South Dakota To Consider Medicaid Expansion Work Requirements

South Dakota voters approved a ballot measure that allows state officials to consider implementing work requirements for the adult Medicaid expansion population if the incoming administration permits doing so. Under the current administration, states are not permitted to impose Medicaid work requirements.

In 2022, when South Dakota had initially approved expanding Medicaid to childless, non-disabled, non-elderly adults, the state had requested federal approval to implement work requirements. The recent ballot measure, Amendment F, permits the South Dakota Department of Social Services, which oversees the Medicaid program, to reconsider adding work requirements as a condition of Medicaid eligibility for . . .