Medicaid Expansion Initiative Would Save South Dakota More than $63 Million In Its First Two Years, State Finds

With State’s Fiscal Note Completed, Signature Collection Will Begin This Month

With a new state fiscal note in hand showing significant savings for the state in its first two years, South Dakotans Decide Healthcare will launch it’s signature collection effort this month to put Medicaid expansion on the ballot. The new fiscal note marks the first time the state has analyzed the full impact of recent federal changes that provide states with additional financial incentives to expand Medicaid, and makes it clear that South Dakota taxpayers stand to make a huge return on investment when they vote to expand Medicaid next year.

“Medicaid expansion is supported by one of the broadest coalitions to ever launch a ballot measure in South Dakota, and this new fiscal note shows you why,” said Tim Rave, CEO of South Dakota Association of Healthcare Organizations. “Not only will it cover 42,500 of our neighbors, it will bring hundreds of millions of our tax dollars home from Washington, boost our economy and save the state a lot of money in the first two years alone.”

The state’s Legislative Research Council found that Medicaid expansion would cover 42,500 South Dakotans and would save the state $63 million in its first two years. Over five years, Medicaid expansion would return over $1.3 billion to South Dakota from Washington at a cost of only $3.8 million.

“This is a good deal, plain and simple, and I have a lot of faith that the voters in this state will agree,” Rave said. “This initiative will enable us to expand access to healthcare in South Dakota, helping parents, small businesses, and hardworking people who have jobs that don’t come with healthcare.”

With the state’s fiscal analysis completed, South Dakotans Decide Healthcare will launch its signature collection program to qualify the measure for the ballot, and when voters walk into the voting booth, they’ll now know this saves the state money and is a good financial deal. The South Dakotans Decide Healthcare initiative is the only Medicaid initiative that will reflect these savings on the ballot.

South Dakotans Decide Healthcare has been endorsed by the American Cancer Society Cancer Action Network, AARP South Dakota, South Dakota State Medical Association, South Dakota Nurses Association, South Dakota Association of Healthcare Organizations, South Dakota Education Association, South Dakota Farmers Union, Community HealthCare Association of the Dakotas, Great Plains Tribal Chairmen’s Health Board, Avera Health, Monument Health, Sanford Health, American Heart Association, American Lung Association, South Dakota Faith in Public Life, and more. It is one of the broadest coalitions to ever launch a ballot measure campaign in the state’s history.