Constitutional Amendment I
Condition Medicaid expansion on 90% federal funding
Source review availableSee exactly what was checked
The fields listed below were checked against the linked sources on October 21, 2026. Future outcomes, final contract awards and individual tax bills are not established by this review.
Checked: Title, Summary, Yes vote, No vote, Beneficiaries, Fiscal estimate, Tradeoffs.
Unknown: Named organizations.
Adds a federal-funding condition to the Medicaid expansion adopted by voters in 2022. If the federal share of expansion costs drops below 90%, the constitutional expansion requirement would end; the attorney general’s explanation describes this as repeal of expanded coverage.
Who benefits or is affected
The amendment changes the state constitutional obligation and coverage protection for Medicaid-expansion enrollees if the specified federal-funding trigger occurs. No insurer, hospital or company is named for an award.
Costs and tradeoffs
The effect depends on a future federal funding change and subsequent state choices; the pamphlet does not establish a fixed household tax saving. Supporters’ $36 million estimate for a ten-percentage-point shift is an advocacy calculation, not a guaranteed saving. Losing federally funded coverage could also shift costs to patients, providers and other programs.
The trigger removes the constitutional expansion guarantee if the federal share drops below 90%.
Continued coverage after a trigger cannot be promised from this amendment.
Organizations named in the records
Recipient names: unknown. No separately verified allocation or contract-award list is recorded for this question. This does not mean no recipients exist.
Published party positions
Democratic Party
South Dakota Democratic Party
The organization explicitly recommends rejection.
Publication date not stated · Source checked 2026-10-21
Republican Party
South Dakota Republican Party
The organization explicitly recommends approval.
Publication date not stated · Source checked 2026-10-21
A position applies to the named organization, not every party member. Missing evidence does not establish neutrality. We do not infer a party’s position from its ideology or a legislator’s vote.