Current through February 27, 2024
1.
A facility shall:
(a) Develop policies to
ensure that a patient or resident is addressed by his or her preferred name and
pronoun and in accordance with his or her gender identity or expression;
and
(b) Adapt electronic records
and any paper records the facility has to reflect the gender identities or
expressions of patients or residents with diverse gender identities or
expressions, including, without limitation:
(1) If the facility is a medical facility,
adapting health records to meet the medical needs of patients or residents with
diverse sexual orientations and gender identities or expressions, including,
without limitation, integrating information concerning sexual orientation and
gender identity or expression into electronic systems for maintaining health
records; and
(2) If the facility is
a facility for the dependent or other residential facility, adapting electronic
records and any paper records the facility has to include the preferred name
and pronoun and gender identity or expression of a resident.
2. If a patient or
resident chooses to provide the following information, the health records
adapted pursuant to subparagraph (1) of paragraph (b) of subsection 1 must
include, without limitation:
(a) The preferred
name and pronoun of the patient or resident;
(b) The gender identity or expression of the
patient or resident;
(c) The gender
identity or expression of the patient or resident that was assigned at the
birth of the patient or resident;
(d) The sexual orientation of the patient or
resident; and
(e) If the gender
identity or expression of the patient or resident is different than the gender
identity or expression of the patient or resident that was assigned at the
birth of the patient or resident:
(1) A
history of the gender transition and current anatomy of the patient or
resident; and
(2) An organ
inventory for the patient or resident which includes, without limitation, the
organs:
(I) Present or expected to be present
at the birth of the patient or resident;
(II) Hormonally enhanced or developed in the
patient or resident; and
(III)
Surgically removed, enhanced, altered or constructed in the patient or
resident.
3. A medical facility that has adapted health
records pursuant to subparagraph (1) of paragraph (b) of subsection 1 shall
develop a method to lead patients or residents through a series of questions to
help obtain thorough and medically relevant information regarding the patients
or residents to accurately reflect the diverse gender identities or expressions
of patients or residents with diverse gender identities or expression to be
used in providing care to the patient or resident, including, without
limitation, when interacting with insurance providers. A patient or resident
may decline to answer any such questions.
Added to NAC
by Bd. of Health by
R016-20A,
eff. 11/2/2020
NRS
449.0302,
449.104
