Adoption of this amendment will MAINTAIN a 2/3s majority vote requirement for final passage of SB27 (§ 33).
ASSEMBLY ACTION Initial and Date |SENATE ACTION Initial and Date
Adopted Lost | Adopted Lost
Concurred In Not |Concurred In Not
Receded Not | Receded Not
Amend sec. 2, page 1, line 5, by deleting:
“3 to 12,” and inserting:
“2.5 to 12.3,”.
Amend the bill as a whole by adding a new section designated sec. 2.5, following sec. 2, to read as follows:
“Sec. 2.5. “Assessment” includes taking the medical history of a patient, visually inspecting the injured portion of the body and the associated structures, palpating the bony landmarks and soft tissue and applying special tests to systematically assess the pathology and extent of the injury or condition.”.
Amend sec. 3, pages 1 and 2, by deleting line 10 on page 1 and line 1 on page 2, and inserting:
“(a) An intercollegiate athletic association or interscholastic athletic association; or
(b) A professional athletic organization; or”.
Amend sec. 4, page 2, by deleting lines 12 and 13 and inserting:
“(a) An intercollegiate athletic association or interscholastic athletic association; or
(b) A professional athletic organization; or”.
Amend sec. 6, page 2, line 22, by deleting “licensed”.
Amend the bill as a whole by adding new sections designated sections 6.3 through 6.7, following sec. 6, to read as follows:
“Sec. 6.3. “Disposition” means the application of accepted management techniques to provide the appropriate care and resources concerning an athletic injury.
Sec. 6.5. “Evaluation” includes, without limitation, the use of joint range of motion, manual muscle tests, ligamentous stress tests, neurological tests and functional capacity assessments.
Sec. 6.7. “Grade 5 joint mobilization” means the movement of a joint beyond its physiological and capsular end point.”.
Amend the bill as a whole by adding a new section designated sec. 7.5, following sec. 7, to read as follows:
“Sec. 7.5. “Joint mobilization” means a learned, skilled, passive movement of articulating surfaces of a person to relieve pain and restore functional movement of the articulating surfaces without pain to the person. The term does not include:
1. The diagnosis of a physical disability;
2. The massaging of the superficial soft tissues of the body;
3. The use of X rays or radium;
4. The use of electricity for cauterization or surgery;
5. Chiropractic adjustment as defined in NRS 634.014; or
6. Grade 5 joint mobilization.”.
Amend the bill as a whole by adding new sections designated sections 9.2 through 9.8, following sec. 9, to read as follows:
“Sec. 9.2. “Management” means the act of controlling or influencing an injury, illness or condition.
Sec. 9.4. “Passive joint range of motion” means any movement of an articulating surface of a person without the active assistance of that person, which is performed with equipment or by another person.
Sec. 9.6. “Passive range of motion” means any movement of a part of a person without the active assistance of that person, which is performed with equipment or by another person.
Sec. 9.8. “Physician” means:
1. A physician licensed pursuant to chapter 630 of NRS;
2. An osteopathic physician licensed pursuant to chapter 630A of NRS;
3. A homeopathic physician licensed pursuant to chapter 633 of NRS;
4. A chiropractic physician licensed pursuant to chapter 634 of NRS; or
5. A podiatric physician licensed pursuant to chapter 635 of NRS.”.
Amend sec. 10, page 2, by deleting lines 38 and 39 and inserting:
“(a) The prevention, recognition, assessment, management, treatment, disposition or”.
Amend sec. 10, page 2, line 43, by deleting “licensed”.
Amend the bill as a whole by adding new sections designated sections 10.3 through 10.7, following sec. 10, to read as follows:
“Sec. 10.3. “Prevention” means the application and implementation of physical conditioning programs, pre-participation screening and the monitoring of risk factors that may cause an athletic injury.
Sec. 10.5. “Recognition” means the application of visual, verbal or tactile skills to acknowledge the presence of an injury, illness or other condition with an understanding of the predisposing factors of injury and pathomechanics, which assists in the assessment of the injury, illness or other condition.
Sec. 10.7. “Reconditioning” means the application of practical and didactic knowledge and functional criteria to evaluate readiness for return to partial or full activities.”.
Amend the bill as a whole by adding a new section designated sec. 12.3, following sec. 12, to read as follows:
“Sec. 12.3. “Treatment” means the application of the necessary knowledge and skills to assess an injury, illness or other condition and provide appropriate care.”.
Amend sec. 16, page 3, line 44, by deleting “Four” and inserting “Three”.
Amend sec. 16, page 4, by deleting lines 6 and 7 and inserting:
“(b) One member who is licensed as a physical therapist pursuant to chapter 640 of NRS and who is also licensed as an athletic trainer pursuant to this chapter; and
(c) One member who is a representative of the public.”.
Amend sec. 17, page 4, line 24, by deleting “The” and inserting:
“1. For the appointment of any member to the Board pursuant to paragraph (a) of subsection 2 of section 16 of this act, the”.
Amend sec. 17, page 4, by deleting lines 29 and 30, and inserting:
“who are qualified for membership on the Board for each such position. The Governor shall”.
Amend sec. 17, page 4, by deleting lines 32 and 33, and inserting:
“new list.
2. For the appointment of a member to the Board pursuant to paragraph (b) of subsection 2 of section 16 of this act, the Nevada Physical Therapists Association, or its successor organization, and the Nevada Athletic Trainers Association, or its successor organization, shall, at least 30 days before the beginning of a term of a member of the Board, or within 30 days after a position on the Board becomes vacant, jointly prepare and submit to the Governor a list of the names of not less than three persons or more than five persons who are qualified for membership on the Board for that position. The Governor shall appoint a new member or fill a vacancy from the list, or request a new list.
3. If the Nevada Athletic Trainers Association or the Nevada Physical Therapists Association, or the successor of any such organization, fails to submit nominations for a position”.
Amend sec. 20, page 5, line 21, after “2.” by inserting:
“Appropriate criteria for determining whether an entity is an intercollegiate athletic association, interscholastic athletic association, professional athletic organization or amateur athletic organization;
3.”.
Amend sec. 20, page 5, line 22, by deleting “3.” and inserting “4.”.
Amend the bill as a whole by adding a new section designated sec. 31.5, following sec. 31, to read as follows:
“Sec. 31.5. 1. A person who is licensed as an athletic trainer shall not conduct an evaluation of an athletic injury or perform joint mobilization unless the person has earned at least a master’s degree in athletic training or a comparable area of study, as determined by the Board.
2. A person who is licensed as an athletic trainer and has not earned a master’s degree in athletic training or a comparable area of study, as determined by the Board, may perform passive range of motion or passive joint range of motion.”.
Amend the bill as a whole by deleting sec. 33 and adding a new section designated sec. 33, following sec. 32, to read as follows:
“Sec. 33. The Board shall, by regulation, prescribe the following fees which must not exceed:
Application for a license..................................................................................................... $250
Examination for a license..................................................................................................... 350
Application for a license without examination................................................................... 350
Annual renewal of a license.................................................................................................. 350
Restoration of an expired license.......................................................................................... 350
Issuance of a duplicate license............................................................................................. 50”.
Amend the bill as a whole by deleting sec. 55 and adding a new section designated sec. 55, following sec. 54, to read as follows:
“Sec. 55. 1. On or before January 1, 2004, the Board of Athletic Trainers shall:
(a) Identify the personal trainers and other fitness instructors in this state and establish a registry of the names and addresses of those personal trainers and other fitness instructors to provide notice of the time and place of the public hearings held by the Board pursuant to this section; and
(b) Hold not less than five public hearings for the purpose of establishing recommendations concerning the regulation of personal trainers and other fitness instructors in this state.
2. On or before January 15, 2005, the Board shall submit a report of its findings and recommendations concerning the regulation of personal trainers and other fitness instructors in this state to the 73rd Session of the Nevada Legislature. The recommendations may include, without limitation, appropriate:
(a) Educational qualifications and experience requirements for licensure;
(b) Fees for the issuance and renewal of licenses;
(c) Requirements for continuing education; and
(d) Grounds for disciplinary action.”.
Amend the title of the bill by deleting lines 7 through 9 and inserting:
“requiring the Board to hold hearings and make recommendations to the Legislature concerning the regulation of personal trainers and other fitness instructors; and providing other”.
Amend the summary of the bill to read as follows:
“SUMMARY—Provides for regulation of athletic trainers. (BDR 54‑5)”.