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AB 102

Revises provisions relating to emergency medical services. (BDR 40-345)

2025 Regular Session

Allows certain district boards of health in counties under 700,000 to regulate EMS locally, shifting licensure/training rules while preserving statewide trauma designation oversigh

Approved by the Governor. Chapter 367.
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Bill Summary · AB 102

AB 102 — Emergency Medical Services (BDR 40‑345) — Summary (2025)

Status: Approved by the Governor; Chapter 367 (enacted June 27, 2025).
Introduced: January 2025. Sponsor: Assembly Committee on Health and Human Services (on behalf of the Joint Interim Standing Committee on Health and Human Services). Amendment proposed by the Nevada Fire Chiefs Association.

Purpose / Intent

To adjust who may regulate emergency medical services (EMS) at the local level, modernize certain licensure eligibility rules, and clarify who may occupy ambulances during training. The bill enables a particular district board of health to assume EMS regulatory authority in specified circumstances while preserving statewide oversight of trauma system designation.

Key provisions

  • Local option to regulate EMS

    • Authorizes a district board of health in a “health district” that includes a county with population ≥100,000 but <700,000 (practically: Washoe County) to elect, by affirmative majority of all board members, to regulate EMS in the district under Chapter 450B of NRS (the same authority now held by the district board in counties ≥700,000).
    • Defines “regulating health district” to include such districts that elect to regulate EMS.

  • Trauma system exception (amendment)

    • If a smaller county (≥100,000 but <700,000) elects local EMS regulation, the district board is expressly prohibited from establishing or administering the state’s trauma‑treatment program (NRS 450B.236–450B.239). Those trauma designation standards and statewide trauma system responsibilities remain with the State Board of Health and Division of Public and Behavioral Health. This amendment preserves State control over trauma center designation in counties under 700,000.

  • Licensure and certification age lowered

    • Lowers the minimum age for eligibility for licensure as an ambulance (or air ambulance) attendant and for certification as an EMT, AEMT, or paramedic from 18 to 16, provided the applicant otherwise meets statutory qualifications.

  • Training occupancy exemption

    • Removes a requirement that a person participating solely in an EMS training program (to become an EMT/AEMT/paramedic) be licensed as an ambulance attendant in order to occupy an ambulance, so long as:
    • the ambulance is otherwise properly staffed, and
    • the trainee is not providing care to a patient or driving the ambulance.

  • Related definitional and administrative updates

    • Revises statutory definitions (e.g., “Board,” “Health authority,” “Health officer”) to reflect the option for certain district boards to regulate EMS.
    • Retains procedural requirements for adoption/amendment of district board regulations (e.g., 30 days’ notice, public hearing opportunities).

Who is affected

  • Local governments: district boards of health (notably Washoe County) may assume EMS regulatory authority; potential local fiscal/administrative impacts.
  • State agencies: State Board of Health and Division of Public and Behavioral Health—continue to oversee trauma designation and may lose some regulatory duties and fee revenue if local boards take on EMS functions.
  • EMS providers, ambulance owners, training programs: changes in licensure eligibility (younger applicants), training occupancy rules, and potential shifts in permitting/licensing authority.
  • Young applicants (ages 16–17): newly eligible for licensure/certification subject to meeting statutory qualifications.

Fiscal and operational considerations

  • Legislative fiscal notes: may have local fiscal impact; state effect expected (details depend on whether a district elects to regulate EMS and how responsibilities/fee collections shift).
  • Department/Program data (SFY25) cited during consideration indicate current state EMS licensing/training processing times and potential fee revenue losses if Washoe County assumes EMS functions (estimated fee loss ~ $46,741 and reduced training grant funding ~$11,200 in one fact sheet). Actual fiscal impact will depend on implementation decisions.

Procedural / timeline highlights

  • Passed both houses with amendments during spring–summer 2025; enrolled and presented to Governor June 27, 2025; chaptered the same day as Chapter 367.
  • Local election by district board of health requires an affirmative majority vote of all board members to take effect.
  • State retains authority over trauma designation for counties under 700,000 even if they elect local EMS regulation.

Prepared to provide excerpts of bill language, vote counts, or a comparison of pre‑ and post‑amendment statutory text on request.

Compiled from official sources — confirm details with the bill’s official record.

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