Good morning. I did not watch the Super Bowl. I also probably won't watch "The Bachelor" tonight, which is much more abnormal for me, personally, but I'll just say it: This season sucks.
Today's word count is 776, or a 3-minute read.
Illustration: Aïda Amer/Axios
Major health industry groups, governors and state Medicaid directors have all raised significant concerns with a Trump administration proposal that would change the rules and oversight of some forms of state Medicaid financing.
Why it matters: Billions of dollars are on the line for both states and providers, which they say in turn threatens the health care of some of America's most vulnerable people.
The big picture: The proposal from the Centers for Medicare & Medicaid Services, called the Medicaid Fiscal Accountability Regulation, or MFAR, would be mandatory for states.
The other side: Provider groups say the new rules would threaten the money doctors and hospitals rely on to serve Medicaid patients.
The National Governors Association said the rule "will result in decreased access to care for many vulnerable Americans."
Between the lines: The rule is deeply technical and wonky, but for some states, it could end up being a much bigger deal than the administration's Medicaid block grant and work requirement proposals simply because it's not optional.
Illustration: Sarah Grillo/Axios
The coronavirus has the potential to be as damaging to the global economy as the U.S.-China trade war, economists tell Axios' Dion Rabouin and Joann Muller.
Why it matters: The epicenter of the virus is China, which is now the world's top trading nation and largest commodity buyer, and the No. 1 trading partner for many of the world's biggest economies.
State of play: "If this virus begins to mutate rapidly so that it becomes increasingly more difficult to find a cure for it, that would be extremely alarming," Bernard Baumohl, chief global economist at the Economic Outlook Group, tells Axios.
Pharmacists at large pharmacies like CVS, Rite Aid and Walgreens are warning that their understaffed and chaotic workplaces are putting patients at risk, the New York Times reports.
Why it matters: If a pharmacist makes a mistake while dispensing a patient's medication, the consequences can be dire.
The big picture: A combination of large task loads and corporate performance metrics makes pharmacists more likely to make mistakes, they argue.
The big picture: As the industry consolidates, it also faces declining drug reimbursement rates and pressure from pharmacy benefit managers — some of which are owned by pharmacy chains.
States and school districts around the country are passing legislation to allow students to take mental health days, as young people struggle with depression and anxiety, the Washington Post reports.
Why it matters: The suicide rate among young people continues to rise. The Centers for Disease Control and Prevention reported suicide was the second leading cause of death among people ages 10–24 in 2017, Axios' Rashaan Ayesh writes.
The state of play: There are proposals in California, New York and Florida to provide students mental health dates, per the Post.
Go deeper: Generation Z's suicide epidemic
Editor's note: The fifth item has been updated to reflect that a coronavirus case was confirmed in Santa Clara County, California, (not Clara County, California).