Senate Bill No. 281–Senator Shaffer (by request)

 

March 13, 2003

____________

 

Referred to Committee on Commerce and Labor

 

SUMMARY—Revises provisions relating to osteopathic physicians. (BDR 54‑985)

 

FISCAL NOTE:  Effect on Local Government: No.

                           Effect on the State: No.

 

~

 

EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.

 

AN ACT relating to osteopathic physicians; increasing the membership of the State Board of Osteopathic Medicine; requiring an applicant for a licenseto practice osteopathic medicine or an osteopathic physician’s assistant for whom an application to employ an osteopathic physician’s assistantis submitted to the State Board of Osteopathic Medicineto submit a complete set of his fingerprints to the Board for investigation of the criminal history of the applicant or osteopathic physician’s assistant; authorizing an osteopathic physician to be appointed to certain governmental entities; expanding the circumstances under which an osteopathic physician may be designated to carry out certain duties relating to the practice of medicine; revising provisions relating to the confidentiality of investigations conducted by the Board; 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 633 of NRS is hereby amended by adding

1-2  thereto a new section to read as follows:

1-3  1.  In addition to any other requirements set forth in this

1-4  chapter, each applicant for a license to practice osteopathic

1-5  medicine, except a temporary or special license, or each

1-6  osteopathic physician’s assistant for whom an application to

2-1  employ an osteopathic physician’s assistant is submitted to the

2-2  Board must submit to the Board a complete set of his fingerprints

2-3  and written permission authorizing the Board to forward the

2-4  fingerprints to the Central Repository for Nevada Records of

2-5  Criminal History for submission to the Federal Bureau of

2-6  Investigation for its report.

2-7  2.  The Board may issue a provisional license pending receipt

2-8  of the report of the Federal Bureau of Investigation if the Board

2-9  determines that the applicant is otherwise qualified.

2-10      3.  The Board shall revoke a provisional license upon receipt

2-11  of the report from the Federal Bureau of Investigation if the

2-12  report indicates that:

2-13      (a) The applicant or the osteopathic physician’s assistant has

2-14  been convicted of an act that is a ground for disciplinary action

2-15  pursuant to NRS 633.511;

2-16      (b) The applicant or the osteopathic physician’s assistant has

2-17  been convicted of a felony set forth in NRS 633.741; or

2-18      (c) A warrant for the arrest of the applicant or the osteopathic

2-19  physician’s assistant has been issued by a court of competent

2-20  jurisdiction.

2-21      Sec. 2.  NRS 633.181 is hereby amended to read as follows:

2-22      633.181  The State Board of Osteopathic Medicine consists of

2-23  [five] seven members appointed by the Governor.

2-24      Sec. 3.  NRS 633.191 is hereby amended to read as follows:

2-25      633.191  1.  [Four] Five members of the Board must:

2-26      (a) Be licensed under this chapter;

2-27      (b) Be actually engaged in the practice of osteopathic medicine

2-28  in this state; and

2-29      (c) Have been so engaged in this state for a period of more than

2-30  5 years preceding their appointment.

2-31      2.  [The remaining member] Two members must be [a resident]

2-32  residents of the State of Nevada:

2-33      (a) Not licensed in any state to practice any healing art; and

2-34      (b) Not actively engaged in the administration of any medical

2-35  facility or facility for the dependent as defined in chapter 449 of

2-36  NRS.

2-37      Sec. 4.  NRS 633.611 is hereby amended to read as follows:

2-38      633.611  1.  All proceedings [subsequent to] after the filing of

2-39  a complaint are confidential, except to the extent necessary for the

2-40  conduct of an examination, until the Board determines to proceed

2-41  with disciplinary action. [If]

2-42      2.  Except as otherwise provided in subsection 3, if the Board

2-43  dismisses the complaint, the proceedings remain confidential. If the

2-44  Board proceeds with disciplinary action, confidentiality concerning

2-45  the proceedings is no longer required.

3-1  3.  The Board may disseminate any information or records

3-2  relating to an investigation of a complaint which has been

3-3  dismissed by the Board to any other licensing board, national

3-4  association of registered boards, an agency of the Federal

3-5  Government or of the State, the Attorney General or any law

3-6  enforcement agency.

3-7  Sec. 5.  NRS 637A.243 is hereby amended to read as follows:

3-8  637A.243  1.  A hearing aid specialist licensed pursuant to this

3-9  chapter may sell hearing aids by catalog or mail if:

3-10      (a) He has received a written statement signed by a physician

3-11  licensed pursuant to chapter 630 or 633 of NRS, an advanced

3-12  practitioner of nursing licensed pursuant to chapter 632 of NRS, an

3-13  audiologist licensed pursuant to chapter 637B of NRS or a hearing

3-14  aid specialist licensed pursuant to this chapter which verifies that he

3-15  has performed an otoscopic examination of that person and that the

3-16  results of the examination indicate that the person may benefit from

3-17  the use of a hearing aid;

3-18      (b) He has received a written statement signed by a physician

3-19  licensed pursuant to chapter 630 or 633 of NRS, audiologist

3-20  licensed pursuant to chapter 637B of NRS or a hearing aid

3-21  specialist licensed pursuant to this chapter which verifies that he has

3-22  performed an audiometric examination of that person in compliance

3-23  with regulations adopted by the Board and that the results of the

3-24  examination indicate that the person may benefit from the use of a

3-25  hearing aid;

3-26      (c) He has received a written statement signed by a hearing aid

3-27  specialist licensed pursuant to this chapter which verifies that an ear

3-28  impression has been taken; and

3-29      (d) The person has signed a statement acknowledging that the

3-30  licensee is selling him the hearing aid by catalog or mail based upon

3-31  the information submitted by the person in accordance with this

3-32  section.

3-33      2.  A hearing aid specialist who sells hearing aids by catalog or

3-34  mail shall maintain a record of each sale of a hearing aid made

3-35  pursuant to this section for not less than 5 years.

3-36      3.  The Board may adopt regulations to carry out the provisions

3-37  of this section, including, without limitation, the information which

3-38  must be included in each record required to be maintained pursuant

3-39  to subsection 2.

3-40      Sec. 6.  NRS 641C.130 is hereby amended to read as follows:

3-41      641C.130  The provisions of this chapter do not apply to:

3-42      1.  A physician who is licensed pursuant to the provisions of

3-43  chapter 630 or 633 of NRS;

4-1  2.  A nurse who is licensed pursuant to the provisions of chapter

4-2  632 of NRS and is authorized by the State Board of Nursing to

4-3  engage in the practice of counseling alcohol and drug abusers;

4-4  3.  A psychologist who is licensed pursuant to the provisions of

4-5  chapter 641 of NRS;

4-6  4.  A marriage and family therapist who is licensed pursuant to

4-7  the provisions of chapter 641A of NRS and is authorized by the

4-8  Board of Examiners for Marriage and Family Therapists to engage

4-9  in the practice of counseling alcohol and drug abusers; or

4-10      5.  A person who is licensed as a clinical social worker pursuant

4-11  to the provisions of chapter 641B of NRS and is authorized by the

4-12  Board of Examiners for Social Workers to engage in the practice of

4-13  counseling alcohol and drug abusers.

4-14      Sec. 7.  NRS 209.3925 is hereby amended to read as follows:

4-15      209.3925  1.  Except as otherwise provided in subsection 6,

4-16  the Director may assign an offender to the custody of the Division

4-17  of Parole and Probation of the Department of Public Safety to serve

4-18  a term of residential confinement pursuant to NRS 213.380, for not

4-19  longer than the remainder of his sentence, if:

4-20      (a) The Director has reason to believe that the offender is:

4-21          (1) Physically incapacitated to such a degree that he does not

4-22  presently, and likely will not in the future, pose a threat to the safety

4-23  of the public; or

4-24          (2) In ill health and expected to die within 12 months, and

4-25  does not presently, and likely will not in the future, pose a threat to

4-26  the safety of the public; and

4-27      (b) At least two physicians licensed pursuant to chapter 630 or

4-28  633 of NRS, one of whom is not employed by the Department,

4-29  verify, in writing, that the offender is:

4-30          (1) Physically incapacitated; or

4-31          (2) In ill health and expected to die within 12 months.

4-32      2.  If the Director intends to assign an offender to the custody of

4-33  the Division of Parole and Probation pursuant to this section, at least

4-34  45 days before the date the offender is expected to be released from

4-35  the custody of the Department, the Director shall notify:

4-36      (a) If the offender will reside within this state after he is released

4-37  from the custody of the Department, the board of county

4-38  commissioners of the county in which the offender will reside; and

4-39      (b) The Division of Parole and Probation.

4-40      3.  If any victim of a crime committed by the offender has,

4-41  pursuant to subsection 4 of NRS 213.130, requested to be notified of

4-42  the consideration of a prisoner for parole and has provided a current

4-43  address, the Division of Parole and Probation shall notify the victim

4-44  that:

5-1  (a) The Director intends to assign the offender to the custody of

5-2  the Division of Parole and Probation pursuant to this section; and

5-3  (b) The victim may submit documents to the Division of Parole

5-4  and Probation regarding such an assignment.

5-5  If a current address has not been provided by a victim as required by

5-6  subsection 4 of NRS 213.130, the Division of Parole and Probation

5-7  must not be held responsible if notification is not received by the

5-8  victim. All personal information, including, but not limited to, a

5-9  current or former address, which pertains to a victim and which is

5-10  received by the Division of Parole and Probation pursuant to this

5-11  subsection is confidential.

5-12      4.  If an offender assigned to the custody of the Division of

5-13  Parole and Probation pursuant to this section escapes or violates any

5-14  of the terms or conditions of his residential confinement:

5-15      (a) The Division of Parole and Probation may, pursuant to the

5-16  procedure set forth in NRS 213.410, return the offender to the

5-17  custody of the Department.

5-18      (b) The offender forfeits all or part of the credits for good

5-19  behavior earned by him before the escape or violation, as

5-20  determined by the Director. The Director may provide for a

5-21  forfeiture of credits pursuant to this paragraph only after proof of the

5-22  offense and notice to the offender and may restore credits forfeited

5-23  for such reasons as he considers proper. The decision of the Director

5-24  regarding such a forfeiture is final.

5-25      5.  The assignment of an offender to the custody of the Division

5-26  of Parole and Probation pursuant to this section shall be deemed:

5-27      (a) A continuation of his imprisonment and not a release on

5-28  parole; and

5-29      (b) For the purposes of NRS 209.341, an assignment to a facility

5-30  of the Department,

5-31  except that the offender is not entitled to obtain any benefits or to

5-32  participate in any programs provided to offenders in the custody of

5-33  the Department.

5-34      6.  The Director may not assign an offender to the custody of

5-35  the Division of Parole and Probation pursuant to this section if the

5-36  offender is sentenced to death or imprisonment for life without

5-37  the possibility of parole.

5-38      7.  An offender does not have a right to be assigned to the

5-39  custody of the Division of Parole and Probation pursuant to this

5-40  section, or to remain in that custody after such an assignment, and it

5-41  is not intended that the provisions of this section or of NRS 213.371

5-42  to 213.410, inclusive, create any right or interest in liberty or

5-43  property or establish a basis for any cause of action against the

5-44  State, its political subdivisions, agencies, boards, commissions,

5-45  departments, officers or employees.

6-1  Sec. 8.  NRS 433A.430 is hereby amended to read as follows:

6-2  433A.430  1.  Whenever the Administrator determines that

6-3  Division facilities within the State are inadequate for the care of any

6-4  mentally ill person, he may designate two physicians, licensed under

6-5  the provisions of chapter 630 or 633 of NRS, and familiar with the

6-6  field of psychiatry, to examine that person. If the two physicians

6-7  concur with the opinion of the Administrator, the Administrator may

6-8  contract with appropriate corresponding authorities in any other

6-9  state of the United States having adequate facilities for such

6-10  purposes for the reception, detention, care or treatment of that

6-11  person, but if the person in any manner objects to the transfer, the

6-12  procedures in subsection 3 of NRS 433.484 and subsections 2 and 3

6-13  of NRS 433.534 must be followed. The two physicians so

6-14  designated are entitled to a reasonable fee for their services which

6-15  must be paid by the county of the person’s last known residence.

6-16      2.  Money to carry out the provisions of this section must be

6-17  provided by direct legislative appropriation.

6-18      Sec. 9.  NRS 439B.410 is hereby amended to read as follows:

6-19      439B.410  1.  Except as otherwise provided in subsection 4,

6-20  each hospital in this state has an obligation to provide emergency

6-21  services and care, including care provided by physicians and nurses,

6-22  and to admit a patient where appropriate, regardless of the financial

6-23  status of the patient.

6-24      2.  Except as otherwise provided in subsection 4, it is unlawful

6-25  for a hospital or a physician working in a hospital emergency room,

6-26  to:

6-27      (a) Refuse to accept or treat a patient in need of emergency

6-28  services and care; or

6-29      (b) Except when medically necessary in the judgment of the

6-30  attending physician:

6-31          (1) Transfer a patient to another hospital or health facility

6-32  unless, as documented in the patient’s records:

6-33             (I) A determination has been made that the patient is

6-34  medically fit for transfer;

6-35             (II) Consent to the transfer has been given by the

6-36  receiving physician, hospital or health facility;

6-37             (III) The patient has been provided with an explanation of

6-38  the need for the transfer; and

6-39             (IV) Consent to the transfer has been given by the patient

6-40  or his legal representative; or

6-41          (2) Provide a patient with orders for testing at another

6-42  hospital or health facility when the hospital from which the orders

6-43  are issued is capable of providing that testing.

6-44      3.  A physician, hospital or other health facility which treats a

6-45  patient as a result of a violation of subsection 2 by a hospital or a

7-1  physician working in the hospital is entitled to recover from that

7-2  hospital an amount equal to three times the charges for the treatment

7-3  provided that was billed by the physician, hospital or other health

7-4  facility which provided the treatment, plus reasonable attorney’s

7-5  fees and costs.

7-6  4.  This section does not prohibit the transfer of a patient from

7-7  one hospital to another:

7-8  (a) When the patient is covered by an insurance policy or other

7-9  contractual arrangement which provides for payment at the

7-10  receiving hospital;

7-11      (b) After the county responsible for payment for the care of an

7-12  indigent patient has exhausted the money which may be

7-13  appropriated for that purpose pursuant to NRS 428.050, 428.285 and

7-14  450.425; or

7-15      (c) When the hospital cannot provide the services needed by the

7-16  patient.

7-17  No transfer may be made pursuant to this subsection until the

7-18  patient’s condition has been stabilized to a degree that allows

7-19  the transfer without an additional risk to the patient.

7-20      5.  As used in this section:

7-21      (a) “Emergency services and care” means medical screening,

7-22  examination and evaluation by a physician or, to the extent

7-23  permitted by a specific statute, by a person under the supervision of

7-24  a physician, to determine if an emergency medical condition or

7-25  active labor exists and, if it does, the care, treatment and surgery by

7-26  a physician necessary to relieve or eliminate the emergency medical

7-27  condition or active labor, within the capability of the hospital. As

7-28  used in this paragraph:

7-29          (1) “Active labor” means, in relation to childbirth, labor that

7-30  occurs when:

7-31             (I) There is inadequate time before delivery to transfer the

7-32  patient safely to another hospital; or

7-33             (II) A transfer may pose a threat to the health and safety

7-34  of the patient or the unborn child.

7-35          (2) “Emergency medical condition” means the presence of

7-36  acute symptoms of sufficient severity, including severe pain, such

7-37  that the absence of immediate medical attention could reasonably be

7-38  expected to result in:

7-39             (I) Placing the health of the patient in serious jeopardy;

7-40             (II) Serious impairment of bodily functions; or

7-41             (III) Serious dysfunction of any bodily organ or part.

7-42      (b) “Medically fit” means that the condition of the patient has

7-43  been sufficiently stabilized so that he may be safely transported to

7-44  another hospital, or is such that, in the determination of the

7-45  attending physician, the transfer of the patient constitutes an

8-1  acceptable risk. Such a determination must be based upon the

8-2  condition of the patient, the expected benefits, if any, to the patient

8-3  resulting from the transfer and whether the risks to the patient’s

8-4  health are outweighed by the expected benefits, and must be

8-5  documented in the patient’s records before the transfer.

8-6  6.  If an allegation of a violation of the provisions of subsection

8-7  2 is made against a hospital licensed pursuant to the provisions of

8-8  chapter 449 of NRS, the Health Division of the Department of

8-9  Human Resources shall conduct an investigation of the alleged

8-10  violation. Such a violation, in addition to any criminal penalties that

8-11  may be imposed, constitutes grounds for the denial, suspension or

8-12  revocation of such a license, or for the imposition of any sanction

8-13  prescribed by NRS 449.163.

8-14      7.  If an allegation of a violation of the provisions of subsection

8-15  2 is made against [a:] :

8-16      (a) A physician licensed to practice medicine pursuant to the

8-17  provisions of chapter 630 of NRS, the Board of Medical Examiners

8-18  shall conduct an investigation of the alleged violation. Such a

8-19  violation, in addition to any criminal penalties that may be imposed,

8-20  constitutes grounds for initiating disciplinary action or denying

8-21  licensure pursuant to the provisions of subsection 3 of

8-22  NRS 630.3065.

8-23      (b) An osteopathic physician licensed to practice osteopathic

8-24  medicine pursuant to the provisions of chapter 633 of NRS, the

8-25  State Board of Osteopathic Medicine shall conduct an

8-26  investigation of the alleged violation. Such a violation, in addition

8-27  to any criminal penalties that may be imposed, constitutes grounds

8-28  for initiating disciplinary action pursuant to the provisions of

8-29  subsection 1 of NRS 633.131.

8-30      Sec. 10.  NRS 442.003 is hereby amended to read as follows:

8-31      442.003  As used in this chapter, unless the context requires

8-32  otherwise:

8-33      1.  “Advisory Board” means the Advisory Board on Maternal

8-34  and Child Health.

8-35      2.  “Department” means the Department of Human Resources.

8-36      3.  “Director” means the Director of the Department.

8-37      4.  “Fetal alcohol syndrome” includes fetal alcohol effects.

8-38      5.  “Health Division” means the Health Division of the

8-39  Department.

8-40      6.  “Obstetric center” has the meaning ascribed to it in

8-41  NRS 449.0155.

8-42      7.  “Provider of health care or other services” means:

8-43      (a) An alcohol and drug abuse counselor who is licensed or

8-44  certified pursuant to chapter 641C of NRS;

9-1  (b) A physician or a physician assistant who is licensed pursuant

9-2  to chapter 630 or an osteopathic physician who is licensed

9-3  pursuant to chapter 633 of NRS and who practices in the area of

9-4  obstetrics and gynecology, family practice, internal medicine,

9-5  pediatrics or psychiatry;

9-6  (c) A licensed nurse;

9-7  (d) A licensed psychologist;

9-8  (e) A licensed marriage and family therapist;

9-9  (f) A licensed social worker; or

9-10      (g) The holder of a certificate of registration as a pharmacist.

9-11      Sec. 11.  NRS 453A.030 is hereby amended to read as follows:

9-12      453A.030  “Attending physician” means a physician who:

9-13      1.  Is licensed to practice medicine pursuant to the provisions of

9-14  chapter 630 or 633 of NRS; and

9-15      2.  Has primary responsibility for the care and treatment of a

9-16  person diagnosed with a chronic or debilitating medical condition.

9-17      Sec. 12.  NRS 453A.500 is hereby amended to read as follows:

9-18      453A.500  The Board of Medical Examiners shall not take any

9-19  disciplinary action against an attending physician on the basis that

9-20  the attending physician:

9-21      1.  Advised a person whom the attending physician has

9-22  diagnosed as having a chronic or debilitating medical condition, or a

9-23  person whom the attending physician knows has been so diagnosed

9-24  by another physician licensed to practice medicine pursuant to the

9-25  provisions of chapter 630 or 633 of NRS:

9-26      (a) About the possible risks and benefits of the medical use of

9-27  marijuana; or

9-28      (b) That the medical use of marijuana may mitigate the

9-29  symptoms or effects of the person’s chronic or debilitating medical

9-30  condition,

9-31  if the advice is based on the attending physician’s personal

9-32  assessment of the person’s medical history and current medical

9-33  condition.

9-34      2.  Provided the written documentation required pursuant to

9-35  paragraph (a) of subsection 2 of NRS 453A.210 for the issuance of a

9-36  registry identification card or pursuant to subparagraph (1) of

9-37  paragraph (b) of subsection 1 of NRS 453A.230 for the renewal of a

9-38  registry identification card, if:

9-39      (a) Such documentation is based on the attending physician’s

9-40  personal assessment of the person’s medical history and current

9-41  medical condition; and

9-42      (b) The physician has advised the person about the possible risks

9-43  and benefits of the medical use of marijuana.

 

 

10-1      Sec. 13.  NRS 457.310 is hereby amended to read as follows:

10-2      457.310  1.  The Task Force on Prostate Cancer, consisting of

10-3  11 members, is hereby created. The Task Force consists of:

10-4      (a) The following ex officio members:

10-5          (1) The Chief Executive Officer of Family to Family:

10-6  “Americans for Prostate Cancer Awareness and Support”;

10-7          (2) The Nevada Director of Us Too! International, Inc.; and

10-8          (3) The Executive Officer of the Public Employees’ Benefits

10-9  Program; and

10-10     (b) The following members appointed by the Governor:

10-11         (1) Two members who are physicians licensed pursuant to

10-12  chapter 630 or 633 of NRS;

10-13         (2) One member who is an officer or employee of the

10-14  University and Community College System of Nevada;

10-15         (3) One member who is an employee of the Bureau of

10-16  Disease Control and Intervention of the Health Division;

10-17         (4) One member who has had prostate cancer;

10-18         (5) One member who is related to a person who has had

10-19  prostate cancer; and

10-20         (6) Two members who are representatives of business.

10-21     2.  If Family to Family: “Americans for Prostate Cancer

10-22  Awareness and Support” or Us Too! International, Inc., ceases to

10-23  exist, the highest officer or person in charge of any successor

10-24  organization shall serve as the ex officio member required by

10-25  subparagraph (1) or (2) of paragraph (a) of subsection 1 or, if there

10-26  is no successor organization, the Governor shall appoint a person to

10-27  serve pursuant to the applicable subparagraph.

10-28     3.  Vacancies of members appointed to the Task Force must be

10-29  filled in the same manner as original appointments.

10-30     4.  The Task Force shall annually submit a report concerning its

10-31  activities and any recommendations for legislation to the Director of

10-32  the Legislative Counsel Bureau for transmittal to the Legislature.

10-33     Sec. 14.  NRS 467.015 is hereby amended to read as follows:

10-34     467.015  Each member of the Board must:

10-35     1.  Be licensed to practice medicine pursuant to chapter 630 or

10-36  633 of NRS.

10-37     2.  Have at least 5 years of experience in the practice of

10-38  medicine at the time of his appointment.

10-39     Sec. 15.  NRS 695G.110 is hereby amended to read as follows:

10-40     695G.110  Each managed care organization shall employ or

10-41  contract with a physician who is licensed to practice medicine in the

10-42  State of Nevada pursuant to chapter 630 or 633 of NRS to serve as

10-43  its medical director.

 

 

11-1      Sec. 16.  NRS 695G.150 is hereby amended to read as follows:

11-2      695G.150  Each managed care organization shall authorize

11-3  coverage of a health care service that has been recommended for the

11-4  insured by a provider of health care acting within the scope of his

11-5  practice if that service is covered by the health care plan of the

11-6  insured, unless:

11-7      1.  The decision not to authorize coverage is made by a

11-8  physician who:

11-9      (a) Is licensed to practice medicine in the State of Nevada

11-10  pursuant to chapter 630 or 633 of NRS;

11-11     (b) Possesses the education, training and expertise to evaluate

11-12  the medical condition of the insured; and

11-13     (c) Has reviewed the available medical documentation, notes of

11-14  the attending physician, test results and other relevant medical

11-15  records of the insured.

11-16  The physician may consult with other providers of health care in

11-17  determining whether to authorize coverage.

11-18     2.  The decision not to authorize coverage and the reason for the

11-19  decision have been transmitted in writing in a timely manner to the

11-20  insured, the provider of health care who recommended the service

11-21  and the primary care physician of the insured, if any.

11-22     Sec. 17.  NRS 695G.190 is hereby amended to read as follows:

11-23     695G.190  1.  As part of a quality assurance program

11-24  established pursuant to NRS 695G.180, each managed care

11-25  organization shall create a quality improvement committee directed

11-26  by a physician who is licensed to practice medicine in the State of

11-27  Nevada pursuant to chapter 630 or 633 of NRS.

11-28     2.  Each managed care organization shall:

11-29     (a) Establish written guidelines setting forth the procedure for

11-30  selecting the members of the committee;

11-31     (b) Select members pursuant to such guidelines; and

11-32     (c) Provide staff to assist the committee.

11-33     3.  The committee shall:

11-34     (a) Select and review appropriate medical records of insureds

11-35  and other data related to the quality of health care provided to

11-36  insureds by providers of health care;

11-37     (b) Review the clinical processes used by providers of health

11-38  care in providing services;

11-39     (c) Identify any problems related to the quality of health care

11-40  provided to insureds; and

11-41     (d) Advise providers of health care regarding issues related to

11-42  quality of care.

11-43     Sec. 18.  The provisions of section 1 of this act apply only to

11-44  an application for a license to practice as an osteopathic physician or

11-45  an application to employ an osteopathic physician’s assistant which

12-1  is received by the State Board of Osteopathic Medicine on or after

12-2  October 1, 2003.

12-3      Sec. 19.  As soon as practicable after October 1, 2003, the

12-4  Governor shall appoint to the State Board of Osteopathic Medicine

12-5  pursuant to:

12-6      1.  Subsection 2 of NRS 633.191, one member whose term

12-7  expires on September 30, 2006.

12-8      2.  Subsection 1 of NRS 633.191, one member whose term

12-9  expires on September 30, 2007.

 

12-10  H