South Dakota 2026 Regular Session

South Dakota House Bill HJR5002

Introduced
1/22/26  
Refer
1/22/26  
Report Pass
1/28/26  

Caption

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, repealing the requirement to provide expanded medicaid.

Impact

The repeal of the Medicaid expansion mandate would have significant implications for healthcare access for low-income residents in South Dakota. Currently, the law requires the state to provide Medicaid to individuals under 65 with incomes at or below 133% of the federal poverty level. Removing this mandate could result in a reduction of Medicaid benefits available to these individuals, thus impacting their healthcare coverage and access to medical services. The state may still offer Medicaid but would have flexibility regarding eligibility and coverage levels.

Summary

HJR5002 is a Joint Resolution proposing an amendment to the South Dakota Constitution that seeks to repeal the requirement for the state to provide expanded Medicaid. This measure will be presented to voters in the upcoming general election for their approval. The amendment specifically targets Article XXI, ยง 10, which currently mandates the provision of Medicaid benefits to certain low-income adults. If passed, this resolution will effectively eliminate these Medicaid expansion requirements from the state constitution, thereby altering the state's approach to Medicaid enrollment standards and eligibility.

Contention

Notable points of contention surrounding HJR5002 include debates over the accessibility and affordability of healthcare for vulnerable populations. Proponents of the repeal argue that it would give the state more control over its healthcare policies and potentially reduce state expenditures on Medicaid. Conversely, opponents voice concerns that repealing the requirement could undermine healthcare security for low-income individuals, disproportionately affecting those already struggling to afford healthcare costs. The discussion is further complicated by broader debates over government responsibilities in healthcare provision and states' rights versus federal mandates.

Companion Bills

No companion bills found.

Previously Filed As

SD HJR5001

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, conditioning the requirement of expanded Medicaid on the level of federal medical assistance.

SD SJR507

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, providing for wagering on sporting events via mobile or electronic platform.

SD SJR506

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, limiting to a flat rate the real property taxes.

SD SJR503

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, clarifying that an individual must be a citizen of the United States to be eligible to vote.

SD SJR505

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, establishing the trust for unclaimed property fund.

SD HJR5003

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, requiring that a constitutional amendment receive an affirmative vote of sixty percent of the votes cast before the measure is enacted.

SD SJR504

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, requiring a number of signatures on a petition to initiate a constitutional amendment be obtained from each county.

SD HJR5004

Proposing and submitting to the voters at the next general election amendments to the Constitution to the State of South Dakota, increasing the number of required signatures on a petition to initiate an amendment or measure.

SD HJR5005

Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, limiting the assessed value of real property and limiting real property taxes.

SD HJR5006

Proposing and submitting to the voters at the next general election amendments to the Constitution of the State of South Dakota, requiring an intervening general election before consideration of an initiated constitutional amendment or initiated measure having the same subject as a previously rejected initiated amendment or measure.

Similar Bills

No similar bills found.