Assembly Bill 186, introduced in the Nevada State Legislature on March 4, 2025, seeks to expand the scope of practice for various healthcare professionals, including optometrists, dental hygienists, certified registered nurse anesthetists, and pharmacists. The bill aims to address the growing demand for healthcare services by allowing these practitioners to prescribe and administer certain dangerous drugs, thereby enhancing patient care and accessibility.

Key provisions of AB186 include the authorization for optometrists to prescribe dangerous drugs within their certification scope, and for dental hygienists to dispense specific medications if they hold the necessary certification from the State Board of Pharmacy. Additionally, the bill clarifies the roles of certified registered nurse anesthetists and pharmacists in prescribing and dispensing drugs, particularly in the context of medication-assisted treatment.

The introduction of this bill has sparked notable debates among healthcare professionals and regulatory bodies. Proponents argue that expanding the prescribing authority of these practitioners will alleviate pressure on physicians and improve patient access to necessary medications, particularly in underserved areas. Critics, however, express concerns about the potential risks associated with allowing non-physician practitioners to prescribe dangerous drugs, emphasizing the need for stringent oversight and training to ensure patient safety.

Economically, the bill could have significant implications for the healthcare system in Nevada. By enabling a broader range of providers to prescribe medications, it may reduce wait times for patients and lower healthcare costs associated with unnecessary emergency room visits. Socially, the bill aims to improve healthcare access, particularly for populations in rural or underserved communities, where physician availability may be limited.

As AB186 moves through the legislative process, its potential impact on the healthcare landscape in Nevada remains a focal point of discussion. Experts suggest that if passed, the bill could set a precedent for similar legislative efforts in other states, reflecting a broader trend toward expanding the roles of non-physician healthcare providers. The outcome of this bill will be closely monitored, as it may reshape the dynamics of healthcare delivery in Nevada and beyond.