David Goldman / AP

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.

Go deeper

Commission releases topics for first presidential debate

Moderator Chris Wallace. Photo: Drew Angerer/Getty Images

Fox News anchor Chris Wallace has selected what topics he'll cover while moderating the first presidential debate between President Trump and former Vice President Joe Biden next week.

What to watch: Topics for the Sept. 29 debate will include Trump and Biden's records, the Supreme Court, COVID-19, economic policy, racism and the integrity of the election, the Commission for Presidential Debates announced on Tuesday. Each topic will receive 15 minutes of conversation and will be presented in no particular order.

Fed chair warns economy will feel the weight of expired stimulus

Treasury Secretary Steven Mnuchin and Fed Chair Jay Powell bump elbows before House hearing on Tuesday. Photo: Joshua Roberts/Pool/AFP via Getty Images

Federal Reserve Chairman Jerome Powell told the House Financial Services Committee on Tuesday that the expiration of Congress' coronavirus stimulus will weigh on the U.S. economy.

Why it matters: Powell warned that the effects of dried-up benefits are a looming risk to the economy, even if the consequences aren't yet visible.

1 hour ago - World

Beijing draws Chinese companies even closer

Illustration: Annelise Capossela/Axios

Chinese Communist Party Secretary Xi Jinping announced last week that the party must strengthen its leadership over private companies, and that entrepreneurs must meet the party's needs. 

Why it matters: Xi's new announcement will increase fears that Chinese businesses may serve as a Trojan horse for the CCP.

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