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The latest Affordable Care Act repeal and replacement bill, sponsored by Sens. Bill Cassidy, Lindsey Graham, Dean Heller and Ron Johnson, would both reduce and redistribute federal health care funding to the states. And that would create clear winners and losers among states. The left-leaning Center on Budget and Policy Priorities ran the numbers to figure out how each state would fare.

Our thought bubble: This is the biggest reason we think the Graham-Cassidy bill is unlikely to go anywhere. To pass it, GOP senators from states like Arizona and Florida would have to vote to give up federal dollars to, effectively, subsidize states like Texas and Alabama.

Expand chart
Data: Center on Budget and Policy Priorities analysis; Cartogram: Andrew Witherspoon / Axios

What the bill would do:

  • Converts funding for the ACA's premium subsidies and Medicaid expansion into a block grant, which would result in states getting less money. This funding would stop after 2026.
  • Changes the current open-ended federal match for Medicaid spending into a per-person funding cap, which also would result in less federal funding for states over time.
  • Allows states to waive many of the ACA's consumer protections, like its essential health benefits and the requirement that insurers charge sick and healthy people the same premium.

Go deeper

Updated 7 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Large coronavirus outbreaks leading to high death rates — Coronavirus cases are at an all-time high ahead of Election Day — U.S. tops 88,000 COVID-19 cases, setting new single-day record.
  2. Politics: States beg for Warp Speed billions.
  3. World: Taiwan reaches a record 200 days with no local coronavirus cases.
  4. 🎧Podcast: The vaccine race turns toward nationalism.

Technical glitch in Facebook's ad tools creates political firestorm

Facebook CEO Mark Zuckerberg. Photo: SOPA Images / Contributor

Facebook said late Thursday that a mix of "technical problems" and confusion among advertisers around its new political ad ban rules caused issues affecting ad campaigns of both parties.

Why it matters: A report out Thursday morning suggested the ad tools were causing campaign ads, even those that adhered to Facebook's new rules, to be paused. Very quickly, political campaigners began asserting the tech giant was enforcing policies in a way that was biased against their campaigns.

8 hours ago - Health

States beg for Warp Speed billions

A COVID-19 drive-thru testing center yesterday at Hard Rock Stadium in Miami Gardens. Photo: David Santiago/Miami Herald via AP

Operation Warp Speed has an Achilles' heel: States need billions to distribute vaccines — and many say they don't have the cash.

Why it matters: The first emergency use authorization could come as soon as next month, but vaccines require funding for workers, shipping and handling, and for reserving spaces for vaccination sites.