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Andrew Harnik / AP

Health insurance officials gave Seema Verma, Centers for Medicare and Medicaid Services chief, an earful today about the biggest issue in their world: the need to know whether they're going to get paid for their Obamacare cost-sharing subsidies to low-income consumers.

The message was delivered by top insurance officials including Marilyn Tavenner, the head of the trade group America's Health Insurance Plans (who used to have Verma's job in the Obama administration).

What they said: "We are committed to working with Administrator Verma, the Administration and Congress to ensure [cost sharing reduction] funding is addressed quickly to provide clarity for consumers in 2017 and 2018," AHIP said in a statement.

Between the lines: Health insurers want to get the issue resolved as soon as possible, and Democrats are pushing to include the money in the upcoming bill to fund the government for the rest of the year. But Republicans haven't tipped their hand on what they're going to do.

The consequence: If they don't figure it out soon, insurers could either impose massive rate hikes for Obamacare next year or pull out altogether.

Go deeper

Updated 40 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.
51 mins ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.

Court rules Minnesota absentee ballots must be received by 8 p.m. Election Day

An election judge drops a ballot in a ballot box at a drive through drop-off for absentee ballots in Minneapolis. Photo: Stephen Maturen/Getty Images

An appeals court on Thursday ruled that Minnesota absentee ballots must be received by 8 p.m. on Election Day to be counted.

Why it matters: The ruling, which comes just five days before the election, blocks the state's plan to count absentee ballots arriving late so long as they're postmarked by Nov. 3 and delivered within a week of the election. Now those ballots must be set aside and marked late.