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From YouTube: 2/8/2021 - Assembly Committee on Commerce and Labor
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A
B
C
B
D
D
A
Here,
thank
you,
mr
secretary.
Please
mark
members
present
when
they
arrive
and
welcome
to
everyone
tuning
in
over
the
internet.
We
have
a
short
agenda
today,
three
presentations,
but
before
we
get
started,
I
would
like
to
go
over
some
quick
housekeeping
rules.
Persons
wishing
to
testify
must
register
online
at
www
dot,
ledge.
A
Asm.State.Nv.Us
members,
please
remember
to
keep
your
camera
on
at
all
times.
This
will
help
us
ensure
well.
This
will
help
ensure
that
we
have
a
quorum
at
all
times
unless
you're,
stepping
away
from
your
computer
for
non-committee
related
business
members
and
presenters.
Please
remember
to
keep
yourselves
muted
at
all
time
and
then
unmute
to
speak
and
then
promptly
mute
yourself
when
you
are
done.
A
Our
first
item
on
the
agenda
today
is
the
presentation
by
the
board
of
medical
examiners.
I
believe
we
have
the
deputy
executive
director
sarah
bradley
present
for
the
presentation.
Yes,
you
do,
madam
miss
bradley.
Please
introduce
yourself
and
begin
when
you
are
ready.
Thank
you
for
joining
us
today.
Thank.
E
You
so
my
name
is
sarah
bradley.
I
am
the
deputy
executive
director
for
the
nevada
state
board
of
medical
examiners
and
I
provided
a
handout
that
I
hope
you
all
received
just
to
give
you
a
little
overview
of
the
board.
E
So
the
nevada
state
board
of
medical
examiners
is
a
title,
54
licensing
board
and
the
chapters
that
the
board
uses
our
nrs
chapter
630
and
nac
chapter
630.
The
board
is
the
oldest
licensing
board
in
the
state
of
nevada
and
we
have
a
creation
date
of
march
15
1899..
E
The
board
has
two
investigative
committees
and
those
are
made
up
of
board
members.
So
we
have
nine
board
members.
We
have
two
investigative
committees,
there's
two
physician
members
on
each
committee
and
a
public
member
on
the
committee.
E
We
have
advisory
committees
of
each
of
the
physician
assistant,
respiratory
care
and
perfusionist
that
can
help
advise
the
board
on
issues
related
to
those
professions.
The
board
has
two
offices,
one
in
reno,
that's
our
main
office
and
then
we
have
an
office
in
las
vegas.
We're
actually
really
excited
that
we
just
moved
locations
in
las
vegas,
so
we
have
a
bigger
space
with
with
more
availability,
to
have
board
meetings
and
other
things
occurring
in
our
las
vegas
office.
E
So
we're
excited
about
that
and
the
board
I
highlighted
for
you
here,
so
I
wanted
you
to
see.
We
have
new
licenses,
we've
issued
actually
more
in
2020
during
the
pandemic,
but
we
are
increasing
so
last
year
the
total
new
licenses
was
1648
and
in
2019
it
was
1469
new
licenses
and
I
did
break
them
down
for
you
in
each
of
the
categories
and
as
far
as
disciplinary
actions
go
last
year
there
were
501
investigations
opened.
E
That
includes
complaints
obviously
received
by
the
board,
and
it
does
not
include
things
that
were
sent
to
us
in
error.
If
it
was
about
another,
you
know
something
we
don't
have
jurisdiction
over
or
somebody
that
does
not
license
by
us.
We
forward
those
to
the
appropriate
entities,
so
501
investigations
were
opened
and
then
last
year
620
investigations
were
closed.
E
Obviously
there
were
some
from
the
prior
year
there
were
disciplinary
action
in
32
matters,
public
disciplinary
action
and
then
the
most
frequent
kinds
of
complaints
we
receive
standard
of
care,
so
that
would
be
anything
related
to
patient
care.
Prescribing
is
is
also
related
to
patient
care,
but
we
kind
of
categorize
that
one
a
little
bit
separately,
because
it's
such
an
important
issue.
E
E
We
have
two
kinds
there,
the
most
common,
probably
that
we
do
discipline
with
is
going
to
be
where
the
records
are
not
timely,
legible,
accurate
or
complete,
that's
required
by
statute,
and
and
that's
an
issue
that
we
see
issues
with
frequently.
We
also
have
situations
where
patients
are
requesting
records
and
not
receiving
them
timely,
and
so
generally,
we
get
involved
and
help
the
patients
receive.
The
records
that
they
have
requested
from
those
doctors
and
then
significant
accomplishments
just
to
highlight
we're,
really
excited
about
new
licensing
software
that
we
have
this
software.
E
It
allows
us
to
have
a
portal
for
all
licensees,
so
they
can
actually
go
online,
create
an
account
and
then
they're
able
to
view
their
address
and
things
like
that
and
they
can
make
real
changes,
live
which
will
be
really
nice
they'll
also
be
able
to
renew
online,
and
they
can
even
contact
us
and
see
documents.
Things
like
that
upload
continuing
education.
So
it
will
be
a
lot
more
interactive
for
our
licensees.
E
So
we're
really
excited
about
that
and
for
our
new
applicants
they
will
be
able
to
do
the
process
entirely
online,
which
is
new
for
us.
We've
always
done
renewals
online,
but
now
we
will
do
new
applications
as
well
as
far
as
outreach
and
education.
That's
something
the
board
does
try
to
do
so
that
our
stakeholders
around
the
state
are
aware
of
our
operations
last
year.
Obviously
you
can
imagine
we
didn't
do
as
many
given
covid,
but
we
did
do
a
presentation
to
the
pa
program
at
unr,
which
was
really
I
I
thought
fun.
E
I
like
doing
those
sorts
of
things
and
then
we
also
have
a
website
that
we
helped
to
put
together
it's
sponsored
by
the
nevada
state
board
of
nursing,
the
pharmacy
board
and
our
board,
and
it's
about
prescription
drug
abuse,
and
so
consumers
can
go
there
and
learn
about
different
drugs,
that
they're
taking
side
effects.
Things
like
that
and
there's
helpful
resources
there
for
consumers.
E
We
have
a
link
to
that
site
as
well
from
our
main
website
and
then
the
other
thing
we
wanted
to
highlight
was
increased
staffing,
so
we
are
growing
with
our
licensing
numbers.
Our
complaints,
as
you
can
imagine,
are
also
increasing,
and
so
we
have
hired
new
staff
last
year.
We
are
planning
to
hire
new
staff
this
year
in
order
to
to
keep
up
with
with
all
of
our
operations
so
that
we
can
better
serve
our
new
applicants
and
our
licensees.
A
I
don't
see
anybody
raising
their
hands
and
I
just
actually
had
a
quick
question
just
out
of
curiosity,
since
you
said,
since
you
said
that
some
of
the
complaints
you
guys
address,
are
with
records
and
the
timeliness
of
receiving
them.
What
what
is
a
normal
turnaround
time
to
receive
records
for
records,
requests.
E
So
in
nrs
chapter
629,
I
believe
they
have
five
business
days
if
the
records
are
stored
in
nevada
and
10
if
they're
stored
outside
to
provide
those
records,
and
so
generally,
when
we
get
a
complaint,
it's
past
that
time
frame,
I
would
say,
though,
they're
not
excessive,
meaning
I
have
dealt
so.
My
entire
career
has
been
with
licensing
boards
and
I
have
seen
times
where
licensees
took
more
than
a
year
to
provide
them.
E
We
don't
have
that
situation
so,
generally
speaking,
it's
someone
who
needs
their
records
for
whatever
reason
hasn't
received
a
response.
Usually
it's
a
miscommunication
in
the
office
of
some
kind
and
usually
we're
able
to
call
and
get
that
taken
care
of
immediately,
I
would
say
not
more
than
a
month
is
what
we're
looking
at.
In
the
cases
we
have.
But
if
you
want
more
specifics,
I
can
certainly
get
that
from
our
chief
of
investigations.
A
Oh
no,
that
was
actually
perfect.
That's
exactly
what
I
was
looking
for.
Thank
you,
miss
bradley
committee
members.
Does
anyone
have
any
questions
for
the
board
of
medical
examiners.
C
Thank
you.
So
could
you
give
us
an
idea
about
the
turnaround
time
on
licensing
right
now
and
about
how
long
is
it
taking
to
get
the
fingerprints
back?
We've
had
issues
with
that
over
the
last
couple
of
biennium.
It
was
getting
much
better,
but
I
just
wanted
to
check
to
see
how
long
it
actually
takes
the
license
processed
and
get
the
fingerprints
taken
care
of.
E
So
I
have
a
a
a
cheat
lease
here
checklist
here.
So
when
we
have
a
completed
application
we
can.
We
can
actually
issue
the
license
within
a
day
or
the
next
business
day.
It
does
sometimes
take
a
while
to
have
that
completed
application
and
I
think
we're
averaging
about
two
months.
E
50
days
I
apologize.
My
chief
of
licensing
is
here
with
me.
So
50
days
is
the
time
we're
averaging
to
have
a
completed
application,
so
that's
from
when
they
start
it
to
when
they
complete
it
and
then,
as
I
said
on
that
50
50
first
day,
they
would
be
licensed
and
then,
as
far
as
fingerprints,
I
know
we
had
some
issues
during
covid
with
not
all
of
the
centers
being
open
for
fingerprinting.
But
what
is
the
time
frame?
I'm
asking.
A
E
I
can
find
that
out
and
send
that
to
you.
I
don't
have
that
number
off
the
top
of
my
head.
I
can
tell
you,
I
don't
believe
we
rejected
any
application,
so
there
would
have
probably
just
been
maybe
some
that
were
received
and
not
issued
before
the
end
of
the
year,
but
I'd
be
happy
to
follow
up
with
the
committee
and
give
you
that
exact
number
and
I
apologize
that
I
don't
have
that
on
this
handout.
No
that'd.
A
B
A
A
F
F
Our
board
consists
of
seven
members.
Five
are
osteopathic
physicians
and
two
are
public
members.
We
have
four
full-time
staff,
including
myself.
The
staff
are
a
licensed
specialist
and
a
complaint
specialist
investigator
and
an
administrative
assistant,
slash
licensing
assistant.
Everyone
does
about
two
jobs.
We
are.
We
are
a
board
who
meets
monthly,
so
we
license
fairly
efficiently
the
only
month
we
don't
meet
is
in
july,
and
we
have
approximately
for
this
fiscal
year.
So
far
we
have
200
over
2279
licensees.
F
That
includes
active
inactive
resident
do's
pas
and
we
we've
grown
exponentially
since
when
I
first
started
four
years
ago,
the
licensing
total
was
seven,
almost
eighteen
hundred,
so
we've
grown
over
the
last
four
years.
F
We
we,
basically
our
licensing
process,
can
take
from
depending
on
if
it's
a
clean
license,
it
can
take
around
60
days,
or
so
I
think
I
you
should
have
a
a
spray,
a
flow
sheet
that
shows
our
licensing
process
that
we
submitted
to
the
federation
of
state
medical
boards
as
to
how
our
processing
works.
It
goes
through
2019
because
we
did
it
last
year,
but
it
gives
you
an
idea
of
how
our
licensing
occurs.
F
We
due
to
covid
we
have
now
allowed
when
fingerprints
that
are
submitted
for
applications.
We
can
license
someone
without
waiting
for
the
fingerprints
to
come
back
because
they
will
state
on
their
application.
Whether
they've
had
previous
discipline
and
to
this
date
that
has
worked
out.
We
have
not
had
anybody
who
has
pretty
much
was
deceptive
on
their
application,
stating
they
had
no
discipline
or
arrest
and
then
would
later
come
back,
so
that
has
increased
the
efficiency
of
licensing
which
could
be
around
30
to
45
days.
F
You
know
we
get
that
due
to
the
the
fingerprint
change
another
way
we
can
speed
up.
The
fingerprinting
is
by
having
it
done
electronically,
rather
than
rather
than
the
hard
copies
that
are
sent,
so
that
has
helped
as
well
about
most
of
we
we
can
licensees
can
apply
either
they
can
renew
online
and
apply
online
or
they
can
download
the
application
complete
it
by
hand
and
send
it
in.
We
have
two
different
ways:
most
people
do
it
online.
They
can
pay
online.
So
that's
a
fairly
efficient
process.
F
Recently
we
did
a
year
and
a
half
ago
we
did
a
review
of
our
fees
to
evaluate
and
see
if
our
fees
were
a
little
bit
higher,
which
we
thought
they
were
than
some
other
boards
and
we
based
it
also
on
our
reserve
policy.
So
we
lowered
our
fees,
a
hundred
dollars
for
licensing
and
for
renewals
that
was
under
regulation,
ro11
19
that
that
was
approved
and
our
fees
were.
New
fees
were
implemented
in
january,
1st
2020,
so
that
is
assisted
p.
Actually,
our
licensing
applications
have
gone
up.
F
I
don't
know
if
that's
the
reason,
but
but
but
since
that
passed
we've
had
we've
had
an
increase
in
licensing.
We're
also
members
of
the
in
the
license
medical
compact,
which
is
interstate
and
allows
license
portability
between
states
and
it
people
can
be
once
their
application
comes
in,
which
is
minimal
amount
of
paperwork.
They
don't
need
the
same
proof
that
they
do
for
regular
licensing
if
they
were
coming
through
nevada.
F
They
can
be
licensed
within
10
days
because
there
is
what's
called
the
state
of
principle
licensure,
which
is
kind
of
an
anchor
state.
That
does
all
that
background
information,
and
once
that
state
approves
this
type
of
compact
license,
they
can
then
use
other
states
as
subsidiaries,
so
to
speak,
but
they
would
still
be
regularly
licensed.
It
just
would
be
a
quicker
process
and
a
lot
of
physicians
using
telehealth
have
found
this
license
portability
to
be
quite
advantageous
for
them
and
it
serves
the
public
better
throughout
the
country.
F
So
we've
been
a
member
of
that
us
group
and
since
I
think
it
was
around
2015,
the
legislature
approved
it
and.
A
F
Disciplinary
actions,
we
don't
have
extra
committees
because
we're
a
small
board
so
the
way
our
discipline
works
is
we
may
get
a
complaint
in
and
then
I
will
review
it
and
the
investigator
will
prepare
the
the
case.
The
process
get
all
the
information
and
then
I
will
assign
it
to
a
board
member
one
board.
Member
who
who
will
review
all
the
information
and
at
this
point
it's
all
confidential
and
then
until
that
board
member
decides
either
to
dismiss
or
discipline
the
person
it'll
that
that's
up
to
the
board
member.
F
So
most
of
our
cases
are
dismissed
about
80
percent
and
the
ones
that
are.
We
do
go
for
discipline
a
lot
of
times,
we'll
mostly
will
use
a
settlement
agreement
and
then
the
settlement
agreement
is
written
by
our
board
council
and
then
will
myself
will
look
at
it
and
the
board
member
who
was
the
quote-unquote
investigator
on
the
on
the
matter
and
the
after
that's
all
approved
by
the
licensee
and
this
board
member.
F
Then
you
have.
I
don't
know
if
you
have
the
you
might
have
the
handout
sheet
of
all
the
the
statistics
as
to
how
many
that
what
I've
sent
to
you
is
is
basically
the
calendar
year
for
last
year.
How
many
complaints
were
reviewed
and
investigated
81?
How
many
were
settled,
one
letters
of
caution,
which
is
also
letters
of
concern,
13,
how
many
were
closed
as
you
can
see,
67
were
closed,
meaning
dismissed,
typically,
and
so
most
of
them
are
dismissed,
and
then
we
also
have
different
types
of
complaints.
F
The
medical
malpractice
we
had
14
prescribing
matters,
three
standard
of
care,
29,
unprofessional
conduct,
31
non-reporting,
one
if
they
don't
report
that
they
had
an
action
and
then
we've
had
several
that
were
out
of
our
jurisdiction
and
note
that
some
of
these
complaints
do
overlap.
F
Let's
see,
that's
the
general
information
about
our
board.
Is
there
anything
else
anything
you'd
like
to?
If
you
have
any
questions,
I'd
be
happy
to
take
them.
Thank.
A
You
miss
reed.
I
appreciate
the
presentation
committee
members.
Do
you
have
any
questions
for
miss
reed?
Let's
start
with
committee
members.
First,
okay,
I
don't
see
anyone
raising
their
hand,
so
I
do
have
a
couple
of
questions
mystery
regarding
the
compact,
so
I
know
it
to
get
a
license.
You
said
it's
about
a
60-day
process
for
a
new
licensee
for
the
compact.
You
said
it
was
about
10
days
for
them
to
get
their
license
here
in
nevada.
A
F
We
they
do
not
fill
out
the
same
application
because
they
go
through.
It's
called
like
a
centralized
portal.
It's
the
interstate
medical
licensure
compact
there's
a
website
and
it
has
a
portal
where
people
can
apply
that
way.
It's
all
done
through
this.
It's
like
a
like
a
grand
central.
You
know
a
location
where
they
can
get
their
licensing.
F
Let's
say
in
colorado,
colorado
will
do
most
of
all
the
background
check
and
they
will
ask
whatever
they
need
of
that
person
for
them
to
be
licensed
once
they
approve
that
they
will
send
what's
called
a
letter
of
qualification,
and
that
will
be
in
that
person's
application
once
that
is
issued
all
the
other
states
that
the
provider-
and
this
is
only
for
physicians-
we
don't
have
physician
assistant
contacts
once
that
they
apply
to
the
other
states.
F
That's
why
the
process
goes
quickly,
because
the
main
state,
the
state
of
principal
licensure,
has
done
the
checks.
Now
we
as
a
state
can
ask
for
background
checks,
and
we
do.
I
think
we
do.
We
do
ask
that
just
to
make
sure,
but
but
the
the
paperwork
is
more
minimal
and
we're
basically
going
by
what
the
main
the
anchor
state
we're
go.
We're
agreeing
or
approving
what
their
process
is.
F
That's
how
the
compact
is
set
up,
but
we
can
do
additional
work
if
we
like,
if
there's
something
we
see
on
the
application
that
maybe
doesn't
look
right,
that
maybe
the
anchor
state
bypassed,
we
can
ask
about
it.
We
can
look
into
that,
but
typically,
once
everything
is
done,
I
submit
it
via
there's
an
online
portal
that
I
go
in
to
approve
it.
The
board
has
no
involvement.
Our
board
has
no
involvement
with
these
applications
and
and
licensing
approvals.
F
They
are
not
on
our
agenda,
I
approve
it
and
then,
and
then
the
person
has
a
full
license.
One
other
thing
I
would
like
to
add
is
that
one
of
the
requirements
for
them
to
be
licensed
this
way
is
that
they
have
no
disciplinary
action.
They
can
have
a
medical
malpractice,
but
if
there's
any
disciplinary
action
of
any
type
be
a
criminal
or
you
know,
medical
and
within
their
from
their
board,
they
are
not
eligible.
F
A
No,
it
did
thank
you.
I
just
I.
I
was
curious
because
I
saw
the
number
go
up
like
in
2000.
I
think
you
I
believe
you
said
that
we
joined
the
compact
in
2015,
so
the
number
of
licenses
in
2017
using
the
compact,
just
it
just
increased-
oh
increased
a
lot
from
2017
to
2019.
So
I
was
just
curious
about
the
process
I
did.
I
did
see
what
would
what
just
for
my
knowledge,
because
I
saw
on
here
that
you
actually
added
how
many
licensees
you
guys
denied.
A
A
F
So
in
typically,
it
would
be
where
someone
falsified
their
application
and
they
would
not
be
fully
truthful.
There
are
some
times
when
people
apply
and
we
will.
We
have
questions
on
our
application.
Have
you
ever
been
investigated
or-
and
they
may
say,
no
we'll
go
back.
We
give
people
opportunities,
we
say.
Oh,
we
found
this
on
your
record
because
maybe
they
don't
realize
we
do
background
checks,
even
though
we
it
is
stated.
So
that's
one
instance.
F
If
someone
continuously
like
there
are,
we
had,
I
think,
one
case
where
someone
continuously
falsified
all
of
his
discipline
and
was
not
being
upfront
with
what
actually
happened
so
that
I
remember
in
that
one
case
we
brought
the
person
in
to
meet
before
the
board,
so
the
board
could
question
him.
So
if
the
board
is
not
comfortable
with
what
they
hear,
that
could
be
a
denial.
F
F
A
Okay-
and
I
I
believe
we
do
have
some
more
questions
for
you,
I
am
going
to
turn
it
over
to
my
colleague,
assemblywoman
considine,.
B
Thank
you,
madam
chair,
and
thank
you
for
the
presentation.
I
just
have
a
question
about
the
complaints.
I
know
that
complaints
are
confidential
unless
the
result
becomes
formal
discipline,
but
are
those
complaints
kept
on
file
somewhere,
just
in
case
like
there's
one
person
who,
like
the
complaints,
start
to
add
up,
or
are
they
completely
just
dismissed
and
taken
out?
Thank
you.
F
Complaints
that
are
dismissed
are
kept
for
at
least
three
years,
and
then
after
that
we
will.
We
can
shred
them,
but
to
be
frank,
we
we
pretty
much
keep
everything
on
our
server
just
to
have
it,
but
hard
copies
will
shred
just
because
there's
so
much
paper,
but
we
follow
the
guidelines
of
the
of
the
public
records.
B
Chair
elaine
marzola
assembly,
district
21.,
just
a
quick
question
on
the
question:
have
you
ever
been
charged
with
or
investigated
or
arrested?
F
That
is
not
an
automatic
denial.
We
will
ask
them
for
information
when
I
review
the
licensed
person
who
collects
all
the
information,
the
files
for
the
application
process.
Before
I
review
them,
they
will
typically
ask
for
for
backup
or
any
information.
If
it's
a
court
case,
we
will
ask
for
court
documents
and
the
disposition,
because
we
have
found
what
sometimes
when
people
respond,
they
will
not
be
fully
up
front.
So
we
like
to
see
the
court
documents
we
want
to
make
sure
the
see
what
the
matter
is.
F
F
F
If
there
seems
to
be
a
history
like
even
a
recent
history
of
something
like
that
or
if
there
is
a
criminal
violence
or
domestic
violence,
I
will
talk
to
our
board
president
and
say
I
think
we
may
you
know
we
may
need
to
bring
this
before
the
board
for
them.
To
ask
some
questions,
though
we
could
do
that
and
then
the
board
can
decide.
A
Okay-
and
I
just
have
one
last
question
mystery-
I
was
looking
at
the
license
types
and
there's
one
on
here
that
says
temporary
license
and
there's
only
one
that's
been
issued.
Is
that
just
for
a
licensee
who
may
be
coming
in
to
practice
for
like
one
month
or
two
months
and
just
needs
a
temporary
license
and
then
goes
back
to
their
home
state.
F
That's
correct:
we
had
a
person
who
will
get
it's
up
to
six
months.
We
give
them
and
it's
the
licensing
process
is
not
as
intense
as
the
regular
process,
but
they
were
filling
in
for
another
physician
in
the
state
so
that
that
is
what
that
is.
Yes,.
F
A
F
No,
no!
No!
No!
No!
That's
not!
No!
We
don't
like
that's.
Why
there's
only
one,
no
the
minute,
I'm
almost
certain
that
if
they
wanted
to
stay
longer-
and
they
thought
they
would
stay-
would
go
to
a
regular
process
or
we
would
tell
them
maybe
they'd
like
to
go
through
the
compact.
You
know
that's
another
way
they
can
come
in,
but
no
we
would
never
allow
continual
that
I
know
of
I
mean
we
may
allow
it
once
I
can
look
into
that
and
see,
but
I
don't
know
100
to
be
frank.
A
D
D
The
board
of
nursing
was
established
in
1923
by
the
state
legislature,
and
we
have
our
chapter
nrs
632,
that
regulates
the
practice
of
nursing
and
the
nevada
state
board
of
nursing
is
one
of
several
title.
54
boards
made
up
of
seven
members
appointed
by
the
governor
that
seven
member
group
includes
four
registered
nurses,
one
licensed
practical
nurse,
one
certified
nursing
assistant
and
one
consumer
member,
and
then
the
board
appoints
a
nevada
licensed
registered
nurse
to
serve
as
the
executive
director.
D
So
we
have
several
functions:
an
administrative
function,
education,
licensure
and
certification,
discipline
and
compliance,
and
I
did
provide
you
with
a
one
sheet
document
that
sort
of
summarizes
all
of
our
departments
and
I'll,
just
review
that
briefly,
we
license
and
certify
63
637.
This
is
as
of
last
week,
individuals
in
our
state
that
includes
registered
nurses,
licensed
practical
nurses,
nursing
assistants,
advanced
practice,
registered
nurses,
ems
nurses,
certified
nurse
anesthetists
as
well.
D
We
processed
7
700
applications
in
fiscal
year
1920
and
the
information
I'm
giving
you
is
is
is
from
that
fiscal
year.
Just
we
just
put
out
our
recent
statistics,
we
are
able
to
issue
a
license.
We
issue
temporary
licenses
to
our
nurses
and
for
a
temporary
rn
license
for
someone
that
doesn't
have
any
necessarily
problems
with
their
license.
D
It's
about
a
three-day
turnaround
time
because
we
know
that
getting
fingerprints
can
take
can
take
a
while
to
get
those
results
back,
but
we
will
issue
a
temporary
license
in
about
three
days.
It
takes
a
little
longer
for
a
nursing
assistant
because
they
have
to
provide
us
with
documentation
of
employment,
but
other
than
that.
It's
it's
it's
a
fairly
short
time
frame
our
fees.
As
you
can
see
on
the
document
I
provided,
we
have
not
changed
the
fees
or
raised
the
fees
in
20
years.
D
D
We
have
five
investigators
and
they
work
pretty
diligently
in
getting
and
getting
these
cases
done,
we
have
an
online
system.
I
didn't
mention
that
earlier
it's
a
web-based
system,
so
it
has
really
been
very
valuable
in
allowing
us
to
continue
during
this
covet
pandemic.
We
haven't
had
to
worry
too
much
about
getting
paper
applications
and
whatnot
ever
because
everything
is
web-based
so
we've
been
able
to
continue
operations
along
with
the
discipline.
I
provided
you
with
some
of
the
types
of
complaints
that
we
received
in
the
last
year
with
nurse
practitioners.
D
Those
complaints
generally
involve
prescribing
and
maybe
over-prescribing
or
not
prescribing
appropriately
the
rns.
It
involves
customer
standards
failing
to
collaborate
with
the
healthcare
team
and
acting
outside
their
scope
and
the
cnas.
D
D
D
The
next
department
we
have
is
education,
because
part
of
our
responsibility
is
also
to
regulate
all
the
pre-licensure
nursing
programs
of
which
we
have
14
in
the
state
and
our
cna
programs,
which
we
have
24
and,
as
you
can
see,
also
on
the
document,
it
shows
the
number
of
graduates
that
we
have
nursing
graduates
this
year
from
our
nursing
programs,
and
I
will
say
that
our
nursing
programs
have
done
a
really
a
stellar
job.
D
During
this
pandemic,
in
trying
to
manage
clinical
experiences
for
their
students,
while
students
haven't
been
able
to
go
into
facilities
for
a
period
of
time
during
the
pandemic,
we
have
issued
waivers.
This
is
under
the
directive
11
that
the
governor
issued
and
to
date
we
have
issued
approximately
2
800
waivers
for
individuals
coming
to
the
state
that
are
not
required
to
get
a
license
in
nevada
or
certificate.
D
D
We
have
six
advisory
committees
that
advise
the
board
and
they
they
vary
from
a
nurse
practice
committee
and
there's
practitioner
committees,
cna
an
lpn
committee
and
a
disability
advisory
committee.
I
hope
I
haven't
forgotten
any
and
they
meet
oh
and
an
education
advisory
committee
and
a
cna
and
they
meet
on
a
fairly
regular
basis
and
review
policies
and
standards
of
care
and
practice
and
advise
advise
the
board
on
evidence-based
issues
legislatively
this
session.
We
are
looking
for
two
two
big
pieces
of
legislation.
The
first
is
the
nurse
licensure
compact.
D
We
are
not
part
of
the
compact
currently
34
states
are.
The
compact
would
allow
a
nurse
to
have
one
multi-state
license
in
their
primary
state
of
residence
and
practice
in
other
compact
states.
It's
an
important
tool
in
removing
barriers
to
licensure
and
expanding
our
health
care
workforce
and
preparing
us
in
responding
to
public
health
emergencies.
D
The
second
piece
of
legislation
is
our
bdr
5460,
that's
sponsored
by
majority
leader
benitez
thompson,
which
would
revise
the
provisions
to
the
membership
of
the
board.
That
would
mandate
that
one
of
the
registered
nurses
on
the
board
be
a
nurse
practitioner.
Currently
we
have
two
nurse
practitioners
on
our
board,
but
that
isn't
a
mandate.
This
would
mandate
that
a
nurse
practitioner
be
a
member
of
that
board,
and
so
those
are
our
two
primary
pieces
of
legislation
that
we
are
looking
to
enact
this
session
and
I
am
prepared
to
answer
any
questions.
A
Thank
you
so
much,
mr
nauer,
let's
see
committee
members,
do
you
have
any
questions?
I
believe
I
have
one
from
assemblywomanconsidine.
B
D
D
D
C
Absolutely
vice
chair
carlton.
Thank
you.
So
as
far
as
licensure
goes
basically
the
same
question
I
had
asked
earlier
today
of
the
medical
board
about
how
long
does
it
take
to
do
your
licensure
process?
I
know
you
mentioned
for
a
temporary
license,
it's
three
to
five
days.
D
For
the
question,
yes,
you
are
correct.
Getting
a
license.
A
temporary
license
is
about
three
days,
that's
what
it
would
take
when
you're
endorsing
into
the
state
it's
about
the
same
length
of
time.
If
you've
completed
those
fingerprints,
there
is
a
lag
time
right
now
we're
at
about
10
weeks.
Waiting
for
fingerprint
results,
that's
a
little
bit
out
of
our
control,
but
we
can't
we
just
get
them
when
we,
when
we
can,
I
mean
we
do
them
and
we
process
them.
D
We
have
somebody
working
full-time
on
processing
fingerprints,
but
it
is
about
three
days
now
for
somebody
who
has
just
graduated
from
nursing
school-
or
this
is
an
initial
application
it
might
take
a
month
or
so
to
get
that
to
get
that
license
process
because
there's
a
little
more
paperwork
to
do
as
far
as
getting
the
transcripts,
reviewed
and
and
that
sort
of
thing,
but
for
somebody
coming
in
that
already
has
a
license
from
another
state
coming
in
it's
it's
a
pretty
short
window.
C
D
A
Thank
you
for
your
questions,
mr
carlton
and
miss
knower.
I
just
had
a
couple
of
questions.
I
know
that
you
said
for
the
fiscal
year
you
had
77
100
applications,
but
would
you
if
you
don't
have
the
information
now,
if
you
could
get
it
to
us?
That
would
be
great,
but
would
you
be
able
to
tell
us
if
all
7
700
were
issued
licenses.
D
There
were
this
is
kathy
dinner.
Again
there
were
denial,
there
were.
There
were
75
total
denials
applications
denied
in
fiscal
year
1920..
There
were
four
that
were
denied
by
our
board
and
71
that
were
denied
by
staff.
The
staff
have
the
option
they
have.
We
have
policies
that
they
follow,
that
they
can.
They
can
do
that,
so
otherwise
the
rest
of
those
applications
were
processed.
D
D
Do
they
have
a
felony,
those
sorts
of
things
and
then
that
kicks
their
application
out
of
the
queue
and
it
is?
It
is
reviewed
by
an
individual
who
reviews
all
those
what
we
call
the
yes
answers.
Anybody
who
has
answered
yes
on
an
application,
and
so
those
sometimes
would
have
to
perhaps
they
would
have
to
an
action
taken
in
another
state.
Let's
say
somebody
had
a
license
in
california
and
their
license
was
revoked
and
taken
away
from
them
and
they've
come
to
nevada
now,
and
they
want
to.
D
D
A
Okay
and
then
I
know
I
just
had
one
last
question:
I
was
just
curious:
the
board,
your
board
members,
how
many
terms?
How
long
are
the
terms
and
how
many
terms
can
each
board
member
serve
right?
Now.
A
Okay,
I
think
that
all
the
questions
I
have
committee
members
do
you
have
any
further
questions.
A
A
Okay,
we
can
give
the
people
who
are
listening
on
the
internet.
A
couple
of
minutes
to
call
in
and
members
will
just
stand
at
ease
to
give
people
time
to
call
in
for
public
comment.