Exec
WHEREAS, on March 12, 2020, 1, Steve Sisk, Governor of the State of Nevada ismed 4
Declaration of Emergency t facie the State's response to the COVID-19 pandemic; and
WHEREAS, on March 18, 2020, Doosld J. Tramp, President of the United States declared a
nationwide emergency punuant to See. 501(b) of the Robert T. Staford Disaster Relief and
‘Bmergency Assistnce Act, & USC. 5121-5207 (Whe “Stafford Act) and
WHEREAS, porsvant to NRS 414070(), the Governor may exercise the power “Yo auborze
providers of emexgency medial services and providers of mental health services who are not lceneed,
‘xtifed or registezed, as aplicable, in this State bue hold # license, certificate, sepstation or simile
czedenil in good standing in another sate ofthe United States, the Distt of Cohumbia, the
CCommonweslthof Puerto Rico of any testy o insular possesion subject to the jtisdiction ofthe
United States to practice their profession within thet scope of practice as if they were icented,
crtfied or registered, as applicable, in this State for the amount of time necessary to ait ia
_espoading tothe emergency or disaster” nd
WHEREAS, pursuant to NRS 414070(7), the Governor may perform and exercise such other
functions, powers and duties as are necessary to promote and secue the sufety and protection of the
civilian population; snd
WHEREAS, NRS 4141101) provides tat all functions under Chapter 414 and al other scvites
reltng to emergency management ae hereby declared to be governmental functions. Nether the
State nor any polticl mbdvision thereof nor other ageacies ofthe State or politcal subdivision
thereof nor exceptin cases of wilful misconduc, gross aeggence,orbad fi, any wotkes complying,
‘with or easonublyatempring to eomply with ths chapter or any order regulation adopted purstant
to the provisions ofthis chapter, oe pursuant to any ordinance relating fo any necessary emergency
procedases or other precautionary measures enacted by any poitial sobivsion of the Stat, sable
forthe death of or injury to persons, or for damage to propery, asa result of any such activity.
WHEREAS, NRS 414.110() provides that any requirement for license to practice any professional,
mechanical of other skill doce not apply to any authotized wotker who, inthe course of perfouminghis or her duties as such, practices that profesional, mechanical or other sill during an emergency o&
aster
WHEREAS, NRS 414.110() defines “works” to include without limitation any full-time or part
time paid, volunteer or atiiry employee ofthis State, of ay politcal sublision thereof, of other
stites, tetris, possessions or the District of Columbia, of the Federal Goverment, of any
neighboring county, or of any politcal ubdivsion thereof, or of any agency oF organization,
petfotming servicer for emergency management at any place inthis State subject to the order of
Eontrol off or pursuant toa sequent af the Site Government or any polseal subdivision thereof and
WHEREAS, Nevada saust be prepared to expand its health care workforce to protect ts citizens
‘who requie emergency ca and services and ensure all crical medical resources aze avilable to
‘dei and teat those impacted by COVID-19 dusing this emergency,
WHEREAS, Asicle 5, Section 1 of the Nevada Constcation provides: “The supreme executive
power of this State, shall be vested in a Chief Magistrate who shall be Governor of the Sate of
Nevada" and
NOW THERBFORE, bythe thority vested in me as Governor by the Constitution and the laws
‘of the State of Nevade and the United States, and pussust to the March 12, 2020, Emesgency
Declantion,
ITS HEREBY ORDERED THAT:
SECTION 1: The waiver of licensing provision of NRS 414.110 i hereby invoked. Professional
Hcensing boards repulaing provides of medical services shall temporarily waive
ceattn licensing requirements to allow the pracice of eusreatly unlicensed skied
‘medial profesionals ding the pendency of the COVID-19 ext. For the pusposes
ofthis Ditectve, a provider of medical services includes all categories of sled
personnel deemed necessary by the Governors COVID-19 Medical Advisory Team
fo augment and bolster Nevada's healtheaze workforce to the level necessary t0
combat this pandemic, including without limittion, medical doctors, physician
tssitans, ause practones, advanced practice registred nurses, registered nurses,
licensed practical nurses, emesgency medial technicians advanced emergency medial
technicians, sespmntory cate pmcttionert, paramedics, pharmacists, pharmacy
technicins, medical students, using students, medical laboratory diectors of
technicians, and Hcensed of ceted behavioral health profesional,
SECTION®: The waiver and exemption of profesional Heeing sequins shall apply to
‘qld provides of tree veicee rng tn deisel enegeny who cumenty
Md a ald Kens in good sanding in snthe ste, provider of medal seis
‘whos eens cusent stand sspended for eensing ee dlingunce, provider of
tei scnicen hove beener corey snd supended for fe mest
Continuing medical edoation sequent and provers of media eves who
ve eed frm hi pace any tae witht ees in good standing These
‘ave andercmpton sal st apy to peso whore eens ave been ered
Sr volt susendered a reso icipiay proceedingsSECTION 5:
SECTION 4
SECTION 5:
SECTION 6
SECTION 7:
SECTION &
SECTIONS:
“The Chief Medical Office is authorized to appeove the wavier and exemption of
professional lcensing requirements for any provider of medical services tho has
received taining in another county but is aot curently licensed in the United States,
abject to veifcation of thee credentials
Inlviduals ecking waiver and exemption of professional licensing requirements are
requted to aotify the applicable Nevada licensing board ot agency and provide any
requested information. Any medical facility as defined by NRS 449.0151, laboratory,
fo pharmacy employe or contacts with «provider of emergency medial aves wh
isnot licensed in Nevada dusing this declated emergency most ensure thatthe provider
bas notified the applicable Nevada license board or agency
‘The Chief Neal Officer and, to the extent necssuy, the appropiate professional
licensing bourd shall expedite the processing nd final dxposiion of all plications
to practice under che txt ofthis Disective
|A provider of medical services during this emesgency is authorized to supervise
stadents in their profession to provide any emergency medical services as i
tpproptiate to the stents knowledge and skill level without furcher licensure of
ceriieaton.
[All provides of medical services inthe State of Nevada ate sushorized to practice
‘outside the cope oftheir specilnaion, within the limits of thie competency, tothe
‘extent neoenary to augment and bolster Nevada's healthcare system during the
‘COVID-19 sis
“The Governor authorizes the Chief Medical Officer of his designee to review and
approve the Ctisis Standards of Caze Guidance for COVID-19 promulguted by the
‘State of Nevada Department of Health and Human Services, Division of Public and
‘ehavionl Heath ad the Governor's COVID-19 Medical Advisory Team.
All regulatory sequitements for providers of medical services that are not compatible
‘with the applicable Cess Standards of Care approved by the Chief Medical Officer
‘ding this declared emergency willbe suspended,
SECTION 10+ All providen of medical services seated to COVID-19 ae performing services for
SECTION 11
‘emergency management eubjet tothe oder or contol of and a the request of State
Govermmen and shall be afoaded the immunities and protections st forth in NRS
“414.110, subject othe same exclusions therein
Allicensing fees assessed on providers of medial services by the State of Nevada or
professionalicensing boards shall be waived forall persons spplyng o practic in the
Sute of Nev patroant to this Directive, for the drston that this Dizecive shall be
in effec. Providers of medical services curently ceased by the State of Nevada may,
sa thee decion, dey submission of outstanding icensing fees forthe period this,
Directive shill bein effect, except that no person who has paid the fee prior to the
ate ofthis Ditesive shall be ented to sefund thereof by virtue of this order. Nolicense for + provide of medical services shall be suspended for nonpayment of
licensing fees while this Disective is in effect, and for a period of 60 days thereafter
‘SECTION 12: No license fra provider of medica service shal be suspended for any administrative
reasons, inchding without Imitation, consning education requirements while this
Directive in eflect, ad fora period of 60 days thereafter. This restriction shall not
bbe construed to prohibit the suspension ot revocation of Heenses for reasons that
jeopatize patent helt, including without limitation, incompeteney or malpractice.
SECTION 15: This Directive shall remain in effect wn specifically modified or terminated by 2
subsequent Directive promulgated puseuant to the Mazch 12, 2020 Declaation of
Emergency o facilitate the State's zxponte tothe COVID-19 pandemic.
IN WITNESS WHEREOF, I have hereunto
set my hand and caused the Great Seal ofthe
State of Nevade to be affixed at the State
Capito in Carson City, tis Ist day of Apa in
the year two thousand twenty.
‘Goovemon othe Site of Nevada
Secretary of State
pty Secretary of State