South Dakota AG Says Ballot Measure Would Auto-Repeal Medicaid Expansion
South Dakota Attorney General Marty Jackley has stated that a constitutional amendment on the November 3 ballot would automatically end Medicaid expansion if federal funding falls below 90%, contradicting Republican lawmakers who placed the measure and claim it would only grant them authority to consider ending expansion. The legal interpretation dispute centers on whether the amendment is self-executing or requires legislative action. The disagreement creates uncertainty for approximately 50,000 South Dakotans who gained coverage under the state's voter-approved expansion.
The conflicting legal interpretations could determine whether expansion coverage automatically terminates or requires legislative action if federal match rates change, affecting enrollment stability and state budget planning.
Managed Care · Finance
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