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This is a pretty eye-popping stat from Kaiser Health News: Indiana kicked about 25,000 people out of its Healthy Indiana Program — the Medicaid expansion program approved under then-Gov. Mike Pence — for not paying their premiums.

The rationale: The idea of adding premiums to Medicaid is to get enrollees used to the world of private health insurance, where you can also lose your coverage if you don’t pay your premiums. But most private insurance is job-based, where the risk of losing your coverage is lower because your share of your premium automatically comes out of your paycheck.

Worth noting: About half of those people got new health coverage in other ways, usually through a job. But that still leaves a lot of people who just lost their health coverage.

The big picture: Kentucky’s recently approved Medicaid waiver made headlines because it imposed work requirements on Medicaid benefits, but it also added premiums to the program, ranging from $1 to $15 per month. This is a trend.

  • But the Indiana news could jump-start a debate over whether low-income people can afford to pay for their coverage at all.

What’s next: HHS secretary Alex Azar is headed to Indiana today, possibly to announce the approval of its Medicaid work requirements. (HHS wouldn't confirm this.)

Go deeper

1 hour ago - Science

The "war on nature"

A resident stands on his roof as the Blue Ridge Fire burned back in October in Chino Hills, Calif. Photo: Jae C. Hong/AP

Apocalyptic weather is the new normal because humans are "waging war on nature," the UN declared on Wednesday.

What they're saying: "The state of the planet is broken," said UN Secretary-General António Guterres, reports AP. “This is suicidal.”

Updated 3 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Health: Nursing homes are still getting pummeledU.S. could hit herd immunity by end of summer 2021 if Americans embrace virus vaccines, Fauci says.
  2. Politics: Pelosi, Schumer call on McConnell to adopt bipartisan $900B stimulus framework.
  3. World: U.K. clears Pfizer-BioNTech vaccine for mass rollout — Putin says Russia will begin large-scale vaccination next week.
  4. Business: Investors are finally starting to take their money out of safe-haven Treasuries.
  5. Sports: The end of COVID’s grip on sports may be in sight.

Pelosi, Schumer call on McConnell to adopt bipartisan $900B stimulus framework

House Speaker Nancy Pelosi on Nov. 20. Photo: Drew Angerer/Getty Images

House Speaker Nancy Pelosi (D-Calif.) and Senate Minority Leader Chuck Schumer (D-N.Y.) on Wednesday urged Senate Majority Leader Mitch McConnell (R-Ky.) to use a $908 billion bipartisan coronavirus relief framework as a basis for jumpstarting negotiations.

Why it matters: The framework, introduced by a group of bipartisan senators on Tuesday, calls for significantly less funding than Pelosi had previously demanded — a sign that Democrats are ready to further compromise as millions of Americans endure economic hardship.