Two surprising things happened yesterday.

The first was Nevada's legislature passed a Medicaid For All bill.



The Nevada legislature approved a bill Friday that would let uninsured Nevadans join a Medicaid plan regardless of income level. The Nevada Care Plan would allow people who qualify for tax credits under the Affordable Care Act to use the credits to buy Medicaid coverage. The Medicaid plan would likely compete against private health insurance plans on the state’s health insurance marketplace. The buy-in coverage would be the same as traditional Medicaid, except it wouldn't cover emergency medical transportation.

Gov. Brian Sandoval supports Medicaid expansion, but hasn't said whether he will sign the bill. The other hurdle is Trump's plan for $610 billion cut from Medicaid over 10 years, which would probably make Nevada's plan unaffordable.

California's single-payer bill, that is before the state Assembly now, is more sweeping, aggressive, and expensive. It's almost as if they intentionally passed a bill that they knew was far too expensive.

Also, California's plan would require a waiver from the Trump administration to redirect federal money.

New York's single-payer bill is currently before the state Senate.

The second surprising thing was Obamacare collapsed in much of Ohio.



A big Obamacare shoe just dropped in Ohio.

Health insurer Anthem said Tuesday it will effectively exit its Obamacare individual plan business in Ohio, leaving potentially 18 counties in the Buckeye State with no insurer selling plans in 2018.

Anthem, which sells Obamacare plans in 14 states this year, left open the door to dropping out of other states next year.

Roughly 10,000 Ohioans will not have health insurance next year.

Ohio is not alone.

25 counties in Missouri without any Obamacare insurance next year.

Most of Iowa and Nebraska could soon join Missouri and Ohio with Obamacare-less regions.

Tennessee’s Knoxville area narrowly avoided joining this growing group, but no one thinks that this is the end.



"Anthem’s exit from Ohio could be the tip of the iceberg," Cox told Business Insider in an email.

"Their reasons for leaving don’t appear to be specific to Ohio, rather about political and regulatory uncertainty coming from the White House and Congress. If Anthem leaves the market nationally, there could be hundreds of thousands of people without any exchange insurer."

...

Anthem's move follows a cascade of insurer exits in states such as Nebraska, Virginia, and Iowa. In other states, insurers requested dramatic increases in the cost of premiums because of the political uncertainty surrounding the law.