Happy Tuesday, and hope you had a great long weekend. I, too, am confused about how summer is over and yet it's still so hot.
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Tech companies are cooperating with federal officials to crack down on illegal opioids being sold on the internet. But that doesn't mean congressional action on the issue is out of the question, Axios' David McCabe and I report this morning.
What we're watching: Silicon Valley is trying to defuse tensions with the Food and Drug Administration, and FDA Commissioner Scott Gottlieb's comments that tech is cooperating show their efforts may be working.
Members of Congress have put pressure on Silicon Valley over the issue. And in April, Gottlieb said in a speech that "internet firms simply aren't taking practical steps to find and remove these illegal opioid listings."
While Gottlieb hasn't asked for any legislative action on the issue, Congress hasn't ruled out taking action in the future.
The other side: “Though evidence shows the epidemic is primarily an offline problem, internet companies are committed to playing an outsize role in fighting this tragedy," said Melika Carroll, SVP at the trade group Internet Association, whose members include Google and Facebook.
Between the lines: Medicaid expansion has made more lower-middle income Americans eligible for the program, and now less than half of Medicaid spending goes to the lowest quintile.
Why it matters: As wages have remained stagnant and income inequality grows, the middle class is increasingly relying on the federal safety net. Changes to the ACA or Medicaid would thus touch sectors of the electorate well beyond the poor.
My colleague Mike Allen scooped yesterday that one of Democrats' first three legislative packages, should they win control of the House, will cover health care costs.
The drug price policies in "Better Deal" include:
Medicaid is the primary source of insurance in 43% of childbirths, and that percentage is much higher the younger the mother is, according to the latest numbers from the Centers for Disease Control and Prevention.
Why it matters: It's a reminder that women and children are among the most affected when state and federal lawmakers talk about cutting Medicaid funds, my colleague Bob Herman reports.
Bonus: In Ohio, 84% of employed Medicaid expansion beneficiaries said having Medicaid made it easier for them to continue working, and 60% of unemployed enrollees said having it made it easier to look for work, according to a report issued by the state last month.
What we're watching today: The Senate Judiciary Committee hearing on Brett Kavanaugh's Supreme Court justice nomination.
What we're watching this week: Oral arguments in the Texas case challenging the ACA's pre-existing conditions protections begin Wednesday.
House Energy and Commerce Committee will hold a hearing Wednesday on opportunities to improve health care, Ways and Means will have a markup of several health care bills Wednesday, and MedPAC has a public meeting on Thursday and Friday.