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AP Photo / Susan Walsh

Over the next 20 years, federal Medicaid spending would be 35% lower with the Senate health care bill than without it, according to a new analysis from the Congressional Budget Office.

Why it matters: Notwithstanding the semantic back-and-forth between "cuts" and "reductions in the rate of growth" under the Senate bill, CBO's latest report makes it pretty clear that the federal government will spend a lot less money on Medicaid if the Senate bill passes, likely forcing states to cut providers' payments or restrict eligibility for the program.

Key takeaway: Under the Senate bill, federal Medicaid would make up a smaller share of the overall economy than it does today. Per CBO's estimates:

  • Medicaid is expected make up 2% of GDP this year.
  • If Medicaid's status quo continues, it would rise to 2.4% of GDP by 2036.
  • Under the Senate bill, it would be 1.6% of GDP in 2036.

Go deeper

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: WHO: AstraZeneca vaccine must be evaluated on "more than a press release."
  2. Politics: Supreme Court backs religious groups on New York COVID restrictions.
  3. Economy: Safety nets to disappear in DecemberAmazon hires 1,400 workers a day throughout pandemic.
  4. Education: U.S. public school enrollment drops as pandemic persists — National standardized tests delayed until 2022.
  5. Cities: Los Angeles County issues stay-at-home order, limits gatherings.
  6. World: London police arrest dozens during anti-lockdown protests — Thailand, Philippines sign deal with AstraZeneca for vaccine.

Tony Hsieh, longtime Zappos CEO, dies at 46

Tony Hsieh. Photo: FilmMagic/FilmMagic

Tony Hsieh, the longtime ex-chief executive of Zappos, died on Friday after being injured in a house fire, his lawyer told the Las Vegas Review-Journal. He was 46.

The big picture: Hsieh was known for his unique approach to management, and following the 2008 recession his ongoing investment and efforts to revitalize the downtown Las Vegas area.

Dan Primack, author of Pro Rata
9 hours ago - Economy & Business

The unicorn stampede is coming

Illustration: Annelise Capossela/Axios

Airbnb and DoorDash plan to go public in the next few weeks, capping off a very busy year for IPOs.

What's next: You ain't seen nothing yet.