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Angola prison in Louisiana. Photo: Giles Clarke/Getty Images

Some local and state officials want Medicaid to start picking up the tab for inmates' health care, Stateline reports.

How it works: Medicaid beneficiaries lose their coverage while they're incarcerated — including pretrial detention for people who can't make bail — and county governments are generally responsible for providing their care.

State and local officials want Medicaid to start paying those bills. A single seriously ill inmate — someone with HIV, for example — can quickly strain county budgets, they said.

Forty states have already changed their rules so that Medicaid coverage kicks back in more quickly once people are released from jail.

  • Delays in restoring coverage can hurt patients, and in some cases — for example, people who are being treated for certain mental-health issues — can make recidivism more likely.

Go deeper

5 hours ago - World

Maximum pressure campaign escalates with Fakhrizadeh killing

Photo: Fars News Agency via AP

The assassination of Mohsen Fakhrizadeh, the architect of Iran’s military nuclear program, is a new height in the maximum pressure campaign led by the Trump administration and the Netanyahu government against Iran.

Why it matters: It exceeds the capture of the Iranian nuclear archives by the Mossad, and the sabotage in the advanced centrifuge facility in Natanz.

Scoop: Biden weighs retired General Lloyd Austin for Pentagon chief

Lloyd Austin testifying before Congress in 2015. Photo: Chip Somodevilla/Getty Images

Joe Biden is considering retired four-star General Lloyd Austin as his nominee for defense secretary, adding him to a shortlist that includes Jeh Johnson, Tammy Duckworth and Michele Flournoy, two sources with direct knowledge of the decision-making tell Axios.

Why it matters: A nominee for Pentagon chief was noticeably absent when the president-elect rolled out his national security team Tuesday. Flournoy had been widely seen as the likely pick, but Axios is told other factors — race, experience, Biden's comfort level — have come into play.

Updated 6 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: WHO: AstraZeneca vaccine must be evaluated on "more than a press release."
  2. Politics: Supreme Court backs religious groups on New York COVID restrictions.
  3. World: Thailand, Philippines sign deal with AstraZeneca for vaccine.
  4. Economy: Safety nets to disappear in December Black Friday shopping across the U.S., in photosAmazon hires 1,400 workers a day throughout pandemic.
  5. Education: National standardized tests delayed until 2022.

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