for the determination. If the physician or chiropractor selected to make the second determination finds a higher percentage of disability than the first physician or chiropractor, the injured employee may request a hearing officer or appeals officer to order the insurer to reimburse the employee pursuant to the provisions of NRS 616C.330 or 616C.360. 2. The results of a second determination made pursuant to subsection 1 may be offered at any hearing or settlement conference. (Added to NRS by 1991, 2398; A 1993, 736; 1995, 2148; 1999, 1777) NRS 616C.105 Requirements for designation of chiropractor to rate permanent partial disabilities. The Administrator shall not designate a chiropractor to rate permanent partial disabilities unless the chiropractor has completed an advanced program of training in rating disabilities using the American Medical Association’s Guides to the Evaluation of Permanent Impairment which is offered or approved by the Administrator. (Added to NRS by 1991, 2392)—(Substituted in revision for NRS 616.5417) NRS 616C.110 American Medical Association’s Guides to the Evaluation of Permanent Impairment: Duty of Division to adopt Guides by regulation; determination of appropriate version of Guides to apply. 1. For the purposes of NRS 616B.557, 616B.578, 616B.587, 616C.490 and 617.459: (a) Not later than August 1, 2003, the Division shall adopt regulations incorporating the American Medical Association’s Guides to the Evaluation of Permanent Impairment, 5th edition, by reference. The regulations: (1) Must become effective on October 1, 2003; and (2) Must be applied to all examinations for a permanent partial disability that are conducted on or after October 1, 2003, regardless of the date of the injury, until regulations incorporating the 6th edition by reference have become effective pursuant to paragraph (b). (b) Beginning with the 6th edition and continuing for each edition thereafter, the Division shall adopt regulations incorporating the most recent edition of the American Medical Association’s Guides to the Evaluation of Permanent Impairment by reference. The regulations: (1) Must become effective not later than 18 months after the most recent edition is published by the American Medical Association; and (2) Must be applied to all examinations for a permanent partial disability that are conducted on or after the effective date of the regulations, regardless of the date of injury, until regulations incorporating the next edition by reference have become effective pursuant to this paragraph. 2. After adopting the regulations required pursuant to subsection 1, the Division may amend those regulations as it deems necessary, except that the amendments to those regulations: (a) Must be consistent with the edition of the American Medical Association’s Guides to the Evaluation of Permanent Impairment most recently adopted by the Division; (b) Must not incorporate any contradictory matter from any other edition of the American Medical Association’s Guides to the Evaluation of Permanent Impairment; and (c) Must not consider any factors other than the degree of physical impairment of the whole man in calculating the entitlement to compensation. 3. If the edition of the American Medical Association’s Guides to the Evaluation of Permanent Impairment most recently adopted by the Division contains more than one method of determining the rating of an impairment, the Administrator shall designate by regulation the method from that edition which must be used to rate an impairment pursuant to NRS 616C.490. (Added to NRS by 1995, 2128; A 1999, 1777; 2003, 1671) NRS 616C.115 Prescription of generic drugs required; exceptions. 1. Except as otherwise provided in subsection 2, a physician or advanced practitioner of nursing shall prescribe for an injured employee a generic drug in lieu of a drug with a brand name if the generic drug is biologically equivalent and has the same active ingredient or ingredients of the same strength, quantity and form of dosage as the drug with a brand name. 2. A physician or advanced practitioner of nursing is not required to comply with the provisions of subsection 1 if: (a) He determines that the generic drug would not be beneficial to the health of the injured employee; or (b) The generic drug is higher in cost than the drug with a brand name. (Added to NRS by 1993, 669)—(Substituted in revision for NRS 616.5023) NRS 616C.120 Employee may elect treatment through prayer in lieu of medical treatment. Any provision of this chapter or chapter 616A, 616B, 616D or 617 of NRS must not prevent an employee from providing for treatment for his injuries or disease through prayer or other spiritual means in accordance with the tenets and practices of a recognized church, which treatment is recognized in this State in lieu of medical treatment. (Added to NRS by 1973, 1595; A 1999, 220) NRS 616C.125 Insurer may contract with suppliers for provision of services and goods to injured employees. An insurer may contract with suppliers to provide services and goods to injured employees. Such contracts may provide for the exclusive provision of specified services or goods to injured employees. (Added to NRS by 1987, 2148; A 1989, 1429; 1993, 714)—(Substituted in revision for NRS 616.344) NRS 616C.130 Insurer’s payment to physician or chiropractor attending injured employee conditioned upon receipt of itemized statement and certificate. The insurer shall not authorize the payment of any money to a physician or chiropractor for services rendered by him in attending an injured employee until an itemized statement for the services has been received by the insurer accompanied by a certificate of the physician or chiropractor stating that a duplicate of the itemized statement has been filed with the employer of the injured employee. (Added to NRS by 1957, 232; A 1981, 1167, 1471; 1985, 1543; 1997, 1435) NRS 616C.135 Liability of insurer for payment of charges for treatment related to industrial injury or occupational disease; acceptance of payment by provider of health care from injured employee or health or casualty insurer for treatment that was erroneously denied. 1. A provider of health care who accepts a patient as a referral for the treatment of an industrial injury or an occupational disease may not charge the patient for any treatment related to the industrial injury or occupational disease, but must charge the insurer. The provider of health care may charge the patient for any services that are not related to the employee’s industrial injury or occupational disease. 2. The insurer is liable for the charges for approved services related to the industrial injury or occupational disease if the charges do not exceed: (a) The fees established in accordance with NRS 616C.260 or the usual fee charged by that person or institution, whichever is less; and (b) The charges provided for by the contract between the provider of health care and the insurer or the contract between the provider of health care and the organization for managed care. 3. A provider of health care may accept payment from an injured employee or from a health or casualty insurer paying on behalf of the injured employee pursuant to NRS 616C.138 for treatment or other services that the injured employee alleges are related to the industrial injury or occupational disease. 4. If a provider of health care, an organization for managed care, an insurer or an employer violates the provisions of this section, the Administrator shall impose an administrative fine of not more than $250 for each violation. (Added to NRS by 1983, 1291; A 1985, 574; 1991, 2407; 1993, 715; 2001, 1894, 2738, 2742; 2005, 237, 1265) NRS 616C.136 Action by insurer on bill from provider of health care; paymen

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