The White House and Republicans are talking seriously about reviving Trumpcare, and they think they've found the ticket: fewer Obamacare insurance regulations and more high-risk pool plans, which offer coverage that's subsidized by a state government. Will it be enough to win over the Freedom Caucus? Chairman Mark Meadows said last night that the group wants to see the legislative text. Will it actually gain votes that Republicans didn't already have? Not clear yet.

Here's the latest, and a reality check on what it all means:

  • Vice President Mike Pence met with two groups of Republicans yesterday: a group of moderates in the afternoon, and the Freedom Caucus at night.
  • The emerging plan would let states opt out of some, though not all, of Obamacare's insurance regulations.
  • It would technically protect pre-existing condition coverage, but it would allow states to get rid of the "community rating" provision that prevents insurers from charging higher rates to sick people.
  • It would also go after the "essential health benefits" provision — things like prescription drug coverage, mental health services, and pregnancy and childbirth, among others — which was already on the table. Health and Human Services secretary Tom Price would be given the authority to grant waivers to the states.
  • The bill's Patient and State Stability Fund, which would give the states more than $100 billion over 10 years, would be targeted more narrowly to be spent on high-risk pools, as Jonathan Swan and I reported last night.
  • Pence left the Freedom Caucus meeting last night without a deal, but Meadows said the group was "encouraged."
  • Less clear is what Pence accomplished with his meeting with the moderates, who were mostly Republicans likely to vote for the bill anyway.
  • The most high-profile moderate who's a "no" vote — Rep. Charlie Dent — wasn't invited to the meeting to get to "yes." Instead, he talked with Sen. Rand Paul, who's circulating his own idea for jump-starting the talks: Keep Obamacare's structure for subsidies, but reduce the funding.

Reality check: All of the movement so far is pushing the bill to the right, so the Trump administration appears to be placing its bets with the conservatives, not the moderates. Even if the new proposal gains Freedom Caucus votes, the risk is that it could lose votes from other members — especially those who don't want to be accused of abandoning sick people.

Go deeper

Updated 6 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 10 p.m. EST: 32,135,220 — Total deaths: 981,660 — Total recoveries: 22,149,441Map.
  2. U.S.: Total confirmed cases as of 10 p.m EST: 6,975,980 — Total deaths: 202,738 — Total recoveries: 2,710,183 — Total tests: 98,481,026Map.
  3. Politics: House Democrats prepare new $2.4 trillion coronavirus relief package.
  4. Health: Cases are surging again in 22 states — New York will conduct its own review of coronavirus vaccine.
  5. Business: America is closing out its strongest quarter of economic growth.
  6. Technology: 2020 tech solutions may be sapping our resolve to beat the pandemic.
  7. Sports: Pac-12 will play this fall despite ongoing pandemic — Here's what college basketball will look like this season.
  8. Science: Global coronavirus vaccine initiative launches without U.S. or China — During COVID-19 shutdown, a common sparrow changed its song.
9 hours ago - Sports

Pac-12 will play football this fall, reversing course

A view of Levi's Stadium during the 2019 Pac-12 Championship football game. Photo: Alika Jenner/Getty Images

The Pac-12, which includes universities in Arizona, California, Colorado, Oregon, Utah and Washington state, will play football starting Nov. 6, reversing its earlier decision to postpone the season because of the coronavirus pandemic.

Why it matters: The conference's about-face follows a similar move by the Big Ten last week and comes as President Trump has publicly pressured sports to resume despite the ongoing pandemic. The Pac-12 will play a seven-game conference football season, according to ESPN.

Dave Lawler, author of World
10 hours ago - World

Global coronavirus vaccine initiative launches without U.S. or China

Data: Gavi, The Vaccine Alliance; Map: Naema Ahmed/Axios

A global initiative to ensure equitable distribution of coronavirus vaccines now includes most of the world — but not the U.S., China or Russia.

Why it matters: Assuming one or more vaccines ultimately gain approval, there will be a period of months or even years in which supply lags far behind global demand. The COVAX initiative is an attempt to ensure doses go where they're most needed, rather than simply to countries that can produce or buy them at scale.

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