OVERNIGHT HEALTH: Obama plan nixes health benefits for immigrants in the pipeline

Whatever the conclusion, observers can bet on an enormous fight if any of the immigration players stake their acceptance of a deal on healthcare reform benefits for the newly documented. The very suggestion has conservatives reeling, and Sen. Marco RubioMarco Antonio RubioRyan pledges 'entitlement reform' in 2018 Richard Gere welcomes lawmakers' words of support for Tibet Dem lawmaker gives McConnell's tax reform op-ed a failing grade MORE (R-Fla.) signaled Tuesday that he would withdraw his support from a final bill that adds millions of "ObamaCare" beneficiaries.

Read more about Rubio's interview — it was with Rush Limbaugh — at Healthwatch.

Subsidies fight continues: House Republicans on Tuesday reiterated their threat to issue subpoenas in their investigation into the Affordable Care Act's insurance subsidies. Republicans believe the IRS exceeded its legal authority by writing regulations to make the subsidies available in both state-run and federally facilitated exchanges, and have repeatedly asked to review documents about the IRS's decision making process. 

They said Tuesday that the agency hasn't provided responsive documents, and has excessively redacted the documents it has provided. Healthwatch has the full story on the latest threat.

Plan B vending machine isn't going anywhere: The FDA has decided not to take regulatory action against a vending machine that dispenses the so-called "morning-after pill," an agency spokeswoman confirmed to Healthwatch on Tuesday. 

FDA looked at publicly available information about Shippensburg State University's vending program and spoke with university and campus health officials and decided not to take any regulatory actions, the FDA said.

Read more here.

'Major crisis': Sen. Bernie SandersBernard (Bernie) SandersSchumer: Franken should resign Franken resignation could upend Minnesota races Avalanche of Democratic senators say Franken should resign MORE (I-Vt.) examined the U.S. primary care shortage in a hearing Tuesday where he called the status quo a "major crisis ... which results in lower quality healthcare for our people and greater expenditures." Sanders said that one in five Americans live in regions with a provider shortage, where their access to primary care is threatened as a result. Taking part in the hearing was the Association of American Medical Colleges, which predicted a shortage of 45,000 primary care physicians and 46,000 specialists by 2020.

State by state

Missouri Gov. Jay Nixon is all about the ACA's Medicaid expansion.

Healthcare cuts take effect this week in Louisiana.

Arkansas legislators want to ban abortion when a fetal heartbeat can be detected.

Reading list

ObamaCare's "sticker shock" is pretty modest, Jonathan Cohn writes at the New Republic.

The ACA sticker shock from immigration could soar into the hundreds of billions, according to the Washington Examiner's Philip Klein.

The ACLU is suing the Drug Enforcement Agency over its regulation of prescription drugs, Regulatory Focus reports.

Biotechnology firms are spending billions to limit access to generics, The New York Times reports.

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Sam Baker: sbaker@thehill.com / 202-628-8351

Elise Viebeck: eviebeck@thehill.com / 202-628-8523

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