South Dakotans Decide Healthcare Submits Signatures For Medicaid Expansion Initiative

South Dakotans Decide Healthcare submitted 47,000 signatures for their Medicaid expansion initiative on Nov. 8. To qualify for the ballot, 33,921 valid signatures are required.

The measure would amend the constitution to require the state to provide Medicaid benefits to adults between ages 18 and 65 whose incomes are below 133% of the federal poverty level. Because the Affordable Care Act (Obamacare) includes a 5% income disregard, this measure would effectively expand Medicaid to cover those with incomes at or below 138% of the federal poverty level.

As of November 2021, a total of 38 states and Washington, D.C. had expanded or voted to expand Medicaid, while 13 states had not. Six states have expanded Medicaid through citizen initiatives.

Dakotans 4 Health also circulated a Medicaid expansion initiated amendment but did not submit signatures by the deadline.

Dakotans 4 Health filed a Medicaid expansion initiative to amend state law (rather than the state constitution). Since the deadlines for initiated measures that amend state law was extended to May 3, 2022, Dakotans 4 Health said they would collect signatures for that measure and would support South Dakotans Decide Healthcare’s constitutional amendment.

Health Management Associates

Bill Snyder, former South Dakota Medicaid director, has joined Leavitt Partners, an HMA Company as a principal with the firm. He is the third former Medicaid Director to join the Health Management Associates (HMA) family of companies this year.

Former Idaho Medicaid Director Matt Wimmer joined HMA as a principal in September. 

Beth Kidder, former Florida deputy secretary for Medicaid, joined HMA in August as a managing principal in its Tallahassee office. 

With the addition of Snyder, Wimmer, and Kidder, HMA is now home to 11 former Medicaid directors.

Founded in 1985, HMA is an independent, national research and consulting firm specializing in publicly funded healthcare and human services policy, programs, financing, and evaluation. Clients include government, public and private providers, health systems, health plans, community-based organizations, institutional investors, foundations, and associations. HMA has more than 20 offices and over 400 multidisciplinary consultants coast to coast.


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