Nevada State Board of Osteopathic Medicine · OSTEOPATHIC

40 hours biennially. 10-hour Category 1 floor. Opioid/ethics CME applies to every licensee.

A source-verified guide to Nevada's CME requirements for osteopathic physicians — hours, mandatory topics, audit rules, and exemptions.

Updated April 2026Sourced from NSBOM~1 min read
Licensed as an MD instead? Nevada regulates MDs through a separate board. See Nevada MD CME requirements →

Reviewed by Doug Doehrman, MD · Last reviewed April 21, 2026

Mandatory topics

For osteopathic physicians, 40 hours is the total CME requirement. Nevada also requires a set of one-time topics that count toward the 40-hour total.

Opioid / controlled substances[1]
2 hrs
Biennial
DOs must complete a minimum of 2 hours every even-numbered year in ethics, pain management, addiction care, OR screening, brief intervention and referral to treatment (SBIRT). This is a MENU requirement — any one of the four topics satisfies the 2-hour biennial obligation; it is no longer opioid-specific. Universal mandate for all NSBOM licensees regardless of controlled substance registration status. Counts within the 40-hour biennial total. Pre-AB 56 rule was 2 hrs annually on opioid/addiction only.
View sourceVerbatim from source
“The Board shall require a holder of a license issued pursuant to this chapter, other than a license on inactive status, to complete, as part of the continuing education described in subsection 1: (a) A minimum of 2 hours every even-numbered year in ethics, pain management, addiction care or screening, brief intervention and referral to treatment; and (b) A minimum of 2 hours every four years in evidence-based suicide prevention and awareness.”
NRS 633.471 (as amended by AB 56 (2025) § 12)See source [1] in Primary Sources
General CME[2]
10 hrs
Annual
At least 10 of the annual hours must be AOA Category 1-A or AMA Category 1 CME — either system satisfies the floor on equal terms. Counts within the annual total. (Pre-AB 56 NAC architecture; subject to R092-25 rulemaking transitioning to biennial.)
View detailsEditorial summary
NAC 633.250(1)(a)See source [2] in Primary Sources
Suicide prevention[1]
2 hrs
Quadrennial
Evidence-based suicide detection, intervention, and prevention. Must be completed within 2 years of initial licensure, then every 4 years thereafter. Parallels the NSBME MD rule. Counts within annual CE total.
View sourceVerbatim from source
“A minimum of 2 hours every four years in evidence-based suicide prevention and awareness.”
NRS 633.471(2)(b)See source [1] in Primary Sources
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Conditional requirements

These rules apply only when the trigger described under each card is met (for example, holding a state-issued controlled substance registration or treating a specific patient population). Each cites the underlying statute or rule directly.

ConditionalCultural competency[1]
2 hrs
Biennial

Osteopathic psychiatrists (and PAs supervised by psychiatrists)

View sourceVerbatim from source
“The Board shall require a holder of a license to practice osteopathic medicine or to practice as a physician assistant who is a psychiatrist or who provides services under the supervision of a psychiatrist to complete, as part of the continuing education described in subsection 1, a minimum of 2 hours every even-numbered year in cultural competency and diversity, equity and inclusion.”
NRS 633.471 (as amended by AB 56 (2025))See source [1] in Primary Sources
ConditionalCustom[1]
2 hrs
One-time

DOs providing or supervising emergency department or hospital primary care services

View sourceVerbatim from source
“The Board shall require a holder of a license to practice osteopathic medicine or to practice as a physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care in any setting to complete, within two years after beginning to provide or supervise such services, a minimum of 2 hours of continuing medical education concerning the stigma, discrimination and unrecognized bias toward persons who have acquired or are at high risk of acquiring human immunodeficiency virus. For purposes of this paragraph, 'primary care' means family medicine, pediatrics, internal medicine, obstetrics and gynecology, and midwifery.”
NRS 633.471 (as amended by AB 56 (2025))See source [1] in Primary Sources
Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Nevada Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.

Credit systemNotes
AOA Category 1-A
DOs onlymin 10 hrs
Minimum 10 hours annually of AOA Category 1-A or AMA Category 1 CME — either system satisfies the floor on equal terms. The requirement is not strictly AOA 1-A only.SourceNAC 633.250(1)(a)[3]
AMA PRA Category 1
DOs only
AMA PRA Category 1 Credit from ACCME-accredited providers accepted both for the 10-hour floor (jointly with AOA 1-A) and for remaining hours.SourceNAC 633.250(1)(a)[3]
Documentation & audit

Physicians are responsible for retaining CME documentation and producing it on request. Requirements include course title, dates, hours, sponsoring organization, and accrediting body.

Waivers & exemptions

No formal waivers or exemptions are published for Nevada.

FAQ
How many CME hours do Nevada DOs need?
Under AB 56 (2025), Nevada DOs must complete 40 hours of CME every two-year cycle beginning January 1, 2026.[1] At least 10 of those hours must be AOA Category 1-A or AMA PRA Category 1 under NAC 633.250(1)(a)[2] — the floor accepts either system on equal terms. Every NSBOM licensee must additionally complete 2 hours every even-numbered year in ethics, pain management, addiction care, or SBIRT, regardless of DEA or controlled-substance registration status.[1] An evidence-based suicide prevention and awareness training applies every 4 years.[1]
How is the Nevada DO rule different from the MD rule?
The Nevada State Board of Osteopathic Medicine and the Nevada State Board of Medical Examiners are separate agencies. Under AB 56 (2025), both boards now use biennial renewal cycles. The 2-hour ethics/pain/addiction/SBIRT requirement applies to every DO, not only to controlled-substance registrants as on the MD side.[1] There is no scope-of-practice subrequirement on the DO side and no bioterrorism training mandate. The 10-hour Category 1 floor treats AOA 1-A and AMA PRA Category 1 as interchangeable under NAC 633.250(1)(a).[2]
What does AB 56 change for Nevada DOs?
Nevada AB 56 (2025) shifts osteopathic CME to a biennial 40-hour cycle effective January 1, 2026.[1] The pre-AB 56 rule was 35 hours annually. The biennial ethics/pain/addiction/SBIRT requirement is a menu-style 2 hours every even-numbered year, and evidence-based suicide prevention is required every 4 years.[1] HIV stigma/bias training (2 hours) is a career-trigger rule for DOs providing or supervising ED or hospital primary-care services, due within 2 years of starting such services.[1] NSBOM's proposed regulation R092-25 would add sub-component hours to NAC 633.250 but has not been adopted as of April 2026.

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Sources & Citations

Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.

  1. Nevada AB 56 (2025) — Enrolled (NRS 633.471 Osteopathic CE amendments)
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “A holder of a license to practice osteopathic medicine or to practice as a physician assistant, other than a license on inactive status, must, on or before December 31 of each even-numbered year, submit to the Board proof of completion of at least 40 hours of continuing medical education during the immediately preceding two-year period in subjects related to the practice of osteopathic medicine or to practice as a physician assistant, as applicable.”AB 56 (2025) § 12 · Effective 2026-01-01
    “The Board shall require a holder of a license issued pursuant to this chapter, other than a license on inactive status, to complete, as part of the continuing education described in subsection 1: (a) A minimum of 2 hours every even-numbered year in ethics, pain management, addiction care or screening, brief intervention and referral to treatment; and (b) A minimum of 2 hours every four years in evidence-based suicide prevention and awareness.”NRS 633.471 (as amended by AB 56 (2025) § 12) · Effective 2026-01-01
    “A minimum of 2 hours every four years in evidence-based suicide prevention and awareness.”NRS 633.471(2)(b)
    “The Board shall require a holder of a license to practice osteopathic medicine or to practice as a physician assistant who is a psychiatrist or who provides services under the supervision of a psychiatrist to complete, as part of the continuing education described in subsection 1, a minimum of 2 hours every even-numbered year in cultural competency and diversity, equity and inclusion.”NRS 633.471 (as amended by AB 56 (2025))
    “The Board shall require a holder of a license to practice osteopathic medicine or to practice as a physician assistant who provides or supervises the provision of emergency medical services in a hospital or primary care in any setting to complete, within two years after beginning to provide or supervise such services, a minimum of 2 hours of continuing medical education concerning the stigma, discrimination and unrecognized bias toward persons who have acquired or are at high risk of acquiring human immunodeficiency virus. For purposes of this paragraph, 'primary care' means family medicine, pediatrics, internal medicine, obstetrics and gynecology, and midwifery.”NRS 633.471 (as amended by AB 56 (2025))
  2. CME Requirements — Nevada State Board of Osteopathic Medicine
    Primary sourceAccessed 2026-04-13
  3. Nevada State Board of Osteopathic Medicine — CME Requirements Page
    Primary sourceAccessed 2026-04-21

This page is provided for general educational purposes and reflects the best available information as of the last reviewed date above. CME requirements change. Atlas CME is not affiliated with the Nevada State Board of Osteopathic Medicine, or any other state medical board, licensing authority, or professional organization. Physicians are solely responsible for verifying their own current CME requirements directly with their state's medical board before relying on any information presented here.

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