Statewide ballot measure · Tuesday, November 3, 2026
Constitutional Amendment I: Expanded Medicaid conditioned on 90% federal funding
Would end the Medicaid expansion approved by voters in 2022 (Amendment D) if the federal government's share of its cost drops below 90%.
What a vote means
- A yes vote
- Official ballot instruction: Vote “Yes” to adopt the amendment.
- A no vote
- Official ballot instruction: Vote “No” to leave the Constitution as it is.
Sources
Measure summary
- 2026 Ballot Question Pro/Con Pamphlet (titles and Attorney General explanations) (South Dakota Secretary of State, Public record)
- 2026 Ballot Questions (South Dakota Secretary of State, Public record)
What's included: U.S. Senate and House, statewide offices and statewide ballot measures.
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Candidate lists as of Wednesday, October 14, 2026.
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