Bill > HJR5001

This joint resolution proposes a constitutional amendment to the South Dakota Constitution that would expand Medicaid coverage to certain low-income adults. Specifically, the amendment would require the state to provide Medicaid benefits to individuals between 18 and 65 years old whose income is at or below 138% of the federal poverty level, starting July 1, 2023, but only while the federal government maintains at least a 90% funding match. The resolution allows the state to impose work requirements for eligible individuals who are not physically or mentally disabled, and mandates that the Department of Social Services submit necessary state plan amendments by March 1, 2023. The expanded coverage must meet or exceed benchmark coverage requirements as defined by federal law in January 2021. The provision is designed to be severable, meaning that if any part of the amendment is found invalid, the remaining parts can still be enforced. The amendment is contingent on voter approval at the next general election and will automatically expire if the federal medical assistance percentage drops below 90%.

Government Affairs

https://sdlegislature.gov/#/Session/Bill/25683