South Dakota Ballot Measure Opponents Warn of Medicaid Expansion Repeal Risks
Opponents of South Dakota's Amendment I, on the Nov. 3 ballot, said Monday the measure would reduce health care access and shift costs to privately insured residents. Amendment I would automatically repeal Medicaid expansion if federal funding for the expansion population is reduced below current levels. South Dakota's Republican attorney general and other opponents oppose the measure, arguing it threatens coverage gained through expansion. The vote takes place November 3, and its outcome will determine whether the state's expansion population retains coverage if federal funding changes.
A repeal trigger tied to federal funding cuts could abruptly strip coverage from South Dakota's expansion population, forcing the state Medicaid agency and managed care plans to rapidly unwind eligibility and provider payment arrangements.
Managed Care · Finance
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