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Did Not Advance

Nevada AB 393 prohibits hospitals from employing physicians except under specific exceptions

Original title: AN ACT relating to health care; prohibiting a hospital or psychiatric hospital from employing a physician under certain circumstances; providing penalties for a violation of such prohibition; and providing other matters properly relating thereto.

Last action · April 12, 2025: (Pursuant to Joint Standing Rule No. 14.3.1, no further action allowed.)Sponsor: Hanadi Nadeem

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Assemblymember Hanadi Nadeem introduced AB 393 to prohibit hospitals and psychiatric hospitals from employing physicians as employees to practice medicine, , or , subject to specific exceptions. The measure imposes administrative penalties, license suspensions, and injunctive actions for violations, effective upon passage and approval.

Why it matters

Hospitals and health systems face strict administrative fines of up to $5,000 per day or potential license revocation if they employ physicians outside of approved residency programs, state-owned facilities, or other legally authorized exemptions.

Background
  • In 2010, the Nevada Attorney General issued an opinion clarifying that while hospitals traditionally retained physicians as independent contractors, no state law explicitly barred hospitals from employing physicians. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Hospitals and psychiatric hospitals

Hospitals and psychiatric hospitals are prohibited from directly employing physicians as employees unless meeting specific state-owned or graduate program exemptions, and face fines or license revocation for non-compliance.

Directly affected

Physicians

Physicians are restricted from working as direct employees of most hospitals, preserving the traditional independent contractor relationship outside of state facilities and training programs.

Directly affected

Division of Public and Behavioral Health

The Division is granted authority to enforce the prohibition by revoking licenses, seeking injunctions, and assessing daily administrative penalties against violating facilities.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Are all hospitals banned from employing physicians under AB 393?
No. Hospitals owned or operated by the State Government, or hospitals employing physicians participating in approved graduate medical programs, are exempt from the prohibition.
What penalties can a hospital face for violating the physician employment ban?
The Division of Public and Behavioral Health may suspend or revoke the hospital's license, seek injunctions, or impose administrative penalties of up to $5,000 per day per violation with interest up to 10 percent per year.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in Assembly committee.

Procedural history

3 actions
  1. Apr 12, 2025
    (Pursuant to Joint Standing Rule No. 14.3.1, no further action allowed.)
  2. Mar 12, 2025Committee
    From printer. To committee.
  3. Mar 11, 2025Introduced
    Read first time. Referred to Committee on Health and Human Services. To printer.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Hanadi Nadeem, Division of Public and Behavioral Health, Accreditation Council for Graduate Medical Education and 1 more
PersonHanadi Nadeem“Assemblymember sponsoring AB 393”Map →
OrganizationDivision of Public and Behavioral Health“Division of the Department of Health and Human Services authorized to enforce pe”Map →
OrganizationAccreditation Council for Graduate Medical Education“Organization approving graduate medical programs for physician employment except”Map →
OrganizationDepartment of Health and Human Services“State department overseeing health facilities and divisions”Map →

Sources

Open source document

www.leg.state.nv.us

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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