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Controlled Substance Abuse Prevention Act (Assembly Bill 474)

Emergency Regulations

Pending the standard regulatory process allowing for public input, the Emergency Regulations linked below provide immediate structure to reporting of overdose or suspected overdose cases to assist with the immediate and comprehensive response needed to save Nevadans' lives. - Signed by Gov. Brian Sandoval and DPBH Administrator Amy Roukie (Jan. 17, 2018)

Proposed Permanent Regulations

The Division of Public and Behavioral Health will hold a public workshop to consider amendments to Nevada Administrative Code (NAC) Chapter 441A. The proposed regulations provide provisions for the following:

  • Establishes definitions for “overdose” and “patient discharge”
  • Establishes information required for mandatory reporting by certain health care professionals of overdose or suspected overdose incidents.
  • Establishes required time frame and submission methods for the reports of overdose or suspected overdose incident.
  • Establishes requirements for certain medical facilities to establish policies related to reporting overdose or suspected overdose incidents.
  • Establishes requirement for the State Chief Medical Officer to establish procedures to track and report statewide information related to overdose or suspected overdose incidents.
  • The documents below contain additional information about the proposed regulations and public workshop.

AB 474 background

Controlled substances for the treatment of pain can be highly effective and medically necessary HOWEVER, the current opioid epidemic and overdose rates associated with prescription drug abuse, misuse and diversion underscores that such medications are not without inherent risks.

During the 2017 session, the Nevada Legislature passed Assembly Bill 474, the Controlled Substance Abuse Prevention Act. This legislation does not tell prescribers when or how they can prescribe. It simply establishes a standard of care for prescribers so that, if prescribing such medications is clinically indicated, the prescriber and patient have the needed information to move forward with that prescription with some degree of confidence that the benefits outweigh the risks.

The Controlled Substance Abuse Prevention Act:

  • Prioritizes patient safety and responsibility
  • Preserves clinical decision-making
  • Promotes the patient-prescriber relationship
  • Reduces the amount of inappropriate prescribing
  • Prevents addiction to prescription drugs through monitoring and mitigating risk
  • Enhances the quality of care for patients with acute and chronic pain
  • Avoids the legislation of the practice of medicine by establishing a standard of care

AB 474 FAQ

Click the link below for a document answering many questions about the details of Nevada Assembly Bill 474.

All information provided in this FAQ is provided for informational purposes only. Although every reasonable effort is made to present current and accurate information, the Department of Health and Human Services make no guarantees of any kind and cannot be held responsible or liable for any outdated or incorrect information. The information contained herein is not provided in the course of and does not create or constitute an attorney-client relationship, is not intended to convey or constitute legal or regulatory advice, an interpretation of law, an advisory opinion or rulemaking of any kind, and is neither a substitute for nor does it release you from the professional responsibility to review all the applicable law and, if necessary, obtain legal advice from a qualified attorney.

Please do not act upon or rely on any such information without first seeking qualified professional counsel on your specific matter. The practice of medicine is highly complex and necessarily involves the interpretation and application of numerous statutes and regulations on a circumstantial basis. Accordingly, professional decisions should not be based solely upon these FAQs or other website communications.

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    Public Service Announcements

    The Nevada Department of Health and Human Services, Governor Brian Sandoval and the Nevada Broadcasters Association teamed up with the Centers for Disease Control and Prevention to record and broadcast public service announcements to be aired statewide starting in December 2017.

    • Gov. Brian Sandoval speaks about opioid abuse in Nevada
    • Opioid Abuse - Noah's story (from Centers for Disease Control and Prevention)
    • Opioid Abuse - Judy's story (from Centers for Disease Control and Prevention)
    Last Updated: 3/6/2018