Ballot measure could auto-repeal Medicaid expansion, SD attorney general says in contrast to lawmakers
Jackley wrote ballot language saying expanded Medicaid would end if federal funding falls below 90%.
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This article1 analysis · Sep 22, 2026
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Published Sep 18, 2026
tl;dr
South Dakota Attorney General Marty Jackley says a proposed constitutional amendment would automatically end expanded Medicaid if federal funding falls below 90%, contradicting lawmakers who sponsored it. The dispute could affect how voters understand the Nov. 3 ballot question.
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South Dakota attorney general who wrote the ballot title and explanation for Amendment I
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ALSO MENTIONED Barack Obama, Former president whose administration is associated with the federal law funding most Medicaid expansion costs; Deb Fischer-Clemens, President of the South Dakota Nurses Association and advocate for expanded Medicaid; Tim Rave, President and CEO of the South Dakota Association of Healthcare Organizations who described the amendment’s potential healthcare impact; Tony Venhuizen, South Dakota lieutenant governor and original legislative sponsor of Amendment I; Will Mortenson, South Dakota representative and sponsor of the legislation placing Amendment I on the ballot
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