Nevada enacts new regulations for associate osteopathic physician agreements

On March 2, 2025, the Nevada State Legislature introduced Assembly Bill 170, a significant piece of legislation aimed at enhancing the collaborative practice framework for associate osteopathic physicians. This bill seeks to address the growing demand for healthcare services by allowing associate osteopathic physicians to operate under a more flexible supervision model, thereby expanding their ability to prescribe controlled substances and improve patient care.

The primary purpose of AB170 is to establish clear guidelines for collaborative practice agreements between supervising osteopathic physicians and their associates. Key provisions include requirements for these agreements to outline the scope of practice, the procedures for supervision, and the specific controlled substances that associates are authorized to prescribe. The bill mandates that supervising physicians must file these agreements with the Nevada Board of Osteopathic Medicine, ensuring transparency and accountability in the practice.

One of the notable aspects of the bill is its provision for alternative supervision plans in cases where the supervising physician is unavailable. This addresses a critical issue in healthcare accessibility, particularly in rural areas where physician shortages are prevalent. By allowing associates to maintain a level of autonomy, the bill aims to alleviate some of the burdens on supervising physicians while ensuring that patients continue to receive timely care.

However, the bill has sparked debates among healthcare professionals. Supporters argue that AB170 will enhance healthcare delivery and improve patient outcomes by allowing more practitioners to engage in patient care. Critics, on the other hand, express concerns about the potential risks of less oversight in prescribing practices, particularly regarding controlled substances. They worry that the bill may lead to an increase in prescription errors or misuse.

Economically, the implications of AB170 could be significant. By enabling associate osteopathic physicians to take on more responsibilities, the bill may help reduce healthcare costs and improve access to services, particularly in underserved communities. This could lead to better health outcomes and potentially lower overall healthcare expenditures for the state.

As the legislative process unfolds, experts suggest that the success of AB170 will depend on the implementation of robust training and oversight mechanisms to ensure that patient safety remains a priority. The bill's future will likely hinge on ongoing discussions among stakeholders, including healthcare providers, regulatory bodies, and patient advocacy groups.

In conclusion, Assembly Bill 170 represents a pivotal step towards modernizing the practice of osteopathic medicine in Nevada. By fostering collaboration and expanding the roles of associate osteopathic physicians, the bill aims to enhance healthcare access and quality for residents across the state. As the legislature continues to deliberate, the community will be watching closely to see how these changes will shape the future of healthcare in Nevada.