Senate Majority Leader Harry Reed has carved out an exemption in Baucus’ health care bill for Nevada. According to the NYT here.

WASHINGTON ? The Senate majority leader, Harry Reid of Nevada, has secured a special deal protecting his state against the costs of expanding Medicaid under one of the major health care bills moving through Congress….

Now Mr. Baucus has modified the bill to spare Nevada and three other
states, and Mr. Reid, who faces a potentially difficult race for
re-election next year, is taking credit for getting a ?major increase?
in federal money for his state….

Mr. Baucus revised his bill to give extra help to certain ?high-need
states.? The states were not named in the bill. But only four states
meet the criteria: Michigan, Nevada, Oregon and Rhode Island.