• Assistant Minority Leader, 2019

• President pro Tempore, 2015

• Nevada Senate, 2010 -Present (first elected November 2010)

• Minority Whip, 2013-2014

• Minority Whip, 2007

• Nevada Assembly, 2003-2010 (first elected November 2002)

• Major, United States Air Force

• Member, Regents Ad Hoc Committee for Higher Education/Health, 2003-2004

• Publicity Chairman: Walk for Development, Ayuda, and Meals on Wheels, 1968

• French Mission, Church of Jesus Christ of Latter-day Saints (LDS)

• Member Rapid Valley Water District Board of Directors, South Dakota

• Vice President, Parent Teacher Assocation, Rapid Valley Elementary School, South Dakota

• Charter Member, Boulder City Drug Abuse Council

• President, Nevada Academy of Family Practice

• Member, Clark County Health District Board of Directors

• Vice President, Southern Nevada Regional Planning Coalition

• Member, Executive Committee, Boulder City Community Education Advisory Board

• One World Ambassador Alliance, Humanitarian Project - El Salvador

• Member, Nevada League of Cities Legislative Committee

• Board of Directors, LDS Family Services (Adoption Agency)

• Debt Management Commission, Clark County

• Sunday School Teacher

• Foundation for Recovery; Steve Sigman Award, 2017

• American Conservative Union Foundation Excellence Award, 2017

• Health, Education, Advocacy and Leadership in Southern Nevada (HEALS) Award, 2014

• University of Nevada, Reno; Medical School Preceptor

• Harold Fickes Award, 2013

• Nevada Family Physician of the Year; 1998, 2010

• Nevada Academy of Family Physicians, Past President

• Sparks High School Student Body President

• American Academy of Family Physicians

• Nevada Family Physician of the Year, 1998, 2010

• Clark County Medical Society

• American Medical Society

• American Legion, Post 31

• Boy Scouts of America

• Chambers of Commerce

• Southern Nevada Health District

• Coalition for Improving and Expanding Nevada Health Care

• Collegium Aesculapium

• Las Vegas HEALS Board of Directors

• Sparks High School

• University of Nevada, Reno

• University of Nevada, Reno, School of Medicine, B.S.

• Washington University in St. Louis, Missouri, School of Medicine, M.D.

• Boulder City Councilman and Mayor Pro Tempore

• Chief of Staff, Boulder City Hospital

• Chief of Internal Medicine and Family Practice, and Board of Directors, St. Rose Dominican Hospital, Henderson, Nevada

• Physician, Associate Dean of Clinical Education

• Touro University Nevada, Medical School