NEVADA GOVERNOR BRIAN SANDOVAL:
“America is a nation of laws, and checks and balances. While I may not agree with the Supreme Court’s decision in this case, I respect the process envisioned by our founding fathers. The implications for Medicaid costs are still unclear, but Nevada will prepare to meet the serious financial implications of this decision. I believe the Congress should act to reform this law and ease the serious burdens it places on the states and the nation’s businesses. The American people remain deeply divided on the wisdom of this law and they are still entitled to see it changed.”
U.S. SENATE MAJORITY LEADER HARRY REID, D-NV
"I’m pleased to see the Supreme Court put the rule of law ahead of partisanship, and ruled the Affordable Care Act constitutional.
Millions of Americans are already seeing the benefits of this law.
Seniors are saving money on their prescriptions and checkups.
Children can no longer be denied insurance because they have a preexisting condition, a protection that will soon extend to every American.
No longer will American families be a car accident or heart attack away from bankruptcy.
No longer will they live in fear of losing their health insurance because they lose their job.
No longer will tens of millions of Americans rely on emergency room care – or go without care entirely – because they have no insurance at all.
Soon, virtually every man, woman and child in America will have access to health insurance they can afford and the vital care they need.
Passing the Affordable Care Act was the greatest single step in generations toward ensuring access to affordable, quality healthcare for every American – regardless of where they live or how much money they make.
Unfortunately, Republicans in Congress continue to target the rights and benefits guaranteed under this law.
They would like to give the power of life and death back to insurance companies.
But the United States Supreme Court has spoken. This matter is settled.
No one thinks this law is perfect. But Democrats have proven we’re willing to work with Republicans to improve the Affordable Care Act.
Millions of Americans are still struggling to find work. Our first priority must be to improve the economy.
It’s time for Republicans to stop refighting yesterday’s battles.
Now that this matter is settled, I hope we can work together to create jobs and secure this country’s economic future."
U.S. SENATOR DEAN HELLER, R-NV:
“Nevada families and businesses are already struggling in this current economic environment, and the President’s job-killing healthcare law is making a difficult situation worse. Congress spent more than a year debating healthcare legislation while Nevadans were losing their jobs and their homes. Obamacare made sweeping changes to Medicare, impacting thousands of Nevada’s seniors, and cut the program by a half trillion dollars.
“This law has now been affirmed as a colossal tax increase on the middle class, and its excessive regulations are stripping businesses of the certainty they need to hire at a time when Nevadans and the rest of the country are desperate for jobs. The President should work with Congress to find real solutions to healthcare reform so the excessive mandates and taxes in this law do not further add to our national debt or continue to stifle economic growth. This onerous law needs to be repealed and replaced with market-based reforms that will provide greater access, affordability, and economic certainty to our nation.”
CONGRESSMAN MARK AMODEI, R-NV:
"Advocates for Washington-based management of health care and unprecedented tax increases on the middle class won today. However, I will continue to work for patient-centered solutions, reductions in health care costs, and improving health care access for all Nevadans.
"I look forward to the opportunity to vote the week of July 9 for full repeal of this harmful government intrusion into health care. Congress created this mess and it's our responsibility to clean it up. We owe it to the middle class to give them specific, well-thought out options focusing on portability of insurance across state lines and affordability, while not interfering with the patient-doctor relationship.
"This 2,700-page monster offends seniors, veterans, middle class families and employers. I will continue to take every opportunity to repeal and address this mess for Nevadans in a practical way without picking political winners and losers."
NV SENATE MAJORITY LEADER STEVEN HORSFORD (D):
"I am happy with today's Supreme Court decision to uphold the Affordable Care Act. This law covers Nevadans with pre-existing conditions, makes sure women don't pay more than men for care, and allows Nevada seniors to save on prescription drugs. Now I hope the Republican Congress will stop playing political games and start working on getting our economy moving and creating jobs for Nevadans."
NV ASSEMBLY SPEAKER JOHN OCEGUERA (D):
“Now that the Supreme Court has ruled, it's time that those in Washington moved on from trying to score political points instead of finding solutions. This decision doesn't change the reality that too many Nevada families and small businesses are struggling to pay for the rising costs of health care.”
“One thing we know for sure, if Washington politicians don't stop the bickering and finger pointing and focus on what matters – creating jobs and getting our economy back on track – nothing will get done. This shouldn't be about politics – it should be about getting something done.”
NEVADA STATE MEDICAL ASSOCIATION:
"Today, the Supreme Court of the United States ruled that the "Patient Protection and Affordable Care Act" (PPACA) passed in 2010 is Constitutional. Unfortunately, major health care problems are not resolved by this law. The Congress and the President must continue to work to find an acceptable way to sustain Medicare for seniors and persons with disabilities and the Medicaid program for indigent and chronically ill children and seniors. Governor Bryan Sandoval and the Nevada legislature will have to determine the impact on Nevada Medicaid of the Supreme Court's decision, but it doesn't make the funding of the Medicaid program easier. It means that they must address again the often unfair way that health insurance coverage fails patients when they have the greatest need for medical care.
The hundreds of pages of PPACA regulations added to the thousands of pages of the law itself still leave many Nevadans uninsured and the underfunded State Medicaid program expecting a 60-70% increase in 2014. While physicians, hospitals and most health care providers are straining to comply with significant changes to the way they are required to practice, Medicare, the largest health care coverage system in the world, continues to flounder as physicians face a 32% reduction on payments for services to Medicare patients in January. In January, there will be 348,168 Nevadans on Medicare and 99,063 Nevadans on Tricare who face the consequences of the 32% cut in payments for their care. Nevada will lose an estimated $200 million for the care of senior and disabled patients in 2013. Every Nevada physician would expect to lose at least $33,000. Many of the 24,000 employees of physician practices may add to the State's unemployment rate.
The act on which the Supreme Court has ruled is only part of the major reforms to the health care system that Nevada physicians face. The Nevada State Medical Association is participating with and supports the State's efforts to implement the law through the creation of the Silver State Health Insurance Exchange, the new Health Information Exchange Board, and the Governor's Workforce Investment Board's Health Care Sector Council. Nevada physicians will continue to provide Nevadans the best quality care possible as we adopt these significant changes to the health care system."
NATIONAL FEDERATION OF INDEPENDENT BUSINESS
(NV Director Randi Thompson):
“The Supreme Court may have ruled that the Act may be constitutional, but it’s not good policy. I agree with the dissenting statement that the Affordable Care Act exceeds federal power in mandating the purchase of health insurance. The court confirmed the mandate is a tax on every American. Add the mandate tax to a host of other new taxes in the new heath-care law and you have the most costly bill every thrust on the American taxpayer.”
The most conservative Supreme Court in history today upheld the Affordable Care Act as constitutional.
This is a victory for Nevada families. It means lower costs, more coverage and, most importantly, that insurance companies can’t rip us off anymore.
“Mitt Romney and Nevada’s congressional Republicans are still calling for repeal because their corporate funders hate this law,” said Erin Neff, executive director of ProgressNow Nevada. “It’s time for Nevada Republicans to stop wasting taxpayer time attacking the law just because it might reduce health insurance profits.”
The court today affirmed that the “individual mandate” is a constitutional free rider that you don’t pay if you already have insurance. The court also agreed that the rest of us shouldn’t have to pay for these free riders.
The Affordable Care Act protects us from free riders, reins in insurance companies and has been declared Constitutional.
“It’s time to move forward and implement the law for all Nevadans,” Neff said.