Linda Joyner, at 64, just got health coverage.
Uninsured for years, the former waitress signed up for Medicaid after Indiana expanded its program through the Affordable Care Act. But unlike millions of low-income Americans who've enrolled in the government plan since last year, Joyner is paying for her coverage.
Indiana, which has a conservative Republican governor and Legislature, is pioneering an experiment that requires low-income patients to contribute monthly to a special health account. Joyner chips in $12.33.
"It's the first thing I pay after the rent," she said during a recent visit to a clinic in this aging manufacturing town often billed as the RV capital of the world.