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Jacquelyn Martin / AP

The good news:

  • $321 billion in net deficit reduction ($202 billion more than the House).
  • Average premiums would go down starting in 2020.
  • The markets would be stable through 2020, and stable after that "in most areas of the country."

The bad news:

  • 22 million fewer people would have health coverage.
  • The increase in the uninsured would be "disproportionately larger among older people with lower income."
  • $772 billion in Medicaid cuts.
  • States would have to decide whether to put more money into Medicaid, cut doctors' payments, eliminate optional services, restrict eligibility, or all of the above.
  • Average premiums would go up before 2020.
  • People would pay "substantial increases" for services no longer considered essential benefits.
  • "Coverage for maternity care, mental health care, rehabilitative and habilitative treatment, and certain very expensive drugs could be at risk."
  • Annual and lifetime limits could return for those services, too.
  • Deductibles would be higher. (Closer to $6,000 for a benchmark plan, vs. $3,600 under the Affordable Care Act.)
  • Some "sparsely populated areas" would have no insurers.

Key quote: "As a result, despite being eligible for premium tax credits, few low-income people would purchase any plan, CBO and JCT estimate." - CBO score

Go deeper

Updated 1 hour ago - Politics & Policy

Key government agency says Biden transition can formally begin

General Services Administrator Emily Murphy. Photo: Alex Edelman/CNP/Getty Images

General Services Administrator Emily Murphy said in a letter to President-elect Joe Biden on Monday that she has determined the transition from the Trump administration can formally begin.

Why it matters: Murphy, a Trump appointee, had come under fire for delaying the so-called "ascertainment" and withholding the funds and information needed for the transition to begin while Trump's legal challenges played out.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Vaccines: Key information about the effective COVID-19 vaccines — Oxford and AstraZeneca's vaccine won't just go to rich countries.
  2. Health: U.S. coronavirus hospitalizations keep breaking recordsWhy we're numb to 250,000 deaths.
  3. World: England to impose stricter regional systemU.S. hotspots far outpacing Europe's — Portugal to ban domestic travel for national holidays.
  4. Economy: The biggest pandemic labor market drags.
  5. Sports: Coronavirus precautions leave college basketball schedule in flux.

Michigan board certifies Biden's win

Poll workers count absentee ballots in Detroit, Michigan on Nov. 4. Photo: Salwan Georges/The Washington Post via Getty Images

The Michigan Board of State Canvassers certified the state's election results on Monday, making President-elect Joe Biden's win there official and granting him the state's 16 electoral votes.

Why it matters: Republican Party leaders had unsuccessfully appealed to delay the official certification, amid the Trump campaign's failed legal challenges in key swing states.