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Alex Brandon / AP

Senate Republicans didn't get a health care deal nailed down before leaving town — but they don't want to lose momentum, so they're going to send the Congressional Budget Office some broad outlines of a new bill to look at over the recess. If that sounds like an anticlimax, and you expected more, you haven't been watching Senate Republicans for the last two months.

Here's where things stand on the Senate's health care bill as we head into the sweet, sweet mercy of a weeklong recess.

  • GOP leaders plan to send at least an outline of a new version of the health care bill to the Congressional Budget Office by the end of the day, even if a deal hasn't been reached yet.
  • Senators were still all over the map yesterday on a handful of key provisions. The moderates are still worried about Medicaid and the conservatives are still angling for new regulatory carve-outs (more on that in a minute). So, whatever decisions leadership makes today probably won't fill in every detail.
  • But aides told Caitlin Owens they can send the broad strokes over to CBO now, and fill in the gaps later. They have to get the ball rolling today in order to have a score by the middle of July, and a vote before the August recess.
  • Per Jonathan Swan: The mood was somber at a Thursday afternoon meeting between HHS Secretary Tom Price and senior White House officials, and significantly more negative than the day before, per a source familiar with the meeting. In short: the moderate Republican senators aren't buying what Majority Leader Mitch McConnell is selling. At least not yet.

Here's what's on the table as leadership looks for a final deal:

  • As much as $45 billion to help fight the opioid crisis. But, for the most part, the senators clamoring for this funding are the same ones concerned about the bill's Medicaid cuts, and opioid funding alone might not be enough to win them over.
  • A new provision allowing people to use tax-preferred health savings accounts to pay their premiums.
  • A surprising number of Republicans seem totally cool with not repealing the ACA's tax increase on wealthy people's investment income, and using the revenue to fund more generous premium subsidies in the ACA's exchanges. The "repeal" bill looks more like the ACA every day.

Go deeper

17 mins ago - World

Putin calls Biden summit "constructive," says ambassadors will return to posts

Putin at the summit with Biden. Photo: Mikhail Metzel\TASS via Getty Images

Russian President Vladimir Putin said Wednesday that his summit with President Biden was "constructive," and that the countries had agreed their ambassadors would imminently return to their posts in Moscow and Washington.

What he's saying: "Many of our joint positions are divergent but nevertheless I think both sides manifested a determination to try and understand each other and try and converge our positions," Putin told reporters at a press conference immediately following the meetings.

Updated 22 mins ago - World

Live updates: Putin holds press conference after Biden summit concludes

President Biden met with Russian President Vladimir Putin in Geneva for less than four hours of talks on Wednesday, a highly anticipated summit that comes as both sides say U.S.-Russia relations have sunk to a new post-Cold War low.

The latest: The summit concluded at about 11:15 a.m. ET, according to the White House. At a press conference, Putin called the talks "very constructive' and announced that the U.S. and Russia's respective ambassadors would return to their posts. Biden is expected to deliver his own press conference at 1:30 p.m. ET.

Southwest heat wave intensifies, breaks records and worsens drought

A temperature "misery index" shows peak levels across the Southwest (orange and yellow), and the upper air flow shows how the jet stream is being pushed north, away from the heat dome parked over the Four Corners region. (Earth.nullschool.net)

A punishing and long-enduring heat wave is intensifying in parts of the West and Southwest, with heat warnings and advisories in effect across seven states Wednesday. The heat will not relent until late in the weekend.

Threat level: In the coming days, 40 million are likely to see temperatures reach or exceed 100 degrees.

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