Nevada Revised Statutes
Chapter 439A - Planning for the Provision of Health Care
NRS 439A.126 - Notification to Department concerning certain transactions involving hospitals or physician group practices; posting of information and report on Internet website.


1. A hospital shall notify the Department of any merger, acquisition or joint venture with any entity, including, without limitation, a physician group practice, to which the hospital is a party or any contract for the management of the hospital not later than 60 days after the finalization of the transaction or execution of the contract for management, as applicable.
2. A physician group practice or a person who owns all or substantially all of a physician group practice shall notify the Department of a transaction described in subsection 3 to which the physician group practice or person, as applicable, is a party or any contract for the management of the physician group practice not later than 60 days after the finalization of the transaction or execution of the contract for management, as applicable, if:
(a) The physician group practices that are parties to the transaction or contract for management or that are owned by those parties represent at least 20 percent of the physicians who practice any specialty in a primary service area; and
(b) The physician group practice represents the largest number of physicians of any physician group practice that is a party to or owned by a party to the transaction or contract for management.
3. Notice must be provided pursuant to subsection 2 for any:
(a) Merger of, consolidation of or other affiliation between physician group practices, persons who own physician group practices or any combination thereof;
(b) The acquisition of all or substantially all of the properties and assets of a physician group practice;
(c) The acquisition of all or substantially all of the capital stock, membership interests or other equity interests of a physician group practice;
(d) The employment of all or substantially all of the physicians in a physician group practice; or
(e) The acquisition of an insolvent physician group practice.
4. Notice pursuant to subsection 1 or 2 must be provided in the form prescribed by the Department and must include, without limitation:
(a) The name of each party to the transaction or contract for management, as applicable;
(b) A description of the nature of the proposed relationship of the parties to the transaction or contract for management, as applicable;
(c) The names and any specialties of each physician who is a party or employed by or affiliated with a physician group practice that is a party to or is owned by a party to the transaction or contract for management, as applicable;
(d) The name and address of each business entity that will provide health services after the transaction or contract for management, as applicable;
(e) A description of the health services to be provided at each location of a business entity described in paragraph (d); and
(f) The primary service area to be served by each location of a business entity described in paragraph (d).
5. The Department shall:
(a) Post the information contained in the notices provided pursuant to subsections 1 and 2 on an Internet website maintained by the Department; and
(b) Annually prepare a report regarding market transactions and concentration in health care based on the information in the notices and post the report on an Internet website maintained by the Department.
6. As used in this section:
(a) "Physician group practice" means any business entity organized for the purpose of the practice of medicine or osteopathic medicine by more than one physician.
(b) "Primary service area" means an area comprising the smallest number of zip codes from which the hospital or physician group practice draws at least 75 percent of patients.
(Added to NRS by 2021, 3544)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 439A - Planning for the Provision of Health Care

NRS 439A.010 - Definitions.

NRS 439A.012 - "Department" defined.

NRS 439A.0125 - "Director" defined.

NRS 439A.015 - "Health facility" defined.

NRS 439A.017 - "Health services" defined.

NRS 439A.0195 - "Practitioner" defined. [Effective through December 31, 2021.] "Practitioner" defined. [Effective January 1, 2022.]

NRS 439A.020 - Purposes of chapter.

NRS 439A.081 - Department is state agency for health planning and development; powers of Director; fees.

NRS 439A.082 - Director to contract with Nevada System of Higher Education to collect and analyze information from health facilities and purchasers of health care.

NRS 439A.083 - Director to establish procedure for review of statutes, regulations and standards governing approval, licensing or certification of health facilities.

NRS 439A.086 - Chief Research and Statistical Analyst: Position created.

NRS 439A.100 - Approval of Director required for certain projects; criteria for review of application.

NRS 439A.104 - Approval of Chief Medical Officer required for operation of certain medical helicopters; criteria for review of application.

NRS 439A.111 - Definitions.

NRS 439A.112 - "Provider of health care" defined.

NRS 439A.114 - "Working Group" defined.

NRS 439A.116 - Establishment of database of certain information relating to renewal of license, certificate or registration; data request provided to certain professional licensing boards; confidentiality of information; duties of Director.

NRS 439A.118 - Health Care Workforce Working Group: Establishment; membership; Chair; meetings; quorum; service without compensation; members holding public office or employed by governmental entity; administrative support.

NRS 439A.121 - Health Care Workforce Working Group: Duties; reports.

NRS 439A.122 - Regulations; contracts and agreements; gifts, grants and donations.

NRS 439A.124 - Data request to Board of Medical Examiners and State Board of Osteopathic Medicine for certain information concerning physicians; confidentiality of information; posting of report on Internet website.

NRS 439A.126 - Notification to Department concerning certain transactions involving hospitals or physician group practices; posting of information and report on Internet website.

NRS 439A.130 - Definitions.

NRS 439A.135 - "Administrator" defined.

NRS 439A.138 - "Division" defined.

NRS 439A.140 - "Employer" defined.

NRS 439A.150 - "J-1 visa physician" defined.

NRS 439A.155 - "J-1 visa waiver" defined.

NRS 439A.160 - "Letter of support" defined.

NRS 439A.165 - "Program" defined.

NRS 439A.170 - Establishment; regulations; application fees; accounting and use of money; administration of Program.

NRS 439A.175 - Application for letter of support; qualifications; conditions for contract between employer and J-1 visa physician.

NRS 439A.180 - Violations and penalties.

NRS 439A.185 - Civil and criminal immunity for reporting violations.

NRS 439A.190 - Official recognition required; duty of Department to maintain Internet website; certain activities deemed not to be unfair methods of competition or unfair or deceptive trade practices.

NRS 439A.200 - Definitions.

NRS 439A.205 - Hospital" defined.

NRS 439A.207 - "Potentially preventable readmission" defined.

NRS 439A.210 - Surgical center for ambulatory patients" defined.

NRS 439A.220 - Information concerning hospitals: Establishment of program; information to be collected, maintained and provided through program.

NRS 439A.230 - Information concerning hospitals: Regulations; deadline for submission of information; notice of failure to provide information to be sent to Division of Public and Behavioral Health.

NRS 439A.240 - Information concerning surgical centers for ambulatory patients: Establishment of program; information to be collected, maintained and provided through program.

NRS 439A.250 - Information concerning surgical centers for ambulatory patients: Regulations; deadline for submission of information; notice of failure to provide information to be sent to Division of Public and Behavioral Health.

NRS 439A.260 - Department to collect and maintain information and make summary of information available to certain persons; information to be aggregated.

NRS 439A.270 - Internet website for information concerning hospitals and surgical centers for ambulatory patients: Establishment; information to be included on website; presentation of information on website; duties of Department.

NRS 439A.280 - Suspension of certain components of program or duties of Department if sufficient money not available; acceptance of gifts and grants.

NRS 439A.290 - Duty of Department to consult; Department allowed to contract with certain entities for analysis of information collected and maintained by Department; regulations for review and release of information; annual report concerning request...

NRS 439A.300 - Injunctions.

NRS 439A.310 - Civil penalties.