Republican lawmakers in 3 states want voters to alter or scrap Medicaid expansion

By: Shalina Chatlani

Outlets: Stateline

Published: April 22, 2026

Words: 1,029

Last Updated: 3 months, 1 week ago

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In three conservative states — Missouri, Oklahoma and South Dakota — residents in recent years voted to amend their state constitutions to expand Medicaid under the Affordable Care Act.

Now Republican lawmakers in all three states want voters to alter or scrap those amendments in upcoming elections, setting the stage for legislators to roll back expansion.

The constitutional amendments that Missouri and Oklahoma voters approved in 2020 and South Dakota voters approved in 2022 require …

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