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Stephan Savoia / AP

Nevada Gov. Brian Sandoval is sounding deeply skeptical of the Senate health care bill because of its tight Medicaid spending limits — but he's not absolutely opposing it yet.

  • "Anybody can do the rudimentary math" on the new bill's addition of $70 billion to help state insurance markets vs. more than $700 billion in Medicaid savings, he told reporters this morning at the National Governors Association meeting in Providence, Rhode Island, per the Nevada Independent.
  • But Politico reports that Sandoval wouldn't say he opposes the bill. He's supposed to talk with Vice President Mike Pence at the governors' meeting.

Why it matters: Whatever Sandoval says will probably have a big influence on whether Sen. Dean Heller votes for the bill. If he votes against it — or against the motion to take up the bill — that would be enough to kill it.

Go deeper

Caitlin Owens, author of Vitals
4 hours ago - Health

Biden taps ex-FDA chief to lead Operation Warp Speed amid rollout of COVID plan

Photo: Alex Wong/Getty Images

President-elect Joe Biden has picked former FDA chief David Kessler to lead Operation Warp Speed, a day after unveiling a nearly $2 trillion pandemic relief plan that includes $400 billion for directly combatting the virus.

Why it matters: Biden's transition team said Kessler has been advising the president-elect since the beginning of the pandemic, and hopes his involvement will help accelerate vaccination, the New York Times reports. Operation Warp Speed's current director, Moncef Slaoui, will stay on as a consultant.

The case of the missing relief money

Illustration: Sarah Grillo/Axios

A chunk of stimulus payments is missing in action, thanks to a mix up that put as many as 13 million checks into invalid bank accounts.

Why it matters: The IRS (by law) was supposed to get all payments out by Friday. Now the onus could shift to Americans to claim the money on their tax refund — further delaying relief to struggling, lower-income Americans.

The post-Trump GOP, gutted

McConnell (L), McCarthy (R) and Trump. Photo: Erin Schaff-Pool/Getty Images

Republicans will emerge from the Trump era gutted financially, institutionally and structurally.

The big picture: The losses are stark and substantial.