(REPRINTED WITH ADOPTED AMENDMENTS)

                                                      SECOND REPRINT                                                                     A.B. 135

 

Assembly Bill No. 135–Assemblymen Dini and Perkins

 

February 14, 2001

____________

 

Referred to Concurrent Committees on Commerce and Labor
and Ways and Means

 

SUMMARY—Makes various changes to provisions governing investigation and prosecution of insurance fraud. (BDR 57‑332)

 

FISCAL NOTE:  Effect on Local Government: No.

                             Effect on the State: Yes.

 

~

 

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 insurance; making various changes to the provisions governing the investigation and prosecution of insurance fraud; providing that an insurer and certain other organizations and persons shall be deemed to be victims in cases involving insurance fraud for purposes of restitution; requiring the establishment of a fraud control unit for insurance within the office of the attorney general; defining the duties of the fraud control unit; 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.  Chapter 679B of NRS is hereby amended by adding thereto

1-2  the provisions set forth as sections 2 to 6.5, inclusive, of this act.

1-3    Sec. 2.  As used in NRS 679B.153 to 679B.158, inclusive, and

1-4  sections 2 to 6.5, inclusive, of this act, unless the context otherwise

1-5  requires, the words and terms defined in sections 3 and 4 of this act have

1-6  the meanings ascribed to them in those sections.

1-7    Sec. 3.  “Fraud control unit” means the fraud control unit for

1-8  insurance established by the attorney general pursuant to section 27 of

1-9  this act.

1-10  Sec. 4.  “Insurance fraud” has the meaning ascribed to it in section

1-11  14 of this act.

1-12  Sec. 5.  Nothing in section 27 of this act limits or diminishes the

1-13  exclusive jurisdiction of the commissioner otherwise granted by statute to

1-14  investigate or take administrative or civil action:

1-15  1.  For any violation of this Title by any person or entity who is or has

1-16  been licensed by the commissioner pursuant to this Title;

1-17  2.  Against any person or entity who is or has been engaged in the

1-18  business of insurance without a license as required by this Title,


2-1  including, without limitation, the unauthorized transaction of insurance

2-2  in violation of chapter 685B of NRS; or

2-3    3.  Against any person or entity as the commissioner deems

2-4  appropriate.

2-5    Sec. 6.  (Deleted by amendment.)

2-6    Sec. 6.5  1.  All records and other information related to an

2-7  investigation conducted by the attorney general and the fraud control

2-8  unit for the prosecution of insurance fraud are confidential unless:

2-9    (a) The attorney general releases, in such manner as he deems

2-10  appropriate, all or any part of the records or information for public

2-11  inspection after determining that the release of the records or

2-12  information:

2-13      (1) Will not harm the investigation or the person who is being

2-14  investigated; or

2-15      (2) Serves the interests of a policyholder, the shareholders of the

2-16  insurer or the public; or

2-17  (b) A court orders the release of the records or information after

2-18  determining that the production of the records or information will not

2-19  damage any investigation being conducted by the fraud control unit.

2-20  2.  The attorney general may classify as confidential specific records

2-21  and other information if the records or other information was obtained

2-22  from a governmental agency or other source upon the express condition

2-23  that the contents would remain confidential.

2-24  3.  All information and documents in the possession of the attorney

2-25  general and the fraud control unit that are related to cases or matters

2-26  under investigation are confidential for the duration of the investigation

2-27  and may not be made public unless the attorney general finds the

2-28  existence of an imminent threat of harm to the safety or welfare of the

2-29  policyholder, shareholders or the public and determines that the interests

2-30  of the policyholder, shareholders or the public will be served by

2-31  publication thereof, in which event he may make a record public or

2-32  publish all or any part of the record in any manner he deems

2-33  appropriate.

2-34  Sec. 7.  NRS 679B.155 is hereby amended to read as follows:

2-35  679B.155 To investigate [fraudulent claims for benefits from a policy

2-36  of insurance,] violations of the provisions of this Title, or to assist the

2-37  attorney general or other local, state or federal investigative and law

2-38  enforcement agencies in investigating an act of insurance fraud, the

2-39  commissioner may:

2-40  1.  Designate employees of the division as investigators to carry out the

2-41  provisions of NRS 679B.153 to 679B.158, inclusive[.] , and sections 2 to

2-42  6.5, inclusive, of this act.

2-43  2.  Conduct investigations into such activities occurring outside this

2-44  state, if necessary. To conduct these investigations, the commissioner or

2-45  his investigators may:

2-46  (a) Travel outside this state;

2-47  (b) Cooperate with appropriate agencies or persons outside this state; or

2-48  (c) Designate those agencies to conduct investigations for the

2-49  commissioner.


3-1    3.  Assist officials of investigative or law enforcement agencies of any

3-2  other state or the Federal Government who are investigating fraudulent

3-3  claims and who request assistance from the commissioner.

3-4    Sec. 8.  NRS 679B.156 is hereby amended to read as follows:

3-5    679B.156 1.  Every person in charge of an investigative or law

3-6  enforcement agency within this state shall [cooperate] :

3-7    (a) Cooperate with the commissioner [or] and his investigators [and

3-8  shall furnish the commissioner, upon his] , and the attorney general and

3-9  the members of the fraud control unit; and

3-10  (b) Upon request, furnish the commissioner or attorney general, as

3-11  appropriate, with any information necessary for [his] the investigation of

3-12  [fraudulent claims.] insurance fraud.

3-13  2.  The commissioner and the attorney general shall:

3-14  (a) Assist any official of an investigative or a law enforcement agency

3-15  of this state, any other state or the Federal Government who requests

3-16  assistance in investigating [fraudulent claims against an insurer;] any act of

3-17  insurance fraud; and

3-18  (b) Furnish to those officials any information, not otherwise

3-19  confidential, concerning his investigation or his report on [fraudulent

3-20  claims.] insurance fraud.

3-21  Sec. 9.  NRS 679B.157 is hereby amended to read as follows:

3-22  679B.157  [An]Any person, governmental entity, insurer, employee or

3-23  representative of an insurer, official of an investigative or law enforcement

3-24  agency, employee of the division ,[or]the commissioner , the attorney

3-25  general or a member of the fraud control unit is not subject to a criminal

3-26  penalty or subject to civil liability for libel, slander or any similar cause of

3-27  action in tort if he, without malice, discloses information on a fraudulent

3-28  claim or suspicious fire.

3-29  Secs. 10-12.  (Deleted by amendment.)

3-30  Sec. 13.  Chapter 686A of NRS is hereby amended by adding thereto

3-31  the provisions set forth as sections 14 to 17, inclusive, of this act.

3-32  Sec. 14.  “Insurance fraud” means knowingly and willfully:

3-33  1.  Presenting or causing to be presented any statement to an insurer,

3-34  a reinsurer, a producer, a broker or any agent thereof, if the person who

3-35  presents or causes the presentation of the statement knows that the

3-36  statement conceals or omits facts, or contains false or misleading

3-37  information concerning any fact material to an application for the

3-38  issuance of a policy of insurance pursuant to this Title.

3-39  2.  Presenting or causing to be presented any statement as a part of,

3-40  or in support of, a claim for payment or other benefits under a policy of

3-41  insurance issued pursuant to this Title, if the person who presents or

3-42  causes the presentation of the statement knows that the statement

3-43  conceals or omits facts, or contains false or misleading information

3-44  concerning any fact material to that claim.

3-45  3.  Assisting, abetting, soliciting or conspiring with another person to

3-46  present or cause to be presented any statement to an insurer, a reinsurer,

3-47  a producer, a broker or any agent thereof, if the person who assists,

3-48  abets, solicits or conspires knows that the statement conceals or omits

3-49  facts, or contains false or misleading information concerning any fact


4-1  material to an application for the issuance of a policy of insurance

4-2  pursuant to this Title or a claim for payment or other benefits under such

4-3  a policy.

4-4    4.  Acting or failing to act with the intent of defrauding or deceiving

4-5  an insurer, a reinsurer, a producer, a broker or any agent thereof, to

4-6  obtain a policy of insurance pursuant to this Title or any proceeds or

4-7  other benefits under such a policy.

4-8    5.  As a practitioner, an insurer or any agent thereof, acting to assist,

4-9  conspire with or urge another person to commit any act or omission

4-10  specified in this section through deceit, misrepresentation or other

4-11  fraudulent means.

4-12  6.  Accepting any proceeds or other benefits under a policy of

4-13  insurance issued pursuant to this Title, if the person who accepts the

4-14  proceeds or other benefits knows that the proceeds or other benefits are

4-15  derived from any act or omission specified in this section.

4-16  7.  Employing a person to procure clients, patients or other persons

4-17  who obtain services or benefits under a policy of insurance issued

4-18  pursuant to this Title for the purpose of engaging in any act or omission

4-19  specified in this section, except that such insurance fraud does not

4-20  include contact or communication by an insurer or his agent or

4-21  representative with a client, patient or other person if the contact or

4-22  communication is made for a lawful purpose, including, without

4-23  limitation, communication by an insurer with a holder of a policy of

4-24  insurance issued by the insurer or with a claimant concerning the

4-25  settlement of any claims against the policy.

4-26  8.  Participating in, aiding, abetting, conspiring to commit, soliciting

4-27  another person to commit, or permitting an employee or agent to commit

4-28  any act or omission specified in this section.

4-29  Sec. 15.  “Investigative or law enforcement agency” includes:

4-30  1.  The state fire marshal;

4-31  2.  The chief or other officer of the fire department in whose

4-32  jurisdiction a fire has occurred;

4-33  3.  The district attorney of the county where any fraudulent activity

4-34  has occurred or where a fraudulent claim has been made; and

4-35  4.  Any other officer of an agency in this state who has the authority

4-36  to investigate the fraudulent activity or claim.

4-37  Sec. 16.  “Practitioner” means:

4-38  1.  A physician, dentist, nurse, dispensing optician, optometrist,

4-39  physical therapist, podiatric physician, psychologist, chiropractor, doctor

4-40  of Oriental medicine in any form, director or technician of a medical

4-41  laboratory, pharmacist or other provider of health services who is

4-42  authorized to engage in his occupation by the laws of this state or

4-43  another state; and

4-44  2.  An attorney admitted to practice law in this state or any other

4-45  state.

4-46  Sec. 17.  1.  A court may, in addition to imposing the penalties set

4-47  forth in NRS 193.130, order a person who is convicted of, or who pleads

4-48  guilty or nolo contendere to, insurance fraud to pay:

4-49  (a) Court costs; and


5-1    (b) The cost of the investigation and prosecution of the insurance

5-2  fraud for which the person was convicted or to which the person pleaded

5-3  guilty or nolo contendere.

5-4    2.  Any money received by the attorney general pursuant to

5-5  paragraph (b) of subsection 1 must be accounted for separately and used

5-6  to pay the expenses of the fraud control unit for insurance established

5-7  pursuant to section 27 of this act, and is hereby authorized for

5-8  expenditure for that purpose. The money in the account does not revert

5-9  to the state general fund at the end of any fiscal year and must be carried

5-10  forward to the next fiscal year.

5-11  3.  An insurer or other organization, or any other person, subject to

5-12  the jurisdiction of the commissioner pursuant to this Title shall be

5-13  deemed to be a victim for the purposes of restitution in a case that

5-14  involves insurance fraud or that is related to a claim of insurance fraud.

5-15  Sec. 18.  NRS 686A.281 is hereby amended to read as follows:

5-16  686A.281 As used in NRS 686A.281 to 686A.295, inclusive, and

5-17  sections 14 to 17, inclusive, of this act, unless the context otherwise

5-18  requires, the [term “investigative or law enforcement agency” includes:

5-19  1.  The state fire marshal;

5-20  2.  The district attorney of the county where any fraudulent activity has

5-21  occurred or a fraudulent claim has been made;

5-22  3.  The chief or other officer of the fire department where a fire

5-23  occurred; and

5-24  4.  Any other agency in this state who has the authority to investigate

5-25  the fraudulent claims or activities.] words and terms defined in sections

5-26  14, 15 and 16 of this act have the meanings ascribed to them in those

5-27  sections.

5-28  Sec. 19.  NRS 686A.283 is hereby amended to read as follows:

5-29  686A.283  1.  Any person,governmental entity, insurer or authorized

5-30  representative of an insurer [, who believes, or has reason to believe, that a

5-31  fraudulent claim for benefits under a policy of insurance has been made, or

5-32  is about to be made] shall report any information concerning [that claim]

5-33  insurance fraud to the commissioner and attorney general on a form

5-34  prescribed by the commissioner[.] and attorney general.

5-35  2.  The commissioner and attorney general shall[:] each

5-36  independently:

5-37  (a) Review each report of [a fraudulent claim;] insurance fraud; and

5-38  (b) Determine whether an investigation should be made of the facts in

5-39  the report.

5-40  3.  During [his investigation,] their respective investigations, the

5-41  commissioner and attorney general shall independently determine

5-42  whether there is probable cause to believe that [there was deceit, fraud or

5-43  an intentional misrepresentation of a material fact in the claim.

5-44  4.  If the commissioner determines that the provisions of NRS

5-45  686A.010 to 686A.310, inclusive, have been violated he shall report his

5-46  findings to the district attorney of the county where the violation occurred.]

5-47  insurance fraud has occurred.

5-48  4.  A district attorney of any county where fraudulent activity has

5-49  occurred or is occurring or where a fraudulent claim that would


6-1  constitute insurance fraud has been made may, with the permission of

6-2  the attorney general or at the request of the attorney general, institute

6-3  proceedings in the name of the State of Nevada.

6-4    Sec. 20.  NRS 686A.285 is hereby amended to read as follows:

6-5    686A.285  1.  If an insurer [believes] has a reasonable suspicion that

6-6  a loss to an insured may have been caused by other than an accidental or a

6-7  natural occurrence, the insurer shall notify the commissioner and attorney

6-8  general in writing of the insurer’s reasons for [so believing.] the suspicion.

6-9    2.  Any insurer making such a report shall provide the commissioner

6-10  and attorney general with any information the insurer obtained during its

6-11  investigation of the claim.

6-12  3.  If the loss referred to in subsection 1 is believed to be caused by

6-13  fire, the insurer shall also so notify an investigative or law enforcement

6-14  agency.

6-15  Sec. 21.  NRS 686A.287 is hereby amended to read as follows:

6-16  686A.287 1.  Every insurer shall provide information [on a fraudulent

6-17  claim] concerning insurance fraud to the attorney general, the

6-18  commissioner, any investigative or law enforcement agency or any agency

6-19  of the Federal Government , if the insurer receives a request in writing for

6-20  that information.

6-21  2.  The information requested from an insurer may include:

6-22  (a) Information about the policy of insurance on the property which was

6-23  demolished or destroyed, including information from the application for

6-24  insurance;

6-25  (b) Information on previous claims made by the insured;

6-26  (c) Records of the premiums paid for the policy of insurance; and

6-27  (d) Information concerning the insurer’s investigation of the claim,

6-28  including statements of any person, information submitted as proof of the

6-29  loss or any other relevant information on the claim.

6-30  Sec. 22.  NRS 686A.289 is hereby amended to read as follows:

6-31  686A.289 1.  Any insurer giving information to the attorney general,

6-32  the commissioner or any investigative or law enforcement agency

6-33  concerning an act or omission alleged [fraudulent claim] to be insurance

6-34  fraud is entitled to receive, upon completion of the investigation or

6-35  prosecution of the [claim,] insurance fraud, whichever occurs later, any

6-36  relevant information concerning the [claim.] fraudulent activity.

6-37  2.  The attorney general, the commissioner or any investigative or law

6-38  enforcement agency receiving information from another person, agency or

6-39  insurer shall:

6-40  (a) Keep the information confidential and not release the information

6-41  except pursuant to subsection 1;

6-42  (b) Provide information concerning its investigation of the [claim]

6-43  insurance fraud to the insurer reporting the [claim] fraudulent activity

6-44  upon the completion of its investigation or a criminal prosecution,

6-45  whichever occurs later; and

6-46  (c) Provide any documents necessary or allow its employees or agents

6-47  to testify in any action by or against the insurer if the insurer or its insured

6-48  furnished the information for the investigation or a criminal prosecution.

 


7-1    Sec. 23.  NRS 686A.291 is hereby amended to read as follows:

7-2    686A.291 [1.  A person commits insurance fraud if he knowingly and

7-3  willfully:

7-4    (a) Presents or causes to be presented any statement to an insurer, a

7-5  reinsurer, a producer, a broker or any agent thereof, known by him to

7-6  contain false, incomplete or misleading information concerning any fact

7-7  material to an application for the issuance of a policy of insurance pursuant

7-8  to this Title.

7-9    (b) Presents or causes to be presented any statement as a part of, or in

7-10  support of, a claim for payment or other benefits under a policy of

7-11  insurance issued pursuant to this Title, known by him to contain false,

7-12  incomplete or misleading information concerning any fact material to that

7-13  claim.

7-14  (c) Assists, abets, solicits or conspires with another person to present or

7-15  cause to be presented any statement to an insurer, reinsurer, producer,

7-16  broker or any agent thereof, known by him to contain false, incomplete or

7-17  misleading information concerning any fact material to an application for

7-18  the issuance of a policy of insurance pursuant to this Title or a claim for

7-19  payment or other benefits under such a policy.

7-20  (d) Acts or fails to act with the intent of defrauding or deceiving an

7-21  insurer, a reinsurer, a producer, a broker or any agent thereof, in order to

7-22  obtain a policy of insurance pursuant to this Title or any proceeds or other

7-23  benefits under such a policy.

7-24  (e) As a practitioner, an insurer or any agent thereof, acts to assist,

7-25  conspire with or urge another person to violate any provision of this section

7-26  through deceit, misrepresentation or other fraudulent means.

7-27  (f) Accepts any proceeds or other benefits under a policy of insurance

7-28  issued pursuant to this Title known by him to be derived from any act or

7-29  omission which violates any provision of this section.

7-30  (g) Employs a person to procure clients, patients or other persons who

7-31  obtain services or benefits under a policy of insurance issued pursuant to

7-32  this Title for the purpose of engaging in any activity prohibited by this

7-33  section. This paragraph does not prohibit contact or communication by an

7-34  insurer or his agent or representative with a client, patient or other person if

7-35  the contact or communication is made for a lawful purpose, including,

7-36  without limitation, communication by an insurer with a holder of a policy

7-37  of insurance issued by the insurer or with a claimant concerning the

7-38  settlement of any claims against the policy.

7-39  2.  A person commits insurance fraud if he knowingly and willfully

7-40  participates in, aids, abets, conspires to commit, solicits another person to

7-41  commit, or permits an employee or agent to commit an act of insurance

7-42  fraud prohibited by subsection 1.

7-43  3.] A person who commits insurance fraud is guilty of a category D

7-44  felony and shall be punished as provided in NRS 193.130.

7-45  [4.  For the purposes of this section, “practitioner” means:

7-46  (a) A physician, dentist, nurse, dispensing optician, optometrist,

7-47  physical therapist, podiatric physician, psychologist, chiropractor, doctor of

7-48  Oriental medicine in any form, director or technician of a medical

7-49  laboratory, pharmacist or other provider of health services who is


8-1  authorized to engage in his occupation by the laws of this state or another

8-2  state; and

8-3    (b) An attorney admitted to practice law in this state or any other state.]

8-4    Sec. 24.  NRS 686A.295 is hereby amended to read as follows:

8-5    686A.295 If a person who is licensed or registered under the laws of

8-6  the State of Nevada to engage in a business or profession is convicted of or

8-7  pleads guilty to engaging in an act of insurance fraud , [prohibited by NRS

8-8  686A.291,] the commissioner and the attorney general shall forward to

8-9  each agency by which the convicted person is licensed or registered a copy

8-10  of the conviction or plea and all supporting evidence of the act of insurance

8-11  fraud. An agency that receives information from the commissioner and

8-12  attorney general pursuant to this section shall, not later than 1 year after the

8-13  date on which it receives the information, submit a report which sets forth

8-14  the action taken by the agency against the convicted person, including, but

8-15  not limited to, the revocation or suspension of the license or any other

8-16  disciplinary action, to the director of the legislative counsel bureau for

8-17  transmittal to the legislature.

8-18  Sec. 25.  NRS 686A.315 is hereby amended to read as follows:

8-19  686A.315  1.  If a hospital submits to an insurer the form commonly

8-20  referred to as the “UB-82,” the form must contain or be accompanied by a

8-21  statement in substantially the following form:

 

8-22  Any person who misrepresents or falsifies essential information

8-23  requested on this form may, upon conviction, be subject to a fine and

8-24  imprisonment under state or federal law, or both.

 

8-25  2.  If a person who is licensed to practice one of the health professions

8-26  regulated by Title 54 of NRS submits to an insurer the form commonly

8-27  referred to as the “HCFA-1500” for a patient who is not covered by any

8-28  governmental program which offers insurance coverage for health care, the

8-29  form must be accompanied by a statement in substantially the following

8-30  form:

 

8-31  Any person who knowingly files a statement of claim containing any

8-32  misrepresentation or any false, incomplete or misleading information

8-33  may be guilty of a criminal act punishable under state or federal law,

8-34  or both, and may be subject to civil penalties.

 

8-35  3.  The failure to provide any of the statements required by this section

8-36  is not a defense in a prosecution for [a violation of] insurance fraud

8-37  pursuant to NRS 686A.291.

8-38  Sec. 26.  NRS 207.360 is hereby amended to read as follows:

8-39  207.360  Crime related to racketeering” means the commission of,

8-40  attempt to commit or conspiracy to commit any of the following crimes:

8-41  1.  Murder;

8-42  2.  Manslaughter;

8-43  3.  Mayhem;

8-44  4.  Battery which is punished as a felony;

8-45  5.  Kidnapping;


9-1    6.  Sexual assault;

9-2    7.  Arson;

9-3    8.  Robbery;

9-4    9.  Taking property from another under circumstances not amounting to

9-5  robbery;

9-6    10.  Extortion;

9-7    11.  Statutory sexual seduction;

9-8    12.  Extortionate collection of debt in violation of NRS 205.322;

9-9    13.  Forgery;

9-10  14.  Any violation of NRS 199.280 which is punished as a felony;

9-11  15.  Burglary;

9-12  16.  Grand larceny;

9-13  17.  Bribery or asking for or receiving a bribe in violation of chapter

9-14  197 or 199 of NRS which is punished as a felony;

9-15  18.  Battery with intent to commit a crime in violation of NRS 200.400;

9-16  19.  Assault with a deadly weapon;

9-17  20.  Any violation of NRS 453.232, 453.316 to 453.3395, inclusive, or

9-18  453.375 to 453.401, inclusive;

9-19  21.  Receiving or transferring a stolen vehicle;

9-20  22.  Any violation of NRS 202.260, 202.275 or 202.350 which is

9-21  punished as a felony;

9-22  23.  Any violation of subsection 2 or 3 of NRS 463.360 or chapter 465

9-23  of NRS;

9-24  24.  Receiving, possessing or withholding stolen goods valued at $250

9-25  or more;

9-26  25.  Embezzlement of money or property valued at $250 or more;

9-27  26.  Obtaining possession of money or property valued at $250 or

9-28  more, or obtaining a signature by means of false pretenses;

9-29  27.  Perjury or subornation of perjury;

9-30  28.  Offering false evidence;

9-31  29.  Any violation of NRS 201.300 or 201.360;

9-32  30.  Any violation of NRS 90.570, 91.230[,] or 686A.290 , or

9-33  insurance fraud pursuant to NRS 686A.291; or

9-34  31.  Any violation of NRS 205.506, 205.920 or 205.930.

9-35  Sec. 27.  Chapter 228 of NRS is hereby amended by adding thereto a

9-36  new section to read as follows:

9-37  1.  The attorney general has primary jurisdiction to conduct criminal

9-38  investigations into and may bring a criminal prosecution for any act

9-39  alleged to be insurance fraud.

9-40  2.  The attorney general shall establish within his office a fraud

9-41  control unit for insurance. The fraud control unit must consist of such

9-42  persons as are necessary to carry out the duties set forth in this section,

9-43  NRS 679B.153 to 679B.158, inclusive, and sections 2 to 6.5, inclusive, of

9-44  this act, and NRS 686A.281 to 686A.291, inclusive, and sections 14 to 17,

9-45  inclusive, of this act, including, without limitation, attorneys and

9-46  investigators.

9-47  3.  The attorney general, acting through the fraud control unit:

9-48  (a) Is the single state agency responsible for the criminal prosecution

9-49  of insurance fraud;


10-1  (b) Shall cooperate with the commissioner of insurance, insurers, and

10-2  investigators and prosecutors of other states and the Federal Government

10-3  in coordinating state and federal criminal investigations and criminal

10-4  prosecutions involving insurance fraud;

10-5  (c) Shall protect the privacy of insurers and insured persons who are

10-6  eligible to receive benefits pursuant to the provisions of Title 57 of NRS

10-7  and shall establish procedures to prevent the misuse of information

10-8  obtained in carrying out this section; and

10-9  (d) May, upon written request, inspect the records of any insurer, the

10-10  commissioner of insurance and the division of insurance of the

10-11  department of business and industry to conduct a criminal investigation

10-12  into any act alleged to be insurance fraud.

10-13  4.  To investigate any act alleged to be insurance fraud, the attorney

10-14  general and members of the fraud control unit may conduct

10-15  investigations into any activity related thereto occurring outside of this

10-16  state, if necessary. To conduct these investigations, the attorney general

10-17  and members of the fraud control unit may:

10-18  (a) Travel outside of this state;

10-19  (b) Cooperate with appropriate agencies or persons outside of this

10-20  state; and

10-21  (c) Designate those agencies or persons to conduct investigations for

10-22  the attorney general.

10-23  5.  When acting pursuant to this section, the attorney general may

10-24  commence his investigation and file a criminal action without leave of

10-25  court, and he has exclusive charge of the conduct of the prosecution. The

10-26  attorney general may conduct preliminary hearings or grand juries for

10-27  the purposes of filing an information or indictment.

10-28  6.  The attorney general shall report the name of each person who

10-29  has been convicted of insurance fraud to the commissioner of insurance.

10-30  7.  The provisions of this section must not be construed to limit or

10-31  diminish the jurisdiction of the commissioner of insurance to regulate

10-32  persons transacting insurance in this state.

10-33  8.  As used in this section, “insurance fraud” has the meaning

10-34  ascribed to it in section 14 of this act.

10-35  Sec. 28.  NRS 477.030 is hereby amended to read as follows:

10-36  477.030  1.  Except as otherwise provided in this section, the state fire

10-37  marshal shall enforce all laws and adopt regulations relating to:

10-38  (a) The prevention of fire.

10-39  (b) The storage and use of:

10-40     (1) Combustibles, flammables and fireworks; and

10-41     (2) Explosives in any commercial construction, but not in mining or

10-42  the control of avalanches,

10-43  under those circumstances that are not otherwise regulated by the division

10-44  of industrial relations of the department of business and industry pursuant

10-45  to NRS 618.890.

10-46  (c) The safety, access, means and adequacy of exit in case of fire from

10-47  mental and penal institutions, facilities for the care of children, foster

10-48  homes, residential facilities for groups, facilities for intermediate care,

10-49  nursing homes, hospitals, schools, all buildings, except private residences,


11-1  which are occupied for sleeping purposes, buildings used for public

11-2  assembly and all other buildings where large numbers of persons work, live

11-3  or congregate for any purpose. As used in this paragraph, “public

11-4  assembly” means a building or a portion of a building used for the

11-5  gathering together of 50 or more persons for purposes of deliberation,

11-6  education, instruction, worship, entertainment, amusement or awaiting

11-7  transportation, or the gathering together of 100 or more persons in

11-8  establishments for drinking or dining.

11-9  (d) The suppression and punishment of arson and fraudulent claims or

11-10  practices in connection with fire losses.

11-11  The regulations of the state fire marshal apply throughout the state, but,

11-12  except with respect to state-owned or state-occupied buildings, his

11-13  authority to enforce them or conduct investigations under this chapter does

11-14  not extend to a county whose population is 50,000 or more or which has

11-15  been converted into a consolidated municipality, except in those local

11-16  jurisdictions in those counties where he is requested to exercise that

11-17  authority by the chief officer of the organized fire department of that

11-18  jurisdiction.

11-19  2.  The state fire marshal may set standards for equipment and

11-20  appliances pertaining to fire safety or to be used for fire protection within

11-21  this state, including the threads used on fire hose couplings and hydrant

11-22  fittings.

11-23  3.  The state fire marshal shall cooperate with the state forester

11-24  firewarden in the preparation of regulations relating to standards for fire

11-25  retardant roofing materials pursuant to paragraph (e) of subsection 1 of

11-26  NRS 472.040.

11-27  4.  The state fire marshal shall cooperate with the division of child and

11-28  family services of the department of human resources in establishing

11-29  reasonable minimum standards for overseeing the safety of and directing

11-30  the means and adequacy of exit in case of fire from family foster homes

11-31  and group foster homes.

11-32  5.  The state fire marshal shall coordinate all activities conducted

11-33  pursuant to 15 U.S.C. §§ 2201 et seq. and receive and distribute money

11-34  allocated by the United States pursuant to that act.

11-35  6.  Except as otherwise provided in subsection 10, the state fire marshal

11-36  shall:

11-37  (a) Investigate any fire which occurs in a county other than one whose

11-38  population is 50,000 or more or which has been converted into a

11-39  consolidated municipality, and from which a death results or which is of a

11-40  suspicious nature.

11-41  (b) Investigate any fire which occurs in a county whose population is

11-42  50,000 or more or which has been converted into a consolidated

11-43  municipality, and from which a death results or which is of a suspicious

11-44  nature, if requested to do so by the chief officer of the fire department in

11-45  whose jurisdiction the fire occurs.

11-46  (c) Cooperate with the commissioner of insurance , the attorney

11-47  general and the fraud control unit established pursuant to section 27 of

11-48  this act in any investigation of a fraudulent claim under an insurance policy

11-49  for any fire of a suspicious nature.


12-1  (d) Cooperate with any local fire department in the investigation of any

12-2  report received pursuant to NRS 629.045.

12-3  (e) Provide specialized training in investigating the causes of fires if

12-4  requested to do so by the chief officer of an organized fire department.

12-5  7.  The state fire marshal shall put the National Fire Incident Reporting

12-6  System into effect throughout the state and publish at least annually a

12-7  summary of data collected under the system.

12-8  8.  The state fire marshal shall provide assistance and materials to local

12-9  authorities, upon request, for the establishment of programs for public

12-10  education and other fire prevention activities.

12-11  9.  The state fire marshal shall:

12-12  (a) Assist in checking plans and specifications for construction;

12-13  (b) Provide specialized training to local fire departments; and

12-14  (c) Assist local governments in drafting regulations and ordinances,

12-15  on request or as he deems necessary.

12-16  10.  In a county other than one whose population is 50,000 or more or

12-17  which has been converted into a consolidated municipality, the state fire

12-18  marshal shall, upon request by a local government, delegate to the local

12-19  government by interlocal agreement all or a portion of his authority or

12-20  duties if the local government’s personnel and programs are, as determined

12-21  by the state fire marshal, equally qualified to perform those functions. If a

12-22  local government fails to maintain the qualified personnel and programs in

12-23  accordance with such an agreement, the state fire marshal shall revoke the

12-24  agreement.

12-25  Sec. 29.  This act becomes effective upon passage and approval.

 

12-26  H