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

How "naked ballots" could upend mail-in voting in Pennsylvania

Trump signs in Olyphant, Penn. Photo: Eric Baradat/AFP via Getty Images

Pennsylvania's Supreme Court ordered state officials last week to throw out mail-in ballots submitted without a required inner "secrecy" envelope in November's election, the Philadelphia Inquirer reports.

The state of play: The decision went under the radar alongside the simultaneous decision to extend the time that mail-in ballots could be counted, but Philadelphia's top elections official warned state legislators this week that throwing out so-called "naked ballots" could bring "electoral chaos" to the state and cause "tens of thousands of votes" to be thrown out — potentially tipping the presidential election.

Commission releases topics for first presidential debate

Moderator Chris Wallace. Photo: Drew Angerer/Getty Images

Fox News anchor Chris Wallace has selected what topics he'll cover while moderating the first presidential debate between President Trump and former Vice President Joe Biden next week.

What to watch: Topics for the Sept. 29 debate will include Trump and Biden's records, the Supreme Court, COVID-19, economic policy, racism and the integrity of the election, the Commission for Presidential Debates announced on Tuesday. Each topic will receive 15 minutes of conversation and will be presented in no particular order.

Fed chair warns economy will feel the weight of expired stimulus

Treasury Secretary Steven Mnuchin and Fed Chair Jay Powell bump elbows before House hearing on Tuesday. Photo: Joshua Roberts/Pool/AFP via Getty Images

Federal Reserve Chairman Jerome Powell told the House Financial Services Committee on Tuesday that the expiration of Congress' coronavirus stimulus will weigh on the U.S. economy.

Why it matters: Powell warned that the effects of dried-up benefits are a looming risk to the economy, even if the consequences aren't yet visible.

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