Operation of ambulance, air ambulance or fire-fighting vehicle used to provide certain medical care without licensed driver and attendant prohibited; exceptions; prohibition on requiring certain persons receiving training to be licensed attendants.
Nev. Rev. Stat. § 450B.260
in effect1. Except as otherwise provided in this section or as authorized by the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145 , the public or private owner of an ambulance or air ambulance or a fire-fighting agency which owns a vehicle used in providing medical care to sick or injured persons at the scene of an emergency or while transporting those persons to a medical facility shall not permit its operation and use by any person not licensed under this chapter.
2. An ambulance carrying a sick or injured patient must be occupied by a driver and an attendant, each of whom is licensed as an attendant pursuant to this chapter, exempt from licensing pursuant to subsection 7 of NRS 450B.160 or authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145 , except as otherwise provided in subsection 5 or in geographic areas which may be designated by the board and for which the board may prescribe lesser qualifications.
3. An air ambulance carrying a sick or injured patient must be occupied by a licensed attendant, a person exempt from licensing pursuant to subsection 7 of NRS 450B.160 or a person authorized to practice in this State under the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact ratified by NRS 450B.145 , in addition to the pilot of the aircraft.
4. The pilot of an air ambulance is not required to have a license under this chapter.
5. A person who operates or uses a vehicle owned by a fire-fighting agency is not required to be licensed under this chapter, except that such a vehicle may not be used to provide the level of medical care provided by an advanced emergency medical technician or paramedic to sick or injured persons:
(a) At the scene of an emergency unless at least one person in the vehicle is licensed to provide the care; or
(b) While transporting those persons to a medical facility unless at least two persons in the vehicle are licensed to provide the care.
6. The board may not require that a person who is participating in a program of training for certification as an emergency medical technician, advanced emergency medical technician or paramedic be licensed as an attendant pursuant to this chapter in order to occupy an ambulance that is being used to provide medical care to sick or injured persons at the scene of an emergency or while transporting a sick or injured person so long as:
(a) The ambulance is otherwise staffed in accordance with the provisions of this chapter and any regulations adopted pursuant thereto; and
(b) The unlicensed person does not provide care to a sick or injured person or drive the ambulance.
7. Nothing in this section precludes the operation of an aircraft in this State in a manner other than as an air ambulance.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-450B.htmlFetched: 10/4/2026