Voters reject measure that could have triggered repeal of Medicaid expansion in South Dakota

By: Seth Tupper, Meghan O'Brien, Makenzie Huber

Outlets: South Dakota Searchlight

Published: November 4, 2026

Words: 477

Last Updated: 5 days, 16 hours ago

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South Dakota voters rejected a ballot question Tuesday that could have triggered a repeal of the state’s Medicaid expansion mandate.

When The Associated Press called the race at 1:22 a.m. Wednesday, 56% of the votes were against Amendment I and 44% were in favor. Over 80% of votes statewide had been counted.

Amendment I would have repealed the Medicaid expansion requirement in the state constitution if the expansion’s federal funding share fell below 90%. …

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