Revises provisions relating to services to persons who are deaf or hard of hearing. (BDR 40-841)

EXEMPT
(Reprinted with amendments adopted on April 21, 2025)
FIRST REPRINT A.B. 395

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ASSEMBLY BILL NO. 395–ASSEMBLYMEMBERS
ROTH AND BROWN-MAY

MARCH 11, 2025
____________

Referred to Committee on Health and Human Services

SUMMARY—Revises provisions relating to services to persons
who are deaf or hard of hearing. (BDR 40-841)

FISCAL NOTE: Effect on Local Government: May have Fiscal Impact.
Effect on the State: Yes.

CONTAINS UNFUNDED MANDATE (§ 1)
(NOT REQUESTED BY AFFECTED LOCAL GOVERNMENT)

~

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

AN ACT relating to health care; requiring certain health facilities
and providers of health care to provide qualified sign
language inter preters to certain persons who are deaf or
hard of hearing; prescribing the circumstances under
which such qualified sign language interpreters may be
provided remotely; establishing requirements for
providing remotely such qualified sign language
interpreters; requiring the Department of Health and
Human Services to maintain a list of certain facilities that
provide services specialized to persons who are deaf or
hard of hearing; and providing other matters properly
relating thereto.
Legislative Counsel’s Digest:
Existing federal regulations require providers of health care and health care 1
facilities that receive funding or certain other assistance from the Federal 2
Government to ensure that communications with persons with disabilities are as 3
effective as communications with persons who do not have disabilities. (45 C.F.R. 4
§ 92.202) Those federal regulations: (1) prohibit such providers and facilities from 5
requiring a person with a disability to be accompanied by a person to interpret for 6
him or her; and (2 ) authorize such providers and facilities to provide qualified 7
interpreters through video remote interpreting services. (28 C.F.R. § 35.160, 45 8
C.F.R. § 92.202) 9
Sections 1 and 8 of this bill require a medical facility, a facility for the 10
dependent and certain other health facilities in a county whose population is 20,000 11

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or more (currently Clark, Washoe, Lyon, Elko, Nye, Douglas and Churchill 12
Counties and Carson City) and a provider of health care who is providing services 13
in such a county, respectively, to ensure that each person who is deaf or hard of 14
hearing and seeks care or services at the facility or from the provider, as applicable, 15
is notified: (1) that a qualified sign language interpreter can be made available; (2) 16
that the person may request an in-person or remote sign language interpreter ; and 17
(3) of any other accommodations that may be made available. If the person requests 18
an in -person qualified sign language interpreter, sections 1 and 8 require such a 19
health facility or provider of health ca re to: (1) provide the person with a qualified 20
sign language interpreter in person if the request is made at least 48 hours before a 21
prescheduled encounter or at least 2 hours after arriving at the health facility for an 22
unplanned inpatient hospitalization ; or (2) make a good faith effort to provide the 23
person with a qualified sign language interpreter in person under all other 24
circumstances. If the health facility or provider of health care cannot provide an in -25
person qualified sign language interpreter af ter making a good faith effort or if the 26
person requests a remote interpreter, sections 1 and 8 require the health facility or 27
provider of health care to provide a remote interpreter. Sections 1 and 8 prescribe 28
requirements governing the use of a remote interpreter. 29
Sections 2 and 3 of this bill make conforming changes to establish the 30
applicability of certain existing provisions to section 1. Sections 4-6 and 9 of this 31
bill prescribe various mechanisms for the enforcement of section 1, including the 32
imposition of administrative sanctions against a health facility that fails to comply 33
with those provisions. Section 8 authorizes professional discipline against a 34
provider of health care who fails to comply with that section. 35
Section 7 of this bill requires the Department of Health and Human Services to 36
maintain on an Internet website a list of assisted living facilities and senior living 37
communities that provide services specialized for persons who are deaf or hard of 38
hearing. 39

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Section 1. Chapter 449 of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. A health facility that is located in a county whose 3
population is 20,000 or more shall notify each person who is deaf 4
or hard of hearing and seeks care or services at the health facility: 5
(a) That a qualified sign language interpreter can be made 6
available to assist the person; 7
(b) That the person may request an in -person or remote 8
qualified sign language interpreter; and 9
(c) Of any other specific accommodations that may be 10
available for the person. 11
2. If a person who is deaf or hard of hearing seeks health 12
care from a health facility that is located in a county whose 13
population is 20,000 or more and requests an in -person qualified 14
sign language interpreter: 15
(a) At least 48 hours before a prescheduled encounter at a 16
health facility or at least 2 hours after arriving at a health facility 17

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that is a hospital for an unplanned inpatient hospitalization, the 1
health facility shall provide an in -person qualified sign language 2
interpreter. 3
(b) In circumstances other than those described in paragraph 4
(a), the health facility shall: 5
(1) Make a good faith effort to provide an in -person 6
qualified sign language interpreter; 7
(2) Provide an in -person qualified sign language 8
interpreter if the health facility is able to do so after making a 9
good faith effort; 10
(3) Provide a qualified sign language interpreter remotely 11
using audiovisual communication technology in a manner that 12
meets the requirements of subsections 4 and 5 if the health facility 13
is unable to provide an in -person qualified sign language 14
interpreter after making a good faith effort; and 15
(4) Maintain in the medical record of the person 16
documentation of the good faith effort made pursuant to 17
subparagraph (1), which must include, without limitation: 18
(I) A list of entities contacted to provide an in -person 19
qualified sign language interpreter and a statement of the manner 20
in which each such entity responded; 21
(II) A statement of whether the health facility provided 22
an in -person qualified sign language interpreter or provided a 23
qualified sign language interpreter remotely using audiovi sual 24
communication technology; and 25
(III) If applicable, the time at which a qualified sign 26
language interpreter was available in person to assist the person. 27
3. If a person who is deaf or hard of hearing seeks health 28
care from a health facility that i s located in a county whose 29
population is 20,000 or more and requests that the health facility 30
provide: 31
(a) A qualified sign language interpreter remotely using 32
audiovisual communication technology , the health facility shall 33
provide a qualified sign langu age interpreter remotely using 34
audiovisual communication technology in a manner that meets the 35
requirements of subsections 4 and 5. 36
(b) Any type of accommodation other than a qualified sign 37
language interpreter, the health facility may provide the 38
accommodation. 39
4. If a health facility that is located in a county whose 40
population is 20,000 or more provides a qualified sign language 41
interpreter remotely using audiovisual communication technology, 42
the audiovisual communication technology must: 43
(a) Provide clear transmission of audio and visuals; and 44
(b) Be capable of hands-free use. 45

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5. A qualified sign language interpreter who provides remote 1
sign language interpreting pursuant to this section must: 2
(a) Interpret from a dedicated secure call c enter that ensures 3
the privacy of the person who is deaf or hard of hearing; and 4
(b) Comply with the provisions of the Health Insurance 5
Portability and Accountability Act of 1996, Public Law 104 -191, 6
and any regulations adopted pursuant thereto. 7
6. A health facility that is located in a county whose 8
population is 20,000 or more shall provide training to an 9
employee, a contractor or a volunteer who is involved in using 10
audiovisual communication technology to facilitate the use of a 11
remote qualified sign language interpreter. Such training must be 12
adequate to ensure that the employee, contractor or volunteer 13
operates the technology efficiently and effectively. 14
7. As used in this section: 15
(a) “Health facility” means a medical facility, a facility for the 16
dependent or a facility which is required by the regulations 17
adopted pursuant to NRS 449.0303 to be licensed. 18
(b) “Provider of health care” has the meaning ascribed to it in 19
NRS 629.031. 20
(c) “Qualified sign language interpreter” means a qualified 21
interpreter for an individual with a disability, as defined in 45 22
C.F.R. § 92.4, who is registered pursuant to NRS 656A.100 to 23
practice sign language interpreting in a community setting. 24
(d) “Secure call center” means a location with the physical 25
and technological capability to provide qualified sign language 26
interpreters remotely using audiovisual communication 27
technology in compliance with this section. 28
Sec. 2. NRS 449.029 is hereby amended to read as follows: 29
449.029 As used in NRS 449.029 to 449.240, inclusive, and 30
section 1 of this act, unless the context otherwise requires, “medical 31
facility” has the meaning ascribed to it in NRS 449.0151 and 32
includes a program of hospice care described in NRS 449.196. 33
Sec. 3. NRS 449.0301 is hereby amended to read as follows: 34
449.0301 The provisions of NRS 449.029 to 449.2428, 35
inclusive, and section 1 of this act do not apply to: 36
1. Any facility conducted by and for the adherents of any 37
church or religious denomination for the purpose of providing 38
facilities for the care and treatment of the sick who depend solely 39
upon spiritual means through prayer for healing in the practice of 40
the religion of the church or denomination, except that such a 41
facility shall comply with all regulations relative to sanitation and 42
safety applicable to other facilities of a similar category. 43
2. Foster homes as defined in NRS 424.014. 44

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3. Any medical faci lity, facility for the dependent or facility 1
which is otherwise required by the regulations adopted by the Board 2
pursuant to NRS 449.0303 to be licensed that is operated and 3
maintained by the United States Government or an agency thereof. 4
Sec. 4. NRS 449.160 is hereby amended to read as follows: 5
449.160 1. The Division may deny an application for a 6
license or may suspend or revoke any license issued under the 7
provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of 8
this act upon any of the following grounds: 9
(a) Violation by the applicant or the licensee of any of the 10
provisions of NRS 439B.410, 449.029 to 449.245, inclusive, and 11
section 1 of this act or 449A.100 to 449A.124, inclusive, and 12
449A.270 to 449A.286, inclusive, or of any other law of this State 13
or of the standards, rules and regulations adopted thereunder. 14
(b) Aiding, abetting or permitting the commission of any illegal 15
act. 16
(c) Conduct inimical to the public health, morals, welfare and 17
safety of the people of the State of Nevada in the maintenance and 18
operation of the premises for which a license is issued. 19
(d) Conduct or practice detrimental to the health or safety of the 20
occupants or employees of the facility. 21
(e) Failure of the applicant to o btain written approval from the 22
Director of the Department of Health and Human Services as 23
required by NRS 439A.100 or 439A.102 or as provided in any 24
regulation adopted pursuant to NRS 449.001 to 449.430, inclusive, 25
and section 1 of this act and 449.435 to 449.531, inclusive, and 26
chapter 449A of NRS if such approval is required, including, 27
without limitation, the closure or conversion of any hospital in a 28
county whose population is 100,000 or more that is owned by the 29
licensee without approval pursuant to NRS 439A.102. 30
(f) Failure to comply with the provisions of NRS 441A.315 and 31
any regulations adopted pursuant thereto or NRS 449.2486. 32
(g) Violation of the provisions of NRS 458.112. 33
(h) Failure to comply with the provisions of NRS 449A.170 to 34
449A.192, inclusive, and any regulation adopted pursuant thereto. 35
(i) Violation of the provisions of NRS 629.260. 36
2. In addition to the provisions of subsection 1, the Division 37
may revoke a license to operate a facility for the dependent if, with 38
respect to that f acility, the licensee that operates the facility, or an 39
agent or employee of the licensee: 40
(a) Is convicted of violating any of the provisions of 41
NRS 202.470; 42
(b) Is ordered to but fails to abate a nuisance pursuant to NRS 43
244.360, 244.3603 or 268.4124; or 44

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(c) Is ordered by the appropriate governmental agency to correct 1
a violation of a building, safety or health code or regulation but fails 2
to correct the violation. 3
3. The Division shall maintain a log of any complaints that it 4
receives relating to activities for which the Division may revoke the 5
license to operate a facility for the dependent pursuant to subsection 6
2. The Division shall provide to a facility for the care of adults 7
during the day: 8
(a) A summary of a complaint against the facility if the 9
investigation of the complaint by the Division either substantiates 10
the complaint or is inconclusive; 11
(b) A report of any investigation conducted with respect to the 12
complaint; and 13
(c) A report of any disciplinary action taken against the facility. 14
 The facility shall make the information available to the public 15
pursuant to NRS 449.2486. 16
4. On or before February 1 of each odd -numbered year, the 17
Division shall submit to the Director of the Legislative Counsel 18
Bureau a written report setting forth, for the previous biennium: 19
(a) Any complaints included in the log maintained by the 20
Division pursuant to subsection 3; and 21
(b) Any disciplinary actions taken by the Division pursuant to 22
subsection 2. 23
Sec. 5. NRS 449.163 is hereby amended to read as follows: 24
449.163 1. In addition to the payment of the amount required 25
by NRS 449.0308, if a medical facility, facility for the dependent or 26
facility which is required by the regulations adopted by the Board 27
pursuant to NRS 44 9.0303 to be licensed violates any provision 28
related to its licensure, including any provision of NRS 439B.410 or 29
449.029 to 449.2428, inclusive, and section 1 of this act or any 30
condition, standard or regulation adopted by the Board, the 31
Division, in acco rdance with the regulations adopted pursuant to 32
NRS 449.165, may: 33
(a) Prohibit the facility from admitting any patient until it 34
determines that the facility has corrected the violation; 35
(b) Limit the occupancy of the facility to the number of beds 36
occupied when the violation occurred, until it determines that the 37
facility has corrected the violation; 38
(c) If the license of the facility limits the occupancy of the 39
facility and the facility has exceeded the approved occupancy, 40
require the facility, at its o wn expense, to move patients to another 41
facility that is licensed; 42
(d) Except where a greater penalty is authorized by subsection 2, 43
impose an administrative penalty of not more than $5,000 per day 44

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for each violation, together with interest thereon at a r ate not to 1
exceed 10 percent per annum; and 2
(e) Appoint temporary management to oversee the operation of 3
the facility and to ensure the health and safety of the patients of the 4
facility, until: 5
(1) It determines that the facility has corrected the violation 6
and has management which is capable of ensuring continued 7
compliance with the applicable statutes, conditions, standards and 8
regulations; or 9
(2) Improvements are made to correct the violation. 10
2. If an off -campus location of a hospital fails to obtain a 11
national provider identifier that is distinct from the national provider 12
identifier used by the main campus and any other off -campus 13
location of the hospital in violation of NRS 449.1818, the Division 14
may impose against the hospital an administ rative penalty of not 15
more than $10,000 for each day of such failure, together with 16
interest thereon at a rate not to exceed 10 percent per annum, in 17
addition to any other action authorized by this chapter. 18
3. If the facility fails to pay any administrative penalty imposed 19
pursuant to paragraph (d) of subsection 1 or subsection 2, the 20
Division may: 21
(a) Suspend the license of the facility until the administrative 22
penalty is paid; and 23
(b) Collect court costs, reasonable attorney’s fees and other 24
costs incurred to collect the administrative penalty. 25
4. The Division may require any facility that violates any 26
provision of NRS 439B.410 or 449.029 to 449.2428, inclusive, and 27
section 1 of this act or any condition, standard or regulation adopted 28
by the Board t o make any improvements necessary to correct the 29
violation. 30
5. Any money collected as administrative penalties pursuant to 31
paragraph (d) of subsection 1 or subsection 2 must be accounted for 32
separately and used to administer and carry out the provisions of 33
NRS 449.001 to 449.430, inclusive, and section 1 of this act, 34
449.435 to 449.531, inclusive, and chapter 449A of NRS to protect 35
the health, safety, well -being and property of the patients and 36
residents of facilities in accordance with applicable state a nd federal 37
standards or for any other purpose authorized by the Legislature. 38
Sec. 6. NRS 449.240 is hereby amended to read as follows: 39
449.240 The district attorney of the county in which the facility 40
is located shall, up on application by the Division, institute and 41
conduct the prosecution of any action for violation of any provisions 42
of NRS 449.029 to 449.245, inclusive [.] , and section 1 of this act. 43

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Sec. 7. NRS 449.2488 is hereby amended to read as follows: 1
449.2488 1. The Department of Health and Human Services 2
shall develop a brochure and website to assist persons who are 55 3
years of age or older in determining the appropriate level of care and 4
type of housing that they require to meet their individual needs. The 5
brochure and website must include, without limitation: 6
(a) The various types of housing and levels of care that are 7
available to persons who are 55 years of age or older, including, 8
without limitation, residential facilities for groups, facilities for 9
intermediate care and facilities for skilled nursing, distinguishing the 10
varying degree of services that are offered by the different types of 11
facilities; 12
(b) Whether individual facilities accept payment through 13
Medicaid or Medicare for the level of care and type of housing that 14
the facilities provide; 15
(c) The manner in which a person may obtain information 16
concerning whether the facility has ever been found to have violated 17
the provisions of this chapter; and 18
(d) Such other information as the Department deems to be 19
beneficial to persons who are 55 years of age or older in 20
determining the appropriate level of care and type of housing that 21
they require to meet their individual needs. 22
2. The Department of Health and Human Services shall 23
maintain on an Internet website maintained by the Department 24
and update at least annually a list of assisted living facilities and 25
senior living communities that provide services specialized for 26
persons who are deaf or hard of hearing. 27
3. As used in this section: 28
(a) “Assisted living facility” means a facility that has staff at 29
the facility available 24 hours a day, 7 days a week, to provide 30
scheduled assisted living supportive services and assisted livi ng 31
supportive services that are required in an emergency in a manner 32
that promotes maximum dignity and independence of the residents 33
of the facility. 34
(b) “Assisted living supportive services” means services which 35
are provided at an assisted living facili ty to residents of the 36
assisted living facility, including, without limitation: 37
(1) Personal care services; 38
(2) Homemaker services; 39
(3) Chore services; 40
(4) Attendant care; 41
(5) Companion services; 42
(6) Medication oversight; 43
(7) Therapeutic, social and recreational programming; and 44

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(8) Services which ensure that the residents of the facility 1
are safe, secure and adequately supervised. 2
(c) “Medicaid” has the meaning ascribed to it in NRS 439B.120. 3
[(b)] (d) “Medicare” has the meaning ascribed to it in 4
NRS 439B.130. 5
Sec. 8. Chapter 629 of NRS is hereby amended by adding 6
thereto a new section to read as follows: 7
1. A provider of health care who is providing care in a county 8
whose population is 20,000 or more shall ensure that each person 9
who is deaf or hard of hearing and seeks health care from the 10
provider of health care is notified: 11
(a) That a qualified sign language interpreter can be made 12
available to assist the person; 13
(b) That the person may request an in -person or remote 14
qualified sign language interpreter; and 15
(c) Of any other specific accommodations that may be 16
available for the person. 17
2. If a person who is deaf or hard of hearing seeks health 18
care from a provider of health care who is prov iding care in a 19
county whose population is 20,000 or more and requests an in -20
person qualified sign language interpreter: 21
(a) At least 48 hours before a prescheduled encounter with the 22
provider of health care, the provider of health care shall provide 23
an in-person qualified sign language interpreter. 24
(b) In circumstances other than those described in paragraph 25
(a), the provider of health care shall: 26
(1) Make a good faith effort to provide an in -person 27
qualified sign language interpreter; 28
(2) Provide an in-person qualified sign language 29
interpreter if the provider of health care is able to do so after 30
making a good faith effort; 31
(3) Provide a qualified sign language interpreter remotely 32
using audiovisual communication technology in a manner that 33
meets the requirements of subsections 4 and 5 if the provider of 34
health care is unable to provide an in -person qualified sign 35
language interpreter after making a good faith effort; and 36
(4) Maintain in the medical record of the person 37
documentation of the good faith effort made pursuant to 38
subparagraph (1), which must include, without limitation: 39
(I) A list of entities contacted to provide an in -person 40
qualified sign language interpreter and a statement of the manner 41
in which each such entity responded; 42
(II) A statement of whether the provider of health care 43
provided an in -person qualified sign language interpreter or 44

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provided a qualified sign language interpreter remotely using 1
audiovisual communication technology; and 2
(III) If applicable, the time at which a qualified sign 3
language interpreter was available in person to assist the person. 4
3. If a person who is deaf or hard of hearing seeks health 5
care from a provider of health care who is providing care in a 6
county whose population is 20,000 or more and requests that the 7
provider of health care provide: 8
(a) A qualified sign language interpreter remotely using 9
audiovisual communication technology , the provider of health 10
care shall provide a qualified sign language interpreter remotely 11
using audiovisua l communication technology in a manner that 12
meets the requirements of subsections 4 and 5. 13
(b) Any type of accommodation other than a qualified sign 14
language interpreter, the provider of health care may provide the 15
accommodation. 16
4. If a provider of hea lth care who is providing care in a 17
county whose population is 20,000 or more provides a qualified 18
sign language interpreter remotely using audiovisual 19
communication technology, the audiovisual communication 20
technology must: 21
(a) Provide clear transmission of audio and visuals; and 22
(b) Be capable of hands-free use. 23
5. A qualified sign language interpreter who provides remote 24
sign language interpreting pursuant to this section must: 25
(a) Interpret from a dedicated and secure call center that 26
ensures the privacy of the person who is deaf or hard of hearing; 27
and 28
(b) Comply with the provisions of the Health Insurance 29
Portability and Accountability Act of 1996, Public Law 104 -191, 30
and any regulations adopted pursuant thereto. 31
6. A provider of health care who is providing care in a county 32
whose population is 20,000 or more shall provide training to an 33
employee, a contractor or a volunteer who is involved in using 34
audiovisual communication technology to facilitate the use of a 35
remote qualified sign langu age interpreter. Such training must be 36
adequate to ensure that the employee, contractor or volunteer 37
operates the technology efficiently and effectively. 38
7. A provider of health care who violates any provision of this 39
section is guilty of unprofessional conduct and is subject to 40
disciplinary action by the board, agency or other entity in this 41
State by which he or she is licensed, certified or registered. 42
8. The provisions of this section do not apply to a person who 43
holds a license as an attendant or who is certified as an emergency 44
medical technician, advanced emergency medical technician or 45

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paramedic pursuant to chapter 450B of NRS or authorized to 1
practice as an emergency medical technician, advanced 2
emergency medical technician or paramedic in this S tate under 3
the Recognition of Emergency Medical Services Personnel 4
Licensure Interstate Compact ratified by NRS 450B.145. 5
9. As used in this section: 6
(a) “Qualified sign language interpreter” has the meaning 7
ascribed to it in section 1 of this act. 8
(b) “Secure call center” has the meaning ascribed to it in 9
section 1 of this act. 10
Sec. 9. NRS 654.190 is hereby amended to read as follows: 11
654.190 1. The Board may, after notice and an opportunity 12
for a hearing as required by law, impose an administrative fine of 13
not more than $10,000 for each violation on, recover reasonable 14
investigative fees and costs incurred from, suspend, revoke, deny 15
the issuance or renewal of or place conditions on the license of, and 16
place on proba tion or impose any combination of the foregoing on 17
any licensee who: 18
(a) Is convicted of a felony relating to the practice of 19
administering a facility for skilled nursing or facility for 20
intermediate care or residential facility for groups or of any offense 21
involving moral turpitude. 22
(b) Has obtained his or her license by the use of fraud or deceit. 23
(c) Violates any of the provisions of this chapter. 24
(d) Aids or abets any person in the violation of any of the 25
provisions of NRS 449.029 to 449.2428, inclusive, and section 1 of 26
this act or 449A.100 to 449A.124, inclusive, and 449A.270 to 27
449A.286, inclusive, as those provisions pertain to a facility for 28
skilled nursing, facility for intermediate care or residential facility 29
for groups. 30
(e) Violates an y regulation of the Board prescribing additional 31
standards of conduct for licensees, including, without limitation, a 32
code of ethics. 33
(f) Engages in conduct that violates the trust of a patient or 34
resident or exploits the relationship between the licensee and the 35
patient or resident for the financial or other gain of the licensee. 36
2. If a licensee requests a hearing pursuant to subsection 1, the 37
Board shall give the licensee written notice of a hearing pursuant to 38
NRS 233B.121 and 241.0333. A licensee ma y waive, in writing, his 39
or her right to attend the hearing. 40
3. The Board may compel the attendance of witnesses or the 41
production of documents or objects by subpoena. The Board may 42
adopt regulations that set forth a procedure pursuant to which the 43
Chair of the Board may issue subpoenas on behalf of the Board. 44
Any person who is subpoenaed pursuant to this subsection may 45

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request the Board to modify the terms of the subpoena or grant 1
additional time for compliance. 2
4. An order that imposes discipline and the findings of fact and 3
conclusions of law supporting that order are public records. 4
5. The expiration of a license by operation of law or by order 5
or decision of the Board or a court, or the voluntary surrender of a 6
license, does not deprive the Board of jurisdiction to proceed with 7
any investigation of, or action or disciplinary proceeding against, the 8
licensee or to render a decision suspending or revoking the license. 9
Sec. 10. The provisions of NRS 354.599 do not appl y to any 10
additional expenses of a local government that are related to the 11
provisions of this act. 12
Sec. 11. 1. This section becomes effective upon passage and 13
approval. 14
2. Sections 1 to 10, inclusive, of this act become effective: 15
(a) Upon passage and approval for the purpose of adopting any 16
regulations and performing any other preparatory administrative 17
tasks that are necessary to carry out the provisions of this act; and 18
(b) On January 1, 2026, for all other purposes. 19

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