Photo: Al Drago/Getty Images

Presidential budget proposals — all of them, no matter the president — are aspirational. They are not bills with the potential to be signed into law; they are statements about an administration's priorities.

Between the lines: With that in mind, here are the health care highlights from the budget proposal the White House released yesterday.

Things that only matter politically:

  • The budget still embraces Republicans' failed repeal-and-replace policy, including its enormous Medicaid cuts.
  • That's not going anywhere in Washington, but it'll be a big deal for Democrats on the 2020 campaign trail.

Ideas to watch:

  • Trump's budget proposes big payment cuts for brand-name drugs that enter into "pay for delay" settlements — agreements in which they pay a potential generic competitor to stay off the market, which keeps other generics at bay, too.
  • It proposes an annual fee on e-cigarette makers to help fund FDA regulation of their products. Cigarette companies already pay such a fee.
  • And it calls for capping seniors' out-of-pocket drug costs.

The details:

  • Budgets are about money, and this one would cut several HHS offices.
  • The National Institutes of Health would lose almost $5 billion (Congress will never go along with that), while the FDA would get a slight bump.
  • HIV/AIDS activists praised the budget for including nearly $300 million toward Trump's plan to "eliminate the HIV epidemic" within the U.S., but criticized its proposed cuts to housing and other social services, as well as international HIV prevention efforts.

What's next: HHS Secretary Alex Azar heads to Capitol Hill for hearings on the budget today (before House Energy and Commerce), tomorrow (House Appropriations) and Thursday (Senate Finance).

Go deeper: Trump proposes record $4.75 trillion budget, with $8.6 billion for border wall

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Updated 4 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9:45 p.m. ET: 19,282,972 — Total deaths: 718,851 — Total recoveries — 11,671,491Map.
  2. U.S.: Total confirmed cases as of 9:45 p.m. ET: 4,937,441 — Total deaths: 161,248 — Total recoveries: 1,623,870 — Total tests: 60,415,558Map.
  3. Politics: Trump says he's prepared to sign executive orders on coronavirus aid.
  4. Education: Cuomo says all New York schools can reopen for in-person learning.
  5. Public health: Surgeon general urges flu shots to prevent "double whammy" with coronavirus — Massachusetts pauses reopening after uptick in coronavirus cases.
  6. World: Africa records over 1 million coronavirus cases — Gates Foundation puts $150 million behind coronavirus vaccine production.

Warren and Clinton to speak on same night of Democratic convention

(Photos: Abdulhamid Hosbas/Anadolu Agency via Getty Images, Sean Rayford/Getty Images)

Sen. Elizabeth Warren and Hillary Clinton both are slated to speak on the Wednesday of the Democratic convention — Aug. 19 — four sources familiar with the planning told Axios.

Why it matters: That's the same night Joe Biden's running mate (to be revealed next week) will address the nation. Clinton and Warren represent two of the most influential wise-women of Democratic politics with the potential to turn out millions of establishment and progressive voters in November.

Trump considering order on pre-existing condition protections, which already exist

Photo: Jim Watson/AFP via Getty Images

President Trump announced on Friday he will pursue an executive order requiring insurance companies to cover pre-existing conditions, something that is already law.

Why it matters: The Affordable Care Act already requires insurers to cover pre-existing conditions. The Trump administration is currently arguing in a case before the Supreme Court to strike down that very law — including its pre-existing condition protections.