Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Stay on top of the latest market trends

Subscribe to Axios Markets for the latest market trends and economic insights. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Sports news worthy of your time

Binge on the stats and stories that drive the sports world with Axios Sports. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tech news worthy of your time

Get our smart take on technology from the Valley and D.C. with Axios Login. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Get the inside stories

Get an insider's guide to the new White House with Axios Sneak Peek. Sign up for free.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Denver news?

Get a daily digest of the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Des Moines news?

Get a daily digest of the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Twin Cities news?

Get a daily digest of the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Tampa Bay news?

Get a daily digest of the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Want a daily digest of the top Charlotte news?

Get a daily digest of the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Lazaro Gamio / Axios

Senate HELP Committee chairman Lamar Alexander will pay a lot of attention to what’s happening in his home state of Tennessee when he moves ahead on an Affordable Care Act stabilization bill. Here’s what he’s likely to hear from Tennessee insurance commissioner Julie McPeak, who’s scheduled to testify at one of the hearings on the bill next week.

The bottom line: McPeak tells me she wants help for insurers and more flexibility for the states to regulate insurance, but the first is a more urgent priority than the second. And even though Tennessee didn’t end up with any “bare counties" with no health insurance options next year, she says the state isn’t anywhere near out of danger, since only 17 counties out of 95 will have more than one insurer.

Here’s what McPeak says it would take to stabilize the markets:

  • She says Congress should fund the ACA’s cost-sharing reduction payments to insurers for another year, which is part of Alexander’s plan.
  • She also wants a reinsurance or high-risk pool program to help relieve insurers of the costs of the sickest patients — which may be off the table for this proposal, as Caitlin Owens reported last week.
  • State flexibility is important, but McPeak says it might be better to create a different kind of state waiver than the ACA’s “Section 1332” waivers, since those have to be approved by state legislatures. That’s a problem, she said, when they’re not in session for the rest of the year.
  • In the long term, she said, Congress should look at the sustainability of the ACA — “but I think that’s a lot for Congress to take on right now."

The big picture: Nationally, 1,476 counties — with roughly 2.6 million ACA marketplace customers — could have only one insurer next year, according to a map released by the Centers for Medicare and Medicaid Services yesterday.

Go deeper

Updated 1 hour ago - Politics & Policy

Senate pulls all-nighter on amendments to COVID relief package

Photo: Alex Wong/Getty Images

Democratic leaders struck an agreement with Sen. Joe Manchin (D-W.V.) on emergency unemployment insurance late Friday, clearing the way for Senate action on President Biden's $1.9 trillion stimulus package to resume after an hours-long delay.

The state of play: The Senate continued to work through votes on a marathon of amendments overnight into Saturday morning.

The elusive political power of Mexican Americans

Data: Pew Research Center, U.S. Census Bureau; Chart: Michelle McGhee/Axios

Mexican Americans make up the nation's largest Latino group, yet they remain politically outshined by more recently arrived Cuban Americans.

Why it matters: The disparities in political power between Mexican Americans and Cuban Americans reflect the racial, historical, geographical and economic differences within Latino cultures in the U.S.

You’ve caught up. Now what?

Sign up for Mike Allen’s daily Axios AM and PM newsletters to get smarter, faster on the news that matters.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!