Jul 11, 2017

What we know about the Senate health care bill

AP Photo/Andrew Harnik

Senate Republicans are still deeply divided over the contents of their health care bill, and several big questions have yet to be answered. There's even talk of attempting a bipartisan alternative. And Majority Leader Mitch McConnell canceled the first two weeks of the August recess to give the chamber more time to work.

In short, things aren't looking good.

What we're hearing about the next iteration of the bill:

  • The Medicaid portions of the revised bill likely will stay largely the same as the first version — including the growth rate for new per-person funding caps and the process for phasing out the Affordable Care Act's Medicaid expansion. This is a loss for several moderates, including Sens. Dean Heller, Rob Portman, Shelley Moore Captio, Lisa Murkowski, Dan Sullivan, John Hoeven and Susan Collins. It's a win for conservatives, particularly Sen. Pat Toomey.A small tweak is likely to be added that would benefit Louisiana, a senior GOP aide told me. This would help with Sen. Bill Cassidy's concerns.
  • Sen. Lindsey Graham said he's working on an alternative health care bill, which he hopes would attract some Democratic support. An aide said he was scheduled to present on his plan at Tuesday's GOP lunch.
  • The jury's still out on whether to include Sens. Ted Cruz and Mike Lee's Consumer Freedom Option in the bill, but there's a strong chance it doesn't meet Senate budget rules anyways. That means it could be subject to a 60-vote threshold to be included — whether as an amendment or part of the overall bill — and it surely wouldn't muster that many votes.
  • There will be additional funding for the opioid epidemic — likely $45 billion — as well as a provision saying people can use health savings accounts to pay their insurance premiums.

Go deeper

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 857,487 — Total deaths: 42,107 — Total recoveries: 178,034.
  2. U.S.: Leads the world in confirmed cases. Total confirmed cases as of 9 p.m. ET: 188,172 — Total deaths: 3,873 — Total recoveries: 7,024.
  3. Business updates: Should you pay your rent or mortgage during the coronavirus pandemic? Find out if you are protected under the CARES Act.
  4. Public health updates: More than 400 long-term care facilities across the U.S. report patients with coronavirus — Older adults and people with underlying health conditions are more at risk, new data shows.
  5. Federal government latest: President Trump said the next two weeks would be "very painful," with projections indicating the virus could kill 100,000–240,000 Americans.
  6. U.S.S. Theodore Roosevelt: Captain of nuclear aircraft carrier docked in Guam pleaded with the U.S. Navy for more resources after more than 100 members of his crew tested positive.
  7. What should I do? Answers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  8. Other resources: CDC on how to avoid the virus, what to do if you get it.

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World coronavirus updates: UN warns of recession with "no parallel" to recent past

Data: The Center for Systems Science and Engineering at Johns Hopkins, the CDC, and China's Health Ministry. Note: China numbers are for the mainland only and U.S. numbers include repatriated citizens and confirmed plus presumptive cases from the CDC

The novel coronavirus pandemic is the "greatest test" the world has faced together since the formation of the United Nations just after the Second World War ended in 1945, UN chief António Guterres said Tuesday.

The big picture: COVID-19 cases surged past 856,000 and the death toll exceeded 42,000 Tuesday, per Johns Hopkins data. Italy reported more than 12,000 deaths.

Go deeperArrowUpdated 2 hours ago - Health

White House projects 100,000 to 240,000 U.S. coronavirus deaths

President Trump said at a press briefing on Tuesday that the next two weeks in the U.S. will be "very painful" and that he wants "every American to be prepared for the days that lie ahead," before giving way to Deborah Birx to explain the models informing the White House's new guidance on the coronavirus.

Why it matters: It's a somber new tone from the president that comes after his medical advisers showed him data projecting that the virus could kill 100,000–240,000 Americans — even with strict social distancing guidelines in place.

Go deeperArrowUpdated 3 hours ago - Health