VEGAS INC Magazine - Latest Las Vegas business news, features and commentaries about gaming, tourism, real estate and more
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A P R I L 1 , 2 0 1 3 / Y O U R b u s i n e s s - t o - b u s i n e s s w e e k ly SPECIAL FOCUS HEALTH CARE This month, VEGAS INC highlights the medical community and the business of medicine. ONLINE SALES TAX COULD QUENCH nevada's THIRST FOR REVENUE shutterstock.com ACA SIDE EFFECTS Health care reform is expected to expand patient coverage, increase hospital profits but also raise costs, increase wait times By Eli Segall staff writer S tephanie Nessmith once relied on a payday lender to get money for her daughter's respiratory medicine. ¶ Skylar, 3, used to have insurance from the state but lost it because Nes- smith earns too much – $11.50 an hour working at a Henderson UPS Store. ¶ "They think I make enough money to pay my rent and pay all my utilities, get to and from work, pay for her daycare and provide health insurance for her," Nessmith said. ¶ Nessmith and Skylar are two By Karoun Demirjian staff writer WASHINGTON — Nevadans have long complained that congressional inaction on online poker, energy legislation and immigration reform have cost the state millions of dollars in lost tax revenue and economic opportunities. But state lawmakers may have hit on their most quantifiable argument yet in pressuring Congress to pass a measure that would let the Silver State collect as much as $200 million a year in online sales tax. "We're always looking in the sofa trying to find nickels to fund all our public services. We know the revenue boost it would mean to Nevada if this were to pass," Sen. Minority Leader Michael Roberson said. "The big one is the Marketplace Fairness Act. They need to pass that." Roberson was referring to federal legislation to require online retailers to charge state and local sales tax, regardless of whether the retailers maintain a physical presence in the state. see SALES TAX, page 17 INSIDE TODAY NICKELED AND DIMED | P. 6 of Nevada's 607,000 uninsured residents, the overwhelming majority of whom use emergency rooms Hotels follow airlines' lead to charge fees for services that used to be free for primary care that they never pay for, avoid doctors and pharmacies altogether or pay for care out of TRAIN DELAYED | P. 7 pocket. see HEALTH CARE, page 14 Is the XpressWest high-speed rail project being pushed to a back burner? THE LIST | P. 22 Golf courses, by championship rating 20130401_VI01_F.indd 1 3/28/13 2:47:36 PM