1. Except as otherwise provided in NRS 630.161 , the Board may issue a limited license to practice medicine to an applicant who: (a) Holds or has held a valid and unrestricted license to practice medicine issued by a foreign country other than Canada and has completed a residency program or other program of postgraduate training in that foreign country or performed the duties of a physician in that foreign country within the 5 years immediately preceding the date on which the application is submitted or within such other time period as the Board deems acceptable; (b) Meets the requirements prescribed by the Board with respect to proficiency in the English language; (c) Is of good moral character and reputation; (d) Is in good standing with the foreign regulatory body that issued the license described in paragraph (a) or, if the applicant is no longer licensed by the foreign regulatory body, was in good standing with the regulatory body at the time in which the license of the applicant expired or was otherwise deactivated at the request of the applicant; (e) Is a graduate of a foreign medical school whose curriculum is judged to be acceptable by the Board; and (f) Has passed all steps of the United States Medical Licensing Examination. 2. In addition to the requirements established pursuant to subsection 1, the Board may: (a) Require an applicant who has not performed the duties of a physician for a continuous period of 24 months immediately preceding the date on which the applicant submits the application to complete an examination prescribed by the Board similar to the Step 2 clinical skills exam of the United States Medical Licensing Examination to evaluate the clinical skills of the applicant to practice medicine. (b) Upon licensure of the applicant, require the applicant to provide to the Board notification of an offer for employment as a physician: (1) At a federally-qualified health center; (2) From the State or a political subdivision thereof, which may include, without limitation, a county hospital, a health district created pursuant to NRS 439.362 or 439.370 , a medical school within the Nevada System of Higher Education or a facility operated by a division of the Department of Health and Human Services; (3) At a nonprofit facility which provides mental or behavioral health services or primary care services; or (4) From a physician group practice located in a medically underserved area of this State. 3. The holder of a limited license issued pursuant to this section: (a) Shall file with the Board for approval a written practice agreement between the limited licensee and each physician supervising him or her pursuant to paragraph (b). (b) Except if authorized in emergency or life threatening situations by the regulations adopted pursuant to this section, shall not practice medicine except: (1) Under the supervision and control of a physician who holds an active unrestricted license to practice medicine in this State, practices in the same or a substantially similar specialty as the limited licensee and has practiced in that same or similar specialty for at least 2 years. (2) In accordance with the applicable written practice agreement filed with and approved by the Board pursuant to paragraph (a). (c) Shall inform the Board of any change in the employment status of the limited licensee. 4. A physician supervising a holder of a limited license pursuant to subsection 3: (a) Is responsible for any act that constitutes the practice of medicine by the limited licensee; and (b) Shall continuously monitor, periodically evaluate and, if required by the Board, report to the Board information relating to the performance and competence of the limited licensee. 5. The holder of a limited license granted pursuant to this section may be disciplined by the Board at any time for any of the grounds provided in NRS 630.161 or 630.301 to 630.3065 , inclusive. 6. Except as otherwise provided in NRS 630.161 , the Board may issue an unrestricted license to practice medicine upon the submission of an application by the holder of a limited license issued pursuant to this section who: (a) Has completed at least 2 years of practice as a full-time physician under the limited license; (b) Is in good standing in this State; and (c) Has received a written recommendation from each physician currently supervising the holder of a limited license pursuant to subsection 3 which states: (1) That the limited licensee has met all requirements established by the Board for the evaluation of limited licensees licensed pursuant to this section, if applicable; and (2) In the opinion of the supervising physician, the limited licensee is qualified to independently practice medicine. 7. The Board may, after providing the holder of a limited license issued pursuant to this section with notice and an opportunity for a hearing in accordance with the provisions of this chapter and chapter 622A of NRS, suspend or revoke the license issued to the limited licensee if the Board determines that the limited licensee is no longer employed as a physician in this State. 8. The Board: (a) Shall adopt regulations necessary to carry out the provisions of this section, including, without limitation, regulations: (1) Establishing the required provisions of a written practice agreement entered into between the holder of a limited license and his or her supervising physician pursuant to subsection 3; (2) Governing the prescribing and dispensing of controlled substances by limited licensees, which must prohibit a limited licensee from prescribing or dispensing any controlled substance that the supervising physician of the limited licensee is not authorized or qualified to prescribe or dispense; and (3) Establishing the specialties within which a limited licensee may practice pursuant to this section, which may include, without limitation, internal medicine, general medicine, geriatric medicine, family medicine, palliative medicine and hospice. (b) May adopt such additional regulations as it deems appropriate to carry out the provisions of this section, which may include, without limitation: (1) Any additional requirements for the issuance or renewal of a limited license under the provisions of this section; (2) Regulations governing the scope of practice of a limited licensee, including, without limitation, regulations prescribing the authority of a limited licensee to order home health care; (3) Requirements for the identification of limited licensees, which may include, without limitation, a requirement that a limited licensee wear an identification badge which clearly identifies the person as a limited licensee; (4) Criteria for the monitoring and evaluation of a limited licensee by the supervising physician of the limited licensee pursuant to subsection 4; and (5) Regulations concerning the types of procedures or services which a limited licensee may perform outside of the presence of his or her supervising physician, which may exempt a limited licensee from the requirements of paragraph (b) of subsection 3 in emergency or life threatening situations. 9. As used in this section: (a) Federally-qualified health center has the meaning ascribed to it in 42 U.S.C. 1396d(l)(2)(B). (b) Medically underserved area means an area designated as: (1) A health professional shortage area for primary care by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 254e; or (2) An area with a medically underserved population by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 254b. (c) Physician group practice means any business entity organized for the purpose of the practice of medicine or osteopathic medicine by more than one physician.
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