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Nevada

Nevada debuts public option amid federal health care shifts

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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.

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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.

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“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.

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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.

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“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.

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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.

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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.

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Scholarships available for Nevada Youth Range Camp

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Scholarships available for Nevada Youth Range Camp


The Nevada Division of Forestry and the Nevada Section of the Society for Range Management are inviting high school-aged students from around the Silver State to participate in the 2026 Nevada Youth Range Camp essay competition.

“The Nevada Youth Range Camp is a yearly educational opportunity that has been held each summer in central Nevada since 1961,” stated a press release. “Last year, eight students were awarded scholarships and received a certificate of achievement.”

Selected essays will receive up to $250 to register for this year’s Youth Range Camp. Students must be between ages 14 and 18 in order to apply. Parental consent is also required. Essays that are flagged for plagiarism or that utilize AI will be disqualified.

“Range Camp has served Nevada’s youth for 65 years. It is a great opportunity for anyone interested in natural resources to learn basic rangeland and resource management skills,” said Kelcey Hein, Conservation Education lead at the Nevada Division of Forestry, in a statement.

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According to the application form, this year’s essay prompt is:

“In your own words, tell a story or a few stories of when you were able to connect with a natural space such as a park, your backyard, a farm, a field, a forest, a beach, or so on. Please incorporate three (3) key words from the key word list that you noticed of that ecosystem into your response. Explain what you noticed about these aspects that drew your attention in that space. How did this influence you and your goals as a future steward of Natural Resources?”

Visit bit.ly/RangeCamp2026 for submission forms, essay instructions and the full rules. The contest is open until April 30.

For more information about the Nevada Division of Forestry, visit forestry.nv.gov.

Visit nevada.rangelands.org for more information about the Nevada Section of the Society for Range Management.

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Contact reporter Elijah Dulay at edulay@pvtimes.com

Nevada Youth Range Camp: June 21 through June 27

“We invite high school youth to enjoy a week of fun, camping, and learning about rangelands and natural resource management,” states the Nevada Section of the Society for Range Management website. “This year the camp headquarters will be located in the Timber Creek Campground area Northwest of McGill, NV. This area provides a splendid setting for learning and recreation.”

“The week is filled with many learning opportunities. Instructors teach various subjects through group investigations. Camp instructors and counselors are trained specialists from the University of Nevada, Reno; Nevada State Parks; Natural Resources Conservation Service; Bureau of Land Management; Forest Service; Nevada Division of Forestry; Nevada Division of Conservation Districts; Nevada Division of Wildlife; and others,” the Nevada Section of the Society for Range Management website continues.

“Campers arrive by noon on Sunday and break camp the following Saturday morning. Campers register and form groups with an adult counselor and assistant youth counselor. The weeklong program runs from 7:00 a.m. to 9:00 p.m., and includes instruction, projects, rest, meals, and recreation,” the Nevada Section of the Society for Range Management website reads further. “Adult supervision occurs throughout the entire week. Parents and sponsors are welcome to visit the camp any time and are especially invited for the Friday night awards program. The evening programs are geared more for enjoyment and personal interest and include map and compass orientation, conservation skill workshops, wildlife presentations, and campfires.”

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4 Southern Nevadans named to USA flag football national roster

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4 Southern Nevadans named to USA flag football national roster


Four flag football players with ties to Southern Nevada have been named to USA Football’s 2026 women’s flag national team initial roster.

Former high school standouts Akemi Higa (Desert Oasis), Kaylie Phillips (Liberty), Maci Joncich (Coronado) and Brooklin Hill (Desert Oasis) were named to the 24-person roster.

Higa just completed her senior season with Desert Oasis where she was a first-team All-Southern Nevada selection and led the state with 5,764 passing yards. She is committed to play college flag football at Nevada State University.

Hill and Phillips currently play for Nevada State. Joncich graduated from Coronado in 2024 and was on the 2025 national team.

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After a training camp that will determine the traveling roster and alternates, the team will compete in the 2026 International Federation of American Football flag football world championships in Germany this August.

Contact Alex Wright at awright@reviewjournal.com. Follow @AlexWright1028 on X.



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Nevada’s season ends with 79-65 quarterfinal loss to Auburn in NIT

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Nevada’s season ends with 79-65 quarterfinal loss to Auburn in NIT


Nevada ran into a tough Auburn team and saw its season come to an end Wednesday night.

The Tigers beat the Wolf Pack, 75-69, in the NIT men’s basketball quarterfinals, at Neville Arena, in Auburn, Ala.

Nevada ends its season at 24-13 overall (12 -8 in the Mountain West). Auburn improved to 20-16 overall (7-11 SEC) and will play Illinois State in the NIT semifinals on April 2 (6:30 p.m.) in Indianapolis, Ind. The NIT championship is set for April 5 in Indianapolis.

In the other NIT semifinal, New Mexico will play Tulsa, also on April 2 at 4 p.m.

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In Wednesday’s game, Nevada sophomore Elijah Price had a double-double with 22 points and 11 rebounds. Both were game highs. Price made 9-of-13 free throws and 6-of-7 field goals. Vaughn Weems had 15 points and Corey Camper Jr. had 13.

Auburn had four players in double figures led by Filip Jovic with 18. Tahaad Pettiford had 16 points, Elyjah Freeman had 16 and Keyshawn Hall, who started his college career at UNLV in 2022-23, had 14.

Nevada battled back after trailing by 12 at the half (38-26), thanks to better long-range shooting in the second half.

Key Stats

Nevada shot 46 percent from the field (25-of-54) and 7-of-20 from 3-point range. The Pack hit 5-of-7 from the arc in the second half after hitting 2-of-13 in the first half.

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Auburn shot 49 percent (30-of-61), but was just 1-of- 8 from the arc in the second half.

Nevada outscored Auburn, 43-37, in the second half.

The Wolf Pack was 12-of-17 from the free throw line and the Tigers were 9-of-14.

Nevada had 12 turnovers, to seven for Auburn.

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Each team had 31 rebounds.

The Tigers had nine steals, to four for the Wolf Pack.

Nevada coach Steve Alford has 724 career wins.

First Half

Auburn led, 38-26, at the half after committing just one turnover in the first half.

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Nevada made 2-of-13 from 3-point range in the first half.

Seniors

Nevada loses five seniors from this season’s team: Joel Armotrading, Jeriah Coleman, Corey Camper Jr., Tayshawn Comer and Kaleb Lowery.



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