Jurisdictional infighting and intense lobbying from industry ultimately scuttled Congress' efforts to deal with surprise medical bills this year.

Why it matters: Surprise bills were about as close to a slam-dunk as Congress gets in health policy, and lawmakers' failure to get such an easy thing across the finish line doesn't bode well for other, harder priorities.

What happened: Key lawmakers — Sen. Lamar Alexander and Reps. Frank Pallone and Greg Walden, who lead the Energy and Commerce Committee — announced a deal on the issue earlier this month.

  • Senate Minority Leader Chuck Schumer was concerned about the impact on New York hospitals, but he told other congressional leaders that he wouldn't oppose the deal's inclusion in the year-end spending bill.

After that deal was announced, House Ways and Means Chairman Richard Neal announced a separate agreement with Ranking Member Kevin Brady.

  • That put the two committees with jurisdiction over surprise bills on different pages.
  • Democratic leaders opted not to pick a side by including surprise bills in a year-end legislative package.

“There’s nothing diabolical about it, or nefarious," Neal told Axios. "We were simply saying, 'time to vet it.' The idea that you were just going to attach this to a spending bill and send it over without that opportunity? I mean, I think that would have been ill-considered.”

What's next: A House leadership aide said they'll try again, with another must-pass bill next spring.

The bottom line: "In an environment where all constituents of all parties are demanding relief from health care cost and complexity, the Democrats should be wary about singing the song of affordability concerns without delivering the goods," said Democratic health consultant Chris Jennings.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7 p.m. ET: 12,859,834 — Total deaths: 567,123 — Total recoveries — 7,062,085Map.
  2. U.S.: Total confirmed cases as of 7 p.m. ET: 3,297,501— Total deaths: 135,155 — Total recoveries: 1,006,326 — Total tested: 40,282,176Map.
  3. States: Florida smashes single-day record for new coronavirus cases with over 15,000 — NYC reports zero coronavirus deaths for first time since pandemic hit.
  4. Public health: Ex-FDA chief projects "apex" of South's coronavirus curve in 2-3 weeks — Coronavirus testing czar: Lockdowns in hotspots "should be on the table"
  5. Education: Betsy DeVos says schools that don't reopen shouldn't get federal funds — Pelosi accuses Trump of "messing with the health of our children."

Scoop: How the White House is trying to trap leakers

Illustration: Sarah Grillo/Axios

President Trump's chief of staff, Mark Meadows, has told several White House staffers he's fed specific nuggets of information to suspected leakers to see if they pass them on to reporters — a trap that would confirm his suspicions. "Meadows told me he was doing that," said one former White House official. "I don't know if it ever worked."

Why it matters: This hunt for leakers has put some White House staffers on edge, with multiple officials telling Axios that Meadows has been unusually vocal about his tactics. So far, he's caught only one person, for a minor leak.

11 GOP congressional nominees support QAnon conspiracy

Lauren Boebert posing in her restaurant in Rifle, Colorado, on April 24. Photo: Emily Kask/AFP

At least 11 Republican congressional nominees have publicly supported or defended the QAnon conspiracy theory movement or some of its tenets — and more aligned with the movement may still find a way onto ballots this year.

Why it matters: Their progress shows how a fringe online forum built on unsubstantiated claims and flagged as a threat by the FBI is seeking a foothold in the U.S. political mainstream.