(J. Scott Applewhite / AP)

Sens. Lamar Alexander and Patty Murray have ambitious plans to hold hearings and put together a bipartisan health care bill when Congress gets back from recess in September, and Alexander already has a list of proposals he thinks are most likely to garner bipartisan support.

Here's what he's saying is the "likely universe of what is possible for a small bipartisan stabilization package," according to a senior GOP aide:

  • Funding for the Affordable Care Act's cost sharing reduction subsidies, which are currently being paid by the administration.
  • A reinsurance program that would help insurers pay for high-cost enrollees, blunting the impact of these enrollees on overall premiums.
  • Expanded state innovation waivers, which would allow states to waive some of the ACA regulations, like essential health benefits. (A similar proposal was part of the Senate's repeal-and-replace bill.)
  • Allowing everyone in the individual market to buy plans that only cover catastrophic care. The ACA limits those plans to people younger than 30.

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Updated 16 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Politics: Ex-FDA chief: Pence campaigning after COVID exposure puts others at risk — Mark Meadows: "We are not going to control the pandemic"— COVID-19 looms over White House Halloween celebrations.
  2. Health: 13 states set single-day coronavirus case records last week — Fauci says maybe we should mandate masks if people don't wear themU.S. reports over 80,000 new cases for second consecutive day.
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Amy Coney Barrett's immediate impact

Illustration: Eniola Odetunde/Axios

In her first week on the job, Amy Coney Barrett may be deciding which votes to count in the presidential election. By her third week, she’ll be deciding the fate of the Affordable Care Act.

Where it stands: The Senate votes on Barrett’s nomination tomorrow. If she’s confirmed, Chief Justice John Roberts is expected to swear her in at the Supreme Court within hours, an administration official tells Axios.

Texas Democrats beg Biden to spend now

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The Biden campaign is rebuffing persistent pleas from Texas Democrats to spend at least $10 million in the Lone Star state, several people familiar with the talks tell Axios.

Why it matters: If Texas — which has 38 electoral votes and is steadily getting more blue, but hasn't backed a Democrat for president since 1976 — flipped to the Biden column, it would be game over. But the RealClearPolitics polling average stubbornly hovers at +2.6 for Trump — and Team Biden appears more focused on closer targets.