Amendment I
Medicaid expansion
Amendment I
Medicaid expansion
44.2% YesNo 55.8%
A yes vote would allow the state to end required expansion if federal assistance falls below the level specified in the amendment.
A no vote would keep the present constitutional requirement.
Yes 131,202 votes · No 165,420 votes
100% 671 of 671 precincts fully reported
Source: South Dakota Secretary of State · Unofficial · Updated 11/6/2026 8:00 PM CT