Section 630.Sec. 4.1 - NEW1. An application for licensure as an anesthesiologist assistant must be made on a form supplied by the Board. The application must state:(a) The date and place of the applicant's birth and his or her sex;(b) Information about the applicant's postsecondary education as an anesthesiologist assistant, including, without limitation, postsecondary institutions attended, the length of time in attendance at each institution and whether he or she is a graduate of those institutions;(c) Whether the applicant has ever applied for a license or certificate as an anesthesiologist assistant in another state and, if so, when and where and the results of his or her application;(d) The applicant's work experience for the 5 years immediately preceding the date of his or her application;(e) Whether the applicant has ever been investigated for misconduct as an anesthesiologist assistant or had a license or certificate as an anesthesiologist assistant revoked, modified, limited or suspended or whether any disciplinary action or proceedings have ever been instituted against the applicant by a licensing body in any jurisdiction;(f) Whether the applicant has ever been arrested for, investigated for, charged with, convicted of or pled guilty or nolo contendere to: (1) Any offense or violation of any federal, state or local law, including, without limitation, the laws of any foreign country, which is a misdemeanor, gross misdemeanor, felony or similar offense in a foreign jurisdiction, excluding any minor traffic offense; or(2) Any violation of the Uniform Code of Military Justice;(g) Whether the applicant has ever been arrested for, investigated for, charged with, convicted of or pled guilty or nolo contendere to any offense which is related to the manufacture, distribution, prescribing or dispensing of controlled substances;(h) Whether the applicant has an untreated medical condition that may affect his or her ability to safely practice as an anesthesiologist assistant; and(i) A public address and the mailing address at which the applicant prefers to receive correspondence from the Board.2. An applicant must submit to the Board:(a) Proof of graduation from an anesthesiologist assistant program described in paragraph (a) of subsection 1 of section 8 of Assembly Bill No. 270, chapter 247, Statutes of Nevada 2023, at page 1547;(b) Proof of passage of a certification examination administered by the National Commission for Certification of Anesthesiologist Assistants or its successor organization;(c) Proof of certification issued by the National Commission for Certification of Anesthesiologist Assistants or its successor organization; and(d) Such further evidence and other documents or proof of qualifications as required by the Board.3. Each application must be signed by the applicant and accompanied by a signed affidavit indicating that: (a) The applicant is the person named in the proof of graduation from an anesthesiologist assistant program as required by subsection 2;(b) The proof of graduation from an anesthesiologist assistant program required by subsection 2 was obtained without fraud or misrepresentation or any mistake of which the applicant is aware; and(c) All the information contained in the application and any accompanying material is complete and correct.4. The application must be accompanied by the applicable fee.5. An applicant shall pay the reasonable costs of any examination required for licensure.Nev. Admin. Code § 630.Sec. 4.1
Added to NAC by Bd. of Medical Exam'rs by R069-23A, eff. 4/19/2024NRS 630.130 and 630.268, as amended by section 31 of Assembly Bill No. 270, chapter 247, Statutes of Nevada 2023, at page 1557, and section 10 of Assembly Bill No. 270, chapter 247, Statutes of Nevada 2023, at page 1548