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Alex Brandon / AP

Majority Leader Mitch McConnell is trying to wrangle members from opposite ends of the Republican caucus together to support some revised version of the Senate health care bill, offering both moderates and conservatives new policies to shore up support for the bill.

On the table: More funding to fight the opioid epidemic, revised health savings account policies, potentially getting rid of the repeal of the net investment tax on the wealthy.

Off the table: Undermining pre-existing conditions protections, which could happen indirectly under a plan Sen. Ted Cruz is pushing,

What we're hearing:

  • There's a push to include as much as $45 billion in funding for the opioid crisis, up from $2 billion under last week's bill. This would be a win for moderates like Sens. Rob Portman and Shelley Moore Capito.
  • There's also an effort to add more funding to the state stabilization fund, and to make the funding available sooner to states.
  • There will likely be a provision allowing health savings accounts to be used for premiums. This is a win for conservatives, and could help middle-class people afford their premiums. One aide said the price tag could be around $60 billion, as it would result in lost tax revenue. (HSA contributions aren't taxed.)
  • There's chatter about removing a repeal of the Affordable Care Act's 3.8 percent investment tax, which benefits wealthy people. This would free up some extra funding to help coverage levels, and would also help combat the narrative that the bill cuts coverage for the poor to give money to the wealthy.

What's becoming a big problem: Cruz is pushing to allow insurers offering ACA-compliant plans to also offer non-compliant plans, which wouldn't be required to meet the ACA's pre-existing conditions protections or other insurance regulations. Cruz wants to include that in the revised bill to cut the cost of individual insurance, and says sick people could still get subsidies that would protect them from premium hikes.

But that's off the table, senior GOP aides say, because most Republican senators have already decided they don't want to undermine the ACA's pre-existing condition protections in any way.

Go Deeper:

How the Senate health bill would change Medicaid fundingHow premiums would change under the Senate health bill

Go deeper

GOP Rep. Gonzalez retires in face of Trump-backed primary

Ohio Rep. Anthony Gonzalez (R) Photographer: Stefani Reynolds/Bloomberg via Getty Images

Ohio Rep. Anthony Gonzalez (R) announced his retirement on Thursday, declining to run against a Trump-backed primary challenger in 2022.

Why it matters: Gonzalez has suffered politically since siding with House Democrats to impeach the 45th president after the Capitol riot.

Swing voters oppose Texas abortion law

Protesters at a rally at the Texas State Capitol. Photo: Jordan Vonderhaar/Getty Images

All 10 swing voters in Axios’ latest focus groups — including those who described themselves as "pro-life" — said they oppose Texas' new anti-abortion law.

Why it matters: If their responses reflect larger patterns in U.S. society, this could hurt Republicans with women and independents in next year's midterm elections. The swing voters cited overreach, invasion of privacy and concerns about frivolous lawsuits jamming up the courts.

7 hours ago - Politics & Policy

Scoop: Biden bombs with Manchin

Then-Vice President Joe Biden conducts a ceremonial swearing-in for Sen. Joe Manchin in 2010. Photo: Tom Williams/Roll Call

President Biden failed to persuade Sen. Joe Manchin (D-W.Va.) to agree to spending $3.5 trillion on the Democrats' budget reconciliation package during their Oval Office meeting on Wednesday, people familiar with the matter tell Axios.

Why it matters: Defying a president from his own party — face-to-face — is the strongest indication yet Manchin is serious about cutting specific programs and limiting the price tag of any potential bill to $1.5 trillion. His insistence could blow up the deal for progressives and others.