Oct 14, 2026 · 22 min · 8 segments
In the Nov. 3 election, South Dakota voters are considering four proposed amendments to the state’s constitution, all placed on the ballot by the Legislature. One of the questions…
Will MortensonGuestDeb Fischer-ClemensGuestMeghan O'BrienHostIn 2024, South Dakota lawmakers asked voters to let them consider adding work requirements for the expansion population, which was approved.
Since then, the federal One Big Beautiful Bill Act has added work requirements for all Medicaid expansion-eligible adults.
Starting in January, people in the expansion population will have to meet a requirement of 80 hours of work, school, or community service each month if they're not covered by an exemption.
As you heard, Mortensen says Amendment I would allow lawmakers to consider ending expanded Medicaid if the federal government reduces its funding.
But the state's attorney general, Republican Marty Jackley, says a drop in federal funding would trigger an automatic repeal of the program if voters approve Amendment I. Jackley is responsible for writing a title and explanation for the ballot.
His title says the amendment, quote, repeals expanded Medicaid coverage, end quote, if federal funding drops below 90 percent.
And the explanation he wrote says that if that scenario occurs, the amendment, quote, ends the expanded Medicaid coverage, end quote.
In 2024, South Dakota lawmakers asked voters to let them consider adding work requirements for the expansion population, which was approved.
Since then, the federal One Big Beautiful Bill Act has added work requirements for all Medicaid expansion-eligible adults.
Starting in January, people in the expansion population will have to meet a requirement of 80 hours of work, school, or community service each month if they're not covered by an exemption.
As you heard, Mortensen says Amendment I would allow lawmakers to consider ending expanded Medicaid if the federal government reduces its funding.
But the state's attorney general, Republican Marty Jackley, says a drop in federal funding would trigger an automatic repeal of the program if voters approve Amendment I. Jackley is responsible for writing a title and explanation for the ballot.
His title says the amendment, quote, repeals expanded Medicaid coverage, end quote, if federal funding drops below 90 percent.
And the explanation he wrote says that if that scenario occurs, the amendment, quote, ends the expanded Medicaid coverage, end quote.
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