CARSON CITY — An eleventh-hour amendment to Gov. Joe Lombardo’s health care reform bill caused the measure to pass the state Senate on party-line votes Monday night with his own party in opposition.

Senate Bill 495 included additions that would prohibit new freestanding emergency rooms from being within a five-mile radius of an existing center or hospital. It also required the centers to provide urgent care services — something that proponents said is to address incorrect billing for services.

Senate Minority Leader Robin Titus, R-Wellington, said she had to vote against it because of the freestanding emergency room changes that she said would have the effect of decreasing access to care.

“I felt that initially this bill really achieved many of the governor’s goals, if not most of the g

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