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The latest Affordable Care Act repeal and replacement bill, sponsored by Sens. Bill Cassidy, Lindsey Graham, Dean Heller and Ron Johnson, would both reduce and redistribute federal health care funding to the states. And that would create clear winners and losers among states. The left-leaning Center on Budget and Policy Priorities ran the numbers to figure out how each state would fare.

Our thought bubble: This is the biggest reason we think the Graham-Cassidy bill is unlikely to go anywhere. To pass it, GOP senators from states like Arizona and Florida would have to vote to give up federal dollars to, effectively, subsidize states like Texas and Alabama.

Expand chart
Data: Center on Budget and Policy Priorities analysis; Cartogram: Andrew Witherspoon / Axios

What the bill would do:

  • Converts funding for the ACA's premium subsidies and Medicaid expansion into a block grant, which would result in states getting less money. This funding would stop after 2026.
  • Changes the current open-ended federal match for Medicaid spending into a per-person funding cap, which also would result in less federal funding for states over time.
  • Allows states to waive many of the ACA's consumer protections, like its essential health benefits and the requirement that insurers charge sick and healthy people the same premium.

Go deeper

Colin Powell dies from COVID complications at 84

Photo: Paul Morigi/Getty Images for Capital Concerts

Colin Powell, the first Black U.S. secretary of state, died of complications from COVID-19, his family announced Monday. He was 84.

Driving the news: The Powell family said in a statement that he was fully vaccinated. "We want to thank the medical staff at Walter Reed National Medical Center for their caring treatment."

Mike Allen, author of AM
3 hours ago - Politics & Policy

GOP senator calls for senility test for aging leaders

Photo: "Axios on HBO"

Sen. Bill Cassidy (R-La.), a physician, told me during an "Axios on HBO" interview that he favors cognition tests for aging leaders of all three branches of government.

Why it matters: Wisdom comes with age. But science also shows that we lose something. And much of the world is now run by old people — including President Biden, 78 ... Speaker Pelosi, 81 ...  Senate Majority Leader Chuck Schumer, 70 ... and Senate Minority Leader Mitch McConnell, 79.

Ina Fried, author of Login
3 hours ago - Technology

Intel CEO blames predecessors for manufacturing woes

Axios on HBO

When it comes to Intel's recent manufacturing problems, Intel CEO Pat Gelsinger places the blame squarely on his predecessors — many of whom he notes were not engineers deeply steeped in chip technology, as he is.

Why it matters: Gelsinger has announced a broad plan to reinvigorate Intel by doubling down on manufacturing. However, the strategy depends on the venerable semiconductor giant recovering from recent stumbles.