SD · Reviewed positions
Medicaid expansion funding condition
South Dakota Constitutional Amendment I, Medicaid Expansion Conditioned on 90% Federal Funding Amendment
Lean opposeOwner direction recorded September 30, 2026. This is an editorial position, not a validated numerical score.
Current assessment
Lean against removing the constitutional expansion guarantee if federal support falls below 90%. Protecting the coverage guarantee is the central value judgment; state budget flexibility is the strongest counterargument.
What the proposal changes
The proposed amendment ends the constitutional requirement to provide expanded Medicaid when the specified federal funding percentage falls below 90%. This assessment does not assume the text prohibits the state from continuing coverage.
The strongest objection
A reduced federal contribution could force difficult choices elsewhere in the state budget.
Source check and limits
Enrolled HJR 5001 checked October 7, 2026, in the 2025 session laws, chapter 3. No estimate of future coverage losses or health effects is asserted.
Reference documents
Review dated 2026-09-30. Check current ballot status with your election office. Our principles · Research library