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John Minchillo / AP

Attempts to reach a deal this week on health care are unraveling fast, with conservatives already blaming House Speaker Paul Ryan for blocking the White House bill, and leadership sources saying that's nonsense and that the Freedom Caucus is making unreasonable demands that are losing net votes.

It's a bad sign for Republicans ahead of Vice President Mike Pence's visit to the Capitol tonight. From a senior Republican source:

While we haven't picked up any votes yet, this concept is already showing signs of losing a ton of them.

The Freedom Caucus and conservative group perspective: The bill's text is changing for the worse, and it no longer looks like some of the Obamacare regulations will be waived. Conservatives are growing doubtful that the White House and House leadership are willing to get rid of Obamacare's ban on charging sick people higher premiums. Conservatives also want to know what leadership has to say about the "medical loss ratio," or the Obamacare regulation limiting how much of insurers' revenue can be profit.

They're also not happy about the accusation that getting rid of the Obamacare ban on charging higher premiums would nullify its protections for pre-existing conditions.

A Freedom Caucus source: "We've never ever wanted to go after pre-existing conditions. That's spin (well a lie) meant to undermine us. Pence said he supports our plan of reforming, and funding changes to high risk pools, specifically to deal with pre-existing conditions."

House leadership perspective: Where the plan is heading will potentially lose more votes than it picks up. The Freedom Caucus, they say, is moving the goal posts again and trying to shift blame.

What to watch: Pence's meeting tonight around 8:30pm with "major stakeholders," per a GOP source.

Go deeper

Updated 2 hours 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 3 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.