Illustration: Sarah Grillo/Axios

Tennessee on Tuesday released its plan to transform its Medicaid program into a block grant, marking the most aggressive red-state Medicaid reform proposal yet, reports the Washington Post.

Why it matters, per Axios' Bob Herman: If Tennessee garners federal approval on a policy to cut Medicaid funds — and survives the subsequent lawsuits it'd surely face — it would encourage other conservative states to do the same. This would be a radical change to the medical safety net for the nation's poorest citizens.

The big picture: While converting Medicaid into block grants has long been a goal of conservatives, Republicans were unable to make the change federally in 2017 as part of their Affordable Care Act repeal effort.

  • The state waiver process tees up a test of how far the Trump administration will go to promote state flexibility, and whether current law will allow such a radical change.
    Red state attempts to add work requirements to Medicaid have so far run into road blocks in court.

Block grants allow the federal government to give states a lump sum annually to cover Medicaid costs without having to abide by some of the rules.

  • As it stands, the plan would impact more than 1 million of the 1.4 million residents using TennCare, the state's Medicaid program, per the Washington Post.
  • The plan wouldn't change coverage of prescription drugs and payments to hospitals that treat low-income patients.

Go deeper:

Go deeper

TikTok's content-moderation time bomb

Illustration: Aïda Amer/Axios

When the dust finally clears from the fight over TikTok, whoever winds up running the burgeoning short-video-sharing service is likely to face a world of trouble trying to manage speech on it.

Why it matters: Facebook’s story already shows us how much can go wrong when online platforms beloved by passionate young users turn into public squares.

Ben Geman, author of Generate
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Zooming in on China's new energy plan

Illustration: Rebecca Zisser/Axios

Major climate news arrived on Tuesday when Chinese President Xi Jinping said China would aim for "carbon neutrality" by 2060 and a CO2 emissions peak before 2030.

Why it matters: China is by far the world's largest greenhouse gas emitter. So its success or failure at reining in planet-warming gases affects everyone's future.

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 a.m. ET: 31,647,930 — Total deaths: 971,711 Total recoveries: 21,776,599Map.
  2. U.S.: Total confirmed cases as of 9 a.m. ET: 6,897,661 — Total deaths: 200,818 — Total recoveries: 2,646,959 — Total tests: 96,612,436Map.
  3. Health: Hospitals want more time to repay pandemic loans — Supply shortages continue to plague testing.
  4. Business: The high-wage jobs aren't coming back
  5. Vaccines: Johnson & Johnson begins large phase 3 trial — The FDA plans to toughen standards.
  6. Sports: Less travel is causing the NBA to see better basketball.

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