South Dakota Amendment I: Federal funding condition for Medicaid expansion
South Dakota · Constitutional amendment · Health · Statewide decision
Explanation reviewed 2026-10-27. AI-written and checked against linked official evidence; not an election-office summary.
AI-written summary
Would condition the constitutional expansion requirement on federal support remaining at least 90%. If the federal share fell below 90%, the constitutional mandate would end.
What applies now
The constitution requires Medicaid expansion for qualifying adults without this proposed federal-funding condition. Federal law currently pays 90% of expansion costs.
If yes / for
Add the federal-funding condition.
If no / against
Keep the expansion mandate without this condition.
Costs and funding
No verified fiscal estimate recorded in this baseline. This does not mean there is no cost.
Timing
Implementation date not independently established in this baseline.
Passage rule
Threshold not independently established here; consult the official text.
The latest automated source check failed. This remains the previously reviewed explanation.
Source notes
- The Attorney General explanation says expanded coverage would end; the proposal’s legal change removes the constitutional requirement. It does not itself bar future legislative authorization.