Key points
- Nevada's consumer health data law, added by SB 370 and in force since 31 March 2024, covers health data held outside HIPAA and requires affirmative consent to collect it and a separate consent to share it.21
- A consumer request to confirm, list, stop or delete health data must be answered within 45 days, and geofencing within 1,750 feet of an in-person care provider is banned.1
- In Nevada, a private conversation may be recorded with the authority of one person in it, while telephone interception sits under a stricter section.3
- 24.9% of Las Vegas residents aged five and over speak Spanish at home, so the front desk answers in two languages every day.6
- wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic. A clinician reviews and signs every AI draft.
Summary
A clinic in Las Vegas or Henderson can use AI for notes and the front desk in 2026 under HIPAA, Nevada's recording law and, where a business sits outside HIPAA, the consumer health data rules in NRS 603A. A person at the clinic approves every message, a clinician signs every note, and records stay in the United States.
Clinics across Las Vegas and Henderson now answer the late-night enquiry before the morning shift starts, in English or Spanish, and close notes before the last patient leaves. Nevada sets clear rules for that work, from the health data law passed as SB 370 to its own recording statutes.
Part of the Joint Commission hub, with the framework explained, a readiness checklist and 8 guides.
Part of the AAAHC hub, with the framework explained, a readiness checklist and 7 guides.
See it in your clinicThirty minutes on your own patients and doctors.
Request a demoSee a late Spanish WhatsApp enquiry from a Henderson patient become an approved booking with a deposit, in fifteen minutes with a clinician who uses wai daily.
| Body or law | Rule | What to ask | How wai meets it |
|---|---|---|---|
| NRS 603A.490 (SB 370) | Consumer health data law excludes entities subject to HIPAA | Which parts of the business sit inside HIPAA, and which outside | Records hosted in the United States, set up with the clinic |
| NRS 603A.500 | Affirmative consent to collect, separate consent to share, both before the fact | Where each consent is captured and stored | Every message, draft and approval logged and exportable |
| NRS 603A.510 | Answer consumer requests within 45 days | How fast a full patient record can be exported or deleted | Full export of a patient's record and its log |
| NRS 603A.540 | No geofence within 1,750 feet of an in-person care provider | Does any marketing tool track location near the clinic | Outside wai, so check each marketing tool the clinic uses |
| NRS 200.650 and 200.620 | One person's authority for an in-room recording, a stricter rule for telephone calls | How the patient is asked before the scribe starts | The clinic asks first, and the clinician signs the note |
| Nevada State Board of Medical Examiners | Licenses and disciplines physicians | Who signs each AI-drafted note | Every note stays a draft until a clinician signs it |
| HIPAA | Business associate agreement with vendors handling PHI | When the BAA is signed | For Checkout, a BAA is signed before go-live |
The private care market in Las Vegas and Henderson
The city of Las Vegas had an estimated 679,817 residents on 1 July 2025 and Henderson 353,289.5 Health care and social assistance businesses took $7.24 billion in receipts in Las Vegas and $2.62 billion in Henderson in 2022, the latest Economic Census year.5
The two cities ask different things of a clinic. 20.8% of Henderson residents are 65 or over, against 16.0% in Las Vegas, while 15.7% of Las Vegas residents under 65 have no health insurance, against 8.3% in Henderson.5 Clear self-pay prices and a deposit at booking carry a lot of weight in Las Vegas, and continuity of care for older patients carries it in Henderson.
Every physician in both cities is licensed by the Nevada State Board of Medical Examiners, whose stated mission is to make sure only well-qualified, competent physicians and other licensees practise in Nevada.4
The rules a clinic in Las Vegas and Henderson works under
HIPAA sets the federal floor. Nevada adds a consumer health data law, written by SB 370 into NRS 603A.400 to 603A.550 and in force from 31 March 2024.21
NRS 603A.490 excludes any person or entity subject to HIPAA, so the law reaches health data held by businesses outside HIPAA.1 Where it applies, NRS 603A.500 allows collection only with affirmative, voluntary consent or as needed for the service the consumer asked for, and sharing needs a second, separate consent obtained beforehand.1 NRS 603A.510 gives 45 days to answer a request to confirm, list third parties, stop or delete, and NRS 603A.540 bans any geofence within 1,750 feet of an in-person care provider used to track, collect data from or advertise to patients.1 A wellness or aesthetic practice should confirm with counsel which regime it sits under.
Recording has two Nevada sections. NRS 200.650 allows a private conversation to be recorded when one of the people in it authorises it, which covers an in-room consult recorded with the clinician's agreement.3 Interception of a telephone call sits under NRS 200.620, which ties one-party consent to an emergency and court ratification, so the clinic asks every caller first.3 Breach is a category D felony with civil damages of at least $1,000.3 The guide to US recording laws covers patients calling from other states.
wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic. wai is compliant with these rules and built for clinics in Las Vegas and Henderson. A Nevada clinic's records therefore stay in the United States, and the Checkout business associate agreement is in place before the first booking.8 wai drafts, and a clinician reviews and signs.
The languages Las Vegas and Henderson patients write in
33.3% of Las Vegas residents aged five and over speak a language other than English at home, and 19.0% in Henderson, in the 2020 to 2024 American Community Survey.5 In Las Vegas, Spanish is spoken at home by 152,723 people, or 24.9%, and Asian and Pacific Island languages by 4.6%, in the 2019 to 2023 survey.6
wai works in any language.7 Each reply goes out in the patient's language after a member of the team has read and approved it.
What a demo shows in Las Vegas and Henderson
The demo opens on a WhatsApp message sent at 11:50pm, in Spanish, asking whether a father and daughter can both be seen at the Henderson location on Saturday. wai reads it in the patient's thread, checks each clinician's busy times in Google Calendar, Outlook or Apple Calendar, and drafts a reply offering two adjoining open slots. The coordinator approves it at 8am in one tap.
The deposit for both visits is paid in US dollars into the clinic's own Stripe account, and Checkout carries no wai subscription or setup fee.8 The patient receives a confirmation, a receipt and an intake questionnaire before Saturday.
After the consult, the clinician reads the drafted note and letter, edits and signs. The Henderson coordinator's morning queue in the demo can be built from the clinic's own overnight messages.
For health systems, employers and insurers in southern Nevada
Clark County hospital groups, large employers and insurers can commission wai to build a branded system for one pathway first, such as follow-up after an urgent care visit. Ownership of data and configuration is agreed in the contract, as the organisations page explains.
Where to start
First, write down whether the clinic is subject to HIPAA, and if any part of the business is not, map its health data against NRS 603A.500 and post the privacy policy NRS 603A.495 requires.1 Second, add a recording question to intake and the phone greeting, using the consent form template as a base.
Third, name who signs each AI-drafted note in the clinical records policy. Fourth, pull last month's after-hours messages from both locations, sorted by language, to use as the demo's test set.
Send us last month's enquiries by language and hour, and we show the Saturday they would have filled.
Frequently asked questions
Does Nevada's SB 370 apply to a medical clinic?
It excludes any person or entity subject to HIPAA, so it mainly reaches health data held outside HIPAA, such as by some cash-pay wellness businesses.1 Counsel should confirm where each part of the clinic sits.
How long do we have to answer a health data request in Nevada?
Under NRS 603A.510, 45 days after authenticating the request, with one further 45-day extension where the volume or complexity of requests justifies it.1
Can we record a consultation in Nevada with the clinician's consent alone?
For a private conversation in the room, NRS 200.650 allows recording authorised by one of the people taking part.3 Telephone calls fall under the stricter NRS 200.620, so the clinic asks the patient in every case.
Can clinics in Las Vegas advertise to patients near the clinic by location?
NRS 603A.540 bars any geofence within 1,750 feet of a provider of in-person health care used to track patients, collect their health data or send them health advertising.1
Where are our patient records hosted?
wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic. For Checkout, a business associate agreement is signed before anything goes live.8
Can patients write to the clinic in Spanish?
Yes, and a team member approves each reply before it is sent. wai works in any language, and a real Spanish enquiry makes a good test in the demo.7
Sources
- 1Nevada Legislature, 2024NRS Chapter 603A, Security and privacy of consumer health data, sections 603A.400 to 603A.550Read 15 October 2026Read source
- 2Nevada Legislature, 82nd Session, 2023Senate Bill No. 370, enrolled text, section 36 effective dateRead 15 October 2026Read source
- 3Nevada LegislatureNRS Chapter 200, sections 200.620, 200.650 and 200.690Read 15 October 2026Read source
- 4Nevada State Board of Medical ExaminersAbout the Board, mission statementRead 15 October 2026Read source
- 5US Census Bureau, 2025QuickFacts, Las Vegas city, Nevada and Henderson city, NevadaRead 15 October 2026Read source
- 6US Census Bureau, 2024American Community Survey 2019 to 2023 5-year estimates, table S1601, language spoken at home, Las Vegas cityRead 15 October 2026Read source
- 7wai, 2026wai changelog, intake answered by voice in any languageRead 15 October 2026Read source
- 8wai, 2026wai CheckoutRead 15 October 2026Read source
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