State Policy · SD
South Dakota Voters to Decide Medicaid Expansion Funding Trigger
South Dakota holds its general election Tuesday, including four constitutional ballot amendments alongside races for governor, Congress and the full Legislature. Amendment I would repeal the state constitution's Medicaid expansion eligibility requirement if the federal government's share of expansion funding drops below 90%, though there is disagreement over whether it would immediately end expanded Medicaid or simply let lawmakers decide. Polls are open 7 a.m. to 7 p.m. local time, with results reported after polls close statewide around 8 p.m. Central. The outcome will determine whether South Dakota's voter-approved Medicaid expansion remains constitutionally protected against future federal funding reductions.
Why it mattersState Medicaid officials, MCOs and expansion-population providers face direct coverage and financing exposure depending on whether voters preserve or weaken the constitutional guarantee tied to the federal match rate.