1. A physician may prescribe or recommend an investigational drug, biological product or device to a patient if the physician has:
(a) Diagnosed the patient with a terminal condition;
(b) Discussed with the patient all available methods of treating the terminal condition that have been approved by the United States Food and Drug Administration and the patient and the physician have determined that no such method of treatment is adequate to treat the terminal condition of the patient; and
(c) Obtained informed, written consent to the use of the investigational drug, biological product or device from:
(1) The patient;
(2) If the patient is incompetent, the representative of the patient; or
(3) If the patient is less than 18 years of age, a parent or legal guardian of the patient.
2. An informed, written consent must be recorded on a form signed by the patient, or the representative or parent or legal guardian of the patient, as applicable, that contains:
(a) An explanation of all methods of treating the terminal condition of the patient that are currently approved by the United States Food and Drug Administration;
(b) A statement that the patient, or the representative or parent or legal guardian of the patient, as applicable, and the physician agree that no such method is likely to significantly prolong the life of the patient;
(c) Clear identification of the specific investigational drug, biological product or device proposed to treat the terminal condition of the patient;
(d) A description of the consequences of using the investigational drug, biological product or device, which must include, without limitation:
(1) A description of the best and worst possible outcomes;
(2) A realistic description of the most likely outcome, in the opinion of the physician; and
(3) A statement of the possibility that using the investigational drug, biological product or device may result in new, unanticipated, different or worse symptoms or the death of the patient occurring sooner than if the investigational drug, biological product or device is not used;
(e) A statement that a health insurer of the patient may not be required to pay for care or treatment of any condition resulting from the use of the investigational drug, biological product or device unless such care or treatment is specifically included in the policy of insurance covering the patient and that future benefits under the policy of insurance covering the patient may be affected by the patient’s use of the investigational drug, biological product or device; and
(f) A statement that the patient, or the representative or parent or legal guardian of the patient, as applicable, understands that the patient is liable for all costs resulting from the use of the investigational drug, biological product or device, including, without limitation, costs resulting from care or treatment of any condition resulting from the use of the investigational drug, biological product or device, and that such liability will be passed on to the estate of the patient upon the death of the patient.
3. A physician is not subject to disciplinary action for prescribing or recommending an investigational drug, biological product or device when authorized to do so pursuant to subsection 1.
4. As used in this section:
(a) "Investigational drug, biological product or device" has the meaning ascribed to it in NRS 454.690.
(b) "Terminal condition" has the meaning ascribed to it in NRS 454.690.
(Added to NRS by 2015, 983)
Structure Nevada Revised Statutes
NRS 630.003 - Legislative declaration.
NRS 630.007 - "Administrative physician" defined.
NRS 630.010 - "Board" defined.
NRS 630.0122 - "Healing art" defined.
NRS 630.0129 - "Medical assistant" defined.
NRS 630.0135 - "Medical facility" defined.
NRS 630.0137 - "Perfusion" defined.
NRS 630.0138 - "Perfusionist" defined.
NRS 630.014 - "Physician" defined.
NRS 630.015 - "Physician assistant" defined.
NRS 630.020 - "Practice of medicine" defined.
NRS 630.021 - "Practice of respiratory care" defined.
NRS 630.023 - "Practitioner of respiratory care" defined.
NRS 630.024 - "Respiratory care" defined.
NRS 630.0245 - "Screening, brief intervention and referral to treatment approach" defined.
NRS 630.025 - "Supervising physician" defined.
NRS 630.0257 - "Telehealth" defined.
NRS 630.026 - "Temporarily licensed perfusionist" defined.
NRS 630.045 - Purpose of licensing; license is revocable privilege.
NRS 630.049 - Place at which act constituting practice of medicine deemed to occur.
NRS 630.050 - Appointment of members: Number; limitation on consecutive terms.
NRS 630.060 - Qualifications of members.
NRS 630.070 - Terms, removal and replacement of members.
NRS 630.075 - Appointment of physician or member of public to serve as advisory member of Board.
NRS 630.080 - Oath or affirmation of office.
NRS 630.085 - Acknowledgment of statutory ethical standards.
NRS 630.100 - Meetings: Frequency; requirements concerning telephone or video conference; quorum.
NRS 630.120 - Seal; licenses to bear seal and signatures.
NRS 630.127 - Performance audits of Board.
NRS 630.135 - Board required to define "intractable pain" by regulation.
NRS 630.138 - Regulations governing supervision of medical assistants.
NRS 630.140 - Hearings and investigations; oaths; subpoenas.
NRS 630.1605 - License by endorsement to practice medicine.
NRS 630.220 - Records of issuance or denial of licenses: Contents; inspection.
NRS 630.250 - Validity of license to practice medicine issued before July 1, 1985.
NRS 630.257 - Reexamination of licensee who does not practice medicine for certain period.
NRS 630.258 - Special volunteer medical license.
NRS 630.259 - License as administrative physician.
NRS 630.261 - Locum tenens, special, restricted, temporary and special purpose licenses.
NRS 630.264 - Restricted license to practice medicine in medically underserved area of county.
NRS 630.265 - Limited license to practice medicine as resident physician in graduate program.
NRS 630.266 - Special event license to demonstrate medical techniques and procedures; regulations.
NRS 630.269 - Regulations concerning licensure.
NRS 630.2691 - Requirements for licensing.
NRS 630.2693 - Waiver of examination for certain applicants.
NRS 630.2694 - Issuance and display of license; notification of Board upon change of address.
NRS 630.2695 - Expiration, renewal and reinstatement of licenses.
NRS 630.2696 - Temporary licenses.
NRS 630.271 - Authorized services.
NRS 630.273 - Initial license: Issuance and conditions.
NRS 630.276 - Licensed physician required to supervise respiratory care.
NRS 630.277 - Requirements; prohibitions; intern in respiratory care.
NRS 630.329 - Summary suspension of license: Stay by court of Board’s order prohibited.
NRS 630.344 - Service of process; publication of notice.
NRS 630.356 - Judicial review; effective date of order; stay of Board’s order by court prohibited.
NRS 630.358 - Removal of limitation on or restoration of license.
NRS 630.369 - Injecting patient with certain chemotherapeutic agents.
NRS 630.371 - Performance of laser surgery on eye.
NRS 630.373 - Administration of anesthesia or sedation.
NRS 630.375 - Form for prescription; requirements for initial fitting of contact lenses.
NRS 630.388 - Injunctive relief.
NRS 630.390 - Sufficiency of allegations in application for injunctive relief.
NRS 630.395 - Inspection of premises by Board.
NRS 630.397 - Practicing or offering to practice without license: Reporting requirements of Board.