It’s not a good sign in Carson City when members of your own party vote down your bill.

But with less than two hours left in the Nevada Legislature’s 83rd session, a new version of Gov. Joe Lombardo’s landmark health care proposal — heavily amended by Democrats in the state Senate — left Republicans with little choice but to reject Senate Bill 495.

Senate Minority Leader Robin Titus said the bill initially achieved many of the governor’s goals to improve health care access, but it was amended in a way that “takes that good bill, and now that good bill will do harm.”

The episode was an example of “poison pill” amendments and policy changes that characterized the end of session. Though Titus, R-Wellington, said the session had largely been characterized by improved cooperation across the

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