Tennessee is plowing ahead with its plan to become the first state to adopt Medicaid block grants, but there's no guarantee that the Trump administration will end up playing along.

Driving the news: The state legislature on Friday passed a bill authorizing the new financing structure, and Republican Gov. Bill Lee is expected to sign it.

Details, via Nashville Public Radio: Tennessee's block-grant proposal would lock in the current rate of federal Medicaid funding — which could be a problem if either enrollment or costs ever increase.

  • The Lee administration would have to negotiate the details with federal officials, but the state legislature would have to approve whatever they work out.

Yes, but: The Trump administration has urged states on in a handful of efforts to roll back Medicaid, and block grants would be the most aggressive of those efforts by far. But it hasn’t yet provided a clear framework about what it believes it can approve, within its legal authority — meaning all of this could still fizzle out.

Go deeper: Red states' Medicaid gamble: Paying more to cover fewer people

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Trump signs 4 executive actions on coronavirus aid

President Trump speaking during a press conference on Aug. 8. Photo: Jim Watson/AFP via Getty Images

President Trump on Saturday signed four executive actions to provide relief from economic damage sustained during the coronavirus pandemic after talks between the White House and Democratic leadership collapsed Friday afternoon.

Why it matters: Because the Constitution gives Congress the power to appropriate federal spending, Trump has limited authority to act unilaterally — and risks a legal challenge if congressional Democrats believe he has overstepped.

Updated 3 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 2 p.m. ET: 19,451,097 — Total deaths: 722,835 — Total recoveries — 11,788,665Map.
  2. U.S.: Total confirmed cases as of 2. p.m. ET: 4,968,413 — Total deaths: 161,858 — Total recoveries: 1,623,870 — Total tests: 60,415,558Map.
  3. Public health: Fauci says chances are "not great" that COVID-19 vaccine will be 98% effective.
  4. Science: Indoor air is the next coronavirus frontline.
  5. Schools: How back-to-school is playing out in the South as coronavirus rages on — Princeton, Johns Hopkins, Howard to hold fall classes online.
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What's next for Lebanon after the Beirut explosion

Photo: Houssam Shbaro/Anadolu Agency via Getty Images

Beirut residents are still clearing rubble from streets that appear war-torn, days after a blast that shocked the country and horrified the world.

Why it matters: The explosion is likely to accelerate a painful cycle Lebanon was already living through — discontent, economic distress, and emigration.