RAPID CITY, S.D. — South Dakotans voted Tuesday to expand the state’s Medicaid program to cover thousands of additional low-income residents, becoming the seventh state to approve expansion via the ballot box.
But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.
In Missouri, for example, experts said subpar publicity efforts and an outdated application system led to a glacial pace of enrollment after voters there approved Medicaid expansion in 2020.
