Regulation detail

NRS ch. 458

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Alcohol and Other Substance Use Disorders (program certification)

Jurisdiction: NV Agency: Nevada Legislature
DETOX (100%) OUTPATIENT (70%) SUD_RESIDENTIAL (70%)
Plain-English summary

Nevada NRS Chapter 458 establishes the state's comprehensive framework for alcohol and other substance use disorder programs, authorizing the Division of Public and Behavioral Health to certify detoxification technicians, facilities, and programs for substance use disorders. Operators of SUD facilities and programs must obtain Division certification to be eligible for state and federal funding, and must comply with standards set by the State Board of Health. The chapter also governs civil protective custody of persons with alcohol use disorders, confidentiality of client records, financial assistance to treatment providers, and certification of substance use disorder prevention coalitions.

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Regulation text
[Rev. 9/9/2026 1:02:37
PM--2026R1]

CHAPTER 458 - ALCOHOL AND OTHER SUBSTANCE
USE DISORDERS

GENERAL PROVISIONS

NRS 458.010
���������� Definitions.

PROGRAMS FOR ALCOHOL OR OTHER SUBSTANCE USE DISORDERS

NRS 458.025
���������� Operation
of state plan; certification of detoxification technicians, facilities and
programs.

NRS 458.0255
�������� Expedited
certificate by endorsement as detoxification technician: Requirements;
procedure for issuance.

NRS 458.0256
�������� Expedited
certificate by endorsement as detoxification technician for active member of
Armed Forces, member�s spouse, veteran or veteran�s surviving spouse:
Requirements; procedure for issuance; provisional license pending action on
application.

NRS 458.0258
�������� Certification
of detoxification technician: Petition to determine if criminal history will
disqualify person from obtaining certificate; fee; posting of requirements for
certificate and list of disqualifying crimes on Internet; report.

NRS 458.026
���������� Certification
of detoxification technician: Statement by applicant concerning payment of
child support; grounds for denial of certification; duty of Administrator.
[Effective until the date of the repeal of 42 U.S.C. � 666, the federal law
requiring each state to establish procedures for withholding, suspending and
restricting the professional, occupational and recreational licenses for child
support arrearages and for noncompliance with certain processes relating to
paternity or child support proceedings.]

NRS 458.027
���������� Certification
of detoxification technician: Suspension of certification for failure to pay
child support or comply with certain subpoenas or warrants; reinstatement of
certification. [Effective until the date of the repeal of 42 U.S.C. � 666, the
federal law requiring each state to establish procedures for withholding,
suspending and restricting the professional, occupational and recreational
licenses for child support arrearages and for noncompliance with certain
processes relating to paternity or child support proceedings.]

NRS 458.028
���������� Certification
of detoxification technician: Application to include social security number.
[Effective until the date of the repeal of 42 U.S.C. � 666, the federal law
requiring each state to establish procedures for withholding, suspending and restricting
the professional, occupational and recreational licenses for child support
arrearages and for noncompliance with certain processes relating to paternity
or child support proceedings.]

NRS 458.029
���������� Application
for renewal of certificate as detoxification technician: Information concerning
state business license required; conditions which require denial.

NRS 458.031
���������� Administration
of chapter.

NRS 458.033
���������� Substance
use disorder prevention coalitions: Certification; regulations; duties;
collaboration with Division.

NRS 458.035
���������� Power
of Division to contract.

NRS 458.055
���������� Confidential
information.

NRS 458.080
���������� Financial
assistance for treatment provider.

NRS 458.091
���������� Admission
to and treatment in hospital of person with an alcohol or other substance use
disorder.

NRS 458.094
���������� Use
of certain money to provide programs to persons referred by agencies which
provide child welfare services.

NRS 458.097
���������� Use
and allocation of certain money for increase of services.

NRS 458.098
���������� Tax
on Liquor Program Account.

NRS 458.100
���������� State
Grant and Gift Account for Alcohol or Other Substance Use Disorders.

NRS 458.102
���������� Acceptance
of money for bulk purchase of opioid antagonists.

NRS 458.103
���������� Division
authorized to accept public money; prioritization for publicly funded services;
regulations.

NRS 458.104
���������� Temporary
advance from State General Fund.

NRS 458.105
���������� Fees
for sale of miscellaneous printed material.

NRS 458.110
���������� Additional
powers of Division.

NRS 458.112
���������� Prohibition
on certain activities related to marketing of treatment provider, facility or
operator of program for alcohol or other substance use disorder; exception;
penalty.

NRS 458.115
���������� Legislative
appropriations; claims.

SERVICES FOR ADOLESCENTS

NRS 458.125
���������� Requests
for proposals; advancement of initial costs; staffing of Division.

NRS 458.131
���������� Biennial
report of Division.

PROTECTIVE CUSTODY OF PERSONS UNDER INFLUENCE OF CONTROLLED
SUBSTANCE

NRS 458.175
���������� Powers
and duties of peace officers.

CIVIL PROTECTIVE CUSTODY OF PERSONS WITH AN ALCOHOL USE
DISORDER

NRS 458.250
���������� Legislative
declaration of purpose.

NRS 458.260
���������� Intoxication
not public offense; exceptions.

NRS 458.270
���������� Procedure
for placing person in civil protective custody.

NRS 458.280
���������� Records
of treatment facility and treatment provider confidential; exceptions.

STATEWIDE SUBSTANCE USE RESPONSE WORKING GROUP

NRS 458.450
���������� �Working
Group� defined.

NRS 458.460
���������� Creation;
membership; terms; vacancies; members serve without compensation; members
holding public office or employed by governmental entity.

NRS 458.470
���������� Chair
and Vice Chair; meetings; quorum.

NRS 458.480
���������� Duties;
report.

NRS 458.490
���������� Report
by Department of Human Services to Working Group concerning use of certain
money.

_________

GENERAL PROVISIONS

����� 
NRS 
458.010
  
Definitions.
  
As
used in this chapter, unless the context requires otherwise:

����� 1.  �Administrator� means the Administrator
of the Division.

����� 2.  �Civil protective custody� means a
custodial placement of a person to protect the health or safety of the person.
Civil protective custody does not have any criminal implication.

����� 3.  �Detoxification technician� means a
person who is certified by the Division to provide screening for the safe
withdrawal from alcohol and other drugs.

����� 4.  �Division� means the Division of Public
and Behavioral Health of the Department of Human Services.

����� 5.  �Facility� means a physical structure
used for the education, prevention and treatment, including mental and physical
restoration, of persons with alcohol or other substance use disorders.

����� 6.  �Person with an alcohol or other
substance use disorder� means a person whose consumption of alcohol or other
drugs, or any combination thereof, interferes with or adversely affects the
ability of the person to function socially or economically.

����� 7.  �Person with an alcohol use disorder�
means any person who habitually uses alcoholic beverages to the extent that the
person endangers the health, safety or welfare of himself or herself or any
other person or group of persons.

����� 8.  �Program for alcohol or other substance
use disorders� means a project concerned with education, prevention and
treatment directed toward achieving the mental and physical restoration of
persons with an alcohol or other substance use disorder.

����� 9.  �Treatment provider� means a public or
private agency, residential treatment center, facility for the treatment of
alcohol or other substance use disorders, voluntary organization which is
certified by the Division or a practitioner licensed or certified pursuant to 
chapter 641
, 
641A
,

641B
 or 
641C

of NRS.

����� (Added to NRS by 
1960,
306
; A 
1963,
966
; 
1967,
1174
; 
1973,
1060
, 
1399
;

1975,
228
; 
1977,
1223
; 
1993,
1628
; 
1997,
3076
; 
1999,
1266
, 
1874
,

3065
,

3066
,

3077
;

2001,
418
, 
440
,

1909
,

2519
;

2003,
1168
, 
1454
;

2005,
22nd Special Session, 56
, 
57
;

2011,
2854
; 
2013,
3063
; 
2015,
745
, 
2278
)

PROGRAMS FOR ALCOHOL OR OTHER SUBSTANCE USE DISORDERS

����� 
NRS 
458.025
  
Operation of state plan; certification of detoxification
technicians, facilities and programs.

����� 1.  The Division:

����� (a) Shall formulate and operate a comprehensive
state plan for programs for alcohol or other substance use disorders which must
include:

������������ (1) A survey of the need for prevention
and treatment of alcohol or other substance use disorders, including a survey
of the treatment providers needed to provide services and a plan for the
development and distribution of services and programs throughout this State.

������������ (2) A plan for programs to educate the public
in the problems of alcohol and other substance use disorders.

������������ (3) A survey of the need for persons who
have professional training in fields of health and other persons involved in
the prevention of alcohol or other substance use disorders and in the treatment
and recovery of persons with alcohol or other substance use disorders, and a
plan to provide the necessary treatment.

�
 In
developing and revising the state plan, the Division shall consider, without
limitation, the amount of money available from the Federal Government for
programs for alcohol or other substance use disorders and the conditions
attached to the acceptance of that money, and the limitations of legislative
appropriations for programs for alcohol or other substance use disorders.

����� (b) Shall coordinate the efforts to carry out the
state plan and coordinate all state and federal financial support of programs
for alcohol or other substance use disorders in this State.

����� (c) Must be consulted in the planning of projects
and advised of all applications for grants from within this State which are
concerned with programs for alcohol or other substance use disorders, and shall
review the applications and advise the applicants concerning the applications.

����� (d) Shall certify or deny certification of
detoxification technicians or any facilities or programs on the basis of the
standards established by the Board pursuant to this section, and publish a list
of certified detoxification technicians, facilities and programs. Any
detoxification technicians, facilities or programs which are not certified are
ineligible to receive state and federal money for programs for alcohol or other
substance use disorders.

����� (e) Upon request from a facility which is
self-supported, may certify the facility, its programs and detoxification
technicians and add them to the list described in paragraph (d).

����� 2.  The State Board of Health shall adopt
regulations. The regulations:

����� (a) Must prescribe the requirements for
continuing education for persons certified as detoxification technicians; and

����� (b) May prescribe the fees for the certification
of detoxification technicians, facilities or programs. A fee prescribed
pursuant to this paragraph must be calculated to produce the revenue estimated
to cover the costs related to the certifications, but in no case may a fee for
a certificate exceed the actual cost to the Division of issuing the
certificate.

����� (Added to NRS by 
1973,
1397
; A 
1975,
228
; 
1981,
1901
; 
1987,
526
; 
1999,
1267
, 
1875
,

3066
;

2001,
419
, 
441
,

1910
,

2519
;

2003,
1168
; 
2005,
22nd Special Session, 57
, 
58
;

2015,
305
, 
746
,

2278
,

2288
)

����� 
NRS 
458.0255
  
Expedited certificate by endorsement as detoxification
technician: Requirements; procedure for issuance.

����� 1.  Notwithstanding any regulations adopted
pursuant to 
NRS 458.025
, the Division
may issue a certificate by endorsement as a detoxification technician to an
applicant who meets the requirements set forth in this section. An applicant
may submit to the Division an application for such a certificate if the
applicant holds a corresponding valid and unrestricted certificate as a
detoxification technician in the District of Columbia or any state or territory
of the United States.

����� 2.  An applicant for a certificate by
endorsement pursuant to this section must submit to the Division with his or
her application:

����� (a) Proof satisfactory to the Division that the
applicant:

������������ (1) Satisfies the requirements of
subsection 1;

������������ (2) Is a citizen of the United States or
otherwise has the legal right to work in the United States;

������������ (3) Has not been disciplined or
investigated by the corresponding regulatory authority of the District of
Columbia or any state or territory in which the applicant currently holds or
has held a certificate as a detoxification technician; and

������������ (4) Has not been held civilly or
criminally liable for malpractice in the District of Columbia or any state or
territory of the United States; 

����� (b) A complete set of fingerprints and written
permission authorizing the Division to forward the fingerprints to the Central
Repository for Nevada Records of Criminal History for submission to the Federal
Bureau of Investigation for its report;

����� (c) An affidavit stating that the information
contained in the application and any accompanying material is true and correct;

����� (d) Any fee prescribed by the Board pursuant to 
NRS 458.025
 for the issuance of a
certificate; and

����� (e) Any other information required by the
Division.

����� 3.  Not later than 15 business days after
receiving an application for a certificate by endorsement as a detoxification
technician pursuant to this section, the Division shall provide written notice
to the applicant of any additional information required by the Division to
consider the application. Unless the Division denies the application for good
cause, the Division shall approve the application and issue a certificate by
endorsement as a detoxification technician to the applicant not later than:

����� (a) Forty-five days after receiving the
application; or 

����� (b) Ten days after the Division receives a report
on the applicant�s background based on the submission of the applicant�s
fingerprints,

�
 whichever
occurs later.

����� (Added to NRS by 
2015,
3039
)

����� 
NRS 
458.0256
  
Expedited certificate by endorsement as detoxification
technician for active member of Armed Forces, member�s spouse, veteran or
veteran�s surviving spouse: Requirements; procedure for issuance; provisional
license pending action on application.

����� 1.  Notwithstanding any regulations adopted
pursuant to 
NRS 458.025
, the Division
may issue a certificate by endorsement as a detoxification technician to an
applicant who meets the requirements set forth in this section. An applicant
may submit to the Division an application for such a certificate if the applicant:

����� (a) Holds a corresponding valid and unrestricted
certificate as a detoxification technician in the District of Columbia or any
state or territory of the United States; and

����� (b) Is an active member of, or the spouse of an
active member of, the Armed Forces of the United States, a veteran or the
surviving spouse of a veteran.

����� 2.  An applicant for a certificate by
endorsement pursuant to this section must submit to the Division with his or
her application:

����� (a) Proof satisfactory to the Division that the
applicant:

������������ (1) Satisfies the requirements of
subsection 1;

������������ (2) Is a citizen of the United States or
otherwise has the legal right to work in the United States;

������������ (3) Has not been disciplined or
investigated by the corresponding regulatory authority of the District of
Columbia or the state or territory in which the applicant holds a certificate
as a detoxification technician; and

������������ (4) Has not been held civilly or
criminally liable for malpractice in the District of Columbia or any state or
territory of the United States;

����� (b) A complete set of fingerprints and written
permission authorizing the Division to forward the fingerprints to the Central
Repository for Nevada Records of Criminal History for submission to the Federal
Bureau of Investigation for its report;

����� (c) An affidavit stating that the information
contained in the application and any accompanying material is true and correct;

����� (d) Any fee prescribed by the Board pursuant to 
NRS 458.025
 for the issuance of a
certificate; and

����� (e) Any other information required by the
Division.

����� 3.  Not later than 15 business days after
receiving an application for a certificate by endorsement as a detoxification
technician pursuant to this section, the Division shall provide written notice
to the applicant of any additional information required by the Division to
consider the application. Unless the Division denies the application for good
cause, the Division shall approve the application and issue a certificate by
endorsement as a detoxification technician to the applicant not later than:

����� (a) Forty-five days after receiving all the
additional information required by the Division to complete the application; or

����� (b) Ten days after the Division receives a report
on the applicant�s background based on the submission of the applicant�s fingerprints,

�
 whichever
occurs later.

����� 4.  At any time before making a final
decision on an application for a certificate by endorsement pursuant to this
section, the Division may grant a provisional certificate authorizing an
applicant to practice as a detoxification technician in accordance with
regulations adopted by the Board.

����� 5.  If an applicant submits an application
for a certificate by endorsement pursuant to this section, the Division shall
collect not more than one-half of any fee prescribed by the Board pursuant to 
NRS 458.025
 for the initial issuance of the
certificate.

����� 6.  As used in this section, �veteran� has
the meaning ascribed to it in 
NRS 417.005
.

����� (Added to NRS by 
2015,
3920
)

����� 
NRS 
458.0258
  
Certification of detoxification technician: Petition to
determine if criminal history will disqualify person from obtaining
certificate; fee; posting of requirements for certificate and list of
disqualifying crimes on Internet; report.

����� 1.  The Division shall develop and
implement a process by which a person with a criminal history may petition the
Division to review the criminal history of the person to determine if the
person�s criminal history will disqualify the person from obtaining a
certificate as a detoxification technician pursuant to 
NRS 458.025
.

����� 2.  Not later than 90 days after a petition
is submitted to the Division pursuant to subsection 1, the Division shall
inform the person of the determination of the Division of whether the person�s
criminal history will disqualify the person from obtaining a certificate. The
Division is not bound by its determination of disqualification or qualification
and may rescind such a determination at any time.

����� 3.  The Division may provide instructions
to a person who receives a determination of disqualification to remedy the
determination of disqualification. A person may resubmit a petition pursuant to
subsection 1 not earlier than 6 months after receiving instructions pursuant to
this subsection if the person remedies the determination of disqualification.

����� 4.  A person with a criminal history may
petition the Division at any time, including, without limitation, before
obtaining any education or paying any fee required to obtain a certificate from
the Division.

����� 5.  A person may submit a new petition to
the Division not earlier than 2 years after the final determination of the
initial petition submitted to the Division.

����� 6.  The Division may impose a fee of up to $50
upon the person to fund the administrative costs in complying with the
provisions of this section. The Division may waive such fees or allow such fees
to be covered by funds from a scholarship or grant.

����� 7.  The Division may post on its Internet
website:

����� (a) The requirements to obtain a certification
from the Division; and

����� (b) A list of crimes, if any, that would
disqualify a person from obtaining a certification from the Division.

����� 8.  The Division may request the criminal
history record of a person who petitions the Division for a determination
pursuant to subsection 1. To the extent consistent with federal law, if the
Division makes such a request of a person, the Division shall require the
person to submit his or her criminal history record which includes a report
from:

����� (a) The Central Repository for Nevada Records of
Criminal History; and

����� (b) The Federal Bureau of Investigation.

����� 9.  A person who petitions the Division for
a determination pursuant to subsection 1 shall not submit false or misleading
information to the Division.

����� 10.  The Division shall, on or before the
20th day of January, April, July and October, submit to the Director of the
Legislative Counsel Bureau in an electronic format prescribed by the Director,
a report that includes:

����� (a) The number of petitions submitted to the
Division pursuant to subsection 1;

����� (b) The number of determinations of
disqualification made by the Division pursuant to subsection 1;

����� (c) The reasons for such determinations; and

����� (d) Any other information that is requested by
the Director or which the Division determines would be helpful.

����� 11.  The Director shall transmit a
compilation of the information received pursuant to subsection 10 to the
Legislative Commission quarterly, unless otherwise directed by the Commission.

����� (Added to NRS by 
2019,
2930
)

����� 
NRS 
458.026
  
Certification of detoxification technician: Statement by
applicant concerning payment of child support; grounds for denial of
certification; duty of Administrator. [Effective until the date of the repeal
of 42 U.S.C. � 666, the federal law requiring each state to establish
procedures for withholding, suspending and restricting the professional,
occupational and recreational licenses for child support arrearages and for
noncompliance with certain processes relating to paternity or child support proceedings.]

����� 1.  An applicant for the issuance or
renewal of his or her certification as a detoxification technician must submit
to the Division the statement prescribed by the Division of Social Services of
the Department of Human Services pursuant to 
NRS
425.520
. The statement must be completed and signed by the applicant.

����� 2.  The Division shall include the
statement required pursuant to subsection 1 in:

����� (a) The application or any other forms that must be
submitted for the issuance or renewal of the certification; or

����� (b) A separate form prescribed by the Division.

����� 3.  The certification of a person as a
detoxification technician may not be issued or renewed by the Division if the
applicant:

����� (a) Fails to complete or submit the statement
required pursuant to subsection 1; or

����� (b) Indicates on the statement submitted pursuant
to subsection 1 that the applicant is subject to a court order for the support
of a child and is not in compliance with the order or a plan approved by the
district attorney or other public agency enforcing the order for the repayment
of the amount owed pursuant to the order.

����� 4.  If an applicant indicates on the
statement submitted pursuant to subsection 1 that the applicant is subject to a
court order for the support of a child and is not in compliance with the order
or a plan approved by the district attorney or other public agency enforcing
the order for the repayment of the amount owed pursuant to the order, the
Administrator shall advise the applicant to contact the district attorney or
other public agency enforcing the order to determine the actions that the
applicant may take to satisfy the arrearage.

����� (Added to NRS by 
1997,
2059
; A 
1999,
1268
, 
3067
;

2001,
132
, 
133
,

420
,

442
,

1910
,

2520
;
R 
2003,
1169
; A 
2005,
22nd Special Session, 59
; 
2015,
2278
)

����� 
NRS 
458.027
  
Certification of detoxification technician: Suspension of certification
for failure to pay child support or comply with certain subpoenas or warrants;
reinstatement of certification. [Effective until the date of the repeal of 42
U.S.C. � 666, the federal law requiring each state to establish procedures for
withholding, suspending and restricting the professional, occupational and
recreational licenses for child support arrearages and for noncompliance with
certain processes relating to paternity or child support proceedings.]

����� 1.  If the Division receives a copy of a
court order issued pursuant to 
NRS 425.540

that provides for the suspension of all professional, occupational and
recreational licenses, certificates and permits issued to a person who has been
certified as a detoxification technician, the Division shall deem the
certification to be suspended at the end of the 30th day after the date on
which the court order was issued unless the Division receives a letter issued
by the district attorney or other public agency pursuant to 
NRS 425.550
 to the person who has been
certified stating that the person has complied with the subpoena or warrant or
has satisfied the arrearage pursuant to 
NRS
425.560
.

����� 2.  The Division shall reinstate the
certification of a person as a detoxification technician that has been
suspended by a district court pursuant to 
NRS
425.540
 if the Division receives a letter issued by the district attorney
or other public agency pursuant to 
NRS
425.550
 to the person whose certification was suspended stating that the
person whose certification was suspended has complied with the subpoena or
warrant or has satisfied the arrearage pursuant to 
NRS 425.560
.

����� (Added to NRS by 
1997,
2060
; A 
1999,
1268
, 
3068
;

2001,
421
, 
443
,

1911
,

2521
;
R 
2003,
1169
; A 
2005,
22nd Special Session, 59
; 
2015,
2278
)

����� 
NRS 
458.028
  
Certification of detoxification technician: Application to
include social security number. [Effective until the date of the repeal of 42
U.S.C. � 666, the federal law requiring each state to establish procedures for
withholding, suspending and restricting the professional, occupational and
recreational licenses for child support arrearages and for noncompliance with
certain processes relating to paternity or child support proceedings.]
  
An application for the certification of a
detoxification technician must include the social security number of the
applicant.

����� (Added to NRS by 
1997,
2060
; A 
1999,
1269
, 
3068
;

2001,
1911
, 
2521
;
R 
2003,
1169
; 
2015,
2278
)

����� 
NRS 
458.029
  
Application for renewal of certificate as detoxification
technician: Information concerning state business license required; conditions
which require denial.

����� 1.  In addition to any other requirements
set forth in this chapter, an applicant for the renewal of certification as a
detoxification technician must indicate in the application submitted to the
Division whether the applicant has a state business license. If the applicant
has a state business license, the applicant must include in the application the
business identification number assigned by the Secretary of State upon
compliance with the provisions of 
chapter 76

of NRS.

����� 2.  Certification as a detoxification
technician may not be renewed by the Division if:

����� (a) The applicant fails to submit the information
required by subsection 1; or

����� (b) The State Controller has informed the
Division pursuant to subsection 5 of 
NRS
353C.1965
 that the applicant owes a debt to an agency that has been
assigned to the State Controller for collection and the applicant has not:

������������ (1) Satisfied the debt;

������������ (2) Entered into an agreement for the
payment of the debt pursuant to 
NRS
353C.130
; or

������������ (3) Demonstrated that the debt is not
valid.

����� 3.  As used in this section:

����� (a) �Agency� has the meaning ascribed to it in 
NRS 353C.020
.

����� (b) �Debt� has the meaning ascribed to it in 
NRS 353C.040
.

����� (Added to NRS by 
2013,
2732
; A 
2015,
2278
)

����� 
NRS 
458.031
  
Administration of chapter.
  
The
Division shall administer the provisions of this chapter as the sole agency of
the State of Nevada for that purpose.

����� (Added to NRS by 
1973,
1397
; A 
1997,
3076
; 
1999,
3069
; 
2001,
421
; 
2003,
1455
; 
2005,
22nd Special Session, 60
)

����� 
NRS 
458.033
  
Substance use disorder prevention coalitions: Certification;
regulations; duties; collaboration with Division.

����� 1.  The State Board of Health shall adopt
regulations:

����� (a) Providing for the certification of substance
use disorder prevention coalitions; and

����� (b) Establishing requirements governing the
membership of and geographic region served by substance use disorder prevention
coalitions. The regulations adopted pursuant to this paragraph must align with
nationally recognized standards for substance use disorder prevention
coalitions and must provide that a geographic region may be served by more than
one substance use disorder prevention coalition.

����� 2.  A certified substance use disorder
prevention coalition shall:

����� (a) Advise the Department of Human Services and
the Division concerning:

������������ (1) The needs of adults and children in
the geographic region served by the coalition concerning the prevention of
substance misuse and substance use disorders in the geographic region;

������������ (2) Any progress, problems or plans
relating to the provision of services for the prevention of substance misuse
and substance use disorders and methods for improving the provision of such
services in the geographic region served by the coalition;

������������ (3) Identified gaps in services for the
prevention of substance misuse and substance use disorders and recommendations
for addressing those gaps; and

������������ (4) Priorities for allocating resources to
support and develop services for the prevention of substance misuse and
substance use disorders in the geographic region served by the coalition.

����� (b) Convene interested persons and entities to
promote the use of evidence-based strategies to address needs concerning
services for the prevention of substance misuse and substance use disorders and
improve such services in the geographic region served by the coalition.

����� (c) Coordinate and share information with other
certified substance use disorder prevention coalitions to provide
recommendations to the Department of Human Services and the Division concerning
services for the prevention of substance misuse and substance use disorders.

����� (d) Implement, in coordination with the
Department of Human Services, the Division, other certified substance use
disorder prevention coalitions and other interested persons and entities,
statewide efforts for the prevention of substance misuse and substance use
disorders.

����� (e) Coordinate with persons and entities in this
State who provide services related to the prevention of substance misuse and
substance use disorders to increase the awareness of such services and reduce
duplication of efforts.

����� (f) In consultation with other persons and
entities in this State who provide services related to the prevention of
substance use disorders, submit an annual report to the regional behavioral
health policy board for the geographic region served by the substance use
disorder prevention coalition. The report must include, without limitation:

������������ (1) Identification of the specific needs
of the geographic region served by the coalition concerning the prevention of
substance misuse and substance use disorders;

������������ (2) A description of methods that the
coalition uses to collect and analyze data concerning: 

������������������ (I) Substance misuse and substance
use disorders in the geographic region served by the coalition; and

������������������ (II) Gaps in services related to the
prevention of substance misuse and substance use disorders and the need for
additional services in that region; 

������������ (3) The strategies used by the coalition
and the results of those strategies;

������������ (4) The goals of the coalition for the
immediately preceding year and the degree to which the coalition achieved those
goals; and

������������ (5) The goals of the coalition for the
immediately following year and the long-term goals of the coalition.

����� (g) Employ or enter into contracts with certified
prevention specialists as necessary to perform or facilitate the activities
described in paragraphs (a) to (f), inclusive.

����� 3.  The Division shall collaborate with and
utilize certified substance use disorder prevention coalitions as the primary
local and regional entities to coordinate programs and strategies for the
prevention of substance use disorders in this State.

����� 4.  As used in this section:

����� (a) �Behavioral health region� has the meaning
ascribed to it in 
NRS 433.426
.

����� (b) �Certified prevention specialist� has the
meaning ascribed to it in 
NRS 433.6255
.

����� (c) �Substance use disorder prevention coalition�
means a coalition of persons and entities who possess knowledge and experience
related to the prevention of substance misuse and substance use disorders in a
region of this State.

����� (Added to NRS by 
2021,
2830
; A 
2025,
1380
)

����� 
NRS 
458.035
  
Power of Division to contract.
  
The
Division may contract with any appropriate public or private agency,
organization or institution to carry out the provisions of this chapter.

����� (Added to NRS by 
1973,
1398
; A 
1997,
3076
; 
1999,
3069
; 
2001,
421
; 
2005,
22nd Special Session, 60
)

����� 
NRS 
458.055
  
Confidential information.

����� 1.  To preserve the confidentiality of any
information concerning persons applying for or receiving any services pursuant
to this chapter, the Division may establish and enforce rules governing the
confidential nature, custody, use and preservation of the records, files and
communications filed with the Division.

����� 2.  Wherever information concerning persons
applying for and receiving any services pursuant to this chapter is furnished
to or held by any other government agency or a public or private institution,
the use of that information by the agency or institution is subject to the
rules established by the Division pursuant to subsection 1.

����� 3.  Except as otherwise provided in 
NRS 442.300
 to 
442.330
, inclusive, and 
449A.103
 and 
chapter
629
 of NRS and except for purposes directly connected with the
administration of this chapter, a person shall not disclose, use or authorize
the disclosure of any confidential information concerning a person receiving
services pursuant to this chapter.

����� (Added to NRS by 
1973,
1398
; A 
1991,
2350
; 
1997,
3077
; 
1999,
3069
, 
3514
;

2001,
421
; 
2003,
1455
; 
2005,
22nd Special Session, 60
)

����� 
NRS 
458.080
  
Financial assistance for treatment provider.
  
The Division may, by contracting with
organized groups, render partial financial assistance for treatment providers
established by these groups. Each such contract must contain a provision
allowing for an audit of all accounts, books and other financial records of the
organization with which the agency contracts.

����� (Added to NRS by 
1960,
307
; A 
1963,
1028
; 
1971,
90
; 
1973,
1400
, 
1669
;

1975,
316
; 
2001,
421
; 
2005,
22nd Special Session, 60
; 
2015,
747
)

����� 
NRS 
458.091
  
Admission to and treatment in hospital of person with an alcohol
or other substance use disorder.
  
Persons
with alcohol or other substance use disorders must be admitted to public or
private general medical hospitals which receive federal or state money for
programs for alcohol or other substance use disorders, and must be treated in
those hospitals on the basis of their medical need. No general medical hospital
that violates this section is eligible to receive further federal or state
assistance pursuant to this chapter.

����� (Added to NRS by 
1973,
1398
; A 
1997,
3077
; 
1999,
3069
)

����� 
NRS 
458.094
  
Use of certain money to provide programs to persons referred by
agencies which provide child welfare services.
  
The
Division shall use any money not needed to carry out the provisions of 
chapter 678C
 of NRS to provide programs for
alcohol or other substance use disorders to persons referred to the Division by
agencies which provide child welfare services as authorized pursuant to 
NRS 678C.830
.

����� (Added to NRS by 
2011,
2854
; A 
2013,
3064
; 
2019,
3880
)

����� 
NRS 
458.097
  
Use and allocation of certain money for increase of services.

����� 1.  Money received by the Division pursuant
to 
NRS 369.174
 must be used to increase
services for the prevention of alcohol or other substance use disorders and for
the detoxification and rehabilitation of persons with an alcohol or other
substance use disorder. In allocating the money for the increase of services,
the Division shall give priority to:

����� (a) The areas where there exists a shortage of
services for the treatment of alcohol use disorders. The Division shall
determine the areas of shortage on the basis of data available from state and
local agencies, data contained in the comprehensive state plan for programs for
alcohol or other substance use disorders, and other appropriate data.

����� (b) The needs of counties to provide:

������������ (1) Civil protective custody, pursuant to 
NRS 458.270
, for persons who are found in
public places while under the influence of alcohol; and

������������ (2) Secure detoxification units or other
appropriate facilities for persons who are arrested or taken into custody while
under the influence of a controlled substance.

����� (c) Programs for alcohol or other substance use
disorders that are primarily directed toward the prevention of such disorders.

����� 2.  As used in this section, �secure
detoxification unit� has the meaning ascribed to it in 
NRS 458.175
.

����� (Added to NRS by 
1981,
896
; A 
1997,
781
; 
2001,
422
; 
2003,
1455
; 
2005,
22nd Special Session, 60
)

����� 
NRS 
458.098
  
Tax on Liquor Program Account.

����� 1.  The Tax on Liquor Program Account is
hereby created in the State General Fund.

����� 2.  Money in the Account that is received
pursuant to 
NRS 369.174
 must be used for
the purposes specified in 
NRS 458.097
 or
for any other purpose authorized by the Legislature.

����� 3.  All claims must be approved by the
Administrator before they are paid.

����� (Added to NRS by 
1999,
21
; A 
2001,
422
; 
2020,
31st Special Session, 93
)

����� 
NRS 
458.100
  
State Grant and Gift Account for Alcohol or Other Substance Use
Disorders.

����� 1.  Except as otherwise provided in 
NRS 458.102
, all gifts or grants of money
for a program for alcohol or other substance use disorders which the Division
is authorized to accept must be deposited in the State Treasury for credit to
the State Grant and Gift Account for Alcohol or Other Substance Use Disorders
which is hereby created in the Department of Human Services� Gift Fund.

����� 2.  Subject to the limitations set forth in

NRS 458.094
, money in the Account must
be used to carry out the provisions of this chapter.

����� 3.  All claims must be approved by the
Administrator before they are paid.

����� (Added to NRS by 
1960,
307
; A 
1963,
968
; 
1973,
1400
; 
1975,
261
; 
1979,
623
; 
1981,
79
, 
896
;

1993,
1629
; 
1997,
3077
; 
1999,
21
, 
1876
,

3069
;

2001,
219
, 
422
;

2005,
22nd Special Session, 61
; 
2011,
2854
; 
2023,
2362
)

����� 
NRS 
458.102
  
Acceptance of money for bulk purchase of opioid antagonists.

����� 1.  The Division may accept gifts, grants,
donations, bequests or money from any other source for the purpose of funding
the bulk purchase of opioid antagonists. Any money so received must be
accounted for separately in the State General Fund.

����� 2.  Money accepted pursuant to subsection 1
or deposited into the account created pursuant to subsection 1 is not subject
to the State Budget Act.

����� 3.  Interest and income earned on money in the
account created pursuant to subsection 1 must be credited to the account. Any
money remaining in the account at the end of a fiscal year does not revert to
the State General Fund, and the balance in the account must be carried forward
to the next fiscal year.

����� 4.  The money in the account created
pursuant to subsection 1 must be used only to fund the bulk purchase of opioid
antagonists and pay the costs of the Division to distribute those opioid
antagonists. 

����� 5.  As used in this section, �opioid
antagonist� has the meaning ascribed to it in 
NRS 453C.040
.

����� (Added to NRS by 
2023,
2361
)

����� 
NRS 
458.103
  
Division authorized to accept public money; prioritization for
publicly funded services; regulations.

����� 1.  The Division may accept:

����� (a) Money appropriated and made available by any
act of Congress for any program for alcohol or other substance use disorder
administered by the Division as provided by law.

����� (b) Money appropriated and made available by the
State of Nevada or by a county, a city, a public district or any political
subdivision of this State for any program for alcohol or other substance use
disorder administered by the Division as provided by law.

����� 2.  Except as otherwise provided in any
regulations adopted pursuant to subsection 3, a treatment provider, provider of
health care or program for alcohol or other substance use disorders shall
prioritize persons to receive services for the treatment of alcohol or other
substance use disorders funded in whole or in part by federal or state money in
accordance with 45 C.F.R. � 96.131(a).

����� 3.  To the extent that such regulations do
not conflict with federal law or impair an obligation under any existing grant,
contract or other agreement, the State Board of Health may adopt regulations
prioritizing categories of persons, in addition to the categories prescribed in
45 C.F.R. � 96.131(a), to receive services for the treatment of alcohol or
other substance use disorders funded in whole or in part by federal or state
money.

����� 4.  As used in this section, �provider of
health care� has the meaning ascribed to it in 
NRS 629.031
.

����� (Added to NRS by 
1963,
834
; A 
1973,
1400
; 
1975,
261
; 
2001,
422
; 
2005,
22nd Special Session, 61
; 
2011,
2854
; 
2013,
3064
; 
2023,
2362
)

����� 
NRS 
458.104
  
Temporary advance from State General Fund.

����� 1.  If the Administrator determines that
current claims exceed the amount of money available to the Division because of
a delay in the receipt of money from federal grants, the Administrator may
request from the Director of the Office of Finance a temporary advance from the
State General Fund for the payment of authorized expenses.

����� 2.  The Director of the Office of Finance
shall notify the State Controller and the Fiscal Analysis Division of the
Legislative Counsel Bureau of the approval of a request made pursuant to
subsection 1. The State Controller shall draw his or her warrant upon receipt
of the approval by the Director of the Office of Finance.

����� 3.  An advance from the State General Fund:

����� (a) Must be approved by the Director of the
Office of Finance for use pursuant to 
NRS
458.080
; and

����� (b) Is limited to 25 percent of the revenue
expected to be received in the current fiscal year from any source other than
legislative appropriation.

����� 4.  Any money which is temporarily advanced
from the State General Fund to the Division pursuant to this section must be
repaid by August 31 following the end of the fiscal year during which the money
was advanced.

����� (Added to NRS by 
1991,
1174
; A 
1993,
1629
; 
2001,
422
; 
2005,
22nd Special Session, 61
)

����� 
NRS 
458.105
  
Fees for sale of miscellaneous printed material.
  
The Division may fix and collect reasonable
fees for the sale of miscellaneous printed materials pertaining to alcohol or
other substance use disorders which are purchased or prepared by the Division.
The fees must be deposited in the State Treasury to the credit of the General
Fund.

����� (Added to NRS by 
1963,
834
; A 
1973,
1401
; 
1975,
261
; 
2001,
423
; 
2005,
22nd Special Session, 61
)

����� 
NRS 
458.110
  
Additional powers of Division.
  
In
addition to the activities set forth in 
NRS
458.025
 to 
458.115
, inclusive, the
Division may engage in any activity necessary to effectuate the purposes of
this chapter.

����� (Added to NRS by 
1960,
307
; A 
1963,
968
; 
1973,
1401
; 
1985,
295
; 
1997,
3077
; 
1999,
3070
; 
2001,
423
; 
2005,
22nd Special Session, 62
; 
2019,
1680
; 
2021,
2831
)

����� 
NRS 
458.112
  
Prohibition on certain activities related to marketing of
treatment provider, facility or operator of program for alcohol or other
substance use disorder; exception; penalty.

����� 1.  A treatment provider, a facility or an
operator of a program for alcohol or other substance use disorder, or a person
who provides any form of advertising or marketing services on behalf of such a
provider, facility or operator, shall not:

����� (a) Make a false or misleading statement or
provide false or misleading information about the products, goods, services or
geographical locations of the treatment provider, facility or program for
alcohol or other substance use disorder in the marketing, advertising materials
or media or on the Internet website of the treatment provider, facility or
operator of the program for alcohol or other substance use disorder;

����� (b) Post or otherwise allow on the Internet website
of the treatment provider, facility or program for alcohol or other substance
use disorder false information or electronic links, coding or activation that
provides false information or that surreptitiously directs the reader to
another Internet website;

����� (c) Solicit, receive or attempt to solicit or
receive a commission, benefit, bonus, rebate, kickback or bribe, directly or
indirectly, in cash or in kind, or engage in or attempt to engage in a
split-fee arrangement in return for a referral or an acceptance or
acknowledgment of treatment from the treatment provider, facility or operator
of the program for alcohol or other substance use disorder; or

����� (d) Enter into a contract with a person who
provides marketing services who agrees to generate referrals or leads for the
placement of patients with the treatment provider, facility or operator of the
program for alcohol or other substance use disorder through a call center or
web-based presence, unless the treatment provider, facility or operator of the
program provides to the prospective patient:

������������ (1) A clear disclosure to inform the
prospective patient that the person providing the marketing services represents
a specific treatment provider, facility or operator of a program for alcohol or
other substance use disorder which pays a fee to the person providing the
marketing services and the identity of the treatment provider, facility or
operator of a program represented by the person; and

������������ (2) Instructions on the manner in which
any list of treatment providers, facilities or programs for alcohol or other
substance use disorders provided by the Division on its Internet website may be
accessed.

����� 2.  The provisions of paragraph (d) of
subsection 1 do not apply to a state agency, a contractor thereof or an entity
that otherwise receives financial support from the State which refers a person
to a treatment provider, facility or program for alcohol or other substance use
disorders that is operated or financially supported by the State.

����� 3.  Any violation of the provisions of this
section is a misdemeanor.

����� (Added to NRS by 
2019,
1679
)

����� 
NRS 
458.115
  
Legislative appropriations; claims.
  
Money
to carry out the provisions of this chapter must be provided by direct
legislative appropriation from the State General Fund and paid out on claims as
other claims against the State are paid. All claims must be approved by the
Administrator before they are paid.

����� (Added to NRS by 
1961,
159
; A 
1963,
968
; 
1973,
1401
; 
1997,
3078
; 
1999,
3070
; 
2001,
423
; 
2003,
1456
)

SERVICES FOR ADOLESCENTS

����� 
NRS 
458.125
  
Requests for proposals; advancement of initial costs; staffing
of Division.

����� 1.  The Division shall prepare requests for
proposals for the provision by treatment providers of:

����� (a) Residential treatment of adolescents with
substance use disorders;

����� (b) Outpatient treatment of adolescents with
substance use disorders;

����� (c) Comprehensive evaluations of adolescents with
problems relating to substance use disorders or mental illness, or both; and

����� (d) Transitional housing for adolescents with
substance use disorders.

����� 2.  Upon accepting a proposal submitted in
accordance with this section, the Division may advance not more than 8 percent
of the amount of the proposal to the treatment provider that submitted the
proposal to help defray the costs of starting the provision of the services,
including, without limitation, the cost of beds, equipment and rental space for
expansion.

����� 3.  The Division shall establish such
requirements for the requests for proposals as it determines necessary.

����� 4.  The Division shall hire, to the extent
of legislative authorization, such staff as it determines necessary to carry
out the provisions of this section and 
NRS
458.131
.

����� (Added to NRS by 
1999,
1873
; A 
2001,
423
; 
2005,
22nd Special Session, 62
; 
2015,
747
)

����� 
NRS 
458.131
  
Biennial report of Division.
  
The
Division shall, on or before September 1 of each odd-numbered year, submit to
the Director of the Department of Human Services a report covering the biennium
ending on June 30 of that year. The report must include:

����� 1.  The name of each treatment provider
that received money pursuant to 
NRS 458.125

during the biennium, and the amount of money that each treatment provider
received for each type of service provided;

����� 2.  If a treatment provider received money
pursuant to 
NRS 458.125
 during the
biennium to help defray the costs of starting the provision of services, the
name of the treatment provider, the amount of money received and an accounting
of how the money was used;

����� 3.  The number of adolescents who received
any of the services described in 
NRS 458.125

from those treatment providers during the biennium, and the number of
adolescents who were receiving those services as of the end of the biennium;
and

����� 4.  As of the end of the biennium:

����� (a) The number of adolescents on waiting lists to
receive the services described in 
NRS
458.125
; and

����� (b) An estimate of the number of other
adolescents in this State who are in need of the services described in 
NRS 458.125
.

����� (Added to NRS by 
1999,
1873
; A 
2001,
423
; 
2005,
22nd Special Session, 62
; 
2015,
747
)

PROTECTIVE CUSTODY OF PERSONS UNDER INFLUENCE OF CONTROLLED
SUBSTANCE

����� 
NRS 
458.175
  
Powers and duties of peace officers.

����� 1.  If a peace officer arrests or takes
into custody a person who is found in any public place unlawfully under the
influence of a controlled substance and in such a condition that the person is
unable to exercise care for his or her health or safety or the health or safety
of other persons, the peace officer may deliver the person to a licensed
facility for the treatment of persons with substance use disorders or other
appropriate facility for observation and care.

����� 2.  A person who is unlawfully under the
influence of a controlled substance who is arrested or taken into custody by a
peace officer must immediately be taken to a secure detoxification unit or
other appropriate medical facility if the person�s condition appears to require
emergency medical treatment. Upon release from the detoxification unit or
medical facility, the person must immediately be remanded to the custody of the
apprehending peace officer and the criminal proceedings proceed as prescribed
by law.

����� 3.  Every peace officer and other public
employee or agency acting pursuant to this section is performing a
discretionary function or duty.

����� 4.  As used in this section, �secure
detoxification unit� includes, without limitation, a detoxification unit in
which the staff of the detoxification unit ensures the security of the
detoxification unit.

����� (Added to NRS by 
2003,
1454
)

CIVIL PROTECTIVE CUSTODY OF PERSONS WITH AN ALCOHOL USE
DISORDER

����� 
NRS 
458.250
  
Legislative declaration of purpose.
  
The
Legislature finds and declares that the handling of persons with an alcohol use
disorder within the criminal justice system is ineffective, whereas treating an
alcohol use disorder as a health problem allows its prevention and treatment
and relieves law enforcement agencies of a large and inappropriate burden. The
provisions of 
NRS 458.250
 to 
458.280
, inclusive, are intended to provide
for the prevention of alcohol use disorders and the treatment of persons with
an alcohol use disorder. The provisions of 
NRS
458.250
 to 
458.280
, inclusive, are
further intended to transfer the handling of public intoxication from statutes
providing criminal sanctions, including, without limitation, loitering and
vagrancy, to statutes providing for civil protective custody. To accomplish
these purposes, the Department of Human Services shall continue to direct
itself to the problem of alcohol use disorders at large, attempting to combat
the problem at the community level.

����� (Added to NRS by 
1973,
1059
; A 
1975,
1145
; 
2001,
425
)

����� 
NRS 
458.260
  
Intoxication not public offense; exceptions.

����� 1.  Except as otherwise provided in
subsection 2, the use of alcohol, the status of drunkard and the fact of being
found in an intoxicated condition are not:

����� (a) Public offenses and shall not be so treated
in any ordinance or resolution of a county, city or town.

����� (b) Elements of an offense giving rise to a
criminal penalty or civil sanction.

����� 2.  The provisions of subsection 1 do not
apply to:

����� (a) A civil or administrative violation for which
intoxication is an element of the violation pursuant to the provisions of a
specific statute or regulation;

����� (b) A criminal offense for which intoxication is
an element of the offense pursuant to the provisions of a specific statute or
regulation;

����� (c) A homicide resulting from driving, operating
or being in actual physical control of a vehicle, a power-driven vessel or a
sailing vessel under way while under the influence of intoxicating liquor or a
controlled substance or resulting from any other conduct prohibited by 
NRS 484C.110
, 
484C.130
, 
484C.430
, subsection 2 of 
NRS 488.400
, 
NRS 488.410
, 
488.420
 or 
488.425
; and

����� (d) Any offense or violation which is similar to
an offense or violation described in paragraph (a), (b) or (c) and which is set
forth in an ordinance or resolution of a county, city or town.

����� 3.  This section does not make intoxication
an excuse or defense for any criminal act.

����� (Added to NRS by 
1973,
1060
; A 
1975,
1145
; 
1983,
1088
; 
1997,
333
; 
1999,
3406
; 
2005,
169
; 
2023,
559
)

����� 
NRS 
458.270
  
Procedure for placing person in civil protective custody.

����� 1.  Except as otherwise provided in
subsection 7, a person who is found in any public place under the influence of
alcohol, in such a condition that the person is unable to exercise care for his
or her health or safety or the health or safety of other persons, must be
placed under civil protective custody by a peace officer.

����� 2.  A peace officer may use upon such a
person the kind and degree of force which would be lawful if the peace officer
were effecting an arrest for a misdemeanor with a warrant.

����� 3.  If a licensed facility for the
treatment of persons with an alcohol use disorder that has been certified by
the Division for civil protective custody exists in the community where the
person is found, the person must be delivered to the facility for observation
and care. If no such facility exists in the community, the person so found may
be placed in a county or city jail or detention facility for shelter or
supervision for his or her health and safety until he or she is no longer under
the influence of alcohol. The person may not be required against his or her
will to remain in a licensed facility, jail or detention facility longer than
48 hours.

����� 4.  An intoxicated person taken into
custody by a peace officer for a public offense must immediately be taken to a
secure detoxification unit or other appropriate medical facility if the
condition of the person appears to require emergency medical treatment. Upon release
from the detoxification unit or medical facility, the person must immediately
be remanded to the custody of the apprehending peace officer and the criminal
proceedings proceed as prescribed by law.

����� 5.  The placement of a person found under
the influence of alcohol in civil protective custody must be:

����� (a) Recorded at the facility, jail or detention
facility to which the person is delivered; and

����� (b) Communicated at the earliest practical time
to the person�s family or next of kin if they can be located.

����� 6.  Every peace officer and other public
employee or agency acting pursuant to this section is performing a
discretionary function or duty.

����� 7.  The provisions of this section do not
apply to a person who is apprehended or arrested for:

����� (a) A civil or administrative violation for which
intoxication is an element of the violation pursuant to the provisions of a
specific statute or regulation;

����� (b) A criminal offense for which intoxication is
an element of the offense pursuant to the provisions of a specific statute or
regulation;

����� (c) A homicide resulting from driving, operating
or being in actual physical control of a vehicle, a power-driven vessel or a
sailing vessel under way while under the influence of intoxicating liquor or a
controlled substance or resulting from any other conduct prohibited by 
NRS 484C.110
, 
484C.130
, 
484C.430
, subsection 2 of 
NRS 488.400
, 
NRS 488.410
, 
488.420
 or 
488.425
; and

����� (d) Any offense or violation which is similar to
an offense or violation described in paragraph (a), (b) or (c) and which is set
forth in an ordinance or resolution of a county, city or town.

����� (Added to NRS by 
1973,
1060
; A 
1975,
1145
; 
1989,
1181
; 
1997,
333
; 
1999,
3407
; 
2001,
425
; 
2005,
170
; 
2015,
748
; 
2023,
559
)

����� 
NRS 
458.280
  
Records of treatment facility and treatment provider
confidential; exceptions.

����� 1.  Except as otherwise provided in
subsection 2, 
NRS 439.597
, 
442.300
 to 
442.330
, inclusive, and 
449A.103
 and 
chapter
629
 of NRS, the registration and other records of a treatment facility and
treatment provider are confidential and must not be disclosed to any person not
connected with the treatment facility or treatment provider without the consent
of the patient.

����� 2.  The provisions of subsection 1 do not
restrict the use of a patient�s records for the purpose of research into the
causes and treatment of alcoholism if such information is:

����� (a) Not published in a way that discloses the
patient�s name or other identifying information; or

����� (b) Disclosed pursuant to 
NRS 439.597
.

����� (Added to NRS by 
1975,
1144
; A 
1989,
2057
; 
1991,
2351
; 
1999,
3515
; 
2007,
1979
; 
2015,
749
)

STATEWIDE SUBSTANCE USE RESPONSE WORKING GROUP

����� 
NRS 
458.450
  
�Working Group� defined.
  
As
used in 
NRS 458.450
 to 
458.490
, inclusive, unless the context
otherwise requires, �Working Group� means the Statewide Substance Use Response
Working Group created by 
NRS 458.460
.

����� (Added to NRS by 
2021,
2857
)

����� 
NRS 
458.460
  
Creation; membership; terms; vacancies; members serve without
compensation; members holding public office or employed by governmental entity.

����� 1.  The Statewide Substance Use Response
Working Group is hereby created in the Office of the Attorney General.

����� 2.  The Working Group consists of the
following members:

����� (a) The Attorney General or his or her designee;

����� (b) The Director of the Department of Human
Services, or his or her designee from within the Division;

����� (c) The Executive Director of the Department of
Indigent Defense Services, or his or her designee;

����� (d) One member of the Senate who is appointed by
the Senate Majority Leader;

����� (e) One member of the Senate who is appointed by
the Senate Minority Leader;

����� (f) One member of the Assembly who is appointed
by the Speaker of the Assembly;

����� (g) One member of the Assembly who is appointed
by the Assembly Minority Leader; and

����� (h) The following members, appointed by the
Attorney General:

������������ (1) One representative of a local
governmental entity that provides or oversees the provision of human services
in a county whose population is 700,000 or more;

������������ (2) One representative of a local
governmental entity that provides or oversees the provision of human services
in a county whose population is 100,000 or more but less than 700,000;

������������ (3) One representative of a local
governmental entity that provides or oversees the provision of human services
in a county whose population is less than 100,000;

������������ (4) One provider of health care with
expertise in medicine for the treatment of substance use disorders;

������������ (5) One representative of the Nevada
Sheriffs� and Chiefs� Association, or its successor organization;

������������ (6) One advocate for persons who have
substance use disorders and family members of such persons;

������������ (7) One person who is in recovery from a
substance use disorder;

������������ (8) One person who provides services
relating to the treatment of substance use disorders;

������������ (9) One representative of a substance use
disorder prevention coalition; 

������������ (10) One representative of a program to
reduce the harm caused by substance misuse; 

������������ (11) One representative of a hospital;

������������ (12) One representative of a school
district;

������������ (13) One member of the general public,
with preference given to a person who is fluent in more than one language and
resides in a household where more than one language is spoken;

������������ (14) One person who is an emergency
response employee;

������������ (15) One representative of the Division of
Child and Family Services of the Department of Human Services; and

������������ (16) One representative of the Nevada
District Attorneys Association, or its successor organization.

����� 3.  After the initial terms, members of the
Working Group serve terms of 2 years and serve at the pleasure of the
appointing authority. Members may be reappointed for additional terms of 2
years in the same manner as the original appointments.

����� 4.  If a vacancy occurs during a member�s
term, the appointing authority shall appoint a replacement for the remainder of
the unexpired term. A vacancy must be filled in the same manner as the original
appointment.

����� 5.  Members of the Working Group serve
without compensation and are not entitled to receive the per diem allowance and
travel expenses provided for state officers and employees generally.

����� 6.  A member of the Working Group who is an
officer or employee of this State or a political subdivision of this State must
be relieved from his or her duties without loss of regular compensation to
prepare for and attend meetings of the Working Group and perform any work
necessary to carry out the duties of the Working Group in the most timely
manner practicable. A state agency or political subdivision of this State shall
not require an officer or employee who is a member of the Working Group to:

����� (a) Make up the time he or she is absent from
work to carry out his or her duties as a member of the Working Group; or

����� (b) Take annual leave or compensatory time for
the absence.

����� 7.  As used in this section:

����� (a) �Attendant� has the meaning ascribed to it in

NRS 450B.050
.

����� (b) �Emergency response employee� means a
firefighter, attendant, volunteer attendant, emergency medical technician,
advanced emergency medical technician, emergency medical dispatcher, paramedic,
law enforcement officer, correctional officer, other peace officer or person
who is employed by an agency of criminal justice, including, without
limitation, a law enforcement dispatcher, county coroner or medical examiner or
any of their employees, or any other person who, in the course of his or her
professional duties, responds to emergencies in this State.

����� (c) �Substance use disorder prevention coalition�
means a coalition of persons and entities who possess knowledge and experience
related to the prevention of substance misuse and substance use disorders in a
region of this State.

����� (Added to NRS by 
2021,
2857
; A 
2025,
1298
)

����� 
NRS 
458.470
  
Chair and Vice Chair; meetings; quorum.

����� 1.  At the first meeting of each calendar
year, the Working Group shall elect from its members a Chair and a Vice Chair.

����� 2.  The Working Group shall meet at the
call of the Chair or a majority of its members.

����� 3.  A majority of the members of the
Working Group constitutes a quorum for the transaction of business, and a
majority of a quorum present at any meeting is sufficient for any official
action taken by the Working Group.

����� (Added to NRS by 
2021,
2859
)

����� 
NRS 
458.480
  
Duties; report.

����� 1.  The Working Group shall:

����� (a) Leverage and expand efforts by state and
local governmental entities to reduce the use of substances which are
associated with substance use disorders, including, without limitation, heroin,
other synthetic and non-synthetic opioids and stimulants, and identify ways to
enhance those efforts through coordination and collaboration.

����� (b) Assess evidence-based strategies for
preventing substance use and intervening to stop substance use, including,
without limitation, the use of heroin, other synthetic and non-synthetic
opioids and stimulants. Such strategies must include, without limitation,
strategies to:

������������ (1) Help persons at risk of a substance
use disorder avoid developing a substance use disorder;

������������ (2) Discover potentially problematic
substance use in a person and intervene before the person develops a substance
use disorder;

������������ (3) Treat the medical consequences of a
substance use disorder in a person and facilitate the treatment of the
substance use disorder to minimize further harm; and

������������ (4) Reduce the harm caused by substance
use, including, without limitation, by preventing overdoses.

����� (c) Assess and evaluate existing pathways to
treatment and recovery for persons with substance use disorders, including,
without limitation, such persons who are members of special populations.

����� (d) Work to understand how residents of this
State who are involved in the criminal justice system access supports for
treatment of and recovery from substance use disorders at various points,
including, without limitation, by reviewing existing diversion, deflection and
reentry programs for such persons.

����� (e) Evaluate ways to improve and expand
evidence-based or evidence-informed programs, procedures and strategies to
treat and support recovery from opioid use disorder and any co-occurring
substance use disorder, including, without limitation, among members of special
populations.

����� (f) Examine support systems and programs for persons
who are in recovery from opioid use disorder and any co-occurring substance use
disorder.

����� (g) Make recommendations to entities including,
without limitation, the State Board of Pharmacy, professional licensing boards
that license practitioners, other than veterinarians, the State Board of
Health, the Division, the Governor and the Legislature, to ensure that
controlled substances are appropriately prescribed in accordance with the
provisions of 
NRS 639.2391
 to 
639.23916
, inclusive.

����� (h) Examine qualitative and quantitative data to
understand the risk factors that contribute to substance use and the rates of
substance use and substance use disorders, focusing on special populations.

����� (i) Develop strategies for local, state and
federal law enforcement and public health agencies to respond to and prevent
overdoses and plans for implementing those strategies.

����� (j) Study the efficacy and expand the
implementation of programs to:

������������ (1) Educate youth and families about the
effects of substance use and substance use disorders; and

������������ (2) Reduce the harms associated with
substance use and substance use disorders while referring persons with
substance use disorders to evidence-based treatment.

����� (k) Recommend strategies to improve coordination
between local, state and federal law enforcement and public health agencies to
enhance the communication of timely and relevant information relating to
substance use and reduce duplicative data collection and research.

����� (l) Evaluate current systems for sharing
information between agencies regarding the trafficking and distribution of
legal and illegal substances which are associated with substance use disorders,
including, without limitation, heroin, other synthetic and non-synthetic
opioids and stimulants.

����� (m) Study the effects of substance use disorders
on the criminal justice system, including, without limitation, law enforcement
agencies and correctional institutions.

����� (n) Study the sources and manufacturers of
substances which are associated with substance use disorders, including,
without limitation, heroin, other synthetic and non-synthetic opioids and
stimulants, and methods and resources for preventing the manufacture,
trafficking and sale of such substances.

����� (o) Study the effectiveness of criminal and civil
penalties at preventing the misuse of substances and substance use disorders
and the manufacture, trafficking and sale of substances which are associated
with substance use disorders, including, without limitation, heroin, other
synthetic and non-synthetic opioids and stimulants.

����� (p) Evaluate the effects of substance use
disorders on the economy of this State.

����� (q) Study, evaluate and make recommendations to
the Department of Human Services concerning the use of the money described in 
NRS 458.490
 to address substance use
disorders, with a focus on:

������������ (1) The use of the money described in
subsections 1, 2 and 3 of 
NRS 458.490
 to
supplement rather than supplant existing state or local spending;

������������ (2) The use of the money described in 
NRS 458.490
 to support programs that use
evidence-based interventions;

������������ (3) The use of the money described in 
NRS 458.490
 to support programs for the
prevention of substance use disorders in youth; 

������������ (4) The use of the money described in 
NRS 458.490
 to improve racial equity; and

������������ (5) Reporting by state and local agencies
to the public concerning the funding of programs to address substance misuse
and substance use disorders.

����� 2.  On or before August 1 of each year, the
Working Group shall:

����� (a) Compile a report which includes, without
limitation, recommendations for the establishment, maintenance, expansion or
improvement of programs to address substance misuse and substance use disorders
based on the evaluations conducted pursuant to subsection 1; and

����� (b) Submit the report to the Governor, the
Attorney General, any other entities deemed appropriate by the Attorney General
and the Director of the Legislative Counsel Bureau for transmittal to: 

������������ (1) During an even-numbered year, the
Joint Interim Standing Committee on Health and Human Services, the Joint
Interim Standing Committee on the Judiciary and the Interim Finance Committee;
or

������������ (2) During an odd-numbered year, the next
regular session of the Legislature.

����� 3.  As used in this section:

����� (a) �Practitioner� has the meaning ascribed to it
in 
NRS 639.0125
.

����� (b) �Special populations� includes, without
limitation:

������������ (1) Veterans, elderly persons and youth;

������������ (2) Persons who are incarcerated, persons
who have committed nonviolent crimes primarily driven by a substance use disorder
and other persons involved in the criminal justice or juvenile justice systems;

������������ (3) Pregnant women and the parents of
dependent children;

������������ (4) Lesbian, gay, bisexual, transgender
and questioning persons;

������������ (5) Intravenous drug users;

������������ (6) Children who are involved with the
child welfare system; and 

������������ (7) Other populations disproportionately
impacted by substance use disorders.

����� (c) �Substance use disorder prevention coalition�
means a coalition of persons and entities who possess knowledge and experience
related to the prevention of substance misuse and substance use disorders in a
region of this State.

����� (Added to NRS by 
2021,
2859
; A 
2025,
1300
)

����� 
NRS 
458.490
  
Report by Department of Human Services to Working Group
concerning use of certain money.
  
The
Department of Human Services shall annually submit to the Working Group a
report concerning the use of: 

����� 1.  All money received by this State
pursuant to any settlement entered into by the State of Nevada concerning the
manufacture, distribution, sale and marketing of opioids;

����� 2.  All money recovered by this State from
a judgment in a civil action by the State of Nevada concerning the manufacture,
distribution, sale and marketing of opioids;

����� 3.  Any gifts, grants or donations received
by the State and each political subdivision of the State for purposes relating
to substance misuse and substance use disorders; and

����� 4.  All other money spent by the State and
each political subdivision of the State for purposes relating to substance
misuse and substance use disorders.

����� (Added to NRS by 
2021,
2861
)