California Gov. Gavin Newsom. Photo: Kevork Djansezian/Getty Images

California will become the first state in the nation to pay for the health benefits of some unauthorized immigrants and become the first state to extend the Affordable Care Act's premium subsidies up the income scale.

Why it matters: One of the bluest states in the nation's measured steps toward universal health coverage show the uphill battle liberals face in their push for Medicare for All.

Details: Low-income adults between ages 19 and 25 living in the state illegally will qualify, based on their income, for the state Medicaid program.

  • Officials estimate that this will be about 90,000 people costing $98 million a year.
  • The deal includes a proposal to provide ACA subsidies to middle-income people making up to six times the federal poverty level.
  • To help pay for the deal, the state will tax the uninsured — a revival of the ACA's individual mandate.

The big picture: These more incremental steps demonstrate how far left Democrats have moved in the decade since the ACA's passage.

  • "California has taken the lead to blunt Republican efforts nationally on a whole range of health care issues, moving very much in the opposite direction," emailed the Kaiser Family Foundation's Larry Levitt.

Go deeper: In California's blue utopia, liberal health care dreams stagnate

Go deeper

Updated 13 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Politics: The swing states where the pandemic is raging — Pence no longer expected to attend Barrett confirmation vote after COVID exposure.
  2. Health: 13 states set single-day case records last week
  3. Business: Where stimulus is needed most.
  4. Education: The dangerous instability of school re-openings.
  5. World: Restrictions grow across Europe.
  6. Media: Fox News president and several hosts advised to quarantine.

Supreme Court rejects request to extend Wisconsin absentee ballot deadline

Photo: Saul Loeb/AFP via Getty Images

The Supreme Court rejected in a 5-3 decision Monday Wisconsin Democrats' request to reinstate an extension of the deadline for counting absentee ballots to six days after Election Day, as long as they're postmarked by Nov. 3.

Why it matters: All ballots must now be received by 8 p.m. on Election Day in Wisconsin, a critical swing state in the presidential election.

Senate confirms Amy Coney Barrett to the Supreme Court

Judge Amy Coney Barrett before a meeting on Capitol Hill on Oct. 21. Photo: Sarah Silbiger/pool/AFP via Getty Images

The Senate voted 52-48 on Monday to confirm Judge Amy Coney Barrett to the Supreme Court. She is expected to be sworn in within hours.

Why it matters: President Trump and Senate Republicans have succeeded in confirming a third conservative justice in just four years, tilting the balance of the Supreme Court firmly to the right for perhaps a generation.

Get Axios AM in your inbox

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Subscription failed
Thank you for subscribing!