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House passes resolution to send constitutional amendment to voters tying Medicaid expansion mandate to federal 90/10 match
Summary
PIERRE — The South Dakota House passed House Joint Resolution 5,001 to send a proposed constitutional amendment to the ballot that would make the state's constitutional obligation to enter Medicaid expansion contingent on the federal match remaining at a 90%/10% split.
PIERRE — The South Dakota House passed House Joint Resolution 5,001 to submit a proposed constitutional amendment to the ballot that would make the state's constitutional obligation to enter Medicaid expansion contingent on the federal Medicaid matching rate remaining at 90 percent federal and 10 percent state.
Representative Enheisen, who presented the resolution, said the constitutional provision approved by voters in 2022 requires the state to enter expansion but does not specify the federal match rate. He argued the 2022 campaign prominently advertised a 90/10 federal match and that changing federal funding would materially change the state’s fiscal obligation. "Every 10% that they shift onto us would cost us…
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