Nevada
As extreme heat kills more Nevadans, OSHA bets on worker protections
It’s not just a dry heat in Las Vegas — it’s a deadly one.
The punishing triple-digit temperatures of the Mojave Desert take a toll on those who work outdoors, like construction workers, Strip pool attendants and landscapers. And for years, even though hundreds of Nevadans have died from heat-related illnesses, the state hasn’t required companies to protect them.
That might change in 2024.
After a state bill failed in the last legislative session that would have spurred regulations to shield workers from temperatures above 105 degrees, the Nevada Occupational Safety and Health Administration is working on new requirements that would force businesses to set their own rules relative to heat.
Rather than lobby for support in the next session, OSHA will present a proposal to the Nevada Legislative Commission before the end of the year, circumventing the need for multiple committee votes or governor approval.
“We live in Nevada and have all experienced the heat every day in the summertime,” said Victoria Carreón, a state administrator who oversees OSHA. “It’s important to be ready to deal with it and prevent heat illnesses that could be catastrophic for workers.”
Deaths, complaints more than double in Southern Nevada
Perhaps the best indicator of the need for new rules is exhibited by the number of heat complaints that Nevada’s workers filed with OSHA last year.
There were 346 complaints filed in 2023, nearly a 65 percent increase from the amount filed in 2022.
Past Las Vegas Review-Journal reporting found that most complaints are generally from those who work indoors over issues like hot ovens and broken air conditioning. The number of complaints peaks in July, when temperatures are the hottest.
And so-called extreme heat, or abnormally high temperatures, is only worsening across the nation as the world’s carbon emissions change the climate.
An Associated Press analysis found that 2023 was the deadliest year on record across the country when it came to heat-related deaths. Southern Nevada is no different.
The Clark County coroner’s office tallied 307 deaths related to heat last year — a more than 80 percent increase from 2022, according to data obtained by the Review-Journal. A spokeswoman said the county began to investigate deaths that could be heat-related in more detail in 2021.
Dan Burc, a National Weather Service meteorologist in charge of issuing heat warnings in Las Vegas, said at a county press conference in early May that the city hasn’t experienced a record low temperature since June 1999.
Some summer days, temperatures won’t dip below 90 degrees even at the coolest hour, he said.
“You can’t ignore the fact that our climate is changing,” Burc said. “The data shows that we are heating up over time.”
Nevada takes unique approach to worker protections
Though other states have protections that are activated once a certain temperature threshold has been passed, Nevada is taking a different, unique approach.
If passed, every company would evaluate the needs of its workers and submit a heat action plan, said Carreón, the state administrator. This means much of what each company decides would be on its own terms, though OSHA would have the power to hold the company to its promises.
In other states like Texas and Florida, Republican-dominated legislatures and governors have stifled efforts to create mandatory heat protections in local governments, often because of pressure from industry leaders.
However, in Nevada, Carreón said OSHA is working directly with business leaders and trade groups that represent sectors that would be affected.
“Everybody wants to make sure they’re very cognizant that we are in Nevada, and this is a very hot environment,” Carreón said. “The stakeholders involved want to make sure workers are protected.”
Federally, a spokesperson said the Department of Labor is initiating the process to create a national heat standard that would be triggered by temperature thresholds. It likely would mean more breaks when it gets hotter.
The specifics of the national rule are still being decided, but it could add to what’s required of Nevada workplaces beyond a self-decided, company-specific plan. Nevada’s proposal still has more hurdles to pass, including more meetings and a Legislative Commission hearing.
Contact Alan at ahalaly@reviewjournal.com. Follow @AlanHalaly on X.
Nevada
Nevada debuts public option amid federal health care shifts
More than 10,000 people have enrolled in Nevada’s new public option health plans, which debuted last fall with the expectation that they would bring lower prices to the health insurance market.
Those preliminary numbers from the open enrollment period that ended in January are less than a third of what state officials had projected. Nevada is the third state so far to launch a public option plan, along with Colorado and Washington state. The idea is to offer lower-cost plans to consumers to expand health care access.
But researchers said plans like these are unlikely to fill the gaps left by sweeping federal changes, including the expiration of enhanced subsidies for plans bought on Affordable Care Act marketplaces.
The public option gained attention in the late 2000s when Congress considered but ultimately rejected creating a health plan funded and run by the government that would compete with private carriers in the market. The programs in Washington state, Colorado, and Nevada don’t go that far — they aren’t government-run but are private-public partnerships that compete with private insurance.
In recent years, states have considered creating public option plans to make health coverage more affordable and to reduce the number of uninsured people. Washington was the first state to launch a program, in 2021, and Colorado followed in 2023.
Washington and Colorado’s programs have run into challenges, including a lack of participation from clinicians, hospitals, and other care providers, as well as insurers’ inability to meet rate reduction benchmarks or lower premiums compared with other plans offered on the market.
Nevada law requires that the carriers of the public option plans — Battle Born State Plans, named after a state motto — lower premium costs compared with a benchmark “silver” plan in the marketplace by 15% over the next four years.
But that amount might not make much difference to consumers with rising premium payments from the loss of the ACA’s enhanced tax credits, said Keith Mueller, director of the Rural Policy Research Institute.
“That’s not a lot of money,” Mueller said.
Three of the eight insurers on the state’s exchange, Nevada Health Link, offered the state plans during the open enrollment period.
Insurance companies plan to meet the lower premium cost requirement in Nevada by cutting broker fees and commissions, which prompted opposition from insurance brokers in the state. In response, Nevada marketplace officials told state lawmakers in January that they will give a flat-fee reimbursement to brokers.
The public option has faced opposition among state leaders. In 2024, a state judge dismissed a lawsuit, brought by a Nevada state senator and a group that advocates for lower taxes, that challenged the public option law as unconstitutional. They have appealed to the state Supreme Court.
Federal Policy Impacts
Recent federal changes create more obstacles.
Nevada is consistently among the states with the largest populations of people who do not have health insurance coverage. Last year, nearly 95,000 people in the state received the enhanced ACA tax credits, averaging $465 in savings per month, according to KFF, a health information nonprofit that includes KFF Health News.
But the enhanced tax credits expired at the end of the year, and it appears unlikely that lawmakers will bring them back. Nationwide ACA enrollment has decreased by more than 1 million people so far this year, down from record-high enrollment of 24 million last year.
About 4 million people are expected to lose health coverage from the expiration of the tax credits, according to the Congressional Budget Office. An additional 3 million are projected to lose coverage because of other policy changes affecting the marketplace.
Justin Giovannelli, an associate research professor at the Center on Health Insurance Reforms at Georgetown University, said the changes to the ACA in the Republicans’ One Big Beautiful Bill Act, which President Donald Trump signed into law last summer, will make it more difficult for people to keep their coverage. These changes include more frequent enrollment paperwork to verify income and other personal information, a shortened enrollment window, and an end to automatic reenrollment.
In Nevada, the changes would amount to an estimated 100,000 people losing coverage, according to KFF.
“All of that makes getting coverage on Nevada Health Link harder and more expensive than it would be otherwise,” Giovannelli said.
State officials projected ahead of open enrollment that about 35,000 people would purchase the public option plans. Of the 104,000 people who had purchased a plan on the state marketplace as of mid-January, 10,762 had enrolled in one of the public option plans, according to Nevada Health Link.
Katie Charleson, communications officer for the state health exchange, said the original enrollment estimate was based on market conditions before the recent increases in customers’ premium costs. She said that the public option plans gave people facing higher costs more choices.
“We expect enrollment in Battle Born State Plans to grow over time as awareness increases and as Nevadans continue seeking quality coverage options that help reduce costs,” Charleson said.
According to KFF, nationally the enhanced subsidies saved enrollees an average of $705 annually in 2024, and enrollees would save an estimated $1,016 in premium payments on average in 2026 if the subsidies were still in place. Without the subsidies, people enrolled in the ACA marketplace could be seeing their premium costs more than double.
Insights From Washington and Colorado
Washington and Colorado are not planning to alter their programs due to the expiration of the tax credits, according to government officials in those states.
Other states that had recently considered creating public options have backtracked. Minnesota officials put off approving a public option in 2024, citing funding concerns. Proposals to create public options in Maine and New Mexico also sputtered.
Washington initially saw meager enrollment in its Cascade Select public option plans; only 1% of state marketplace enrollees chose a public option plan in 2021. But that changed after lawmakers required hospitals to contract with at least one public option plan by 2023. Last year the state reported that 94,000 customers enrolled, accounting for 30% of all customers on the state marketplace. The public option plans were the lowest-premium silver plans in 31 of Washington’s 39 counties in 2024.
A 2025 study found that since Colorado implemented its public option, called the Colorado Option, coverage through the ACA marketplace has become more affordable for enrollees who received subsidies but more expensive for enrollees who did not.
Colorado requires all insurers offering coverage through its marketplace to include a public option that follows state guidelines. The state set premium reduction targets of 5% a year for three years beginning in 2023. Starting this year, premium costs are not allowed to outpace medical inflation.
Though the insurers offering the public option did not meet the premium reduction targets, enrollment in the Colorado Option has increased every year it has been available. Last year, the state saw record enrollment in its marketplace, with 47% of customers purchasing a public option plan.
Giovannelli said states are continuing to try to make health insurance more affordable and accessible, even if federal changes reduce the impact of those efforts.
“States are reacting and trying to continue to do right by their residents,” Giovannelli said, “but you can’t plug all those gaps.”
Are you struggling to afford your health insurance? Have you decided to forgo coverage? Click here to contact KFF Health News and share your story.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research, polling, and journalism. Learn more about KFF.
Nevada
NEVADA VIEWS: Planning for a resilient economic future
Southern Nevada has a proud history of competing — and winning — through boldness and reinvention. We have developed a world-class tourism economy, built globally recognized brands and demonstrated our ability to rebound from significant disruptions. In today’s fiercely competitive global economy, however, we must intentionally design the next chapter of our economic story. Communities worldwide are continuously enhancing their sophistication, and we must keep pace.
Since joining the Las Vegas Global Economic Alliance in late August of last year, I have consistently heard from community partners that we must diversify and enhance Southern Nevada’s economy. Our goal is to build upon and complement the strengths we already possess.
To achieve this, the alliance, as Southern Nevada’s regional economic development organization and designated Regional Development Agency, is embarking on a comprehensive strategic planning process. This initiative will guide our economic development priorities both in the near and long term, ensuring that we focus on areas that will yield the most positive impact.
The alliance has a history of reinvention, having been established in 1958 as the Southern Nevada Industrial Foundation, later becoming the Nevada Development Authority, and since 2011, operating under its current name in partnership with the Governor’s Office of Economic Development.
Economic development extends beyond merely attracting companies. It encompasses the ability of local families to access high-wage careers, the opportunity for young people to build their futures at home and the resilience of our economy to withstand disruptions.
Over the past decade, Southern Nevada has made significant strides toward economic diversification, with investment outcomes in 2025 surpassing those of 2024. However, our work is far from complete. While tourism will always be a foundational strength and source of pride for our region, over-reliance on any single sector poses risks. A diversified economy enhances stability, and stability creates opportunities. We are united in our desire for more accessible housing, expanded health care and education, and greater upward mobility for our residents.
This strategic planning effort aims to ensure that the alliance and its partners concentrate on the right initiatives in the right manner. It will validate the region’s target industries and subsectors, narrowing our focus on areas where Southern Nevada has genuine competitive advantages and long-term potential. The planning process will include community interviews, focus groups and surveys to ensure our final strategy reflects the real opportunities and challenges facing Southern Nevada. We will establish flagship goals and a prioritized strategy matrix to direct our attention and resources toward meaningful outcomes.
A crucial aspect of this process involves clarifying roles within the broader economic ecosystem. Economic development is a team sport — when organizations replicate efforts, operate in silos or compete for recognition, the region loses valuable time and credibility, allowing opportunities to slip away. I have witnessed this behavior in various markets, serving as a red flag for prospective companies.
We have already made strides in building partnerships, exemplified by a Memorandum of Understanding signed in November 2025 with the Economic Development Authority of Western Nevada to jointly support economic development education and advocacy for community leaders statewide.
Our strategic work will also include a organizational assessment of the alliance, evaluating our mission, resource deployment and engagement model. Economic impact requires operational excellence and measurable execution. Most importantly, this plan — which we anticipate completing by late April — will feature a three-year road map with clear timelines, recommended actions and meaningful metrics to transparently track our progress. A longtime mentor of mine often said, “What gets watched gets measured, and what gets measured gets done.”
Las Vegas has always taken the initiative to shape its own future. This strategic plan presents an opportunity for us to do what we do best: come together, think bigger, act smarter and create something lasting. Together, we can build a purposeful and resilient economic future for Southern Nevada.
Danielle Casey is president and CEO of the Las Vegas Global Economic Alliance.
Nevada
Nevada State Police averts ‘udder chaos’ in Eureka County
EUREKA COUNTY, Nev. (KOLO) – On Friday, Feb. 27, the Nevada State Police assisted with a cattle crossing on State Route 306 at Interstate 80 in Eureka County.
“While not an everyday part of our job, we like to do our part to assist our local ranchers while keeping traffic from turning into udder chaos,” according to an agency Facebook post. “It was a perfect opportunity to be outside (even if our animal friends were a little moo-dy).”
Copyright 2026 KOLO. All rights reserved.
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