Jun 20, 2018

Conservatives' latest plan to repeal the Affordable Care Act

A view of the U.S. Capitol. Photo: Bill Clark/CQ Roll Call

A group of conservative policy advocates has released another proposal to repeal and replace the Affordable Care Act, which has been in the works now for a few months.

The details: Policy-wise, it’s basically the same as the Graham-Cassidy repeal bill, but without dramatic cuts to traditional Medicaid. It would eliminate most of the ACA’s consumer protections/benefit mandates and convert federal subsidy funding, as well as the law’s Medicaid expansion, into block grants to the states.

Why it doesn’t matter: Republicans couldn’t repeal the ACA with 52 Senate seats; they’re unlikely to get it done now with 51.

Why it does matter: This is the manifestation of an ongoing rift within the conservative movement ahead of this year’s midterms. Most of the party seems to have moved on from health care, but some conservatives still see it as a political imperative.

What’s next: Republicans on the House Budget Committee released a proposal yesterday that calls for steep cuts to Medicare and Medicaid, including the premium support system pushed into the mainstream by outgoing Speaker Paul Ryan.

  • This, too, is a thing that’s not going to actually happen, and is only relevant — for now — to the extent it affects the midterms.

Go deeper

World coronavirus updates

Data: The Center for Systems Science and Engineering at Johns Hopkins; Map: Axios Visuals

There are no COVID-19 patients in hospital in New Zealand, which reported just 21 active cases after days of zero new infections. A top NZ health official said Tuesday he's "confident we have broken the chain of domestic transmission."

By the numbers: Almost 5.5 million people have tested positive for the novel coronavirus as of Tuesday, and more than 2.2 million have recovered. The U.S. has reported the most cases in the world (over 1.6 million from 14.9 million tests).

U.S. coronavirus updates

Data: The Center for Systems Science and Engineering at Johns Hopkins; Map: Andrew Witherspoon/Axios. This graphic includes "probable deaths" that New York City began reporting on April 14.

Coronavirus antibody tests are still relatively unreliable, and it's unclear if people who get the virus are immune to getting it again, the Centers for Disease Control and Prevention cautioned on Tuesday.

By the numbers: More than 98,900 people have died from COVID-19 and over 1.6 million have tested positive in the U.S. Over 384,900 Americans have recovered and more than 14.9 million tests have been conducted.

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 9:30 p.m. ET: 5,588,299 — Total deaths: 350,417 — Total recoveries — 2,286,827Map.
  2. U.S.: Total confirmed cases as of 9:30 p.m. ET: 1,680,625 — Total deaths: 98,902 — Total recoveries: 384,902 — Total tested: 14,907,041Map.
  3. Federal response: DOJ investigates meatpacking industry over soaring beef pricesMike Pence's press secretary returns to work.
  4. Congress: House Republicans to sue Nancy Pelosi in effort to block proxy voting.
  5. Business: How the new workplace could leave parents behind.
  6. Tech: Twitter fact-checks Trump's tweets about mail-in voting for first timeGoogle to open offices July 6 for 10% of workers.
  7. Public health: Coronavirus antibodies could give "short-term immunity," CDC says, but more data is neededCDC releases guidance on when you can be around others after contracting the virus.
  8. What should I do? When you can be around others after contracting the coronavirus — Traveling, asthma, dishes, disinfectants and being contagiousMasks, lending books and self-isolatingExercise, laundry, what counts as soap — Pets, moving and personal healthAnswers about the virus from Axios expertsWhat to know about social distancingHow to minimize your risk.
  9. Other resources: CDC on how to avoid the virus, what to do if you get it, the right mask to wear.

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Updated 1 hour ago - Politics & Policy