NV AB438

Regulatory authority over nonemergency medical transportation providers transfers from the Nevada Transportation Authority to health authorities: the district board of health in Clark County (population 700,000+) and the Division of Public and Behavioral Health in all other counties, effective January 1, 2026

Private operators of nonemergency medical transportation vehicles must obtain permits from the applicable health authority, with permit fees capped at $200; existing certificates/permits from the Nevada Transportation Authority remain valid until expiration

Drivers of nonemergency medical transportation vehicles become mandatory reporters required to report abuse, neglect, isolation, abandonment, or commercial sexual exploitation of children, elderly persons, or vulnerable persons within 24 hours, with willful failure to report constituting a misdemeanor or gross misdemeanor

Governmental entities operating nonemergency medical transportation vehicles are exempt from permitting requirements, and operators contracting with cities, counties, or regional transportation commissions for jobs and day training services transportation are also exempt if available on-demand without fixed routes

The State Board of Health must adopt regulations establishing minimum standards for sanitation, equipment, permits, and recordkeeping for nonemergency medical transportation vehicles, and providers must file their rate schedules with the health authority