Measure on the ballot in the 2022 South Dakota General Election in South Dakota.
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Get StartedA "yes" vote supports amending the constitution to expand Medicaid eligibility to any person over age 18 and under 65 whose income is at or below 133% of the federal poverty level, plus 5% of the federal poverty level for the applicable family size.
A "no" vote opposes amending the constitution to expand Medicaid eligibility to any person over age 18 and under 65 whose income is at or below 133% of the federal poverty level, plus 5% of the federal poverty level for the applicable family size.
"No one should have to decide if they can afford life-saving health care, for themselves or their families. But right now, thousands of South Dakotans are stuck in the middle. They can't get insurance through their jobs, and they can't afford insurance on their own because costs are sky high. Voting YES on Amendment D means thousands of South Dakotans who work, but don't make enough money to afford health insurance will be able to get it. South Dakotans who make less than $18,000 per year will be able to get health care, including: • Hard-working near retirees who don't have jobs that provide health care • Small business owners who can't afford health care for themselves and their workers • Farmers and ranchers Currently, Washington politicians send $350 million of South Dakota's tax dollars each year to California, New York, and 37 other states to pay for their health care instead. Voting YES on Amendment D ends that. It means we can keep those dollars right here in South Dakota, so hardworking South Dakotans can get health care coverage without raising taxes. Amendment D will strengthen health care in South Dakota, which will generate an estimated $3.5 billion in new economic output in South Dakota by 2025, including $800 million in 2023. Amendment D will ensure our workforce remains healthy, which leads to healthy businesses and a healthy economy. Amendment D will strengthen rural hospitals and clinics and make it easier for people in rural South Dakota to get health care. It's common sense to keep our tax dollars for our citizens' health care. Vote YES on Amendment D to keep South Dakota's tax dollars in South Dakota to help OUR communities." - Steve Allender, Mayor of Rapid City, and Jim Woster, retired businessman, in support of Constitutional Amendment D (Learn more)
"Amendment D – expanding Medicaid shreds our Constitution and expands services to able-bodied adults under ObamaCare. Expanding Medicaid is wrong for South Dakota for five reasons. #1: It will either lead to higher taxes or reduced spending on education. South Dakota already spends approximately 20 percent of our budget on Medicaid. Expansion always costs more than projected. South Dakota will either need to raise taxes or cut spending for schools, public safety, or infrastructure as a result. #2: It is unfair to the truly needy in South Dakota. Low-income kids, seniors, and individuals with disabilities will now have to compete with able-bodied working-age adults for the pool of money available to Medicaid. It will also hurt rural hospitals as fewer of their patients will have private insurance. #3: It forcibly removes families from their private health care plans and moves them to government-run Medicaid. Most South Dakotans who would be enrolled already have their own free or low-cost private plans. Expanding Medicaid means removing tens of thousands of low-income South Dakotans from those plans without their consent and enrolling them into plans which fewer doctors accept. Also, if South Dakota expands under ObamaCare, waiting lists will get longer. #4: It is bad for South Dakota's workers and businesses. The only qualification for Medicaid will be that South Dakotans must agree to stay poor - which leads to more welfare and less work. #5 The Constitution was never intended to contain language about specific government programs. This is a plainly bad idea. More government welfare is not the solution to our health care system—it is the problem. For our families and the future of our kids and grandkids, please vote "no" on Amendment D." - Keith Moore, State Director of Americans for Prosperity, in opposition to Constitutional Amendment D (Learn more)
Medicaid is a program, funded by the State and the federal government, to provide medical coverage for low-income people who are in certain designated categories. This constitutional amendment expands Medicaid eligibility in South Dakota. It requires the State to provide Medicaid benefits to any person over age 18 and under 65 whose income is at or below 133% of the federal poverty level, plus 5% of the federal poverty level for the applicable family size, as provided in federal law. For people who qualify under this amendment, the State may not impose burdens or restrictions that are greater than those imposed on any other person eligible for Medicaid benefits under South Dakota law. The South Dakota Department of Social Services must submit to the federal government all documentation required to implement this amendment, and must take all actions necessary to maximize federal funding for this expansion. Fiscal Note: The proposed expansion of Medicaid could cover an additional 42,500 eligible individuals, with a total estimated cost over the first five years of $1,515,214,000. For the first five years under current federal law, the state's share of expenses could be $166,244,000 with the state recognizing additional general fund savings of $162,473,000.
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