Proposals to step up state inspection of outpatient surgical centers and some doctors' offices in Nevada has drawn concerns from the doctors' lobby, which said the regulations went too far and could force some physicians to stop offering pain medication. Larry Matheis, executive director of the Nevada State Medical Association, told a joint meeting of the Assembly and Senate health committees that the increased regulation as written might not be practical and urged a slower approach. The proposals are a response to a hepatitis C outbreak in Las Vegas that led to the largest patient notification in U.S. history.