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One vote prevented Medicaid expansion from moving forward yesterday in the Kansas state Senate, the Kansas City Star reports.

The big picture: Expansion has been a huge priority for newly-elected Gov. Laura Kelly, a Democrat. Still, flipping a governor's seat from red to blue isn't always enough to move Medicaid expansion forward.

  • The member with the key vote, Senate Majority Leader Jim Denning, left the door open. "I'm not saying no," he said, according to the Star. "I'm saying this policy isn't ready."

What to watch: Some expansion supporters think they still may be able to pass expansion this year by holding the state budget hostage.

Go deeper: Red states' Medicaid gamble: Paying more to cover fewer people

Go deeper

Biden confronts mounting humanitarian crisis at the border

Illustration: Eniola Odetunde/Axios. Photo: Pool/Getty Images     

Just over a month into his presidency, President Biden is staring down a mounting crisis at the border that could be just as bad as the ones faced by Barack Obama and Donald Trump, if not worse.

Why it matters: Immigration is an issue that can consume a presidency. It's intensely and poisonously partisan. It's complicated. And the lives and welfare of vulnerable children hang in the balance.

Erica Pandey, author of @Work
1 hour ago - Economy & Business

The rise of vaccine passports

Illustration: Annelise Capossela/Axios

Vaccine passports were touted early in the pandemic as an important piece of the plan to get people back to normal life. Now they’re becoming a reality.

Driving the news: CLEAR, the secure digital identity app that you see in airports around the world, and CommonPass, a health app that lets users securely access vaccination records and COVID test results, have joined forces.

"Vaccine tourism" stretches states' supplies

Illustration: Sarah Grillo/Axios

Americans who are highly motivated to get vaccinated are traveling across state lines after hearing about larger vaccine supplies or loopholes in sign-up systems.

Why it matters: "Vaccine tourism" raises ethical and legal questions, and could worsen the racial socioeconomic and racial inequalities of the pandemic.