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Alexander and Murray may have another chance in December. Photo: J. Scott Applewhite / AP

Yes, the Senate's bipartisan Affordable Care Act bill ran into some political roadblocks yesterday. The White House said President Trump, who had taken several positions over the course of the day, is against it. House Speaker Paul Ryan is also against it. And conservatives are against it.

Why it doesn't matter: The story of the Alexander-Murray bill likely won't be over until December, when Congress has to take care of several must-pass bills, in negotiations where Democrats have a lot of leverage.

  • The December agenda already includes funding the government and raising the debt ceiling — must-pass items that can only pass with a lot of Democratic votes, just like Alexander-Murray.
  • If Alexander-Murray doesn't pass before then, it's pretty easy to see Democratic leaders insisting on some form of Affordable Care Act stabilization as part of the end-of-year package. And this bill, or something close to it, is likely the best Republicans are going to get.
  • As one senior GOP aide told to my colleague Caitlin Owens: "At some point McConnell and Ryan will need this."

The catch: The Alexander-Murray bill would guarantee funding for the ACA's cost-sharing subsidies, but it doesn't provide for retroactive payments. So if the bill did pass in December, insurers wouldn't get any help with the financial hit they'll take between now and then. And those losses alone could total $1 billion.

In the meantime, look for Alexander and Murray to roll out a new, bipartisan roster of cosponsors today, along with the official introduction of their bill.

Go deeper

Updated 12 hours ago - Technology

From Malcolm X to "Free Britney," new media shapes the justice system

Illustration: Shoshana Gordon/Axios

True crime documentaries, podcasts and social media campaigns are bringing new attention to real-world legal proceedings — and are often affecting the outcome.

Why it matters: New media platforms can instantly put a national spotlight on cases that have long been forgotten or buried under red tape.

Updated 14 hours ago - Health

The next big bottleneck in the global vaccination effort

Illustration: Rae Cook/Axios

The world still needs more coronavirus vaccines, but an additional bottleneck has emerged in many low-income countries: They need help getting shots in arms.

Why it matters: Increasing vaccination rates across the world is both a humanitarian necessity and the best way to prevent dangerous new variants from emerging, but it increasingly requires complex problem-solving.

Updated 15 hours ago - Health

COVID-19 Omicron variant cases identified in Europe, U.K.

People wearing masks walk in London on Nov. 25. Photo: Li Ying/Xinhua via Getty Images

Health officials in the United Kingdom, Italy and Germany announced on Saturday that they've detected the first known cases of the new COVID-19 Omicron variant.

Why it matters: The discoveries come as the world scrambles to respond to concerns over the new variant, discovered in South Africa earlier this week.