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- 83rd Session (2025)
Senate Bill No. 329–Senators Flores;
Dondero Loop and Taylor
Joint Sponsors: Assemblymembers Goulding and Nguyen
CHAPTER..........
AN ACT relating to emergency response; authorizing the adoption
of regulations requiring applicants for certification as an
emergency medical technician, advanced emergency medical
technician or paramedic to have completed training relating
to care for elderly persons and persons with cognitive
impairments; providing that receiving such training does not
change the standard of care to which such first responders are
held; and providing other matters properly relating thereto.
Legislative Counsel’s Digest:
Existing law requires each applicant fo r certification as an emergency medical
technician, advanced emergency medical technician or paramedic to complete
training concerning identifying and interacting with persons with developmental
disabilities before initial certification. (NRS 450B.180) Existing law provides that a
person who is required to obtain such training is not held to a higher standard of
care and does not have a greater duty because he or she has received such training.
(NRS 41.1391)
Section 1.5 of this bill authorizes a district b oard of health in a county whose
population is 700,000 or more (currently only Clark County) or the State Board of
Health, for all other counties, to adopt regulations requiring an applicant for
certification as an emergency medical technician, advanced em ergency medical
technician or paramedic to have completed training relating to identifying,
interacting with and providing care to elderly persons and persons who are
cognitively impaired. Section 1.5 requires any such training to be developed and
provided in collaboration with a nationally accredited or certified program with
expertise in care for elderly persons and persons who are cognitively impaired.
Section 3 of this bill provides that an emergency medical technician, advanced
emergency medical technician or paramedic is not held to a higher standard of care
and does not have a greater duty because he or she has received any training
required by section 1.5.
EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
Section 1. (Deleted by amendment.)
Sec. 1.5. Chapter 450B of NRS is hereby amended by adding
thereto a new section to read as follows:
1. The board may, in consultation with persons who own or
operate an ambulance and fire -fighting agencies, adopt
regulations requiring that an applicant for certification as an
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- 83rd Session (2025)
emergency medical technician, advanced emergency medical
technician or paramedic must have completed training concerning
interacting with e lderly persons and persons who are cognitively
impaired. Any such regulations must require the training to
include, without limitation, instruction concerning:
(a) Recognizing and e ffectively interacting with elderly
persons in relevant settings;
(b) Identifying signs of cognitive impairment in a person and
using appropriate communication and de -escalation strategies in
interacting with such a person; and
(c) Providing person-centered care tailored to elderly persons
and persons who are cognitively impaired.
2. Any regulations adopted pursuant to this section must:
(a) Allow an applicant for certification who is subject to the
regulations to have completed the training described in subsection
1 as part of a program of training completed pursu ant to NRS
450B.1905, 450B.191 or 450B.195; and
(b) Require the training described in subsection 1 to be
delivered by or developed by or in collaboration with a nationally
accredited or certified program with expertise in care for elderly
persons and persons who are cognitively impaired.
3. The board may not require a person who has completed
any training required by this section as part of the program of
training he or she completed pursuant to NRS 450B.1905,
450B.191 or 450B.195 to complete separate training.
Sec. 2. (Deleted by amendment.)
Sec. 3. NRS 41.1391 is hereby amended to read as follows:
41.1391 1. An attendant, firefighter employed by or serving
as a volunteer with a fire -fighting agency, an emergency medical
technician, advanced emergency medical technician, paramedic or a
peace officer who has received the training required pursuant to
NRS 289.605, 450B.160 or 450B.180 shall not be held to a higher
standard of care and does not have a duty greater than had he or she
not received the training with respect to the identification, diagnosis
or treatment of a developmental disability.
2. An emergency medical technician, advanced emergency
medical technician or paramedic who has received any training
required by regulations adopted pursuant to section 1.5 of this act
shall not be held to a higher standard of care and does not have a
duty greater than had he or she not received the training with
respect to the identification, diagnosis or treatment of an elderly
person or person who is cognitively impaired.
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- 83rd Session (2025)
Secs. 4 and 5. (Deleted by amendment.)
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