South Dakota · Ballot measure
Constitutional Amendment I: Medicaid expansion tied to federal funding
On the ballot: November 3, 2026 Legislatively referred constitutional amendment
Heads up: voting YES on this measure would end the expanded Medicaid coverage voters approved in 2022 if federal funding for it drops below 90%.
A YES vote means
Expanded Medicaid coverage approved by voters in 2022 (Amendment D) would end if the federal share of its funding drops below 90%.
A NO vote means
Expanded Medicaid coverage stays in the constitution regardless of the federal funding level.
Who supports it
- Casey Crabtree (R)
- Tony Venhuizen (R)
- Will Mortenson (R)
Who opposes it
Not yet compiled
From official campaign filings and public endorsements, each linked on the full page (checked October 30, 2026). Not complete; not an endorsement.