Politics· States Newsroom

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

States Newsroom · October 16, 2026

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…

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

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