Moderate Republican senators from Medicaid expansion states are dropping their opposition to ending the Affordable Care Act's enhanced federal funding for expansion as they embrace the idea of winding down that funding over several years.

Medi-Cal patients are swamping California emergency rooms in greater numbers than they did before the Affordable Care Act took effect, despite predictions that the health law would ease the burden on ERs.

A Nevada drug-pricing bill that targeted diabetes drugmakers didn’t make it past the governor’s veto pen, but state lawmakers renewed their efforts with a new bill that not only zeroes in on pharma, but pharmacy benefit managers, too. And this time, the governor is more supportive, according to one report.

Gov. Brian Sandoval on Friday vetoed a bill that would have required drug manufacturers to notify the state in advance of planned price increases for diabetes-related drugs, among other provisions.

There are still many hurdles to go before the bill would become a reality — namely, Gov. Brian Sandoval. Sandoval has supported Medicaid expansion, but hasn't said whether he will sign the bill. There are also plenty of outstanding questions, such as the plan design and plan costs.

President Donald Trump and GOP leaders insisted Tuesday the Senate will vote soon on legislation to repeal and replace "Obamacare." But even as senators headed toward the make-or-break vote before the Fourth of July, deep uncertainty remained about whether the emerging legislation would command enough support to pass.