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Jacquelyn Martin / AP

The Senate's current leading option for how to revise Medicaid is to phase out the Affordable Care Act's expansion more slowly than the House did, but grow a per-person funding cap at the same rate as the House bill, according to two GOP aides.

This isn't a final plan, but it is the recommendation Majority Leader Mitch McConnell made to Senate Republicans on Tuesday. One of the aides said members are still fighting over the growth rate. Conservatives have been calling for a lower rate, and moderates want an even longer glidepath away from the expansion than the one being proposed.

More details:

  • Medicaid expansion: The House bill would immediately reduce enhanced federal spending for Medicaid expansion in 2020, except for people who were already enrolled in the program. New enrollees would receive the state's traditional match rate, which is much lower than the enhanced one under the ACA.The Senate proposal would create instead a three-year glidepath beginning in 2020 down to the lower matching rate to give states more time to adjust to the reduced funding.This was Sen. Rob Portman's idea, although he is pushing for a seven-year transition period.
  • Per-person cap: This would grow over time at the same rate as the House bill, which was tied to medical inflation. Conservative Republicans want the growth rate to be lower than that.

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Illustration: Sarah Grillo/Axios

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  2. Politics: States beg for Warp Speed billions.
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  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.

6 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.

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