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What you need to renew

40 hours every 2 years

AB 56 (2025) moved DO licenses from annual to biennial renewal: NRS 633.471 now says a license is renewed on or before December 31 of each even-numbered year, with at least 40 hours of Board-approved CME in the preceding biennium. Transition: under NAC 633.250 as amended by Adopted Regulation R092-25, a renewal on or before December 31, 2026 still needs 35 hours attended during the preceding year (2026), including 10 hours of category 1A and 2 hours on controlled substances; renewals after December 31, 2026 need 40 hours in the preceding biennium, including 20 hours of category 1A and 4 hours on controlled substances. The figures here are for the biennial cycle (2027–2028 onward).

  • Misuse and abuse of controlled substances, prescribing of opioids or addiction Confirm with your Board4 hours
  • Ethics, pain management, care of people with addictive disorders or SBIRT2 hours
  • Evidence-based suicide prevention and awareness2 hours · Every 4 years
  • Screening, brief intervention and referral to treatment (SBIRT) for substance use disorder2 hours · One time
  • Cultural competency and diversity, equity and inclusion (psychiatrists)2 hours · Some physicians
  • Stigma, discrimination and unrecognized bias toward people who have or are at high risk of HIV2 hours · Some physicians · One time

What to do next

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Sources

Last verified against these sources on October 8, 2026.

  1. NRS Chapter 633 — Osteopathic Medicine (633.471 renewal and continuing education, 633.481 expiration)
  2. NAC Chapter 633 — Osteopathic Medicine (633.250 continuing education)
  3. Adopted Regulation R092-25, State Board of Osteopathic Medicine (biennial renewal; 40 hours from 2027)
  4. Nevada State Board of Osteopathic Medicine — Summer 2025 newsletter (AB 56 changes)

A planning aid from the Nevada State Board of Osteopathic Medicine's published rules, not legal advice. Confirm your date and requirements with your Board.