1,213 South Dakotans could lose Medicaid as federal work requirements take effect, department says

By: Makenzie Huber

Outlets: South Dakota Searchlight

Published: April 26, 2026

Words: 511

Last Updated: 3 months ago

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The South Dakota Department of Social Services estimates 1,213 people on expanded Medicaid, about 4% of the group, could be disenrolled after federal work requirements are implemented in 2027.

Medicaid is government-funded health insurance for people with low incomes. South Dakotans voted in 2022 to expand Medicaid to adults with incomes up to 138% of the poverty level, a decision that allowed the state to capitalize on a 90% federal funding match.

Congress passed a …

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