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Senators want to forge a modest bipartisan deal for shoring up the nation's individual insurance markets. But lingering raw feelings over the Senate's failed attempt to obliterate the Obama health care law won't make the task any easier. The Senate health committee is holding the first of four scheduled health care hearings Wednesday. Testimony was planned from five states' insurance commissioners. (Fram, 9/6)

Four hearings being held by the Senate’s Health, Education, Labor and Pensions Committee are part of a push by the panel’s top Republican and Democrat, who are racing to negotiate an agreement before the month ends. At the moment, however, the parties differ on specifics, and it remains uncertain whether any accord — even a narrow one — is possible. This circumscribed effort follows Senate Republicans’ dramatic failure in late July to overturn central parts of the ACA. The new effort may yield a practical bipartisan response acknowledging that the insurance exchanges — conduits to medical coverage for about 10 million Americans — will continue to exist. Or it could provide another piece of evidence that the ACA is so politically toxic that compromise on it eludes even the senators most open to collaboration on health policy. (Goldstein and Eilperin, 9/5)

Committee Chairman Lamar Alexander, R-Tenn., says he's looking to do something "small, bipartisan and balanced." What's remarkable is that he made that statement in a joint press release last month with the committee's ranking Democrat, Sen. Patty Murray, D-Wash.Up until recently, all major Republican efforts to alter Obamacare were launched with no Democratic support, and no attempts to get any. (Kodjak, 9/5)

Committee members on both sides of the aisle have pledged to work on a bipartisan bill, with the goal of passing something by mid-September, before insurers are slated to deliver final rates.​ Rodney Whitlock, vice president of ML Strategies and a former Republican health policy aide on the Senate Finance Committee, said it's possible that the bill ends up being more than just a year or two of appropriations for cost-sharing reduction payments, and a few tweaks to the 1332 waiver process or parameters. (Lee, 9/5)

Witnesses are expected to hit a few common themes. Insurance commissioners have been calling for certainty on whether the administration will keep paying cost-sharing payments, subsidies created in the 2010 law. Commissioners also could point to programs like reinsurance as a way to lower premiums. Alaska and Minnesota are two states that use reinsurance, which provides government funding to insurers to compensate for high-cost patients. For example, Alaska, whose insurance commissioner will testify Wednesday, received a health care law waiver to create its reinsurance program earlier this year. That will likely come up Wednesday. (McIntire, 9/5)

The other big question is how any bill gets through Congress, given the crowded legislative agenda and issues like tax reform, hurricane relief, immigration and North Korea. One likely vehicle is a planned reauthorization of the Children’s Health Insurance Program, which provides health coverage to millions of low-income children. (Edney, 9/5)

President Donald Trump and some Senate Republicans are refusing to give up on Obamacare repeal, even after this summer’s spectacular failure and with less than a month before a key deadline. The president and White House staff have continued to work with Republican Sens. Lindsey Graham of South Carolina and Bill Cassidy of Louisiana over the summer on their proposal to block grant federal health care funding to the states. And though the bill is being rewritten and Congress faces a brutal September agenda, Trump and his allies on health care are making a last-gasp effort. (Everett and Dawsey, 9/5)

Senate Democrats will push to restore ObamaCare outreach funding in a bipartisan health care bill this month after the Trump administration announced drastic cuts to the program. Democratic aides say the party will seek funding for ObamaCare sign-up efforts in a bipartisan market stabilization bill that the Senate Health Committee is negotiating, a move that comes after the administration announced a 90 percent cut to outreach efforts. (Sullivan, 9/5)

Rep. Tom MacArthur (R-N.J.) says he has reached an agreement with Rep. Mark Meadows (R-N.C.), chairman of the conservative House Freedom Caucus, on the terms for a bill aimed at stabilizing ObamaCare markets. MacArthur, who is more centrist than Meadows and previously worked with him on a deal for ObamaCare repeal legislation, says he has reached agreement with Meadows on the outline of a proposal, though some details need to be worked out. (Sullivan, 9/5)