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Cathy Bussewitz / AP

Here's a twist in the push to stabilize the Affordable Care Act's insurance exchanges: The National Association of Insurance Commissioners has sent a letter to President Trump's administration that asks for the quick, continued funding of the cost-sharing reduction subsidies that help lower out-of-pocket costs for low-income people.

Why this matters: Trump and congressional Republicans love to tout the rights of states. And now the group representing the leaders of state insurance departments is urging them to keep the subsidies they have threatened to cut off. This puts Republicans in a spot where they either swallow their pride and fund an ACA program, or they selectively ignore the requests of a group that makes up the foundation of their policymaking.

Go deeper

Updated 20 mins ago - Politics & Policy

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Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

Technical glitch in Facebook's ad tools creates political firestorm

Facebook CEO Mark Zuckerberg. Photo: SOPA Images / Contributor

Facebook said late Thursday that a mix of "technical problems" and confusion among advertisers around its new political ad ban rules caused issues affecting ad campaigns of both parties.

Why it matters: A report out Thursday morning suggested the ad tools were causing campaign ads, even those that adhered to Facebook's new rules, to be paused. Very quickly, political campaigners began asserting the tech giant was enforcing policies in a way that was biased against their campaigns.

2 hours ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.