South Dakota voters on Tuesday approved a measure to expand the state's Medicaid program under the Affordable Care Act.
More than 17 million low-income Americans have gained coverage as a result of Medicaid expansion, a portion of the Affordable Care Act that was made optional as a result of a 2012 Supreme Court decision. | Charles Rex Arbogast/AP PhotoSouth Dakota voters on Tuesday approved a measure to expand the state’s Medicaid program under the Affordable Care Act.
“We are thrilled by this victory, which took years of work, coalition building, and organizing to achieve,” said Kelly Hall, executive director of the Fairness Project, which helped pass the ballot measure. “Citizens took matters into their own hands to pass Medicaid expansion via ballot measure — showing us once again that if politicians won’t do their job, their constituents will step up and do it for them.
Under the American Rescue Plan, the federal government encouraged states to expand Medicaid by covering an extra 5 percent of the costs of the program, in addition to the 90 percent it covers for newly eligible individuals under Obamacare.Opponents of Medicaid expansion, including Republican Gov. Kristi Noem, argued the measure would cost the state in the long run, force lawmakers to raise taxes, and discourage able-bodied adults from getting jobs.
The South Dakota vote signals the end of an era for expanding Medicaid ballot box. Of the 11 states that still have yet to expand Medicaid, only three — Florida, Mississippi and Wyoming — have a voter-initiated ballot measure process, and none appear likely to take up the proposal in the short term.
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