Voters in South Dakota approved a ballot measure to extend Medicaid benefits to more than 40,000 low-income adults.
The expansion of Medicaid benefits under the ACA has come a long way since the U.S. Supreme Court in 2012 gave states a choice in the matter. There were initially only about 20 states that sided with President Barack Obama’s effort to expand the health insurance program for poor Americans.that have yet to expand Medicaid have already missed out on generous federal funding of the Medicaid expansion under the ACA.
From 2014 through 2016, the ACA’s Medicaid expansion population was funded 100% with federal dollars. The federal government still picked up 90% or more of Medicaid expansion through 2020 and that was a better deal than before the ACA, when Medicaid programs were funded via a much less generous split between state and federal tax dollars.
South Dakota’s now voter-approved Amendment D “will direct the state to expand Medicaid next year to any person aged 18 to 65 with an income up to 133% of the federal poverty level — about $19,000/year for an individual or $39,000/year for a family of four,” the Fairness Project said in a press release issued last week.
“Since day one, our partners at the Fairness Project have been deeply invested in the effort to finally expand Medicaid for South Dakotans, and this win would not have been possible without them,” said Zach Marcus from South Dakotans Decide Healthcare. “The Fairness Project’s ability to build unconventional coalitions, and their strategic advice, financial support, and dedication to expanding health care access to working people were critical to our success.
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