She interprets the amendment language as automatically triggering the elimination of Medicaid expansion if federal funding declines.

Back in 2022, the voters of South Dakota approved the constitutional change to preserve Medicaid expansion, which authorized dollars from the federal government.

Only 10% of dollars come from the state and 90% come from the federal government.

And this is to deal with individuals whose income um for a family of three is um like 37 000 um for the year and so it's really about people who do not have the resources to pay for insurance nor can they pay for their health care and so in 2022 as i said we when we had worked for a few years to get this accomplished but the voters of south dakota supported the fact that we need to take care of our, assure that our families, friends, and neighbors have access to healthcare at the appropriate time.

And the fact that I'm a nurse, this was something that was critically important to me as I saw our South Dakota history and what was happening with individuals.

And that is that if you don't have money for insurance, you definitely don't have money to pay for your healthcare.

Therefore, you do not do your preventative screenings, mammograms, prostate, cancer, all the different screenings.

And that six, seven year period, that was that push to even just get expanded Medicaid available to folks, right? Yeah.