Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Delegation Regulations topic
No spam. Unsubscribe anytime.
Nevada nursing board adopts regulation on medical assistant delegation after divided public comment
Summary
The Nevada State Board of Nursing adopted LCB File R087-25, a regulation clarifying delegation to medical assistants (AB 319), after public comment that included hospital executives supporting expanded delegation and nurses and unions warning remote delegation risks to patient safety.
The Nevada State Board of Nursing voted to adopt LCB File R087-25, a regulation implementing delegation rules for medical assistants, after hearing substantial public comment both supporting and opposing the change.
Board President Cheryl A. Maes called the meeting to order Jan. 14, 2026, and the board considered written and verbal testimony submitted at the public hearing before taking action. Fred Olmstead presented the regulation and the public input the board received. After discussion, the board moved and seconded to adopt the proposed regulation as written; the motion passed.
Supporters including Melodie Osborn, chief nurse executive for Renown Health, told the board the regulation reflects contemporary team-based care, improves access and clinic efficiency, and clarifies accountability while not expanding scope beyond training. "This approach reflects contemporary team‑based care and brings Nevada in line with several other states," Osborn said in public comment.
Several union representatives and bedside nurses urged limits on delegation and raised concerns about remote supervision. Jonlyn Miller, representing the National Nurse Organizing Committee, said the current provisions allowing remote delegation to medical assistants risk patient safety and urged limiting delegation to APRNs. "Unlicensed protection with the proposed provisions allows remote delegation to medical assistants and strongly urges to limit these regulations to APRNs only," Miller told the board.
Other commenters, including Janelle Hoover, chief nursing officer for Carson Tahoe Health, and Amy Booth, a nurse practitioner at Renown Health, described workforce pressures and the role of medical assistants when competency-based training and supervision are in place. Several nurses in public comment, including Jody Dominecksei and Chelsea Booker, opposed virtual delegation and said rural patients deserve in‑person supervision.
The board’s adoption follows staff presentation of the written comments and workshop transcript. The board did not record a roll-call vote tally in the meeting minutes; the action is recorded as "MOTION PASSED." The board also discussed related scope‑of‑practice call trends during the meeting.
The regulation will be filed as adopted, and the board did not identify additional implementation steps in the minutes. The board concluded the agenda item and proceeded to other business, including education approvals and disciplinary matters.
