Mixed signals on Medicaid ballot question have serious implications for South Dakota

By: Lee Strubinger

Outlets: South Dakota Searchlight

Published: October 16, 2026

Words: 486

Last Updated: 1 day, 10 hours ago

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There’s something unclear about Constitutional Amendment I, a question on the Nov. 3 ballot that would change South Dakota’s Medicaid expansion program.

Medicaid expansion covers healthcare costs for South Dakotans making less than $22,000 a year. The federal government covers 90% of the cost. The state covers the remaining 10%.

For years, the Legislature refused that deal. So, in 2022, South Dakota voters approved it themselves by placing it in the state constitution.

Medicaid expansion …

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