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South Dakota Voters Reject Amendment I, Keeping Medicaid Expansion in the Constitution

Thursday, November 5, 2026 · States · GSM News

South Dakota voters on November 3 rejected Amendment I, a legislatively referred measure that would have removed the state constitution's Medicaid expansion requirement if the federal government's share of expansion costs fell below 90 percent. The amendment failed with about 56 percent voting no and 44 percent yes, South Dakota Public Broadcasting reported.

With the amendment defeated, the constitutional guarantee of expanded Medicaid coverage for low-income adults stays in place even if the federal match is reduced. The federal government currently pays 90 percent of expansion costs and the state 10 percent.

In the same election, voters rejected Amendment L, which would have raised the threshold for passing constitutional amendments to 60 percent, and approved Amendments J and K. (Source: South Dakota Public Broadcasting)

Source: South Dakota Public Broadcasting

Published by GSM · USA (original Chinese edition)

Photo: 南达科他州议会大厦(South Dakota State Capitol, CC BY-SA 2.0, via Wikimedia Commons) / South Dakota State Capitol in Pierre (CC BY-SA 2.0, via Wikimedia Commons)

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