Nevada § 450B.200 - Permit for operation; fees; renewal; disciplinary or legal action for violations; maintenance of central registry of permits issued; regulations

§ 450B.200. Permit for operation; fees; renewal; disciplinary or legal action for violations; maintenance of central registry of permits issued; regulations

1. The health authority may issue a permit for: (a) The operation of an ambulance or an air ambulance; or (b) The operation of a vehicle of a fire-fighting agency: (1) At the scene of an emergency; and (2) To provide community paramedicine services, but only if the holder of the permit

has obtained an endorsement on the permit to provide such services pursuant to NRS 450B.1993 . 2. Each permit must be evidenced by a card issued to the holder of the permit. 3. No permit may be issued unless the applicant is qualified pursuant to the regulations

of the board. 4. An application for a permit must be made upon forms prescribed by the board and

in accordance with procedures established by the board, and must contain the following: (a) The name and address of the owner of the ambulance or air ambulance or of the

fire-fighting agency; (b) The name under which the applicant is doing business or proposes to do business,

if applicable; (c) A description of each ambulance, air ambulance or vehicle of a fire-fighting agency,

including the make, year of manufacture and chassis number, and the color scheme,

insigne, name, monogram or other distinguishing characteristics to be used to designate

the applicant's ambulance, air ambulance or vehicle; (d) The location and description of the places from which the ambulance, air ambulance

or fire-fighting agency intends to operate; and (e) Such other information as the board deems reasonable and necessary to a fair determination

of compliance with the provisions of this chapter. 5. The board shall establish a reasonable fee for annual permits. Revenue from such fees collected by the Division must be accounted for separately

and does not revert to the State General Fund at the end of any fiscal year. 6. All permits expire on July 1 following the date of issue, and are renewable annually

thereafter upon payment of the fee required by subsection 5 at least 30 days before

the expiration date. 7. The health authority shall: (a) Revoke, suspend or refuse to renew any permit issued pursuant to this section

for violation of any provision of this chapter or of any regulation adopted by the

board; or (b) Bring an action in any court for violation of this chapter or the regulations

adopted pursuant to this chapter, only after the holder of a permit is afforded an opportunity for a public hearing

pursuant to regulations adopted by the board. 8. The health authority may suspend a permit if the holder is using an ambulance,

air ambulance or vehicle of a fire-fighting agency which does not meet the minimum

requirements for equipment as established by the board pursuant to this chapter. 9. In determining whether to issue a permit for the operation of an air ambulance

pursuant to this section, the health authority: (a) Except as otherwise provided in paragraph (b), may consider the medical aspects

of the operation of an air ambulance, including, without limitation, aspects related

to patient care; and (b) Shall not consider economic factors, including, without limitation, factors related

to the prices, routes or nonmedical services of an air ambulance. 10. The issuance of a permit pursuant to this section or NRS 450B.210 does not authorize any person or governmental entity to provide those services or

to operate any ambulance, air ambulance or vehicle of a fire-fighting agency not in

conformity with any ordinance or regulation enacted by any county, municipality or

special purpose district. 11. A permit issued pursuant to this section is valid throughout the State, whether

issued by the Division or a district board of health. An ambulance, air ambulance or vehicle of a fire-fighting agency which has received

a permit from the district board of health in a county whose population is 700,000

or more is not required to obtain a permit from the Division, even if the ambulance,

air ambulance or vehicle of a fire-fighting agency has routine operations outside

the county. 12. The Division shall maintain a central registry of all permits issued pursuant

to this section, whether issued by the Division or a district board of health. 13. The board shall adopt such regulations as are necessary to carry out the provisions

of this section.