SERVICES TO AGING PERSONS AND PERSONS WITH DISABILITIES

Nev. Rev. Stat. 427A

in effect

Nev. Rev. Stat. § 427A.010 Declaration of legislative purpose.

The Legislature finds and declares that: 1. The older people of our state are entitled to receive, and it is the joint and several duty and responsibility of the state and local governments to provide, within the limits of available resources, assistance to secure equal opportunity to the full and free enjoyment of the following objectives: (a) An adequate income in retirement. (b) The best possible physical and mental health which science can make available and without regard to economic status. (c) Suitable housing, independently selected, designed and located with reference to special needs and available at costs which older citizens can afford. (d) Full restorative services for those who require institutional care. (e) Opportunity for employment with no discriminatory personnel practices because of age. (f) Retirement in health, honor and dignity. (g) Pursuit of meaningful activity within the widest range of civic, cultural and recreational opportunities. (h) Efficient community services which provide social assistance in a coordinated manner and which are readily available when needed. (i) Immediate benefit from proven research knowledge which can sustain and improve health and happiness. (j) Freedom, independence and the free exercise of individual initiative in planning and managing their own lives. (k) The benefit of balanced nutrition. (l) Adequate day care center services. 2. Persons with visual, aural, cognitive or physical disabilities are entitled to receive, and it is the joint and several duty and responsibility of the State and local governments to provide, within the limits of available resources, assistance to secure equal opportunity to the full and free enjoyment of and access to: (a) Full participation in the social and economic life of the State; (b) Opportunities for remunerative employment; (c) The same rights as persons without disabilities to the full and free use of the streets, highways, sidewalks, public buildings, public facilities and other public places; (d) Freedom and independence in planning and managing their lives, including, without limitation, the ability to exercise individual initiative; (e) Suitable housing that is independently selected, designed and located with consideration of the special needs of persons with disabilities, and that is affordable to persons with disabilities; (f) The best possible physical and mental health, without regard to economic status; (g) Necessary health, personal assistance and independent living services that are designed to enable persons with disabilities to avoid receiving institutional care, or to transition from an institutional setting back to their communities; (h) Respite for family members of persons with disabilities from their duties as primary caregivers; and (i) Meaningful participation in a wide range of civic, cultural and recreational opportunities.

Nev. Rev. Stat. § 427A.020 Definitions.

As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 427A.021 to 427A.0294, inclusive, have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.021 Administrator defined.

Administrator means the Administrator of the Aging and Disability Services Division of the Department.

Nev. Rev. Stat. § 427A.022 Advocate defined.

Advocate means an advocate appointed by the Ombudsman pursuant to NRS 427A.127.

Nev. Rev. Stat. § 427A.023 Commission defined.

Commission means the Nevada Commission on Aging.

Nev. Rev. Stat. § 427A.024 Day care center defined.

Day care center means a facility for the care of adults during the day as defined in NRS 449.004.

Nev. Rev. Stat. § 427A.025 Department defined.

Department means the Department of Human Services.

Nev. Rev. Stat. § 427A.026 Director defined.

Director means the Director of the Department.

Nev. Rev. Stat. § 427A.027 Division defined.

Division means the Aging and Disability Services Division of the Department.

Nev. Rev. Stat. § 427A.028 Facility for long-term care defined.

Facility for long-term care means: 1. A residential facility for groups as defined in NRS 449.017 ; 2. A facility for intermediate care as defined in NRS 449.0038 ; 3. A facility for skilled nursing as defined in NRS 449.0039 ; 4. A home for individual residential care as defined in NRS 449.0105 ; and 5. Any unlicensed establishment that provides food, shelter, assistance and limited supervision to a resident.

Nev. Rev. Stat. § 427A.029 Frail elderly person defined.

Frail elderly person means a natural person 65 years of age or older who: 1. Has a physical or mental limitation that restricts the ability of the person to live independently and carry out activities of normal daily living; and 2. Has been or is at risk of being placed in a facility for long-term care.

Nev. Rev. Stat. § 427A.030 Liberal construction.

The provisions of this chapter shall be liberally construed to effect its stated purposes.

Nev. Rev. Stat. § 427A.032 Creation; appointment and terms of members; vacancies; removal.

1. The Nevada Commission on Aging, consisting of 11 voting members and four or more nonvoting members, is hereby created within the Aging and Disability Services Division of the Department. 2. The Governor shall appoint as voting members of the Commission: (a) Two persons who are officers or employees of a county government. (b) Two persons who are officers or employees of a city government. (c) Seven persons who have experience with or an interest in and knowledge of the problems of and services for the aging. Ê At least six persons appointed as voting members must be 55 years of age or older. 3. The following persons shall serve as nonvoting members of the Commission: (a) The Director of the Department, who shall serve as Chair of the Commission. (b) The Administrator of the Aging and Disability Services Division. (c) One member of the Senate and one member of the Assembly appointed by the Legislative Commission with appropriate regard for their experience with and knowledge of matters relating to older persons. (d) Such other representatives of state government as may be designated by the Governor. 4. The members designated in paragraphs (a) and (b) of subsection 3 may designate alternates within their respective offices to attend any meeting of the Commission in their place. 5. After the initial terms, the Governor shall appoint each voting member of the Commission to a term of 2 years. No member may serve after the expiration of his or her term unless the member is appointed to serve another term. No person may be appointed to serve a full term as a voting member more than twice. No person who serves as a voting member for more than 1 year of a term to which another person was appointed may be appointed to serve a full term more than once. 6. The position of a member of the Commission is vacated upon his or her loss of any of the qualifications required for the appointment and in that event the vacancy must be filled for the unexpired term in the manner provided for the original appointment. 7. The Governor may remove a member appointed by the Governor to the Commission for malfeasance in office or neglect of duty. Absence from two consecutive meetings of the Commission constitutes good and sufficient cause for removal of a member by the Governor.

Nev. Rev. Stat. § 427A.034 Meetings; quorum; regulations; subcommittees and advisory committees.

1. The Commission may meet at least once each calendar quarter and at other times on the call of the Chair or a majority of its members. 2. A majority of the voting members of the Commission constitutes a quorum for the transaction of all business. 3. The Commission shall adopt regulations for its own government. 4. The Chair may appoint subcommittees and advisory committees composed of the members of the Commission, former members of the Commission and members of the general public who have experience with or knowledge of matters relating to older persons to consider specific problems or other matters that are related to and within the scope of the functions of the Commission. A subcommittee or advisory committee appointed pursuant to this subsection must not contain more than five members. To the extent practicable, the members of such a subcommittee or advisory committee must be representative of the various geographic areas and ethnic groups of this state.

Nev. Rev. Stat. § 427A.036 Compensation of members and former members; payment of expenses; expenditures.

1. Each voting member of the Commission is entitled to receive a salary of not more than $80 per day, as fixed by the Commission, while engaged in the business of the Commission. 2. While engaged in the business of the Commission, each member of the Commission appointed pursuant to subsection 2 or paragraph (a), (b) or (d) of subsection 3 of NRS 427A.032 , each former member of the Commission and each member of the general public appointed to serve on a subcommittee or advisory committee of the Commission pursuant to subsection 4 of NRS 427A.034 , and each employee of the Commission is entitled to receive the per diem allowance and travel expenses provided for state officers and employees generally. 3. The Commission may expend in accordance with law all money made available for its use. 4. Except during a regular or special session of the Legislature, each legislative member of the Commission is entitled to receive the compensation provided for a majority of the members of the Legislature during the first 60 days of the preceding regular session for each day or portion of a day during which the legislative member attends a meeting of the Commission or is otherwise engaged in the business of the Commission, plus the per diem allowance and travel expenses provided for state officers and employees generally. The salaries and expenses of the legislative members of the Commission must be paid from the Legislative Fund.

Nev. Rev. Stat. § 427A.038 Powers and duties.

1. The Commission shall: (a) Determine and evaluate the needs of the older people of this state. (b) Seek ways to avoid unnecessary duplication of services for older persons by public and private organizations in Nevada. (c) Establish priorities for the work of the Division according to the most pressing needs of older persons as determined by the Commission. (d) Promote programs that provide community-based services necessary to enable a frail elderly person, to the fullest extent possible, to remain in his or her home and be an integral part of his or her family and community. 2. The Commission may: (a) Establish priorities for programs funded under the Older Americans Act of 1965 (42 U.S.C. §§ 3001 et seq.). (b) Review and approve the State Plan for Providing Services to Meet the Needs of Older Persons. (c) Gather and disseminate information in the field of aging. (d) Conduct hearings, conferences and special studies on the problems of older persons and on programs which serve them. (e) Evaluate existing programs for older persons and recommend needed changes in those programs and propose new programs which would more effectively and economically serve the needs of older persons. (f) Evaluate any proposed legislation which would affect older persons. (g) Recommend to the Legislature any appropriate legislation. (h) Coordinate and assist the efforts of public and private organizations which serve the needs of older persons, especially in the areas of education, employment, health, housing, welfare and recreation.

Nev. Rev. Stat. § 427A.040 Powers and duties.

1. The Division shall, consistent with the priorities established by the Commission pursuant to NRS 427A.038 : (a) Serve as a clearinghouse for information related to problems of the aged and aging. (b) Assist the Director in all matters pertaining to problems of the aged and aging. (c) Develop plans, conduct and arrange for research and demonstration programs in the field of aging. (d) Provide technical assistance and consultation to political subdivisions with respect to programs for the aged and aging. (e) Prepare, publish and disseminate educational materials dealing with the welfare of older persons. (f) Gather statistics in the field of aging which other federal and state agencies are not collecting. (g) Stimulate more effective use of existing resources and available services for the aged and aging. (h) Develop and coordinate efforts to carry out a comprehensive State Plan for Providing Services to Meet the Needs of Older Persons. In developing and revising the State Plan, the Division shall consider, among other things, the amount of money available from the Federal Government for services to aging persons and the conditions attached to the acceptance of such money, and the limitations of legislative appropriations for services to aging persons. (i) Coordinate all state and federal funding of service programs to the aging in the State. 2. The Division shall: (a) Provide access to information about services or programs for persons with disabilities that are available in this State. (b) Work with persons with disabilities, persons interested in matters relating to persons with disabilities and state and local governmental agencies in: (1) Developing and improving policies of this State concerning programs or services for persons with disabilities, including, without limitation, policies concerning the manner in which complaints relating to services provided pursuant to specific programs should be addressed; and (2) Making recommendations concerning new policies or services that may benefit persons with disabilities. (c) Serve as a liaison between state governmental agencies that provide services or programs to persons with disabilities to facilitate communication and the coordination of information and any other matters relating to services or programs for persons with disabilities. (d) Serve as a liaison between local governmental agencies in this State that provide services or programs to persons with disabilities to facilitate communication and the coordination of information and any other matters relating to services or programs for persons with disabilities. To inform local governmental agencies in this State of services and programs of other local governmental agencies in this State for persons with disabilities pursuant to this subsection, the Division shall: (1) Provide technical assistance to local governmental agencies, including, without limitation, assistance in establishing an electronic network that connects the Division to each of the local governmental agencies that provides services or programs to persons with disabilities; (2) Work with counties and other local governmental entities in this State that do not provide services or programs to persons with disabilities to establish such services or programs; and (3) Assist local governmental agencies in this State to locate sources of funding from the Federal Government and other private and public sources to establish or enhance services or programs for persons with disabilities. (e) Administer the following programs in this State that provide services for persons with disabilities: (1) The program established pursuant to NRS 427A.791 , 427A.793 and 427A.795 to provide services for persons with physical disabilities; (2) The programs established pursuant to NRS 427A.800 , 427A.850 and 427A.860 to provide services to persons with traumatic brain injuries; (3) The program established pursuant to NRS 427A.610 to provide hearing aids to children who are hard of hearing; (4) The program established pursuant to NRS 427A.797 to provide devices for telecommunication to persons who are deaf and persons with impaired speech or hearing; (5) Any state program for independent living established pursuant to 29 U.S.C. §§ 796 et seq., with the Rehabilitation Division of the Department of Employment, Training and Rehabilitation acting as the designated state unit, as that term is defined in 34 C.F.R. § 385.4, or the designated state entity, as that term is defined in 45 C.F.R. § 1329.4, as applicable; and (6) Any state program established pursuant to the Assistive Technology Act of 1998, 29 U.S.C. §§ 3001 et seq. (f) Provide information to persons with disabilities on matters relating to the availability of housing for persons with disabilities and identify sources of funding for new housing opportunities for persons with disabilities. (g) Before establishing policies or making decisions that will affect the lives of persons with disabilities, consult with persons with disabilities and members of the public in this State through the use of surveys, focus groups, hearings or councils of persons with disabilities to receive: (1) Meaningful input from persons with disabilities regarding the extent to which such persons are receiving services, including, without limitation, services described in their individual service plans, and their satisfaction with those services; and (2) Public input regarding the development, implementation and review of any programs or services for persons with disabilities. (h) Develop and, as the Division determines necessary, update the parts of the strategic plan for persons with disabilities described in chapter 541, Statutes of Nevada 2001, that apply to the Division. (i) Publish and make available to governmental entities and the general public a biennial report which: (1) Provides a strategy for the expanding or restructuring of services in the community for persons with disabilities that is consistent with the need for such expansion or restructuring; (2) Reports the progress of the Division in carrying out the strategic plan for persons with disabilities described in paragraph (h); (3) Documents significant problems affecting persons with disabilities when accessing public services, if the Division is aware of any such problems; (4) Provides a summary and analysis of the status of the practice of sign language interpreting and the practice of realtime captioning, including, without limitation, the number of persons engaged in the practice of sign language interpreting in a primary or secondary educational setting in each professional classification established by NRS 656A.100 or the regulations adopted pursuant to NRS 656A.110 and the number of persons engaged in the practice of realtime captioning in a primary or secondary educational setting; and (5) Recommends strategies and, if determined necessary by the Division, legislation for improving the ability of the State to provide services to persons with disabilities and advocate for the rights of persons with disabilities. 3. The Division shall confer with the Department as the sole state agency in the State responsible for administering the provisions of this chapter and chapter 435 of NRS. 4. The Division shall administer the provisions of chapters 435 and 656A of NRS. 5. The Division may contract with any appropriate public or private agency, organization or institution, in order to carry out the provisions of this chapter and chapter 435 of NRS.

Nev. Rev. Stat. § 427A.050 Department designated agency to administer federal grants.

The Department, through the Division, shall act as the single state agency of the State of Nevada and its political subdivisions in the administration of any federal funds granted to the State pursuant to the Older Americans Act of 1965 (42 U.S.C. §§ 3001-3053) as amended from time to time.

Nev. Rev. Stat. § 427A.060 Administrator: Appointment; qualifications.

The Administrator shall be appointed on the basis of his or her education, training, experience and demonstrated abilities and of his or her interest in the problems of the aged and aging and persons with disabilities.

Nev. Rev. Stat. § 427A.070 Administrator: Powers and duties.

1. The Administrator shall: (a) Subject to the approval of the Director, adopt rules and regulations: (1) Necessary to carry out the purposes of this chapter and chapter 435 of NRS; and (2) Establishing a program to subsidize the transportation by taxicab of elderly persons and persons with permanent disabilities from money received pursuant to subsection 5 of NRS 706.8825 ; (b) Establish appropriate administrative units within the Division; (c) Appoint such personnel and prescribe their duties as the Administrator deems necessary for the proper and efficient performance of the functions of the Division; (d) Prepare and submit to the Governor, through the Director before September 1 of each even-numbered year for the biennium ending June 30 of such year, reports of activities and expenditures and estimates of sums required to carry out the purposes of this chapter and chapter 435 of NRS; (e) Make certification for disbursement of funds available for carrying out the purposes of this chapter and chapter 435 of NRS; and (f) Take such other action as may be necessary or appropriate for cooperation with public and private agencies and otherwise to carry out the purposes of this chapter and chapter 435 of NRS. 2. The Administrator may delegate to any officer or employee of the Division such of the powers and duties of the Administrator as the Administrator finds necessary to carry out the purposes of this chapter and chapter 435 of NRS.

Nev. Rev. Stat. § 427A.080 Agreements and arrangements with Federal Government.

The Department through the Division may make agreements, arrangements or plans to: 1. Cooperate with the Federal Government in carrying out the purposes of this chapter or of any federal statutes pertaining to the problems of the aged and aging and persons with disabilities and to this end may adopt such methods of administration as are found by the Federal Government to be necessary for the proper and efficient operation of those agreements, arrangements or plans; and 2. Comply with such conditions as may be necessary to secure benefits under those federal statutes.

Nev. Rev. Stat. § 427A.085 Contracts for cooperation with governmental entities and others; effect of payments to Division for such cooperation; immunity from and limitations on liability not waived.

1. For the purposes of this chapter, the Department through the Division may cooperate, financially or otherwise, and execute contracts or agreements with the Federal Government, any federal department or agency, any other state department or agency, a county, a city, a public district or any political subdivision of this State, a public or private corporation, an individual or a group of individuals. Such a contract or agreement may include provisions whereby the Division will provide staff, services or other resources, or any combination thereof, without payment, to further the purposes of the contract or agreement. If the contract or agreement includes a provision whereby the Division is paid for the provision of staff, services or other resources, the payment will be reimbursed directly to the Divisions budget. Cooperation pursuant to this section does not of itself relieve any person, department, agency or political subdivision of any responsibility or liability existing under any provision of law. 2. If the Administrator or the Administrators designee enters into a contract or agreement pursuant to subsection 1 with a private nonprofit corporation, the contract or agreement may allow: (a) The Division to enter and inspect any premises which are related to services provided under the contract or agreement and to inspect any records which are related to services provided under the contract or agreement to ensure the welfare of any consumer served by the private nonprofit corporation under the contract or agreement; (b) The Division and the private nonprofit corporation to share confidential information concerning any consumer served by the private nonprofit corporation under the contract or agreement; and (c) The private nonprofit corporation to assign rights and obligations of the private nonprofit corporation under the contract or agreement to the Division. 3. The State, the Department and the Division do not waive any immunity from liability or limitation on liability provided by law by entering into a contract or agreement pursuant to this section and any such contract or agreement must include a provision to that effect.

Nev. Rev. Stat. § 427A.086 Program to provide lunches for elderly persons; regulations.

The Director of the State Department of Agriculture shall: 1. Cooperate with the Aging and Disability Services Division of the Department of Human Services in the planning of programs whereby the school districts may prepare hot lunches for persons 60 years of age or older and their spouses or any group of such persons by utilizing the systems and procedures already developed for use in the operation of school lunch programs; and 2. Adopt regulations containing guidelines for boards of trustees of school districts entering into such agreements.

Nev. Rev. Stat. § 427A.087 Agreement to prepare lunches for elderly persons; restrictions.

1. The board of trustees of any school district may enter into an agreement with any individual, firm, partnership, corporation, association or public agency which has been approved for such purpose by the Division, whereby the school district agrees to prepare hot lunches for persons 60 years of age or older and their spouses or any group of such persons by utilizing the systems and procedures already developed for use in the school lunch program of such district. 2. No agreement entered into by a board of trustees of a school district pursuant to the provisions of this section may: (a) Involve the expenditure by the school district of any school lunch money or other public school money or the use of any school lunch commodities or public school personnel, equipment or facilities unless the agreement includes a provision requiring full reimbursement therefor. (b) Provide for payment to the school district of any amount in excess of the estimated actual cost of food, personnel, equipment, facilities and other necessary expenditures involved in the performance of the agreement. The estimated actual cost shall be negotiated by the board of trustees and the Division. (c) Permit any program of hot lunches for persons 60 years of age or over and their spouses to interfere in any way with the use of school lunch facilities for public school purposes.

Nev. Rev. Stat. § 427A.088 Program to provide information and resources relating to planning for long-term care; regulations; report to Legislature.

1. The Department, through the Division, shall conduct a program to: (a) Develop and carry out a public awareness campaign to provide information to the public about the importance of planning for long-term care that provides information relevant to the changing demographics of this State. A public awareness campaign carried out pursuant to this paragraph must engage with various forms of media, including, without limitation, television and digital platforms, to ensure the campaign reaches a wide audience throughout this State. (b) Create and maintain on the Internet website of the Division comprehensive information on the resources and tools available to residents of this State to assist residents of this State with planning for long-term care. (c) Coordinate with financial planners, providers of health care, insurance companies and community organizations to provide throughout this State workshops, seminars and educational sessions that provide information on planning for long-term care. (d) Prepare planning guides, brochures and other printed material and make such material available to the public, community centers and other relevant organizations that may distribute such materials to residents of this State. The materials prepared and made available pursuant to this paragraph must incorporate a range of educational material, including electronic and physical materials, that offer detailed information about options for long-term care, tools for planning for long-term care and financial assistance with long-term care that is available to residents of this State. 2. In carrying out the provisions of subsection 1, the Department, through the Division, shall: (a) Incorporate best practices from other states and engage a diverse range of stakeholders, including, without limitation, financial planners, providers of health care, insurance companies, senior advocacy groups, nonprofit and grassroots organizations, and local government agencies that work with the elderly population in this State, with an emphasis on engaging with organizations with significant connections to the elderly population in this State and have a thorough understanding of the unique needs and challenges experienced by different segments of the elderly population in this State. (b) Address specific demographic segments within the elderly population in this State, including, without limitation, persons who are not proficient in the English language, veterans and residents of rural communities, to ensure the inclusivity and accessibility of resources. 3. The Department, through the Division, may implement the provisions of subsection 1 in phases, with initial priority given to areas of this State with a high concentration of elderly persons and persons with limited access to long-term planning resources. The Department may select counties in this State to host pilot programs to test and refine outreach and delivery strategies for implementation statewide. 4. The Department, through the Division, shall develop a framework to monitor, evaluate and assess the effectiveness of the program set forth in subsection 1, and to adapt the program as necessary. In monitoring, evaluating, assessing and adapting the program, the Department, through the Division, shall gather input from participants and stakeholders, including, without limitation, nonprofit and grassroots organizations. 5. On or before February 1 of each year, the Administrator shall submit a report to the Director of the Legislative Counsel Bureau for transmittal: (a) In even-numbered years, to the Legislative Commission and the Joint Interim Standing Committee on Health and Human Services; and (b) In odd-numbered years, to the next regular session of the Legislature. 6. The Division may adopt regulations to carry out the provisions of this section.

Nev. Rev. Stat. § 427A.090 Compliance with federal requirements; disbursement of state money for matching federal grants.

1. The Division may comply with such requirements as may be necessary to obtain federal money. 2. The Administrator may disburse state money, to the extent the Division has money budgeted for the purpose, to enable nonprofit, sponsoring organizations and political subdivisions of this State to obtain matching federal grants.

Nev. Rev. Stat. § 427A.100 Custody and disbursement of money by State Treasurer.

1. The State Treasurer is designated as custodian of all moneys received from the Federal Government for carrying out the purposes of this chapter or any agreements, arrangements or plans authorized thereby. 2. The State Treasurer shall make disbursements from such funds and from all state funds available for the purposes of this chapter upon certification by the designated official of the Division.

Nev. Rev. Stat. § 427A.110 Aging and Disability Services Divisions Gift Account.

1. Except as otherwise provided in NRS 427A.270 , all gifts of money which the Division is authorized to accept must be deposited in the State Treasury for credit to the Aging and Disability Services Divisions Gift Account in the Department of Human Services Gift Fund. The money may be invested and reinvested and must be used in accordance with the conditions of the gift. 2. All claims must be approved by the Administrator before they are paid.

Nev. Rev. Stat. § 427A.120 Political activities prohibited; penalty.

1. No officer or employee engaged in the administration of this chapter shall use his or her official authority to influence or interfere with an election or affect the results thereof or for any partisan political purpose. No such officer or employee shall solicit or receive, nor shall any officer or employee be obliged to contribute or render, any service, assistance, subscription, assessment or contribution for any political purpose. 2. Any officer or employee violating the provisions of this section shall be discharged.

Nev. Rev. Stat. § 427A.121 Commission defined.

As used in NRS 427A.121 to 427A.1217, inclusive, unless the context otherwise requires, Commission means the Nevada Commission on Services for Persons with Disabilities created by NRS 427A.1211.

Nev. Rev. Stat. § 427A.122 Older person defined.

Older person means a person who is 60 years of age or older.

Nev. Rev. Stat. § 427A.123 Office created.

The Office of Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability is hereby created within the Aging and Disability Services Division of the Department.

Nev. Rev. Stat. § 427A.125 Creation of Office; appointment; classification; duties and powers.

1. The Office of the State Long-Term Care Ombudsman is hereby created within the Division. 2. The Administrator shall appoint the State Long-Term Care Ombudsman to advocate for the protection of the health, safety, welfare and rights of recipients. The Ombudsman is in the classified service of the State. The Ombudsman shall, under direction of the Administrator: (a) Train advocates to: (1) Receive, investigate and attempt to resolve complaints made by or on behalf of recipients. (2) Investigate acts, practices, policies or procedures of any facility for long-term care, day care center, facility for long-term rehabilitation or provider of living arrangement services or any governmental agency which relates to such care or services and may adversely affect the health, safety, welfare or civil rights of recipients and report the results of the investigations to the Ombudsman and the Administrator. (3) Record and analyze information and complaints about facilities for long-term care, day care centers, facilities for long-term rehabilitation and providers of living arrangement services to identify problems affecting recipients to whom they provide services. (4) Provide for the support and development of recipient and family councils to protect the well-being and rights of recipients. (5) Assist facilities for long-term care, day care centers, facilities for long-term rehabilitation and providers of living arrangement services to provide services to recipients in the manner set forth in paragraph (b). (b) Develop a course of training to be made available to officers, directors and employees of a facility for long-term care, a day care center, a facility for long-term rehabilitation or a provider of living arrangement services to encourage such facilities and providers to provide services to recipients in a manner that allows the recipients to follow their own routine and make their own decisions concerning the daily activities in which to participate. The course must also provide information concerning how to provide services in that manner. (c) Coordinate services within the Department which may affect recipients and prospective recipients to ensure that such services are made available to eligible persons. (d) Provide information to interested persons and to the general public concerning the functions and activities of the Ombudsman. (e) Report annually to the Administrator. 3. The Ombudsman may: (a) Analyze, provide comment on and monitor the development and implementation of any federal, state or local governmental action, activity or program that relates to the protection of the health, safety, welfare and rights of recipients; (b) Recommend changes to any federal, state or local governmental action, activity or program described in paragraph (a) without the prior approval of the Administrator; and (c) Offer assistance to a residential facility for groups, a resident and any representative of the resident in planning for the discharge and relocation of the resident pursuant to NRS 449A.286 in order to assure the safe and orderly transition of the resident and to protect the health, safety, welfare and rights of the resident. As used in this paragraph: (1) Representative of the resident has the meaning ascribed to it in NRS 449A.274 . (2) Resident has the meaning ascribed to it in NRS 449A.276 . (3) Residential facility for groups has the meaning ascribed to it in NRS 449.017 .

Nev. Rev. Stat. § 427A.127 Appointment and classification of advocates to assist Ombudsman; Ombudsman authorized to create volunteer advocacy program and appoint volunteer advocates.

1. The Ombudsman may appoint one or more advocates to assist the Ombudsman who are within the Division and in the classified service of the State. Each advocate shall perform his or her duties at the direction of the Ombudsman. 2. The Ombudsman may: (a) Create a volunteer advocacy program within the Office of the Ombudsman to be administered by the Ombudsman; and (b) Appoint volunteer advocates who may act as representatives of the Ombudsman.

Nev. Rev. Stat. § 427A.135 Investigation; entry into facility; interference prohibited; penalty; right of recipient concerning visits with Ombudsman or advocate; immunity for investigations performed by Ombudsman or advocate.

1. The Ombudsman or an advocate may: (a) Upon a complaint by or on behalf of a recipient, investigate any act or policy which the Ombudsman or advocate has reason to believe may adversely affect the health, safety, welfare or civil rights of any recipient; and (b) Make periodic visits to any facility for long-term care, day care center, facility for long-term rehabilitation, facility maintained by a provider of living arrangement services or, with the consent of a recipient of living arrangement services, the residence of the recipient to provide information to recipients and to review generally any act, practice, policy, procedure or condition which may adversely affect the health, safety, welfare or civil or other rights of any recipient. 2. The Ombudsman or an advocate may enter: (a) Any facility for long-term care, day care center, facility for long-term rehabilitation or facility maintained by a provider of living arrangement services and any area within such a facility at reasonable times with or without prior notice and must be permitted access to recipients of services from the facility at all times. Upon arrival at the facility, the Ombudsman or advocate shall make his or her presence known to the staff of the facility and shall present appropriate identification. (b) With the consent of a recipient of living arrangement services, the residence of the recipient. 3. A person shall not willfully interfere with the Ombudsman or an advocate in the performance of any investigation or visitation pursuant to this section. If any person is found, after notice and a hearing, to have willfully violated any provision of this subsection, the Director, at the request of the Administrator, may refer the matter to the Division for the imposition of an administrative fine of not more than $1,000 for each violation. 4. Any money collected as a result of an administrative fine imposed pursuant to this section must be deposited in the State General Fund. 5. Each recipient has the right to request, deny or terminate visits with the Ombudsman or an advocate. Nothing in this subsection shall be construed to require the Ombudsman or an advocate to investigate a complaint made by or on behalf of a recipient. 6. The Ombudsman or an advocate is not liable civilly for the good faith performance of any investigation.

Nev. Rev. Stat. § 427A.137 Investigation of complaint involving recipient.

1. The Administrator may direct the Ombudsman or an advocate to investigate a complaint involving a recipient. 2. If the Administrator directs an investigation pursuant to subsection 1, the Ombudsman or an advocate shall conduct an investigation of the complaint.

Nev. Rev. Stat. § 427A.138 Retaliation prohibited; penalty.

1. An officer, director or employee of a facility for long-term care, day care center, facility for long-term rehabilitation or provider of living arrangement services shall not retaliate against any person for having filed a complaint with, or provided information to, the Ombudsman or an advocate. 2. If any person is found, after notice and a hearing, to have violated any provision of subsection 1, the Director, at the request of the Administrator, may refer the matter to the Division for the imposition of an administrative fine of not more than $1,000 for each violation. 3. Any money collected as a result of an administrative fine imposed pursuant to this section must be deposited in the State General Fund.

Nev. Rev. Stat. § 427A.145 Conduct of investigation.

In conducting an investigation, the Ombudsman or an advocate may: 1. Inspect any facility for long-term care, day care center, facility for long-term rehabilitation or facility maintained by a provider of living arrangement services and any records maintained by the facility. Except as otherwise provided in this subsection, medical and personal financial records may be inspected only with the informed consent of the recipient, the legal guardian of the recipient or the person or persons designated as responsible for decisions regarding the recipient. Such consent must be obtained in accordance with the provisions of 45 C.F.R. § 1324.11(e)(2) and may be obtained orally, visually, in writing or through the use of auxiliary aids and services, as long as such consent is documented by the Ombudsman or the advocate. If the provisions of 45 C.F.R. § 1324.11(e)(2) authorize records to be inspected without the consent of the recipient, the legal guardian of the recipient or the person or persons designated as responsible for decisions regarding the recipient, the inspection may be conducted without consent. 2. With the consent of a recipient of living arrangement services, inspect the residence of the recipient. 3. Interview: (a) Officers, directors and employees of any facility for long-term care, day care center, facility for long-term rehabilitation or provider of living arrangement services, including any licensed provider of health care as defined in NRS 629.031 , who renders services to the facility or provider or recipients of services from the facility or provider. (b) Any recipient and the legal guardian of the recipient, if any, and the family of the recipient or the person or persons designated as responsible for decisions regarding his or her care if the recipient consents to the interview. 4. Obtain such assistance and information from any agency of the State or its political subdivisions as is necessary properly to perform the investigation.

Nev. Rev. Stat. § 427A.155 Referral of results of investigation to appropriate agency; notification of disposition.

1. In appropriate cases and under the Administrators direction, the Ombudsman or an advocate shall refer the results of an investigation to the governmental agencies with authority to enforce applicable laws and regulations through administrative, civil or criminal proceedings. 2. The Ombudsman or an advocate shall notify the complainant of the ultimate disposition of the matter raised in his or her complaint.

Nev. Rev. Stat. § 427A.165 Regulations.

1. The Division shall adopt regulations: (a) Requiring a facility for long-term care, day care center, facility for long-term rehabilitation or provider of living arrangement services to post instructions concerning the procedure for making a complaint to the Ombudsman or an advocate. Such instructions must include, without limitation, any telephone number, electronic mail address or Internet website established for making such a complaint. (b) Prescribing a civil penalty not to exceed $500 for failure to comply with the regulations adopted pursuant to paragraph (a). 2. The Division may adopt regulations regarding the requirement, contents, posting and distribution of a notice which describes the purpose of the Ombudsman and an advocate and sets forth the procedure for making a complaint to the Ombudsman or an advocate.

Nev. Rev. Stat. § 427A.175 Complaint for damage to property of older patient: Filing; investigation and settlement; hearing; payment of damages.

1. Within 1 year after an older patient sustains damage to his or her property as a result of any act or failure to act by a facility for intermediate care, a facility for skilled nursing, a residential facility for groups, a home for individual residential care, an agency to provide personal care services in the home, an intermediary service organization, a community health worker pool or an agency to provide nursing in the home in protecting the property, the older patient may file a verified complaint with the Division setting forth the details of the damage. 2. Upon receiving a verified complaint pursuant to subsection 1, the Administrator shall investigate the complaint and attempt to settle the matter through arbitration, mediation or negotiation. 3. If a settlement is not reached pursuant to subsection 2, the facility, home, agency, organization or older patient may request a hearing before the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability. If requested, the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability shall conduct a hearing to determine whether the facility, home, agency, pool or organization is liable for damages to the patient. If the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability determines that the facility, home, agency, pool or organization is liable for damages to the patient, the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability shall order the amount of the surety bond pursuant to NRS 449.065 , 449B.185 or 449B.570 , as applicable, or the substitute for the surety bond necessary to pay for the damages pursuant to NRS 449.067 , 449B.190 or 449B.575 , as applicable, to be released to the Division. The Division shall pay any such amount to the older patient or the estate of the older patient. 4. The Division shall create a separate account for money to be collected and distributed pursuant to this section. 5. As used in this section: (a) Agency to provide nursing in the home has the meaning ascribed to it in NRS 449.0015 ; (b) Agency to provide personal care services in the home has the meaning ascribed to it in NRS 449B.015 ; (c) Community health worker pool has the meaning ascribed to it in NRS 449.0028 ; (d) Facility for intermediate care has the meaning ascribed to it in NRS 449.0038 ; (e) Facility for skilled nursing has the meaning ascribed to it in NRS 449.0039 ; (f) Home for individual residential care has the meaning ascribed to it in NRS 449.0105 ; (g) Intermediary service organization has the meaning ascribed to it in NRS 449B.500 ; (h) Older patient has the meaning ascribed to it in NRS 449.065 ; and (i) Residential facility for groups has the meaning ascribed to it in NRS 449.017 .

Nev. Rev. Stat. § 427A.250 Establishment and administration; goals; regulations.

1. The Division shall establish and administer a program to provide the community-based services necessary to enable a frail elderly person to remain in his or her own home or with his or her family and avoid placement in a facility for long-term care. The program may be carried out solely by the Division or in cooperation with another state agency, the Federal Government or any local government. 2. Any such program established by the Division pursuant to this section may have as its goals to: (a) Foster independence and self-reliance and maintain the dignity of frail elderly persons and allow them, to the fullest extent possible, to be an integral part of their families and communities; (b) Establish in communities throughout the state community-based services which will enable frail elderly persons to remain in their homes; (c) Ensure that any frail elderly person who has been, or is at risk of being, placed inappropriately in a facility for long-term care is able to receive the services which will enable the person to stay in his or her home; and (d) Promote participation by any appropriate public or private agency, organization or institution in the development of services that offer options to frail elderly persons and foster independent living. 3. The Division shall adopt regulations necessary to establish and administer the program established pursuant to this section.

Nev. Rev. Stat. § 427A.255 Program of all-inclusive care for the elderly: Establishment and administration; requirements; regulations.

Repealed. (See chapter 497, Statutes of Nevada 2025, at page 3257.)

Nev. Rev. Stat. § 427A.260 Provision of services; contracts.

1. The Division may use personnel of the Division or it may contract with any appropriate public or private agency, organization or institution to provide the community-based services necessary to enable a frail elderly person to remain in his or her home. 2. Any such contract must: (a) Include a description of the type of service to be provided; (b) Specify the price to be paid for each service and the method of payment; and (c) Specify the criteria to be used to evaluate the provision of the service.

Nev. Rev. Stat. § 427A.270 Division authorized to apply for, accept and expend grants of money or other assistance; fees for services.

1. The Division may apply for, accept and expend any federal or private grant of money or other type of assistance that becomes available to carry out the provisions of NRS 427A.250 to 427A.280 , inclusive. Any money received pursuant to this section must be deposited with the State Treasurer and accounted for separately in the State General Fund. 2. The Division shall, with the approval of the Commission and Director, establish a schedule of fees to be charged and collected for any service provided pursuant to NRS 427A.250 to 427A.280 , inclusive.

Nev. Rev. Stat. § 427A.280 Tests and demonstrations.

The Division may initiate projects to test and demonstrate various ways of providing the community-based services and all-inclusive care necessary to enable a frail elderly person to remain in his or her home.

Nev. Rev. Stat. § 427A.0283 Facility for long-term rehabilitation defined.

Facility for long-term rehabilitation means a facility that provides residential services for rehabilitation from an acute illness or injury in which a recipient may reside for longer than 1 month.

Nev. Rev. Stat. § 427A.290 Establishment authorized; requirements; regulations; funding.

1. To the extent that money is available for this purpose, the Division may establish by regulation a program to facilitate the transition of older persons and persons with disabilities from a hospital to their places of residence. The program must: (a) Provide for collaboration between: (1) Hospital staff who are responsible for discharging an older person or a person with a disability; and (2) The older person or person with a disability and any caregivers or other persons assisting the older person or person with a disability; and (b) Facilitate the coordination of health care and social services to support the older person or person with a disability and any caregivers or other persons assisting the older person or person with a disability. 2. The Division may: (a) Limit the program established pursuant to this section to particular groups of older persons or persons with disabilities within the limits of available funding; (b) Accept gifts, grants and donations for the purpose of establishing and operating the program; and (c) Use other options available to fund the program, including, without limitation, billing third parties for the services provided by the program to persons currently covered by the third parties. 3. As used in this section: (a) Older person means a person who is 60 years of age or older. (b) Person with a disability means: (1) A person with a physical disability, as defined in NRS 427A.1222 ; (2) A person with a developmental disability, as defined in NRS 435.007 ; or (3) A person with an intellectual disability, as defined in NRS 435.007 . (c) Third party means: (1) An insurer, as defined in NRS 679B.540 ; (2) A health benefit plan, as defined in NRS 687B.470 , for employees which provides coverage for services and care at a hospital; (3) A participating public agency, as defined in NRS 287.04052 , and any other local governmental agency of the State of Nevada which provides a system of health insurance for the benefit of its officers and employees, and the dependents of officers and employees, pursuant to chapter 287 of NRS; or (4) Any other insurer or organization providing health coverage or benefits in accordance with state or federal law. Ê The term does not include an insurer that provides coverage under a policy of casualty or property insurance.

Nev. Rev. Stat. § 427A.0292 Living arrangement services defined.

Living arrangement services means: 1. Community-based living arrangement services, as defined in NRS 449.0026 , that include: (a) Intensive services and overnight supervision of recipients who require training concerning behavioral skills, self-care and management of medications; or (b) Services in the home for recipients with chronic medical conditions and severe mental illness who require habilitation or rehabilitation services, or both; 2. Supported living arrangement services, as defined in NRS 435.007 , that include 24-hour care; and 3. Rehabilitative residential mental health care, as defined in NRS 449.0168 .

Nev. Rev. Stat. § 427A.0293 Ombudsman defined.

Ombudsman means the State Long-Term Care Ombudsman appointed by the Administrator pursuant to NRS 427A.125.

Nev. Rev. Stat. § 427A.0294 Recipient defined.

Recipient means a person who receives: 1. Services from a facility for long-term care, a day care center or a facility for long-term rehabilitation; or 2. Living arrangement services.

Nev. Rev. Stat. § 427A.300 Creation of Office; appointment; qualifications; classification.

1. The Office of the Community Advocate is hereby created within the Division. 2. The Administrator shall appoint the Community Advocate. The person so appointed: (a) Must be qualified by training and experience to perform the duties and functions of the office; and (b) Is in the classified service of the State.

Nev. Rev. Stat. § 427A.310 Duties.

1. The Community Advocate shall provide assistance to persons who are 60 years of age or older and do not reside in facilities for long-term care. The assistance must include at least the: (a) Coordination of resources and services available to aging persons within their respective communities, including the services provided through a program established pursuant to NRS 422.3967 or 427A.250 ; (b) Dissemination of information to aging persons on issues of national and local interest, including information regarding the services of the Community Advocate and the existence of groups of aging persons with similar interests and concerns; and (c) Advocation of issues relating to aging persons. 2. The Administrator may direct the Community Advocate to provide assistance to a person who: (a) Is less than 60 years of age; and (b) Does not reside in a facility for long-term care.

Nev. Rev. Stat. § 427A.313 Definitions.

As used in NRS 427A.313 to 427A.400, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.315 and 427A.317 have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.315 Forum defined.

Forum means the Nevada Silver Haired Legislative Forum created by NRS 427A.320.

Nev. Rev. Stat. § 427A.317 President defined.

President means the person elected to serve as President of the Forum pursuant to NRS 427A.370.

Nev. Rev. Stat. § 427A.320 Creation.

The Nevada Silver Haired Legislative Forum is hereby created to identify and act upon issues of importance to aging persons.

Nev. Rev. Stat. § 427A.330 Nomination, appointment and terms of members.

1. The Legislative Commission shall appoint to the Nevada Silver Haired Legislative Forum a number of members equal to the number of State Senators. The persons appointed to the Forum must be the persons nominated pursuant to this section. Each member of the Senate shall, after consulting with the members of the Assembly who reside within his or her senatorial district, nominate a person who meets the requirements for appointment to the Forum set forth in NRS 427A.340 . 2. Appointments to the Nevada Silver Haired Legislative Forum must be made by the Legislative Commission before December 31 of the second year of a members term. After the initial terms, each member of the Forum serves a term of 2 years. Each member of the Forum continues to serve until a successor is appointed.

Nev. Rev. Stat. § 427A.340 Qualifications of members.

To be eligible for appointment as a member of the Forum pursuant to NRS 427A.330, a person must: 1. Have been a resident of this state for 5 years immediately preceding his or her appointment; 2. Have been a registered voter in the senatorial district of the Senator who nominated the member for 1 year immediately preceding his or her appointment; and 3. Be at least 60 years of age on the day that he or she is appointed.

Nev. Rev. Stat. § 427A.350 Ex officio membership in Forum of member of National Silver Haired Congress.

1. Members of the National Silver Haired Congress from this State shall serve as ex officio members of the Forum. If a member of the National Silver Haired Congress ceases to be a member of the National Silver Haired Congress, the ex officio membership of that person in the Forum terminates. Except as otherwise provided in this section and NRS 427A.370 , an ex officio member of the Forum has the same rights and responsibilities as the members who are appointed pursuant to NRS 427A.330 . 2. Except as otherwise provided in subsection 3, ex officio members of the Forum are nonvoting members. 3. A member of the National Silver Haired Congress from this State who is an ex officio member of the Forum may vote on a matter considered by the Forum if he or she: (a) Has been a resident of this State for 5 years immediately preceding the date of a meeting at which the Forum will vote on a matter considered by the Forum; and (b) Is at least 60 years of age on the date of a meeting at which the Forum will vote on a matter considered by the Forum.

Nev. Rev. Stat. § 427A.360 Vacancies in membership.

1. A position in the Forum to which a member is appointed pursuant to NRS 427A.330 becomes vacant upon: (a) The death or resignation of such a member. (b) The illness of such a member that prevents the member from attending three consecutive meetings of the Forum, unless excused by the President. (c) The absence of such a member for any reason from three consecutive meetings of the Forum, unless excused by the President. 2. If a vacancy occurs in a position in the Forum to which a member is appointed pursuant to NRS 427A.330 , the Legislative Commission shall fill the vacancy in the same manner as the original selection for the remainder of the unexpired term. The Legislative Commission may appoint a person whose membership in the National Silver Haired Congress has ended to fill such a vacancy in the Forum.

Nev. Rev. Stat. § 427A.370 Election, terms and duties of officers; assistance from Legislative Counsel Bureau.

1. The Forum shall elect from among its members appointed pursuant to NRS 427A.330 : (a) A President who shall conduct meetings and oversee the formation of committees as necessary to accomplish the purposes of the Forum and who shall serve a term of 2 years beginning on September 1. (b) A Vice President who shall assist the President and conduct meetings of the Forum if the President is absent or otherwise unable to perform his or her duties and who shall serve a term of 1 year beginning on September 1 of each year. (c) Two facilitators, one of whom resides in northern Nevada and one of whom resides in southern Nevada, who shall gather information on issues of importance to senior citizens and provide a report at each meeting of the Forum on the information gathered by the facilitators and who shall serve a term of 2 years beginning on September 1. 2. The President and Vice President shall coordinate and facilitate the activities and meetings of the Forum. 3. A member of the Forum appointed pursuant to NRS 427A.330 shall not serve more than two terms as President. 4. The Director of the Legislative Counsel Bureau shall provide such persons as are necessary to assist the Forum in carrying out its duties.

Nev. Rev. Stat. § 427A.375 Advisory members of Forum: Appointment; prescription of title, duties and term; qualifications; reappointment; termination of appointment.

1. The Forum may, by the affirmative vote of a majority of its membership who are qualified to vote, appoint one or more persons to serve as advisory members of the Forum. An advisory member appointed pursuant to this subsection may not vote on any matter before the Forum. 2. Before voting upon the appointment of an advisory member pursuant to subsection 1, the Forum shall prescribe: (a) The title and duties of the advisory member; and (b) The term of office of the advisory member, which must not exceed 12 months. 3. To be eligible for appointment as an advisory member pursuant to subsection 1, a person must: (a) Have been a resident of this State for at least 3 years immediately preceding his or her appointment; and (b) Be at least 50 years of age on the day that he or she is appointed. 4. A person appointed to serve as an advisory member of the Forum pursuant to subsection 1 may be reappointed for additional terms as an advisory member in the same manner as the original appointment. 5. The membership of an advisory member appointed pursuant to subsection 1 in the Forum terminates upon: (a) The death or resignation of the advisory member; (b) The expiration of the term for which the advisory member has been appointed; (c) The affirmative vote of a majority of the membership of the Forum that is qualified to vote to terminate the membership of the advisory member; or (d) The absence of the advisory member for any reason from three consecutive meetings of the Forum, unless excused by the President.

Nev. Rev. Stat. § 427A.380 Public hearings; meetings; formation of committees; compliance with Open Meeting Law.

1. The Nevada Silver Haired Legislative Forum may, within the limits of legislative appropriations and any gifts, grants or donations received by the Forum: (a) During the period in which the Legislature is not in a regular session, hold three or more public hearings in this State. (b) During the period in which the Legislature is in a regular session, meet as often as necessary to conduct the business of the Forum. (c) Form committees, which may meet as often as necessary to conduct the business of the Forum. 2. The Nevada Silver Haired Legislative Forum and its committees shall comply with the provisions of chapter 241 of NRS.

Nev. Rev. Stat. § 427A.390 Powers.

The Forum may: 1. Submit a report containing recommendations for legislative action to the Legislative Commission and the Governor before September 1 of each even-numbered year. 2. Accept gifts, grants and donations that must be deposited in an account established pursuant to NRS 427A.395 . 3. Adopt procedures to conduct meetings of the Forum and committees thereof. Those procedures may be changed upon approval of a majority vote of all members of the Forum who are qualified to vote and are present and voting.

Nev. Rev. Stat. § 427A.395 Duties concerning money received and expenses incurred.

1. All money received by the Forum must be deposited in a bank, credit union or other financial institution in this state and paid out on its order for its expenses. 2. The President, with the assistance of the Director of the Legislative Counsel Bureau, shall administer any account established pursuant to subsection 1. 3. All expenses incurred by the Forum in carrying out the provisions of NRS 427A.313 to 427A.400 , inclusive, must be paid from an account established pursuant to subsection 1.

Nev. Rev. Stat. § 427A.400 Compensation of members.

Within the limits of legislative appropriations, and any gifts, grants and donations, each member appointed pursuant to NRS 427A.330, each ex officio member and each advisory member appointed pursuant to NRS 427A.375 is entitled to receive for attendance at a meeting of the Forum or a committee thereof the per diem allowance and travel expenses provided for state officers and employees generally.

Nev. Rev. Stat. § 427A.601 Criteria for developing individualized family service plan for child who is deaf, hard of hearing, blind or visually impaired.

1. When developing an individualized family service plan for a child who is deaf, hard of hearing, blind or visually impaired, including, without limitation, a child who is both deaf and blind, the childs individualized family service plan team shall use the criteria prescribed pursuant to NRS 388.519 , in addition to any methods of assessment required by federal law, to evaluate the childs development of language and literacy skills and to determine whether to modify the individualized family service plan. If the team determines that the child is not progressing properly in his or her development of language and literacy skills, the team must include in the plan: (a) A detailed explanation of the reasons that the child is not making adequate progress; and (b) Recommendations for services and programs to assist the childs development of language and literacy skills. 2. As used in this section: (a) Individualized family service plan has the meaning ascribed to it in 20 U.S.C. § 1436. (b) Individualized family service plan team means a multidisciplinary team assembled to develop an individualized family service plan pursuant to 20 U.S.C. § 1436(a)(3).

Nev. Rev. Stat. § 427A.605 Program to negotiate discounts and rebates for certain costs for children who are deaf or hard of hearing.

1. The Director may establish a program to negotiate discounts and rebates for hearing devices and related costs, including, without limitation, ear molds, batteries and FM systems, for children in this State who are deaf or hard of hearing on behalf of entities described in subsection 2 who participate in the program. 2. The following persons and entities may participate in a program established pursuant to subsection 1: (a) The Public Employees Benefits Program; (b) A governing body of a county, school district, municipal corporation, political subdivision, public corporation or other local governmental agency that provides health coverage to employees through a self-insurance reserve fund pursuant to NRS 287.010 ; (c) An insurer that holds a certificate of authority to transact insurance in this State pursuant to chapter 680A of NRS; (d) An employer or employee organization based in this State that provides health coverage to employees through a self-insurance reserve fund; (e) A governmental agency or nonprofit organization that purchases hearing devices for children in this State who are deaf or hard of hearing; (f) A resident of this State who does not have coverage for hearing devices; (g) The Public Option established pursuant to NRS 695K.200 ; and (h) Any other person or entity that provides health coverage or otherwise purchases hearing devices for children in this State who are deaf or hard of hearing. 3. A person or entity described in subsection 2 may participate in any program established pursuant to subsection 1 by submitting an application to the Department in the form prescribed by the Department.

Nev. Rev. Stat. § 427A.610 Program to obtain hearing aid at no charge; regulations; acceptance of gifts, grants and donations; report to Legislature and Nevada Commission for Persons Who Are Deaf and Hard of Hearing.

1. The Division shall develop and administer a program whereby any child who is less than 13 years of age whom the Division determines is hard of hearing may apply to obtain a hearing aid at no charge to the child if the child: (a) Resides in a home in which the household income is at or below 400 percent of the federally designated level signifying poverty; and (b) Does not have access to affordable insurance coverage for a hearing aid. 2. The Division shall establish by regulation the manner in which a person may apply to receive a hearing aid pursuant to subsection 1 and the manner in which hearing aids may be provided by the program. Applications must be approved to the extent money is available in the order in which the applications are received. 3. The Division may accept gifts, grants and donations for the purpose of carrying out the provisions of this section. 4. On or before February 15 of each year, the Division shall: (a) Prepare a report concerning the program developed pursuant to subsection 1 which must include, without limitation, the number of applications received pursuant to subsection 1 in the previous calendar year, the number of applications that were approved, the number of children who are on the waiting list to receive a hearing aid and any other information deemed appropriate by the Division; and (b) Submit a copy of the report to the Nevada Commission for Persons Who Are Deaf and Hard of Hearing, the Governor and the Director of the Legislative Counsel Bureau for transmittal to the Legislature.

Nev. Rev. Stat. § 427A.740 Commission defined.

As used in this section and NRS 427A.750 and 427A.752, unless the context otherwise requires, Commission means the Nevada Commission for Persons Who Are Deaf and Hard of Hearing created by NRS 427A.750.

Nev. Rev. Stat. § 427A.750 Creation; membership; terms; vacancies; Chair; quorum; compensation; members holding public office or employed by governmental entity; powers and duties.

1. The Nevada Commission for Persons Who Are Deaf and Hard of Hearing is hereby created within the Division. The Commission consists of 12 members appointed by the Governor. The Governor shall consider recommendations made by the Nevada Commission on Services for Persons with Disabilities and appoint to the Nevada Commission for Persons Who Are Deaf and Hard of Hearing: (a) One nonvoting member who is employed by the State and who participates in the administration of the programs of this State that provide services to persons who are deaf, hard of hearing or speech impaired; (b) One member who is a member of the Nevada Association of the Deaf, or, if it ceases to exist, one member who represents an organization which has a membership of persons who are deaf, hard of hearing or speech-impaired; (c) One member who has experience with and knowledge of services for persons who are deaf, hard of hearing or speech-impaired; (d) One nonvoting member who is the Executive Director of the Nevada Telecommunications Association or, in the event of its dissolution, who represents the telecommunications industry; (e) One member who is a user of telecommunications relay services or the services of persons engaged in the practice of sign language interpreting or the practice of realtime captioning; (f) One member who is a parent of a child who is deaf, hard of hearing or speech-impaired; (g) One member who represents educators in this State and has knowledge concerning the provision of communication services to persons who are deaf, hard of hearing or speech impaired in elementary, secondary and postsecondary schools and the laws concerning the provision of those services; (h) One member who represents an advocacy organization whose membership consists of persons who are deaf, hard of hearing or speech-impaired; (i) One member who is deaf or hard of hearing; (j) One member who specializes in issues relating to the employment of persons with disabilities; (k) One member who is the parent or guardian of a child who is less than 6 years of age and is deaf or hard of hearing; and (l) One member who: (1) Is registered with the Division pursuant to NRS 656A.100 to engage in the practice of sign language interpreting; and (2) To the extent practicable, has experience with and knowledge of interpreting in a primary or secondary educational setting and a post-secondary educational setting and freelance interpreting. 2. After the initial term, the term of each member is 3 years. A member may be reappointed. 3. If a vacancy occurs during the term of a member, the Governor shall appoint a person similarly qualified to replace that member for the remainder of the unexpired term. 4. The Commission shall: (a) At its first meeting and annually thereafter, elect a Chair from among its voting members; and (b) Meet at the call of the Governor or the Chair or a majority of its voting members as is necessary to carry out its responsibilities. 5. A majority of the voting members of the Commission constitutes a quorum for the transaction of business, and a majority of the voting members of a quorum present at any meeting is sufficient for any official action taken by the Commission. 6. Members of the Commission serve without compensation, except that each member is entitled, while engaged in the business of the Commission, to the per diem allowance and travel expenses provided for state officers and employees generally if funding is available for this purpose. 7. A member of the Commission who is an officer or employee of this State or a political subdivision of this State must be relieved from his or her duties without loss of regular compensation so that the person may prepare for and attend meetings of the Commission and perform any work necessary to carry out the duties of the Commission in the most timely manner practicable. A state agency or political subdivision of this State shall not require an officer or employee who is a member of the Commission to make up the time he or she is absent from work to carry out his or her duties as a member of the Commission or use annual vacation or compensatory time for the absence. 8. The Commission may: (a) Make recommendations to any state agency, including, without limitation, the Division, concerning the establishment and operation of programs for persons who are deaf, hard of hearing or speech impaired to ensure equal access to state programs and activities. (b) Recommend to the Governor any proposed legislation concerning persons who are deaf, hard of hearing or speech impaired. (c) Collect information concerning persons who are deaf, hard of hearing or speech impaired. (d) Develop a statewide plan to provide services to persons who are deaf, hard of hearing or speech impaired. In developing any such plan, the Commission must solicit input from various persons, including, without limitation, persons who are deaf, hard of hearing or speech impaired. (e) Review the goals, policies, programs and services of state agencies, including, without limitation, the Division, that serve persons who are deaf, hard of hearing or speech impaired and advise such agencies regarding such goals, policies, programs and services, including, without limitation, the outcomes of services provided to persons who are deaf, hard of hearing or speech impaired and the requirements imposed on providers. (f) Based on information collected by the Department of Education, advise the Department of Education on research and methods to ensure the availability of language and communication services for children who are deaf, hard of hearing or speech-impaired. (g) Consult with the personnel of any state agency, including, without limitation, the Division, concerning any matter relevant to the duties of the Commission. A state agency shall make available to the Commission any officer or employee of the agency with which the Commission wishes to consult pursuant to this paragraph. 9. The Commission shall: (a) Make recommendations to the Division concerning the practice of sign language interpreting and the practice of realtime captioning, including, without limitation, the adoption of regulations to carry out the provisions of chapter 656A of NRS. (b) Make recommendations to the Division concerning all programs and activities funded by the surcharge imposed pursuant to subsection 3 of NRS 427A.797 . (c) Provide persons who are deaf, hard of hearing or speech impaired with information concerning services and resources that promote equality for such persons in education, employment and socialization and referrals for such services and resources; (d) Review the procedures and practices of state and local governmental entities to ensure that persons who are deaf, hard of hearing or speech impaired have equal access to resources and services provided by those governmental entities; and (e) Make recommendations to state and local governmental entities concerning: (1) Compliance with laws and regulations concerning persons who are deaf, hard of hearing or speech impaired, including, without limitation, the Americans with Disabilities Act of 1990, 42 U.S.C. §§ 12101 et seq.; (2) Improving the health, safety, welfare and comfort of persons who are deaf, hard of hearing or speech impaired; and (3) Integrating services and programs for persons who are deaf, hard of hearing or speech impaired and improving cooperation among state and local governmental entities that provide such services. 10. As used in this section: (a) Practice of sign language interpreting has the meaning ascribed to it in NRS 656A.060 . (b) Practice of realtime captioning has the meaning ascribed to it in NRS 656A.062 . (c) Telecommunications relay services has the meaning ascribed to it in 47 C.F.R. § 64.601.

Nev. Rev. Stat. § 427A.752 Appointment, classification and duties of Executive Director of Commission; operational assistance provided by Division.

1. The Administrator shall appoint the Executive Director of the Commission. The Executive Director: (a) Is in the unclassified service of the State and serves at the pleasure of the Administrator. (b) Shall perform such duties as are directed by the Administrator, as advised by the Commission. (c) Must not be a member of the Commission. 2. The Division shall provide any additional personnel, facilities, equipment and supplies required by the Commission to carry out the provisions of this section and NRS 427A.750 .

Nev. Rev. Stat. § 427A.755 Circumstances under which signature stamp may be used; treatment of signature stamps; standards regarding signature stamps; regulations.

1. Except as otherwise provided in subsection 2 and notwithstanding any other provision of law: (a) A person with a physical disability who, by reason of the physical disability, is unable to write may use a signature stamp to affix his or her signature to a document or writing any time that a signature is required by law; and (b) A person, government, governmental agency and political subdivision of a government must treat each signature affixed by a person described in paragraph (a) through the use of a signature stamp in the same manner as it treats a signature made in writing. 2. The provisions of subsection 1 do not apply to a document or writing with respect to which the requirement that the document or writing must be signed is accompanied by an additional qualifying requirement unless each additional qualifying requirement is satisfied. 3. The Division shall develop standards regarding signature stamps for persons with physical disabilities who, by reason of their physical disabilities, are unable to write, including, without limitation, standards pertaining to: (a) The development of a signature stamp; (b) The use of a signature stamp; (c) The verification of a signature stamp; and (d) Any other aspect of the use or verification of signature stamps that the Division determines to be necessary. 4. The Division shall adopt regulations to carry out the provisions of this section, including, without limitation, regulations: (a) To carry out the standards developed by the Division pursuant to subsection 3; and (b) Concerning the extent to which a person who uses a signature stamp and a person, government, governmental agency and political subdivision of a government which treats a signature stamp as the signature of a person pursuant to this section may incur liability related to the use or treatment of the signature stamp. 5. As used in this section, signature stamp means a stamp which contains the impression of: (a) The actual signature of a person with a physical disability; (b) A mark or symbol which is adopted by the person with the physical disability; or (c) A signature of the name of a person with a physical disability which is made by another person and which is adopted by the person with the physical disability.

Nev. Rev. Stat. § 427A.791 Person with a physical disability defined.

As used in NRS 427A.791, 427A.793 and 427A.795, unless the context otherwise requires, person with a physical disability means a person with a physical disability that substantially limits the persons ability to participate and contribute independently in the community in which he or she lives.

Nev. Rev. Stat. § 427A.793 Establishment; regulations; judicial review of eligibility decisions.

1. The Division shall establish a program to provide services for persons with physical disabilities for such essential personal care required pursuant to NRS 427A.795 as is necessary to enable them to live in a noninstitutional or unsupervised residential setting. 2. The Division shall adopt regulations: (a) Establishing the procedures for applying for services for essential personal care; (b) Prescribing the criteria for determining the eligibility of an applicant; (c) Prescribing the nature of the services which may be provided and the conditions imposed; and (d) Prescribing such other provisions as the Division considers necessary to administer the program. 3. The decision of the Division regarding the eligibility of an applicant is a final decision for the purposes of judicial review.

Nev. Rev. Stat. § 427A.795 Required elements of essential personal care.

The essential personal care for which the Division may provide services for a person with a physical disability pursuant to NRS 427A.793 must include assisting the person with the physical disability in: 1. The elimination of wastes from the body. 2. Dressing and undressing. 3. Bathing and grooming. 4. The preparation and eating of meals. 5. Getting in and out of bed. 6. Repositioning while asleep. 7. The use of prostheses and other medical equipment. 8. Moving about.

Nev. Rev. Stat. § 427A.797 Development and administration of program to provide devices for telecommunication and other assistive technology to persons with impaired speech or hearing; surcharge; creation and use of Account for Services for Persons With Impaired Speech or Hearing.

1. The Division shall develop and administer a program whereby: (a) Any person who is a customer of a telephone company which provides service through a local exchange or a customer of a company that provides wireless phone service and who is certified by the Division to be deaf or to have severely impaired speech or hearing may obtain a device for telecommunication or other assistive technology capable of serving the needs of such persons at no charge to the customer beyond the rate for basic service; (b) Any person who is deaf or has severely impaired speech or hearing may communicate by telephone, including, without limitation, a wireless phone, or other means with other persons through a dual-party relay system or other assistive technology; and (c) Interpreters are made available, when possible, to the Executive, Judicial and Legislative Departments of State Government to assist those departments in providing access to persons who are deaf or hard of hearing. The Division shall, to the extent money is available, employ one or more interpreters in the unclassified service of the State for the purposes of this paragraph. 2. The program developed pursuant to subsection 1 must include the establishment of centers for persons who are deaf or hard of hearing that provide services which must include, without limitation: (a) Facilitating the provision and distribution of devices for telecommunication and other assistive technology to persons with impaired speech or hearing; (b) Assisting persons who are deaf or have severely impaired speech or hearing in accessing assistive devices, including, without limitation, hearing aids, electrolarynxes and devices for telecommunication and other assistive technology; (c) Expanding the capacity for service using devices for telecommunication and other assistive technology in areas where there is a need for such devices and technology and services for persons with impaired speech or hearing are not available; (d) Providing instruction in language acquisition to persons determined by the center to be eligible for services; and (e) Providing programs designed to increase access to education, employment and health and social services. 3. A surcharge of not more than 8 cents per month is hereby imposed on each access line of each customer to the local exchange of any telephone company providing such lines in this State and on each personal wireless access line of each customer of any company that provides wireless phone services in this State. The surcharge must be used to: (a) Cover the costs of the program; (b) Fund the centers for persons who are deaf or hard of hearing established pursuant to subsection 2; (c) Cover the costs incurred by the Division to carry out the provisions of chapter 656A of NRS that are not covered by the civil penalties received by the Division pursuant to NRS 656A.800 ; and (d) Cover the costs of the compensation and other expenses of the Executive Director of the Nevada Commission for Persons Who are Deaf and Hard of Hearing pursuant to NRS 427A.752 . Ê The Public Utilities Commission of Nevada shall establish by regulation the amount to be charged. Those companies shall collect the surcharge from their customers and transfer the money collected to the Commission pursuant to regulations adopted by the Commission. 4. The Account for Services for Persons With Impaired Speech or Hearing is hereby created within the State General Fund and must be administered by the Division. Any money collected from the surcharge imposed pursuant to subsection 3 must be deposited in the State Treasury for credit to the Account. 5. The Division shall, in consultation with the Commission, designate annually an amount of money in the Account to be used by the Division in that calendar year only to cover the costs of the program developed pursuant to subsection 1. 6. After designating the amount of money to use pursuant to subsection 5, the Division may use the remaining money in the Account only: (a) For the purchase, maintenance, repair and distribution of the devices for telecommunication and other assistive technology, including the distribution of such devices and technology to state agencies and nonprofit organizations; (b) To establish and maintain the dual-party relay system; (c) To reimburse telephone companies and companies that provide wireless phone services for the expenses incurred in collecting and transferring to the Public Utilities Commission of Nevada the surcharge imposed by the Commission; (d) For the general administration of the program developed and administered pursuant to subsection 1; (e) To train persons in the use of the devices for telecommunication and other assistive technology; (f) To fund the centers for persons who are deaf or hard of hearing established pursuant to subsection 2; (g) To cover the costs incurred by the Division to carry out the provisions of chapter 656A of NRS that are not covered by the civil penalties received by the Division pursuant to NRS 656A.800 ; (h) To cover the costs of the program established pursuant to NRS 427A.610 to provide hearing aids to children who are hard of hearing; and (i) To cover the cost of the compensation and other expenses of the Executive Director of the Nevada Commission for Persons Who Are Deaf and Hard of Hearing. 7. For the purposes of this section: (a) Account means the Account for Services for Persons With Impaired Speech or Hearing. (b) Device for telecommunication means a device which is used to send messages through the telephone system, including, without limitation, the wireless phone system, which visually displays or prints messages received and which is compatible with the system of telecommunication with which it is being used. (c) Dual-party relay system means a system whereby persons who have impaired speech or hearing, and who have been furnished with devices for telecommunication, may relay communications through third parties to persons who do not have access to such devices.

Nev. Rev. Stat. § 427A.800 Traumatic brain injury defined.

As used in this section and NRS 427A.850 and 427A.860, traumatic brain injury means a sudden shock or damage to the brain or its coverings which is not of a degenerative nature and produces an altered state of consciousness or temporarily or permanently impairs the mental, cognitive, behavioral or physical functioning of the brain. The term does not include: 1. A cerebral vascular accident; 2. An aneurism; or 3. A congenital defect.

Nev. Rev. Stat. § 427A.850 Program for Persons With Traumatic Brain Injuries: Establishment; services.

1. The Division shall establish a Program for Persons With Traumatic Brain Injuries. 2. The Program may, subject to legislative appropriation, provide: (a) The following services to persons with traumatic brain injuries: (1) Treatment during the day on an outpatient basis; (2) Care provided in a facility operated and maintained to furnish food, shelter, assistance and limited supervision; (3) Care provided in the home; (4) Instruction in the skills required for independent living; (5) Placement for jobs; and (6) Counseling and treatment for substance use disorders. (b) Support services for families of persons with traumatic brain injuries. (c) For the dissemination of information for the prevention of traumatic brain injuries.

Nev. Rev. Stat. § 427A.860 Regulations.

The Division shall adopt regulations concerning the care of persons with traumatic brain injuries. The Division shall, in adopting the regulations, consider the criteria established by the Commission on Accreditation of Rehabilitation Facilities or its successor for the care of such persons.

Nev. Rev. Stat. § 427A.862 Definitions.

As used in NRS 427A.862 to 427A.870, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.863 to 427A.866, inclusive, have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.863 Department defined.

Department means the Department of Public Safety.

Nev. Rev. Stat. § 427A.864 Media outlet defined.

Media outlet means a company or other similar entity that transmits news, feature stories, entertainment or other information to the public through various distribution channels, including, without limitation, newspapers, magazines, radio, broadcast, cable and satellite television and electronic media.

Nev. Rev. Stat. § 427A.865 Missing endangered older person defined.

Missing endangered older person means a person who is 60 years of age or older whose whereabouts are unknown and who: 1. Has been diagnosed with a medical or mental health condition that places the person in danger of serious physical harm or death; or 2. Is missing under suspicious or unexplained circumstances that place the person in danger of serious physical harm or death.

Nev. Rev. Stat. § 427A.866 System defined.

System means the Statewide Alert System for the Safe Return of Missing Endangered Older Persons created by NRS 427A.867.

Nev. Rev. Stat. § 427A.867 Creation; composition; administration; requirements for participation in System.

1. There is hereby created the Statewide Alert System for the Safe Return of Missing Endangered Older Persons, which is composed of a voluntary partnership among the Department of Public Safety, the Department of Transportation, state law enforcement agencies, local law enforcement agencies, media outlets and other public or private organizations to assist in the search for and safe return of missing endangered older persons. The Department of Public Safety shall administer the System within the limits of available money. 2. Each law enforcement agency, media outlet and public or private organization that chooses to participate in the System shall comply with the provisions of NRS 427A.862 to 427A.870 , inclusive, and any requirements prescribed by the Department for participation in the System. 3. Each law enforcement agency that chooses to participate in the System shall: (a) Adopt a written policy concerning activation of the System by the agency that is consistent with the provisions of NRS 427A.862 to 427A.870 , inclusive, and the regulations adopted by the Department pursuant to NRS 427A.868 ; and (b) Submit a copy of the written policy to the Department.

Nev. Rev. Stat. § 427A.868 Duties and powers of Department; regulations.

1. The Department shall: (a) Develop a plan for carrying out the System which includes the components of the System; (b) Oversee the System; (c) Supervise and evaluate any training associated with the System; (d) Monitor, review and evaluate the activations of the System to determine whether such activations complied with the provisions of NRS 427A.862 to 427A.870 , inclusive; and (e) Conduct periodic tests of the System. 2. The Department may: (a) Dedicate the System to one or more persons; (b) Establish a name for the System that is in addition to the definition set forth in NRS 427A.866 ; (c) Identify and apply for federal funding available to carry out the provisions of NRS 427A.862 to 427A.870 , inclusive; and (d) Accept gifts, grants and donations for use in carrying out the provisions of NRS 427A.862 to 427A.870 , inclusive. 3. The Department shall, in consultation with representatives of the Department of Transportation, the Nevada Sheriffs and Chiefs Association, the Nevada Broadcasters Association, media outlets that participate in the System and any other public or private organization that participates in the System, adopt regulations to carry out the provisions of NRS 427A.862 to 427A.870 , inclusive.

Nev. Rev. Stat. § 427A.869 Activation of System by law enforcement agency to disseminate notice on behalf of missing endangered older person; prior consent of Department not required; notification of cancellation of activation and final disposition.

1. A law enforcement agency which has jurisdiction over the investigation of a missing endangered older person may activate the System to disseminate a notice on behalf of the missing endangered older person if the law enforcement agency has: (a) Confirmed that the whereabouts of the missing endangered older person are unknown; (b) Confirmed either that the missing endangered older person: (1) Has been diagnosed with a medical or mental health condition that places the missing endangered older person in danger of serious physical harm or death; or (2) Is missing under suspicious or unexplained circumstances that place the person in danger of serious physical harm or death; and (c) Received sufficient descriptive information about the missing endangered older person or other pertinent information to warrant dissemination of the information. 2. Before activation of the System on behalf of a missing endangered older person, the law enforcement agency shall determine whether the dissemination of information will encompass: (a) A particular neighborhood, city, county, region or state; or (b) More than one neighborhood, city, county, region or state. 3. A law enforcement agency is not required to obtain the prior consent of the Department before activating the System, but the Department may review an activation of the System after the activation is complete. 4. A law enforcement agency that activates the System shall notify the Department and all participating members of the System upon cancellation of the activation and shall report the final disposition of the search for the missing endangered older person to the Department.

Nev. Rev. Stat. § 427A.870 Immunity of media outlet or any other public or private organization from civil liability for disseminating information about older person; immunity of person who establishes Internet website for System from civil liability for certain information placed on Internet website.

1. If a media outlet or any other public or private organization that participates in the System receives a notification of activation of the System by a law enforcement agency concerning a missing endangered older person and as a result of that notification disseminates descriptive information concerning the missing endangered older person and other information contained in the notification to assist with the safe return of the missing endangered older person, the media outlet, public or private organization and any person working for the media outlet or public or private organization is immune from civil liability based upon the dissemination of that information. 2. If a person enters into an agreement with the Department to establish or maintain an Internet website for the System and the agreement provides that only the law enforcement agency activating the System has the authority or ability to place information on the website, the person who establishes or maintains the Internet website is immune from civil liability in any action based upon the information that is placed on the Internet website by the authorized law enforcement agency.

Nev. Rev. Stat. § 427A.871 Definitions.

As used in NRS 427A.871 to 427A.8803, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.8713, 427A.8715 and 427A.8718 have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.872 Division to adopt regulations prescribing statewide standard for measuring outcomes and assessing certain young persons with autism spectrum disorders; reports to Division.

1. The Division, in cooperation and guidance with the Department of Education, representatives of the school districts in this State and the Commission, shall prescribe by regulation a statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years who receive services through the State or a local government or an agency thereof. The regulations must align with best practices guidelines and require direct observation by a provider of health care conducting an assessment for determining whether a person is a person with autism spectrum disorder. The statewide standard must be used by personnel employed by the State or a local government or an agency thereof who provide assessments, interventions and diagnoses of persons with autism spectrum disorders through the age of 21 years and by the persons with whom the State or a local government or an agency thereof contracts to provide assessments, interventions and diagnoses of persons with autism spectrum disorders through the age of 21 years. 2. The statewide standard prescribed pursuant to subsection 1 must authorize a provider of health care to directly observe a person and complete an assessment to determine whether the person is a person with autism spectrum disorder so long as conducting such observation and completing such an assessment are within the scope of practice of the provider of health care. 3. The statewide standard prescribed pursuant to subsection 1 must be used upon intake of a person suspected of having autism spectrum disorder or at any later time if a person is suspected of having autism spectrum disorder after intake. The results of an assessment must be provided to the parent or legal guardian of the person, if applicable. 4. The Division shall prescribe the form and content of reports relating to persons with autism spectrum disorders through the age of 21 years that must be reported to the Division pursuant to NRS 388.451 and 615.205 . Except as otherwise provided in NRS 388.451 , the Division shall ensure that the information is reported in a manner which: (a) Allows the Division to document the services provided to and monitor the progress of each person with autism spectrum disorder through the age of 21 years who receives services from the State or an agency thereof; and (b) Ensures that information reported for each person who receives services which identifies the person is kept confidential, consistent with the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. § 1232g, and any other applicable state and federal privacy laws. 5. The Division shall prepare annually a summary of the reports submitted pursuant to NRS 388.451 and 615.205 and make the summary publicly available. The Division shall ensure that information contained in the summary does not identify a person who received services.

Nev. Rev. Stat. § 427A.875 Autism Treatment Assistance Program: Establishment; duties; requirements for plan of treatment developed for participants; policies and services provided to be approved by Nevada Commission on Autism Spectrum Disorders.

1. There is hereby established the Autism Treatment Assistance Program within the Division to serve as the primary autism program within the Department and to provide and coordinate the provision of services to persons diagnosed or determined, including, without limitation, through the use of a standardized assessment, to have autism spectrum disorders through the age of 19 years. 2. The Autism Treatment Assistance Program shall: (a) Prescribe an application process for parents and guardians of persons with autism spectrum disorders to participate in the Program. (b) Provide for the development of a plan of treatment for persons who participate in the Program. (c) Promote the use of evidence-based treatments which are cost effective and have been proven to improve treatment of autism spectrum disorders. (d) Educate parents and guardians of persons with autism spectrum disorders on autism spectrum disorders and the assistance that may be provided by the parent or guardian to improve treatment outcomes. (e) Establish and use a system for assessing persons with autism spectrum disorders to determine a baseline to measure the progress of and prepare a plan for the treatment of such persons. (f) Assist parents and guardians of persons with autism spectrum disorders in obtaining public services that are available for the treatment of autism spectrum disorders. (g) Publish on an Internet website maintained by the Autism Treatment Assistance Program: (1) Specific guidance for obtaining a diagnosis for an autism spectrum disorder and obtaining public services that are available for the treatment of autism spectrum disorders, including, without limitation, applied behavior analysis services; and (2) A list of providers in this State who are qualified to diagnose autism spectrum disorders. (h) When there is a waiting list for services from the Autism Treatment Assistance Program, use a risk assessment tool to assess and identify persons on the waiting list with higher needs for the purpose of ensuring the proper delivery of services to each person, regardless of the difficulty of serving that person. 3. A plan of treatment developed for a person who participates in the Program pursuant to paragraph (b) of subsection 2 must: (a) Identify the specific behaviors of the person to be addressed and the expected outcomes. (b) Include, without limitation: (1) Preparations for transitioning the person from one provider of treatment to another or from one public program to another, as the needs of the person require through the age of 19 years; and (2) Measures to ensure that, to the extent practicable, the person receives appropriate services from another entity after the person reaches 20 years of age. (c) Be revised to address any change in the needs of the person. 4. The policies of the Autism Treatment Assistance Program and any services provided by the Program must be developed in cooperation with and be approved by the Commission. 5. As used in this section, autism spectrum disorder means a condition that meets the diagnostic criteria for autism spectrum disorder published in the current edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association or the edition thereof that was in effect at the time the condition was diagnosed or determined.

Nev. Rev. Stat. § 427A.878 Division required to ensure that personnel who provide early intervention services possess necessary knowledge and skills; early intervention screenings and assessments.

1. The Division shall ensure that the personnel employed by the Division who provide early intervention services to children with autism spectrum disorders and the persons with whom the Division contracts to provide early intervention services to children with autism spectrum disorders possess the knowledge and skills necessary to serve children with autism spectrum disorders, including, without limitation: (a) Early and periodic developmental screening of a child for autism spectrum disorder at the age levels and frequency recommended by the American Academy of Pediatrics, or its successor organization; (b) The procedure for assessing children who demonstrate behaviors that are consistent with autism spectrum disorders, which procedure must require the use of the statewide standard for measuring outcomes and assessing persons with autism spectrum disorders through the age of 21 years prescribed pursuant to NRS 427A.872 ; (c) The procedure for enrolling a child in early intervention services upon determining that the child has autism spectrum disorder; (d) Methods of providing support to children with autism spectrum disorders and their families; and (e) The procedure for developing an individualized family service plan in accordance with Part C of the Individuals with Disabilities Education Act, 20 U.S.C. §§ 1431 et seq., or other appropriate plan for the child. 2. The Division shall ensure that the personnel employed by the Division to provide early intervention services to children with autism spectrum disorders and the persons with whom the Division contracts to provide early intervention services to children with autism spectrum disorders: (a) Possess the knowledge and understanding of the scientific research and support for the methods and approaches for serving children with autism spectrum disorders and the ability to recognize the difference between an approach or method that is scientifically validated and one that is not; (b) Possess the knowledge to accurately describe to parents and guardians the research supporting the methods and approaches, including, without limitation, the knowledge necessary to provide an explanation that a method or approach is experimental if it is not supported by scientific evidence; (c) Immediately notify a parent or legal guardian if a child is identified as being at risk for a diagnosis of autism spectrum disorder and refer the parent or legal guardian to the appropriate professionals for further evaluation and simultaneously refer the parent or legal guardian to any appropriate early intervention services and strategies; and (d) Provide the parent or legal guardian with information on evidence-based treatments and interventions that may assist the child in the childs development and advancement. 3. The Division shall ensure that the personnel employed by the Division who provide early intervention screenings to children and the persons with whom the Division contracts to provide early intervention screenings to children perform screenings of children for autism spectrum disorders at the age levels and frequency recommended by the American Academy of Pediatrics, or its successor organization. 4. The Division shall ensure that: (a) For a child who may have autism spectrum disorder, the personnel employed by the Division who provide early intervention screenings to children and the persons with whom the Division contracts to provide early intervention screenings to children use the statewide standard prescribed pursuant to NRS 427A.872 for determining whether a child has autism spectrum disorder. (b) An initial assessment of the cognitive, communicative, social, emotional and behavioral condition and adaptive skill level of a child with autism spectrum disorder is conducted by a provider of health care acting within his or her scope of practice to determine the baseline of the child. (c) A subsequent assessment is conducted by a provider of health care acting within his or her scope of practice upon the childs conclusion of the early intervention services to determine the progress made by the child from the time of his or her initial screening.

Nev. Rev. Stat. § 427A.880 Referral to Autism Treatment Assistance Program.

For an infant or toddler with a disability who has autism spectrum disorder and is eligible for early intervention services, the Division shall refer the infant or toddler to the Autism Treatment Assistance Program established by NRS 427A.875 and coordinate with the Program to develop a plan of treatment for the infant or toddler pursuant to that section.

Nev. Rev. Stat. § 427A.882 Definitions.

As used in NRS 427A.882 to 427A.896, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.884, 427A.885 and 427A.886 have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.884 Nevada ABLE Savings Program defined.

Nevada ABLE Savings Program means the program the State Treasurer established, or ensured the establishment of, as provided in NRS 427A.889.

Nev. Rev. Stat. § 427A.885 Qualified ABLE program defined.

Qualified ABLE program has the meaning ascribed to it in the Achieving a Better Life Experience Act of 2014, 26 U.S.C. § 529A, as amended.

Nev. Rev. Stat. § 427A.886 Trust Fund defined.

Trust Fund means the Nevada ABLE Savings Program Trust Fund created by NRS 427A.892.

Nev. Rev. Stat. § 427A.889 Establishment; regulations; gifts, grants or other sources of money.

1. The State Treasurer may adopt regulations to establish and carry out the Nevada ABLE Savings Program to comply with the requirements of a qualified ABLE program pursuant to 26 U.S.C. § 529A, as amended. 2. The regulations must be consistent with the provisions of the Internal Revenue Code set forth in Title 26 of the United States Code, and any regulations adopted pursuant thereto, to ensure that the Nevada ABLE Savings Program meets all criteria for federal tax-deferred or tax-exempt benefits, or both. 3. The regulations must provide for the use of savings trust agreements and savings trust accounts to apply distributions toward qualified disability expenses in accordance with 26 U.S.C. § 529A, as amended. 4. The regulations may include any other provisions not inconsistent with federal law that the State Treasurer determines are necessary for the efficient and effective administration of the Nevada ABLE Savings Program and the Trust Fund, including, without limitation: (a) Procedures for the administration of the Nevada ABLE Savings Program, including, without limitation: (1) A procedure for enrolling in the Program; (2) Procedures for a person to access information regarding a savings trust account, including, without limitation, the balance in the account; (3) Methods and incentives to encourage contributions to a savings trust account; and (4) A procedure for distributions from a savings trust account; (b) Provisions for the charging and collection of administrative fees and charges in connection with any transaction relating to the Nevada ABLE Savings Program, including, without limitation, fees or charges related to continued participation in the Program; (c) A requirement that any money deposited in accordance with a savings trust agreement, and any increase in the value thereof or qualified withdrawal taken therefrom, is not subject to attachment, levy or execution by any creditor of a contributor, account owner or designated beneficiary and may not be used as security for a loan; (d) A requirement that any money deposited in accordance with a savings trust agreement, and any increase in the value thereof or qualified withdrawal taken therefrom, must not be used to calculate the personal assets of a designated beneficiary or account owner to determine eligibility for any disability, medical or other health benefits administered by this State; and (e) A requirement that any money deposited in accordance with a savings trust agreement, and any increase in the value thereof or qualified withdrawal taken therefrom, must not be used to calculate the personal assets of a designated beneficiary or account owner to determine eligibility or need for any student loan program, student grant program or any other student aid program administered by this State, except as otherwise provided for in federal law. 5. If the State Treasurer does not adopt regulations pursuant to this section to establish and carry out the Nevada ABLE Savings Program, the State Treasurer shall otherwise ensure that the Nevada ABLE Savings Program is established and carried out pursuant to NRS 427A.882 to 427A.896 , inclusive. 6. The State Treasurer may apply for and accept any gift, grant, donation, bequest or other source of money to carry out the Nevada ABLE Savings Program.

Nev. Rev. Stat. § 427A.890 State Treasurer authorized to delegate powers and duties; contracts with other states.

1. The State Treasurer may delegate any of its administrative powers and duties specified in NRS 427A.882 to 427A.896 , inclusive, if the State Treasurer determines that such delegation is necessary for the efficient and effective administration of the Nevada ABLE Savings Program and the Trust Fund. 2. In carrying out the provisions of NRS 427A.882 to 427A.896 , inclusive, the State Treasurer may contract with one or more other states to: (a) Provide for the administration of all or part of the Nevada ABLE Savings Program by another state; (b) Authorize the State Treasurer to administer all or part of a qualified ABLE program of another state; or (c) Jointly administer the Nevada ABLE Savings Program with a qualified ABLE program of one or more other states.

Nev. Rev. Stat. § 427A.891 No full faith and credit for savings trust accounts and savings trust agreements.

Savings trust accounts used and savings trust agreements entered into pursuant to NRS 427A.882 to 427A.896, inclusive, are not guaranteed by the full faith and credit of the State of Nevada.

Nev. Rev. Stat. § 427A.892 Nevada ABLE Savings Program Trust Fund: Creation; property and income of Trust Fund; sources of money in Trust Fund; ownership and use of money in Trust Fund.

1. The Nevada ABLE Savings Program Trust Fund is hereby created. 2. The Trust Fund is an instrumentality of this State, and its property and income are exempt from all taxation by this State and any political subdivision thereof. 3. The Trust Fund consists of: (a) All money deposited in accordance with savings trust agreements; (b) All earnings on the money in the Trust Fund; (c) Any fees or charges charged to an account owner to cover expenses incurred in administering the Nevada ABLE Savings Program; and (d) Any other money from any public or private source appropriated or made available to this State for the benefit of the Nevada ABLE Savings Program. 4. Money in the Trust Fund: (a) Is not the property of this State, and this State has no claim to or interest in such money; and (b) Must not be commingled with money of this State. 5. A savings trust agreement or any other contract entered into by or on behalf of the Trust Fund does not constitute a debt or obligation of this State, and no account owner is entitled to any money in the Trust Fund except for that money on deposit in or accrued to his or her account. 6. The money in the Trust Fund must be preserved, invested and expended solely pursuant to and for the purposes authorized by NRS 427A.882 to 427A.896 , inclusive, and must not be loaned or otherwise transferred or used by this State for any other purpose.

Nev. Rev. Stat. § 427A.893 Administration of Trust Fund and other certain accounts; certain administrative or investment agreements authorized; establishment and authorized uses of accounts.

1. The Trust Fund and any account established by the State Treasurer pursuant to this section must be administered by the State Treasurer. 2. In carrying out the provisions of NRS 427A.882 to 427A.896 , inclusive, the State Treasurer may use any administrative or investment agreements or arrangements used for the Nevada College Savings Program created pursuant to NRS 353B.300 to 353B.370 , inclusive, without soliciting separate proposals for assistance with the management of all or part of the Nevada ABLE Savings Program. 3. The State Treasurer shall establish such accounts as he or she determines necessary to carry out his or her duties pursuant to NRS 427A.882 to 427A.896 , inclusive, including, without limitation: (a) A Program Account in the Trust Fund; and (b) An Administrative Account and an Endowment Account in the State General Fund. 4. The Program Account must be used for the receipt, investment and disbursement of money pursuant to savings trust agreements. 5. The Administrative Account must be used for the deposit and disbursement of money to administer and market the Nevada ABLE Savings Program. 6. The Endowment Account must be used for the deposit of any money received by the Nevada ABLE Savings Program pursuant to subsection 6 of NRS 427A.889 or that is not received pursuant to a savings trust agreement and, in the determination of the State Treasurer, is not necessary for the use of the Administrative Account. The money in the Endowment Account may be expended for any purpose related to the Nevada ABLE Savings Program, including, without limitation, for contributions to savings trust accounts, or in any other manner which assists residents of this State who are eligible individuals as defined in 26 U.S.C. § 529A, as amended.

Nev. Rev. Stat. § 427A.894 Money provided for direct expenses or marketing not part of Trust Fund.

The State Treasurer may accept and expend on behalf of the Trust Fund money provided by any entity for direct expenses or marketing. Such money is not a part of the Trust Fund.

Nev. Rev. Stat. § 427A.895 Endorsement of insurance coverage to protect Trust Fund; insurance laws inapplicable to endorsement.

The State Treasurer may endorse insurance coverage written exclusively to protect the Trust Fund, and account owners and beneficiaries of the Trust Fund, which may be issued in the form of a group life policy. The provisions of title 57 of NRS are not applicable to the State Treasurer in carrying out the provisions of this section.

Nev. Rev. Stat. § 427A.896 Investment plan for and investment of money in Trust Fund; investment managers for Program; duties and powers of State Treasurer concerning Program.

1. The State Treasurer shall establish a comprehensive investment plan for the money in the Trust Fund. 2. Notwithstanding the provisions of any specific statute to the contrary, the State Treasurer may invest or cause to be invested any money in the Trust Fund, including, without limitation, the money in the Program Account described in paragraph (a) of subsection 3 of NRS 427A.893 , in any manner reasonable and appropriate to achieve the objectives of the Nevada ABLE Savings Program, exercising the discretion and care of a prudent person in similar circumstances with similar objectives. The State Treasurer shall consider the risk, expected rate of return, term or maturity, diversification of total investments, liquidity and anticipated investments in and withdrawals from the Trust Fund. 3. The State Treasurer may establish criteria and select investment managers, mutual funds or other such entities to act as investment managers for the Nevada ABLE Savings Program. 4. The State Treasurer may employ or contract with investment managers, evaluation services or other services as determined by the State Treasurer to be necessary for the effective and efficient operation of the Nevada ABLE Savings Program. 5. The State Treasurer may employ personnel and contract for goods and services necessary for the effective and efficient operation of the Nevada ABLE Savings Program. 6. The State Treasurer shall implement an outreach and educational program designed to create awareness of, and increase participation in, the Nevada ABLE Savings Program. Any marketing plan and materials for the Nevada ABLE Savings Program must be approved by the State Treasurer. 7. The State Treasurer may prescribe terms and conditions of savings trust agreements. 8. The State Treasurer may contract with one or more qualified entities for: (a) The day-to-day operation of the Nevada ABLE Savings Program, and any associated educational and outreach activities of the Program, as the program administrator for the management of the marketing of the Nevada ABLE Savings Program; (b) The administration of the comprehensive investment plan established pursuant to subsection 1 and the Trust Fund; (c) The selection of investment managers for the Nevada ABLE Savings Program; and (d) The performance of similar activities.

Nev. Rev. Stat. § 427A.900 Definitions.

As used in NRS 427A.900 to 427A.940, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.902 to 427A.910, inclusive, have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.902 Adult maltreatment defined.

Adult maltreatment means the abuse, neglect, exploitation, isolation or abandonment of an older person or a vulnerable person in violation of NRS 200.5099.

Nev. Rev. Stat. § 427A.904 Committee defined.

Committee means the Vulnerable Adult Fatality Review Committee established by NRS 427A.920.

Nev. Rev. Stat. § 427A.906 Facility or service provider defined.

Facility or service provider means: 1. Any facility or other entity licensed or certified pursuant to chapter 435 , 449 or 449B of NRS. 2. A provider of emergency medical services. 3. A facility for long-term rehabilitation. 4. Any unlicensed establishment that provides food, shelter, assistance and limited supervision to an older person or a vulnerable person.

Nev. Rev. Stat. § 427A.908 Older person defined.

Older person has the meaning ascribed to it in NRS 228.255.

Nev. Rev. Stat. § 427A.910 Vulnerable person defined.

Vulnerable person has the meaning ascribed to it in NRS 228.262.

Nev. Rev. Stat. § 427A.920 Establishment; membership; members serve without compensation; quorum; leave for members who are public employees; Chair; meetings; limited immunity; gifts, grants and donations; regulations.

1. The Vulnerable Adult Fatality Review Committee is hereby established within the Department. 2. The Director shall appoint to the Committee: (a) One member who is a licensed social worker who is actively providing services to clients in this State who are vulnerable persons; (b) One member who is an attorney and is: (1) Licensed to practice law in this State; and (2) Employed by the Office of the Attorney General; and (c) At least 4 but not more than 10 members who: (1) Are providers of health care, representatives of nonprofit organizations whose work is related to adult maltreatment, issues of older persons or issues of vulnerable persons, representatives of agencies involved in vital statistics and law enforcement and other persons the Director determines to be appropriate for membership on the Committee; and (2) Represent the racial, ethnic, linguistic and geographic diversity of this State. 3. The members of the Committee serve: (a) At the pleasure of the Director; and (b) Without compensation but are entitled to receive the per diem allowance and travel expenses provided for state officers and employees generally. 4. A majority of the members of the Committee constitutes a quorum for the transaction of business, and a majority of a quorum present at any meeting is sufficient for any official action taken by the Committee. 5. A member of the Committee who is an officer or employee of this State or a political subdivision of this State must be relieved from his or her duties without loss of regular compensation to prepare for and attend meetings of the Committee and perform any work necessary to carry out the duties of the Committee in the most timely manner practicable. A state agency or political subdivision of this State shall not require an officer or employee who is a member of the Committee to: (a) Make up the time he or she is absent from work to carry out his or her duties as a member of the Committee; or (b) Take annual leave or compensatory time for the absence. 6. At the first meeting of the Committee and annually thereafter: (a) The Director shall appoint a Chair of the Committee; (b) The Committee shall elect a Secretary from among its members; and (c) The Committee shall adopt rules for its own management and government. 7. The Committee shall meet at least twice each year and may meet at such further times as determined necessary by the Chair. 8. A member of the Committee or an employee, agent or consultant of the Committee is not liable in a civil action for any act performed in good faith and within the scope of the duties of the Committee. For the purposes of this subsection, any act which violates a provision of law concerning the privacy of information shall be deemed to be outside the scope of the duties of the Committee. 9. The Director may: (a) Apply for and accept gifts, grants or donations from any source for the purpose of carrying out the provisions of NRS 427A.900 to 427A.940 , inclusive; and (b) Adopt any regulations necessary to carry out the provisions of NRS 427A.900 to 427A.940 , inclusive.

Nev. Rev. Stat. § 427A.925 Duties and powers.

1. The Committee: (a) Shall review each death in this State that is known or suspected to have been caused by or be related to adult maltreatment and is referred to the Committee by the Division, a law enforcement agency or an adult related to the decedent within the third degree of consanguinity; and (b) May, within the limits of available resources, review any other death that the Committee reasonably believes may have been caused by or related to adult maltreatment. 2. A review pursuant to subsection 1 must include, without limitation, and to the extent that such records exist, a review of relevant medical records, death certificates, records of an autopsy, records created by a facility or provider, records of the Division, records of a social services agency, mental health records and records of a law enforcement agency described in NRS 427A.940 .

Nev. Rev. Stat. § 427A.930 Review of information concerning adult maltreatment; findings and recommendations; report; additional powers.

1. In addition to conducting reviews pursuant to NRS 427A.925 , the Committee shall: (a) Within the limits of available resources: (1) Cross-reference databases maintained by the Division with databases maintained by coroners and medical examiners in this State to identify deaths that may have been caused by or related to adult maltreatment and review such deaths in accordance with NRS 427A.925 . (2) Review incidents and trends in adult maltreatment in this State. (3) Identify and review disparities in the incidence of adult maltreatment in this State by analyzing: (I) The race, ethnicity and age of persons who experience adult maltreatment; (II) The geographic region of the residence of persons who experience adult maltreatment; and (III) Any other variables identified by the Committee. (b) Based on the reviews conducted pursuant to paragraph (a) and NRS 427A.925 , develop findings and recommendations to prevent adult maltreatment and address the needs of victims of adult maltreatment. (c) Disseminate the findings and recommendations developed pursuant to paragraph (b) to the Division, providers of health care, agencies and organizations that provide social services, facilities or service providers, law enforcement agencies, organizations that provide services to victims of adult maltreatment, other persons and entities the Committee determines to be appropriate and the public. (d) On or before December 31 of each even-numbered year, compile and publish on an Internet website maintained by the Department a report that consists of data concerning adult maltreatment in this State during the immediately preceding 24 months. Such data must be aggregated and presented in a manner that does not allow for the identification of any person. (e) On or before December 31 of each year: (1) Develop, in collaboration with the Division, a report that includes, without limitation: (I) A description of the deaths resulting from adult maltreatment and other incidents of adult maltreatment reviewed pursuant to paragraph (a) of subsection 1 and NRS 427A.925 , respectively, during the immediately preceding 12 months, provided in a manner that does not allow for the identification of any person; (II) A summary of the disparities identified and reviewed pursuant to subparagraph (3) of paragraph (a) of subsection 1; (III) Plans for corrective action to reduce adult maltreatment in this State; and (IV) Recommendations for any legislation or other changes to policy to reduce adult maltreatment or otherwise improve the well-being of older persons and vulnerable persons in this State; and (2) Submit the report developed pursuant to subparagraph (1) to the Director of the Legislative Counsel Bureau for transmittal to: (I) For a report submitted on or before December 31 of an odd-numbered year, the Legislative Committee on Senior Citizens, Veterans and Adults With Special Needs created by NRS 218E.750 ; and (II) For a report submitted on or before December 31 of an even-numbered year, the next regular session of the Legislature. 2. The Committee may, within the limits of available resources: (a) Conduct any other research into issues relating to adult maltreatment or the well-being of older persons and vulnerable persons in this State; (b) Promote changes in policy in the public and private sectors to reduce adult maltreatment or address the effects of adult maltreatment; (c) Take measures to improve the services provided to victims of adult maltreatment, including, without limitation, identifying gaps in services provided to victims of adult maltreatment and reducing barriers to service for victims of adult maltreatment; and (d) Engage in activities to increase public awareness regarding adult maltreatment. 3. On or before August 1 of each odd-numbered year, a representative of the Committee or the Division shall present the findings, plans for corrective action and recommendations for changes to policy contained in the reports developed pursuant to paragraph (e) of subsection 1 for the immediately preceding 2 years at a meeting of the Legislative Committee on Senior Citizens, Veterans and Adults With Special Needs created by NRS 218E.750 . 4. Within the limits of available resources, the Attorney General may review any case referred to or reviewed by the Committee to determine the need for further investigation of the case.

Nev. Rev. Stat. § 427A.935 Authorized actions.

The Committee may take any action necessary to carry out its duties, including, without limitation: 1. Consulting with experts and other interested persons to ensure the data collected is of the highest quality; 2. Entering into a contract or other agreement with any person or entity, including, without limitation, a college or university, to: (a) Assist the Committee with its organization and meetings; (b) Collect, analyze and disseminate information; or (c) Assist in carrying out any other duty of the Committee; 3. Establishing subcommittees consisting of members of the Committee; and 4. Employing such persons as it deems necessary to carry out its duties.

Nev. Rev. Stat. § 427A.940 Access to certain information and records; meetings with certain entities; subpoenas; use of data; confidentiality of information and records; meetings closed to public.

1. The Committee is entitled to access to: (a) All final investigative information of law enforcement agencies regarding a death that may have been caused by or related to adult maltreatment or other incident of adult maltreatment being investigated by the Committee for which the investigation by the law enforcement agency has been closed; (b) Any autopsy and coroners investigative records relating to a death of an older person or a vulnerable person that may have been caused by or related to adult maltreatment; (c) Any medical or mental health records of a decedent or other victim of adult maltreatment; (d) Any records of the Division or any other agency which has provided services to a decedent or other victim of adult maltreatment; and (e) Any other records determined by the Committee to be necessary to perform its duties, except for records of a law enforcement agency not described in paragraph (a). 2. The Committee may, if appropriate, meet and share information with: (a) A multidisciplinary team to review the death of the victim of a crime that constitutes domestic violence organized or sponsored pursuant to NRS 217.475 ; (b) The Committee on Domestic Violence and Sexual Assault appointed pursuant to NRS 228.470 ; or (c) The Unit for the Investigation and Prosecution of Crimes Against Older Persons or Vulnerable Persons in the Office of the Attorney General created by NRS 228.265 . 3. The Committee may petition the district court for the issuance of, and the district court may issue, a subpoena to compel the production of any books, records or papers described in subsection 1 that are relevant to the cause of any death or incident of adult maltreatment being investigated by the Committee. Except as otherwise provided in NRS 239.0115 , any books, records or papers received by the Committee pursuant to a subpoena issued pursuant to this subsection shall be deemed confidential and privileged and not subject to disclosure. 4. The Committee may use data collected concerning a death that is known or suspected to have been caused by or be related to adult maltreatment for the purpose of research or to prevent future adult maltreatment if the data is aggregated and does not allow for the identification of any person. 5. Except as otherwise provided in this section, information acquired by, and the records of, the Committee are confidential, are not public records, must not be disclosed and are not subject to subpoena, discovery or introduction into evidence in any civil or criminal proceeding. The disclosure of information or records to the Committee does not make such information or records confidential with respect to the person or entity that disclosed the records if the information or records are not otherwise confidential. 6. The meetings of the Committee are closed to the public.

Nev. Rev. Stat. § 427A.1211 Creation; membership; terms of members; removal of member.

1. The Nevada Commission on Services for Persons with Disabilities, consisting of 11 voting members and 2 or more nonvoting members, is hereby created within the Division. 2. The Director shall appoint as voting members of the Commission 11 persons who have experience with or an interest in and knowledge of the problems of and services for persons with disabilities. The majority of the voting members of the Commission must be persons with disabilities or the parents or family members of persons with disabilities. 3. The Director and the Administrator shall serve as nonvoting, ex officio members of the Commission and each may designate an alternate within his or her office to attend any meeting of the Commission in his or her place. 4. The Director may appoint as nonvoting members of the Commission such other representatives of State Government as the Director deems appropriate. 5. After the initial term of an appointed member, the term of an appointed member is 3 years. An appointed member may be reappointed for an additional term of 3 years. An appointed member may not serve more than two terms or 6 years, whichever is greater. A vacancy on the Commission must be filled in the same manner as the original appointment. An appointed member who serves for more than 1 year of a term to which another person was appointed may be appointed to serve only one additional full term as an appointed member. However, at the completion of the additional full term, the member may be appointed to the remaining term of another member who has resigned or otherwise left the Commission before completing his or her term if the total combined service of the member being appointed, after serving the remaining term of the member who resigned or otherwise left the Commission, will not exceed 6 years. 6. The Director may remove an appointed member of the Commission for malfeasance in office or neglect of duty. Absence from two consecutive meetings of the Commission constitutes good and sufficient cause for removal of an appointed member by the Director.

Nev. Rev. Stat. § 427A.1213 Election of Chair; meetings; quorum; rules of governance; appointment of subcommittees and advisory committees.

1. The Commission shall, at its first meeting and annually thereafter, elect a Chair from among its voting members. 2. The Commission shall meet at least quarterly and at the times and places specified by a call of the Director, the Chair or a majority of the voting members of the Commission. 3. A majority of the voting members of the Commission constitutes a quorum for the transaction of all business. 4. The Commission shall establish rules for its own governance. 5. The Chair may appoint subcommittees and advisory committees composed of the members of the Commission, former members of the Commission and members of the general public who have experience with or knowledge of matters relating to persons with disabilities, to consider specific problems or other matters that are related to and within the scope of the functions of the Commission. A subcommittee or advisory committee appointed pursuant to this subsection must not contain more than five members. To the extent practicable, the members of such a subcommittee or advisory committee must be representative of the various geographic areas and ethnic groups of this State.

Nev. Rev. Stat. § 427A.1215 Salary of members; members and employees entitled to per diem allowance and travel expenses; expenditures.

1. Each voting member of the Commission is entitled to receive a salary of not more than $80 per day, as fixed by the Commission, while engaged in the business of the Commission, if funding is available for this purpose. 2. While engaged in the business of the Commission, each appointed member of the Commission, each person appointed to serve on a subcommittee or advisory committee of the Commission, and each employee of the Commission is entitled to receive the per diem allowance and travel expenses provided for state officers and employees generally, if funding is available for this purpose. 3. The Commission may expend in accordance with law all money made available for its use.

Nev. Rev. Stat. § 427A.1217 Duties; powers.

1. The Commission shall: (a) Determine and evaluate the needs of persons with disabilities in this State; (b) Seek ways to avoid unnecessary duplication of services for persons with disabilities by public and private organizations in this State by coordinating recommendations with the Statewide Independent Living Council established pursuant to 29 U.S.C. § 796d; (c) Establish priorities for the work of the Division according to the most pressing needs of persons with disabilities as determined by the Commission and in conjunction with the state plan for independent living developed pursuant to 29 U.S.C. § 796c; and (d) Promote programs that provide community-based services necessary to enable a person with a disability, to the fullest extent possible, to remain in his or her home and be an integral part of his or her family and community. 2. The Commission may: (a) Review and make recommendations regarding plans for services for persons with disabilities; (b) Gather and disseminate information relating to persons with disabilities; (c) Conduct hearings, conferences and special studies on the problems of persons with disabilities and on programs that serve persons with disabilities; (d) Evaluate existing programs for persons with disabilities, recommend changes in those programs and propose new programs that would more effectively and economically serve the needs of persons with disabilities; (e) Evaluate any proposed legislation that would affect persons with disabilities; (f) Carry out the provisions of the strategic plan for persons with disabilities updated pursuant to paragraph (h) of subsection 2 of NRS 427A.040 ; (g) Recommend to the Legislature any appropriate legislation concerning persons with disabilities; and (h) Coordinate and assist the efforts of public and private organizations that serve the needs of persons with disabilities, especially in the areas of education, employment, health, housing, welfare and recreation.

Nev. Rev. Stat. § 427A.1219 Definitions.

As used in NRS 427A.1219 to 427A.1236, inclusive, unless the context otherwise requires, the words and terms defined in NRS 427A.122 to 427A.1226, inclusive, have the meanings ascribed to them in those sections.

Nev. Rev. Stat. § 427A.1221 Person with a developmental disability defined.

Person with a developmental disability means a person with a developmental disability, as defined in NRS 435.007.

Nev. Rev. Stat. § 427A.1222 Person with a physical disability defined.

Person with a physical disability means a person of any age with a physical disability that substantially limits the persons ability to participate and contribute independently in the community in which he or she lives.

Nev. Rev. Stat. § 427A.1224 Person with a related condition defined.

[Replaced in revision by NRS 427A.1221.]

Nev. Rev. Stat. § 427A.1226 Person with an intellectual disability defined.

Person with an intellectual disability means a person with an intellectual disability, as defined in NRS 435.007.

Nev. Rev. Stat. § 427A.1232 Appointment; term; qualifications; classification; reporting; removal from office.

1. The Governor shall appoint the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability for a term of 4 years. The person appointed: (a) Must be an attorney licensed to practice law in this State; (b) Must be qualified by training and experience to perform the duties and functions of the office; (c) Is in the unclassified service of the State; and (d) Shall report upon request to the Administrator regarding the performance of the duties and the functioning of the office. 2. The Governor may remove the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability from office for inefficiency, neglect of duty or malfeasance in office.

Nev. Rev. Stat. § 427A.1234 Duties and powers of Attorney.

1. The Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability shall: (a) Provide advocacy and education relating to the legal rights of older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability and shall facilitate the development of legal services to assist those persons in securing and maintaining their legal rights. (b) Provide, upon request, technical assistance, training and other support relating to the legal rights of older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability, as appropriate, to: (1) An attorney who is providing legal services for an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability; (2) An employee of a law enforcement agency; (3) The Ombudsman or an advocate; (4) An employee of an office for protective services of any county; (5) An employee of the Division; and (6) Groups that advocate for older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability. (c) Review existing and proposed policies, legislation and regulations that affect older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability and make recommendations as appropriate to the Administrator. (d) Review and analyze information relating to the nature and extent of abuse, neglect, exploitation, isolation and abandonment of older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability to identify services that need to be provided, including, without limitation: (1) Methods of intervening on behalf of an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability to protect the older person, person with a physical disability, person with an intellectual disability or person with a developmental disability from abuse, neglect, exploitation, isolation or abandonment; and (2) Enforcing the laws of this state governing abuse, neglect, exploitation, isolation and abandonment of older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability. 2. The Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability may: (a) Have access to, inspect, copy and subpoena all records in the possession of any clerk of a court, law enforcement agency or public or private institution, wherever situated, that relate to the abuse, neglect, exploitation, isolation or abandonment of an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability. (b) Have access to all written records in the possession of any person, government, governmental agency or political subdivision of a government that relate to the abuse, neglect, exploitation, isolation or abandonment of an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability. (c) Represent and assist any incapacitated older person, person with a physical disability, person with an intellectual disability or person with a developmental disability until a guardian is appointed for that person. (d) Use the information obtained pursuant to paragraphs (a) and (b) to resolve complaints relating to the abuse, neglect, exploitation, isolation or abandonment of an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability. (e) Develop services relating to financial management for an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability who is at risk of having a guardian appointed by a court to manage his or her property. (f) Act as the state legal assistance developer as described in 42 U.S.C. § 3058j. (g) Appear as amicus curiae on behalf of older persons, persons with a physical disability, persons with an intellectual disability or persons with a developmental disability in any court in this state. (h) Perform such other functions as are necessary to carry out the duties and the functions of the office of the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability.

Nev. Rev. Stat. § 427A.1236 Confidentiality of records.

All records in the possession of the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Developmental Disability relating to his or her counseling or representation of an older person, a person with a physical disability, a person with an intellectual disability or a person with a developmental disability are confidential and must not be released to any other person except upon order of a court of competent jurisdiction or pursuant to NRS 239.0115.

Nev. Rev. Stat. § 427A.7951 Person with a disability who needs independent living services defined.

As used in NRS 427A.7951 to 427A.7957, inclusive, unless the context otherwise requires, person with a disability who needs independent living services means a person with a physical disability, as that term is defined in NRS 427A.791, including, without limitation, a person who is blind, as that term is defined in NRS 426.082, who is in need of independent living services and who does not have a vocational goal.

Nev. Rev. Stat. § 427A.7953 Establishment authorized; regulations; judicial review of eligibility decisions.

1. The Division may, pursuant to this section and NRS 427A.7955 , establish a program to provide independent living services and assistive technology for persons with disabilities who need independent living services. 2. If the Division establishes a program pursuant to subsection 1, the Division shall adopt regulations: (a) Establishing the procedures for a person to apply for independent living services and assistive technology; (b) Prescribing the criteria for determining the eligibility of such an applicant; (c) Prescribing the nature of the independent living services and assistive technology which may be provided and the conditions imposed on the provision of such services; and (d) Setting forth such other provisions as the Division considers necessary to administer the program. 3. The decision of the Division regarding the eligibility of an applicant to participate in the program is a final decision for the purpose of judicial review.

Nev. Rev. Stat. § 427A.7955 Types of independent living services and services of assistive technology that are authorized.

1. The independent living services that the Division may, pursuant to this section and NRS 427A.7953 , provide to a person with a disability who needs independent living services may include, without limitation, assistance and training as to how to perform skills of daily living, including, without limitation: (a) The preparation and eating of meals; (b) Home management, including, without limitation, paying bills; (c) Communication, including, without limitation, the use of services of assistive technology; (d) Orientation and mobility; and (e) Any other skills that will allow a person who has recently become disabled to function and live in a more independent manner. 2. The services of assistive technology that the Division may, pursuant to this section and NRS 427A.7953 , provide to a person with a disability who needs independent living services may include, without limitation: (a) Large-print signs and reading materials; (b) Voice recognition or Braille technology installed on a computer or handheld device; (c) Global positioning satellite technology with voice output; (d) Mechanical lifts or similar mobility enhancing devices; (e) Telecommunications devices specially designed for persons with impaired vision, speech or hearing; and (f) Any other technology that provides significant assistance in performing daily tasks to a person with a disability who needs independent living services.

Nev. Rev. Stat. § 427A.7957 Research concerning cost of services for persons who are blind or visually impaired and do not have vocational goal; report of findings.

The Division may: 1. Periodically research and determine the cost of providing services in this State for persons who are blind or visually impaired and who do not have a vocational goal; and 2. Present a report of the findings of the research to the Nevada Commission on Services for Persons with Disabilities created by NRS 427A.1211 .

Nev. Rev. Stat. § 427A.8713 Commission defined.

Commission means the Nevada Commission on Autism Spectrum Disorders created by NRS 427A.8801.

Nev. Rev. Stat. § 427A.8715 Early intervention services defined.

Early intervention services has the meaning ascribed to it in 20 U.S.C. § 1432.

Nev. Rev. Stat. § 427A.8718 Provider of health care defined.

Provider of health care has the meaning ascribed to it in NRS 629.031.

Nev. Rev. Stat. § 427A.8719 Fetal Alcohol Spectrum Disorder Treatment Assistance Program: Establishment; administration by Autism Treatment Assistance Program; authority of Program.

1. There is hereby established the Fetal Alcohol Spectrum Disorder Treatment Assistance Program within the Division to serve as the primary program within the Department for persons with a fetal alcohol spectrum disorder and to provide and coordinate the provision of services to persons diagnosed or determined, including, without limitation, through the use of a standardized assessment, to have fetal alcohol spectrum disorders through the age of 13 years. The Fetal Alcohol Spectrum Disorder Treatment Assistance Program must be administered by the Autism Treatment Assistance Program created by NRS 427A.875 . 2. To the extent that money is available, the Fetal Alcohol Spectrum Disorder Treatment Assistance Program may: (a) Prescribe an application process for parents and guardians of persons with fetal alcohol spectrum disorders described in subsection 1 to participate in the Program. (b) Provide for the development of a plan of treatment for persons who participate in the Program. (c) Promote the use of evidence-based treatments which are cost effective and have been proven to improve treatment of fetal alcohol spectrum disorders. (d) Educate parents and guardians of persons with fetal alcohol spectrum disorders on fetal alcohol spectrum disorders and the assistance that may be provided by the parent or guardian to improve treatment outcomes. (e) Establish and use a system for assessing persons with fetal alcohol spectrum disorders to determine a baseline to measure the progress of and prepare a plan for the treatment of such persons. (f) Assist parents and guardians of persons with fetal alcohol spectrum disorders in obtaining public services that are available for the treatment of fetal alcohol spectrum disorders. 3. As used in this section, fetal alcohol spectrum disorder has the meaning ascribed to it in NRS 432B.0655 .

Nev. Rev. Stat. § 427A.8801 Nevada Commission on Autism Spectrum Disorders: Creation; membership; term; compensation; vacancies; designation of Chair and Vice Chair; quorum.

1. The Nevada Commission on Autism Spectrum Disorders is hereby created within the Division. The Commission consists of seven members appointed by the Governor. The Governor shall appoint to the Commission: (a) Two members who are representatives of school districts in this State; (b) One member who is a behavior analyst; (c) One member who is the parent of a person with an autism spectrum disorder who is over 12 years of age; (d) One member who is the parent of a child with autism who is under 5 years of age; (e) One member who is the parent of a child with autism who resides in a county with a population of less than 100,000; and (f) One member who is a representative of the public at large. 2. The members described in paragraph (a) of subsection 1 are nonvoting members. 3. After the initial term, the term of each member is 3 years. A member may be reappointed. 4. Members of the Commission serve without compensation and are not entitled to the per diem and travel expenses provided for state officers and employees generally. Each member of the Commission who is an officer or employee of a local government must be relieved from his or her duties without loss of his or her regular compensation so that the member may prepare for and attend meetings of the Commission and perform any work necessary to carry out the duties of the Commission in the most timely manner practicable. A local government shall not require an officer or employee who is a member of the Commission to make up the time the member is absent from work to carry out his or her duties as a member, and shall not require the member to take annual vacation or compensatory time for the absence. 5. If a vacancy occurs during the term of a member, the Governor shall appoint a person similarly qualified to replace that member for the remainder of the unexpired term. 6. The Governor shall annually designate the Chair and Vice Chair of the Commission from among the voting members of the Commission. 7. A majority of the voting members of the Commission constitutes a quorum for the transaction of business, and a majority of the voting members of a quorum present at any meeting is sufficient for any official action taken by the Commission. 8. As used in this section, behavior analyst has the meaning ascribed to it in NRS 641D.030 .

Nev. Rev. Stat. § 427A.8802 Nevada Commission on Autism Spectrum Disorders: Meetings; subcommittees; administrative support; duties.

1. The Commission shall meet at least eight times each year at the call of the Governor or the Chair or a majority of its voting members. 2. The Commission may establish subcommittees consisting of members of the Commission or other persons to assist the Commission in the performance of its duties. 3. The Division shall provide such administrative support to the Commission and any subcommittee thereof as is necessary to carry out the duties of the Commission. 4. The Commission shall: (a) Advise and make recommendations to the Governor regarding the needs of persons with autism spectrum disorders and their families and the availability, delivery and coordination of services for such persons in this State; (b) Review available data concerning autism spectrum disorders, including, without limitation, data concerning the ages of persons served by public programs for persons with autism spectrum disorders, the number of persons on waiting lists for such programs and the outcomes for persons receiving services through such programs, and monitor programs operated by state and local agencies that serve persons with autism spectrum disorders and their families; and (c) Submit to the Governor an annual report concerning the activities of the Commission.

Nev. Rev. Stat. § 427A.8803 Nevada Commission on Autism Spectrum Disorders: Report by Division.

The Division shall submit to the Commission upon request a report containing the most current information available relating to: 1. The number of persons receiving early intervention services from the Division and services from the Autism Treatment Assistance Program created by NRS 427A.875 ; 2. The outcomes of early intervention services and services provided by the Program; and 3. The expenditures of the Division related to early intervention services and the Program.

Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-427A.htmlFetched: 10/4/2026