South Dakota voters will decide on a constitutional amendment that will allow for the state legislature to establish work requirements for certain individuals to receive Medicaid. The amendment will appear on the November 2024 ballot.
The amendment, which was introduced to the state legislature as Senate Joint Resolution 501 (SJR 501), passed the Senate by 28-4 on Jan. 25, with all Republicans voting for the amendment and all Democrats voting against it. On Feb. 27, the State House of Representatives voted 63-7 to pass the amendment, with all 63 Republicans voting for the amendment and all seven Democrats voting against it.
This amendment would allow for the state legislature to establish work requirements for individuals who are eligible for Medicaid under the expansion of the program that voters approved in 2022. These work requirements would apply to individuals who are not diagnosed as being mentally or physically disabled.