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- 83rd Session (2025)
Senate Bill No. 330–Senator Neal (by request)
CHAPTER..........
AN ACT relating to health care; making a clarification regarding
facilities for skilled nursing; requiring, under certain
circumstances, cities and counties to adopt terms for facilities
for skilled nursing and similar facilities which are the same as
the terms used in state law; and providing other matters
properly relating thereto.
Legislative Counsel’s Digest:
Existing law provides for the licensing and regulation of medical facilities,
which include facilities for skilled nursing. (NRS 449.029 -449.240) Existing law
defines a “facility for skilled nursing” to mean an establishment, except for a
hospital, which provides continuous skilled nursing and related care to a patient
who is not in an acute episode of illness and whose primary need is the availability
of such care o n a continuous basis. (NRS 449.0039) Section 1 of this bill amends
the definition of “facility for skilled nursing” to clarify that facilities for skilled
nursing provide inpatient care. Section 2 of this bill requires that each county and
city adopt an ordinance using the preceding term in the Nevada Revised Statutes to
describe a facility for skilled nursing. However, a county or city would not be
required to include a specified term in the ordinance if a facility of that type does
not exist in the county or city or if the ordinances do not otherwise refer to a facility
of the type corresponding to the term. Section 4 of this bill deems any facility that
is operating on June 30, 2025, that is considered to be a facility for skilled nursing
or similar facility under a previously adopted ordinance to be a facility for skilled
nursing under an ordinance required by section 2 or 3.
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. NRS 449.0039 is hereby amended to read as
follows:
449.0039 1. “Facility for skilled nursing” means an
establishment which provides inpatient continuous skilled nursing
and related care as prescribed by a physician to a patient in the
facility who is not in an acute episode of illness and whose primary
need is the availability of such care on a continuous basis.
2. “Facility for skilled nursing” does not include a facility
which meets the requirements of a general or any other special
hospital.
Sec. 2. NRS 244.3549 is hereby amended to read as follows:
244.3549 1. Except as otherwise provided in subsections 2
and 3, each board of county commissioners shall adopt an ordinance
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- 83rd Session (2025)
using the following terms to describe the follo wing types of
facilities, homes, houses and institutions:
(a) Child care institution, as that term is used in
NRS 432A.0245.
(b) Facility for transitional living for released offenders, as that
term is used in NRS 449.0055.
(c) Group foster home, as that term is used in NRS 424.015.
(d) Home for individual residential care, as that term is used in
NRS 449.0105.
(e) Recovery house for persons recovering from alcohol or other
substance use disorders, as that term is defined in NRS 278.02374.
(f) Residential facility for groups, as that term is used in
NRS 449.017.
(g) Facility for skilled nursing, as that term is used in
NRS 449.0039.
2. Subsection 1 requires the board of county commissioners to
use the specified terms solely for the purpose of r eferring to the
named facilities, homes, houses and institutions and does not require
the board to adopt the State’s definition for the purpose of regulating
or imposing any requirement with respect to such a facility, home,
house or institution.
3. A board of county commissioners is not required to include
a term set forth in subsection 1 in the ordinance if:
(a) A facility, home, house or institution of the type
corresponding to the term does not exist in the county; or
(b) The county’s ordinances do not otherwise, by whatever
name, refer to a facility, home, house or institution of the type
corresponding to the term.
Sec. 3. NRS 268.0193 is hereby amended to read as follows:
268.0193 1. Except as otherwise provided in subsections 2
and 3, the governing body of each city shall adopt an ordinance
using the following terms to describe the following types of
facilities, homes, houses and institutions:
(a) Child care institution, as that term is used in
NRS 432A.0245.
(b) Facility for transitional living for released offenders, as that
term is used in NRS 449.0055.
(c) Group foster home, as that term is used in NRS 424.015.
(d) Home for individual residential care, as that term is used in
NRS 449.0105.
(e) Recovery house for persons recovering from alcohol or other
substance use disorders, as that term is used in NRS 278.02374.
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- 83rd Session (2025)
(f) Residential facility for groups, as that term is used in
NRS 449.017.
(g) Facility for skilled nursing, as that term is used in
NRS 449.0039.
2. Subsection 1 requires the governing body of the city to use
the specified terms solely for the purpose of referring to the named
facilities, homes, houses and institutions and does not require the
governing body to use the State’s definition f or the purpose of
regulating or imposing any requirement with respect to such a
facility, home, house or institution.
3. The governing body of a city is not required to include a
term set forth in subsection 1 in the ordinance if:
(a) A facility, home, house or institution of the type
corresponding to the term does not exist in the city; or
(b) The city’s ordinances do not otherwise, by whatever name,
refer to a facility, home, house or institution of the type
corresponding to the term.
Sec. 4. Notwithstanding the amendatory provisions of sections
2 and 3 of this act, any facility operating on June 30, 2025, that is
considered a facility for skilled nursing, nursing home or similar
facility under an ordinance ad opted by a board of county
commissioners or the governing body of a city on or before that date
shall be deemed to be a facility for skilled nursing for all purposes
under any ordinance adopted on or after July 1, 2025, by:
1. A board of county commissio ners pursuant to paragraph (g)
of subsection 1 of NRS 244.3549, as amended by section 2 of this
act; or
2. The governing body of a city pursuant to paragraph (g) of
subsection 1 of NRS 268.0193, as amended by section 3 of this act.
Sec. 5. This act becomes effective on July 1, 2025.
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