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Health care options for thousands of Nevadans narrowed significantly Monday after health insurer Anthem Blue Cross Blue Shield — one of the largest health insurance companies in the U.S. — announced it would withdraw from Nevada’s Obamacare state exchange in 2018. Fourteen counties in Nevada are at risk of not having an insurance provider on the state’s individuals insurance exchange in 2018.

The U.S. Senate’s draft of a new health care bill promises to cut funding toward Medicaid expansion and cap the program’s budget. Meanwhile, Nevada this month was a signature away from creating a potentially precedent-setting law that would have opened Medicaid coverage to all state residents.

With his signature on a novel Medicaid-for-all-type bill, Nevada Gov. Brian Sandoval could rewrite the way many of his constituents get healthcare, and establish a model that other states might eventually follow in the absence of congressional action to fix or replace Obamacare.

51³Ô¹ÏºÚÁÏ is among the universities around the country participating in a push by the Obama administration to demographically shore up the Affordable Care Act health insurance marketplace by signing up more young adults.