The five-member commission's main duties are to collect casino taxes and enforce gaming regulations.
Mirage paid $110 million toward the tunnel's costs, but half of that was to be credited against its future casino taxes.
He built an $80 million high school with casino taxes and recently unveiled plans to build 100 houses in a rundown neighborhood near City Hall.
But for the first time, state officials said, casino taxes will be used to help finance the cost of a major health care center.
In Nevada, casino taxes provide a majority of the state revenue and the industry wields significant political influence.
The city expects $250 million in casino taxes in the next four years.
Creda, as it is known, reinvests money that the state takes in from casino taxes to further projects deemed to be "smart growth" efforts.
Nevada has no such programs, and casino taxes are lower in Nevada.
The provinces' taxing powers, for example, would essentially be limited to lotteries and casino taxes.
He credited, in part, the new $1.2 million high school building - paid for with casino taxes - and the lure of casino jobs after graduation.