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John Minchillo / AP

The Associated Press has gotten a draft of the Medicaid reform plan Republican governors want to propose to the Trump administration and Congress. You might want to sit down for this one: they want more flexibility to manage their costs, but they also want the federal government to keep paying for most of the program.

Key quote: "Flexibility is necessary to improve Medicaid program performance, but states also need adequate funding within a new financing structure to effectively manage the Medicaid program."

What would change: The governors, led by John Kasich of Ohio, are willing to accept some financial limits for Medicaid — but they don't want block grants. Instead, they want per-capita caps, which would limit the amount of funding for each person in the program. (The limits wouldn't apply to the low-income seniors who are eligible for both Medicare and Medicaid.) They'd also be able to impose work requirements and charge people a modest amount for their coverage.

What it means: This sets up a conflict that shouldn't be too surprising: Republican governors and congressional Republicans are on the same page on flexibility, but not on money. The governors want to make sure Congress doesn't cut their funding too much: "We must ensure that people do not have the rug pulled out from under them and are not left without access to care, especially during the transition."

Go deeper

Bryan Walsh, author of Future
1 hour ago - Health

Schools face an uphill battle to reopen during the pandemic

Illustration: Aïda Amer/Axios

President Biden's plan to accelerate the reopening of K-8 schools faces major challenges from a still out-of-control pandemic and more contagious coronavirus variants.

Why it matters: The longer American kids miss in-person schooling, the further they fall behind. But the uncertain state of the science on the role young children play in the pandemic continues to complicate efforts to reopen schools.

Focus group: Former Trump voters say he should never hold office again

Illustration: Sarah Grillo/Axios

"Relief" is the top emotion some swing voters who used to support Donald Trump say they felt as they watched President Biden's swearing-in, followed by "hope."

Why it matters: For voters on the bubble between parties, this moment is less about excitement for Biden or liberal politics than exhaustion and disgust with Trump and a craving for national healing. Most said Trump should be prohibited from ever holding office again.

Updated 15 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Eniola Odetunde/Axios

  1. Health: Most vulnerable Americans aren't getting enough vaccine information — Fauci says Trump administration's lack of facts on COVID "very likely" cost lives.
  2. Politics: Biden unveils "wartime" COVID strategyBiden's COVID-19 bubble.
  3. Vaccine: Florida requiring proof of residency to get vaccine — CDC extends interval between vaccine doses for exceptional cases.
  4. World: Hong Kong to put tens of thousands on lockdown as cases surge.
  5. Sports: 2021 Tokyo Olympics hang in the balance.
  6. 🎧 Podcast: Carbon Health's CEO on unsticking the vaccine bottleneck.