Axios

This amazing CNN video gives a second-by-second breakdown of the wee-hours death of the Republicans' health-care repeal plan, one of the most dramatic moments in Senate history:

• "1:29 a.m.: Senator McCain reenters the chamber. ...
• "McCain waves his hand to get the attention of the Senate clerk, pauses for just a moment, and gives a dramatic thumbs-down. ... Audible gasp on the Senate floor, and then commotion. ... Republicans like Senator Marco Rubio stare in disbelief ...
• "Senator John McCain turns around and walks back to his chamber desk, all alone."

Starting Oct. 1, the Centers for Medicare and Medicaid Services is required under the Affordable Care Act to cut special Medicaid funding that goes to hospitals for treating large amounts of uninsured patients. The cuts would total $43 billion through 2025, and the agency released a rule this week explaining how the so-called Medicaid "disproportionate share hospital," or DSH, payments would be cut.

What we're hearing: Those cuts have been delayed three times already and are almost certain to be delayed again. Shawn Gremminger, a top lobbyist for America's Essential Hospitals, said DSH funding will be his group's "primary focus" now that the ACA repeal-and-replace efforts are squashed. "We can't make huge cuts to DSH when there are still 28 million people who are uninsured," he said. The American Hospital Association also will lobby Congress on the issue, a spokeswoman said.

How DSH cuts would be addressed: The reauthorization bill for the Children's Health Insurance Program, which also needs to be passed before Oct. 1.

A spokesperson for President Barack Obama issued a statement regarding the Senate's failure to repeal the Affordable Care Act, saying that Obama "believes it is still possible for Congress to demonstrate the necessary bipartisanship and political courage" to improve upon the law together.

Summing it up: "The Affordable Care Act has always been about something bigger than politics — it's about the character of our country…It's about the dreams protected, and the untold misery and ruin prevented."