CMS administrator Seema Verma. Photo: Jabin Botsford/The Washington Post via Getty Images

Utah lawmakers have answered the big questions about how they would seek to overturn a popular vote in favor of adopting the Affordable Care Act's Medicaid expansion. Now the question is whether the Trump administration will let it happen.

Driving the news: Utah Gov. Gary Herbert signed off on a bill yesterday to adopt only a partial Medicaid expansion — something the federal Centers for Medicare & Medicaid Services has never before approved.

Details: Utah wants to only expand Medicaid to people whose incomes are at or below the poverty line, as opposed to the full expansion, which goes up to 138% of the poverty line.

  • But Utah wants full federal funding for its partial expansion.
  • State officials say they've gotten informal encouragement from CMS — including from administrator Seema Verma.

And the cuts could get bigger: Two officials from Herbert's administration told the Washington Post that CMS signaled the partial expansion would be on stronger footing if Utah also sought a per-person cap on Medicaid spending.

  • That would be an even more dramatic change, reviving one of the most contentious ideas from Republicans' repeal-and-replace bills in 2017.

What's next: If CMS approves the partial expansion, expect lawsuits to follow immediately.

  • One big change: Earlier versions of the Utah measure would have canceled the expansion altogether if CMS rejects the state's waiver, but the final version instead would implement the full expansion as a fallback in that case, per the Desert News.

Go deeper: States are using Medicaid to target social needs

Go deeper

Updated 15 mins ago - World

Scoop: Decisive meeting could lead to Israeli-Sudanese normalization

Lt. Gen. Abdel Fattah al-Burhan, Sudan's head of the Sovereign Council, meets with Bahraini aid officials in Khartoum, Sept. 15. Photo: Mazen Mahdi/AFP via Getty Images

U.S., Emirati and Sudanese officials will hold a decisive meeting in Abu Dhabi on Monday on a possible normalization agreement between Sudan and Israel, Sudanese sources told me.

Why it matters: If the U.S. and the United Arab Emirates accommodate Sudan’s requests for economic aid, an announcement on a normalization agreement with Israel similar to the ones struck with the UAE and Bahrain could be made within days, sources briefed on the process tell me.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 12:45 p.m. ET: 30,838,610 — Total deaths: 958,090— Total recoveries: 21,088,552Map.
  2. U.S.: Total confirmed cases as of 12:45 p.m. ET: 6,777,026 — Total deaths: 199,352 — Total recoveries: 2,577,446 — Total tests: 94,211,463Map.
  3. Politics: Testing czar on Trump's CDC contradictions: "Everybody is right" Trump's health secretary asserts control over all new rules.
  4. Education: What we overlooked in the switch to remote learning
  5. Health: The dwindling chances of eliminating COVID-19.
  6. World: Guatemalan president tests positive for COVID-19 — The countries painting their pandemic recoveries green.
Updated 2 hours ago - Health

7 states set single-day coronavirus case records last week

Data: Compiled by Axios; Map: Danielle Alberti/Axios

Seven states set new highs last week for coronavirus infections recorded in a single day, according to the COVID Tracking Project and state health departments. Wisconsin and Nebraska surpassed records set the previous week.

Why it matters: Problem spots are sticking in the Midwest, although the U.S. is moving in the right direction overall after massive infection spikes this summer.