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SD HJR5002

Joint Resolution

Status

Introduced

1/22/2026

Primary Sponsor

Aaron Aylward

Click for details

Origin

House of Representatives

2026 Regular Session

AI Summary

  • Proposes a constitutional amendment to repeal Article XXI, § 10 of the South Dakota Constitution, which requires the state to provide expanded Medicaid coverage

  • Would eliminate the voter-approved mandate (effective July 1, 2023) requiring Medicaid benefits for adults ages 18-64 with incomes at or below 138% of the federal poverty level

  • Removes constitutional protections that prohibited the state from imposing greater eligibility restrictions on expansion population than on other Medicaid recipients

  • Requires voter approval at the next general election to take effect

  • Introduced by Representative Aylward during the 101st Legislative Session (2026)

Legislative Description

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.

Public Welfare and Assistance

Last Action

House of Representatives Do Pass, Failed, YEAS 27, NAYS 39. H.J. 183

1/29/2026

Committee Referrals

State Affairs1/22/2026

Full Bill Text

No bill text available