Revises provisions relating to nonemergency medical transportation. (BDR 40-1042)

AB 438 transfers oversight of private nonemergency medical transportation providers from Nevada's Transportation Authority to local health authorities. Private providers will now require permits from either Clark County's district health board or the Division of Public and Behavioral Health in other counties (capped at $200), replacing the previous Transportation Authority permit system. The bill preserves existing requirements for providers to report abuse or neglect of vulnerable individuals and maintains exemptions for government-run transportation services. It also clarifies that permits do not override local franchising rules and updates regulatory language to reflect the new authority structure.