South Dakota: medicaid expansion
Whether your state expanded Medicaid to low-income adults under the ACA, and when.
Single detailed source| Medicaid expanded? | Yes |
|---|---|
| Coverage began | July 1, 2023 (ballot measure, 2022) |
| Law ends expansion if federal funding drops? | No |
Expansion covers most adults with incomes up to 138% of the federal poverty level. Federal work requirements for expansion adults begin in January 2027. In non-expansion states, many low-income adults fall into a coverage gap.
General information only, not legal, insurance or financial advice. Not affiliated with any government agency. Exceptions can apply. Confirm with the state agency, the court or a licensed professional in South Dakota.
How South Dakota compares
41 of 51 states and DC share this answer (Yes): Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, Utah, Vermont, Virginia, Washington, West Virginia.
- Yes (41)
- No (10)
Also for South Dakota: Medicaid long-term care in South Dakota · Small estate limits in South Dakota · Will and trust rules in South Dakota · Estate and inheritance tax in South Dakota · Common law marriage in South Dakota · Property tax rates in South Dakota · Inheritance tax in South Dakota · Social Security tax in South Dakota · All South Dakota rules on one page
How we checked this
Status comes from KFF's state tracker of Medicaid expansion decisions, as of November 2026. Last checked: November 12, 2026. Laws change; confirm with the state agency or a licensed professional before acting.
Cross-checked sources agree Checked on official source confirmed on a government, court or legislature site Single detailed source one detailed table built from statutes or official data Under review sources disagree; read the note and the law.