Charlie Neibergall / AP

Iowa officials have filed a far-reaching waiver that would massively reform pieces of the Affordable Care Act in the state, the Wall Street Journal reports. This could pave the way for other states to file and implement ambitious changes to the health care law without having to wait for Congress to act.

What the waiver does:

  • Creates a market with only one insurance plan.
  • Makes premium subsidies flat payments tied to age and income.
  • Eliminates subsidies that help low-income people with out-of-pocket costs.
  • Requires consumers to prove they've maintained continuous coverage.
  • Establishes a reinsurance program to help insurers with expensive enrollees.

Context: The ACA is not working well in Iowa (partially due to the state's own implementation decisions). Earlier this year, there was set to be no insurance option for 2018 in most of the state until Medica stepped in. That averted disaster, but means there is no competition in most counties. If the waiver is approved, Wellmark Blue Cross and Blue Shield will participate in the marketplace.

Go deeper

Bryan Walsh, author of Future
1 hour ago - Health

Rockefeller Foundation commits $1 billion for COVID-19 recovery

A health worker performs a COVID-19 test in New Delhi. Photo: Raj K Raj/Hindustan Times via Getty Images

The Rockefeller Foundation announced on Monday that it will allocate $1 billion over the next three years to address the pandemic and its aftermath.

Why it matters: The mishandled pandemic and the effects of climate change threaten to reverse global progress and push more than 100 million people into poverty around the world. Governments and big NGOs need to ensure that the COVID-19 recovery reaches everyone who needs it.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Politics: Ex-FDA chief: Pence campaigning after COVID exposure puts others at risk — Mark Meadows: "We are not going to control the pandemic"
  2. Health: 13 states set single-day coronavirus case records last week — U.S. reports over 80,000 new cases for second consecutive day.
  3. World: Italy tightens restrictions Spain declares new state of emergency.
  4. Media: Fox News president and several hosts advised to quarantine after possible COVID-19 exposure

Fox News president and several hosts advised to quarantine in COVID-19 precaution

A political display is posted on the outside of the Fox News headquarters on 6th Avenue in New York City in July. Photo: Timothy A. Clary/AFP via Getty Images

Fox News President Jay Wallace and anchors Bret Baier and Martha MacCallum are among those recommended to get tested and quarantine after possible exposure to COVID-19, the New York Times first reported Sunday night.

The big picture: The Fox News contingent, which also included "The Five" show hosts Juan Williams and Dana Perino, were on a charter flight from Nashville to New York following Thursday's presidential debate with a person who later tested positive for the coronavirus.