South Dakota Voters to Decide Medicaid Expansion Repeal Trigger
South Dakota Searchlight's Searchlight Report podcast examines Amendment I, a Nov. 3 ballot measure that would repeal the state constitution's Medicaid expansion eligibility requirement if the federal match for expansion funding falls below 90%. The episode features supporter Rep. Will Mortenson, opponent Deb Fischer-Clemens, and Attorney General Marty Jackley discussing a dispute over whether the amendment would trigger automatic termination of expanded Medicaid or simply let lawmakers decide. South Dakota's 2022 voter-approved expansion covers about 31,000 of the state's 143,000 Medicaid enrollees. The amendment can only be changed by voters, and the Nov. 3 election will determine whether that funding trigger is added to the constitution.