A coalition of policy experts from conservative think tanks and advocacy groups is quietly working to spur Congress to take another shot at overhauling Obamacare before the midterm elections.

The group, which includes former Sen. Rick Santorum (R-Pa.), has members from the American Enterprise Institute, the Heritage Foundation, and the Goldwater Institute who have met weekly since Republicans last gave up on trying to repeal the Affordable Care Act. They have met with Republican congressional aides and White House staff to discuss their ideas for turning the health law into a block grant program meant to give states far more control over health insurance regulations.

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The conservative dream of complete Obamacare repeal may be mostly dead, as Vox’s Dylan Scott suggested early this week, but as fans of The Princess Bride know, there’s a big difference between mostly dead and all dead.

The Hill reports that, in an effort to keep their repeal chances from expiring completely, conservative groups led by the Heritage Foundation, the Galen Institute and former Sen. Rick Santorum (R-PA) are hoping to issue a new Obamacare replacement plan this month.

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Two of Virginia’s ObamaCare insurers are requesting significant premium hikes for 2019, according to initial filings released Friday.

Both Cigna and CareFirst BlueCross BlueShield cited policies advocated by the Trump administration, including the repeal of ObamaCare’s individual mandate, as part of its justifications for the increases.

Cigna is proposing an average premium increase of 15 percent for its 103,264 customers in Virginia, with a range of increases from 6.4 percent to 40 percent.

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This fall’s midterm election ballot just got a little longer in Utah. In mid-April, progressive activists announced that they’d gathered enough signatures to force a November referendum on Medicaid expansion.

Utah isn’t the only red state flirting with extending free government health insurance to able-bodied, childless adults. Within weeks, activists in Idaho will surpass the number of signatures required for their own ballot referendum. Groups in Nebraska just launched a signature-gathering campaign, too.

If voters choose to expand Medicaid, they’ll surely regret it.

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