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Story perspectives

Medicaid Work Rules Impact 70K Voters in Nevada Race

6/30/2026

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Story summary
  • Medicaid work-requirement changes in the One Big Beautiful Bill Act are shaping Nevada’s race.
  • A KFF poll finds health-care costs will guide November votes.
  • Republican Gov. Joe Lombardo faces Democrat Aaron Ford, with reforms affecting up to 70,000 residents.
  • Steven Cohen, a 38-year-old Las Vegas resident with autism, says the rules threaten his dual coverage.
  • Gov. Joe Lombardo, endorsed by President Donald Trump, signed gender-affirming restrictions and Medicaid expansion measures.