428.010;
2-1 (b) The
county has fulfilled its duty to reimburse the hospital for
2-2 indigent care provided to qualified indigent
patients; and
2-3 (c) During
the previous calendar year:
2-4 (1) At
least one of the hospital’s accounts payable was more than 90
2-5 days in arrears;
2-6 (2) The
hospital failed to fulfill its statutory financial obligations,
2-7 such as the payment of taxes, premiums for
industrial insurance or
2-8 contributions to the public employees’ retirement
system;
2-9 (3) One or
more of the conditions relating to financial emergencies
2-10 set forth in subsection 1 of NRS 354.685 existed at
the hospital; or
2-11 (4) The
hospital received notice from the Federal Government or the
2-12 State of Nevada that the certification or licensure
of the hospital was in
2-13 imminent jeopardy of being revoked because the hospital
had not carried
2-14 out a previously established plan of action to
correct previously noted
2-15 deficiencies found by the regulatory body.
2-16 4. Except in counties where the board of county
commissioners is the
2-17 board of hospital trustees, in any county whose
population is 100,000 or
2-18 more but less than 400,000, the board of hospital
trustees for the public
2-19 hospital must be composed of the five regularly
elected or appointed
2-20 members, and, in addition, three county commissioners
selected by the
2-21 chairman of the board of county commissioners shall
serve as voting
2-22 members of the board of hospital trustees during
their terms of office as
2-23 county commissioners.
2-24 5. Except in counties where the board of county
commissioners is the
2-25 board of hospital trustees, in any county whose
population is less than
2-26 100,000, the board of hospital trustees for the
public hospital must be
2-27 composed of the five regularly elected or appointed
members, and, in
2-28 addition, the board of county commissioners may, by
resolution, provide
2-29 that [one] :
2-30 (a) One county commissioner selected by the chairman
of the board of
2-31 county commissioners shall serve as a voting member
of the board of
2-32 hospital trustees during his term of office as
county commissioner [.] ;
2-33 (b) A physician who is the chief of the staff
of physicians for the
2-34 public hospital
shall serve as a voting member of the board of hospital
2-35 trustees; or
2-36 (c) Both a county commissioner appointed
pursuant to the provisions
2-37 of paragraph (a)
and a physician appointed pursuant to the provisions of
2-38 paragraph (b)
shall serve as voting members of the board of hospital
2-39 trustees.
2-40 The term of
office of a member appointed pursuant to the provisions of
2-41 paragraph (b) is
2 years and begins on the date the board of county
2-42 commissioners
appoints the member.
2-43 Sec. 2. NRS
450.110 is hereby amended to read as follows:
2-44 450.110 Except in counties where the board of county
commissioners
2-45 is the board of hospital trustees, [vacancies]
a vacancy in the
board of
2-46 hospital trustees occasioned by [resignations, removals]
a resignation,
2-47 removal or otherwise [shall]
must be reported to
the board or boards of
2-48 county commissioners and [shall]
must be filled in
the same manner as the
3-1 original [appointments.
Appointees] appointment. An appointee shall
hold
3-2 office [until] :
3-3 1. Until
the next
following general election in the usual manner [.] ; or
3-4 2. If
the appointee is a physician appointed to fill the vacancy of a
3-5 member appointed
pursuant to the provisions of paragraph (b) of
3-6 subsection 5 of
NRS 450.090, for the unexpired term of that member.
3-7 Sec. 3. This
act becomes effective on July 1, 2001.
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