Her health insurance premiums had climbed by nearly $400 a month for her and her spouse, making self-employment a bet no longer worth making. Not the health insurance part. In his 2023 State of the State address, Lombardo called Nevada "the most entrepreneurial-friendly state in the nation." Nevada's public option, the Battle Born State Plan, launched for 2026 coverage. Nevada Health Link refused to release enrollment data during the 2025 open enrollment period, breaking from its own prior-year practice.