ARTICLE XXI
MISCELLANEOUS
1. Seal and coat of arms.
2. Salary of constitutional officers.
3. Oath of office.
4. Exemptions.
5. Rights of married women.
6. Drainage of agricultural lands.
7. Irrigation of agricultural lands.
8. Hail insurance.
9. Marriage.
10. Medicaid eligibility expanded.
History: Amendment proposed by SL 1915, ch 230, rejected Nov., 1916; amendment proposed by SL 1917, ch 166, rejected Nov., 1918; amendment proposed by SL 1919, ch 139, rejected Nov., 1920; amendment proposed by SL 1921, ch 149, rejected Nov., 1922; amendment proposed by SL 1925, ch 116, rejected Nov., 1926; amendment proposed by SL 1929, ch 87, rejected Nov., 1930; amendment proposed by SL 1931, ch 101, rejected Nov., 1932; amendment proposed by SL 1941, ch 318, rejected Nov., 1942; amendment proposed by SL 1945, ch 314, approved Nov., 1946; repeal proposed by SL 1974, ch 1, rejected Nov. 5, 1974.
History: Repeal proposed by SL 1974, ch 1, rejected Nov. 5, 1974.
History: Amendment proposed by SL 1893, ch 39, rejected Nov., 1894; repeal proposed by SL 1975, ch 3, rejected Nov. 2, 1976.
History: Repeal proposed by SL 1975, ch 3, rejected Nov. 2, 1976.
History: Section proposed by SL 1905, ch 70, adopted Nov., 1906.
History: Section proposed by SL 1913, ch 136, rejected Nov., 1914; section proposed by SL 1915, ch 229, adopted Nov., 1916.
History: Section proposed by SL 1917, ch 167, adopted Nov., 1918.
History: Amendment proposed by SL 2005, ch 1, § 2, approved Nov. 7, 2006.
§ 10. Medicaid eligibility expanded.
Beginning July 1, 2023, the State of South Dakota shall provide Medicaid benefits to any person over eighteen and under sixty-five whose income is at or below one hundred thirty-three percent of the federal poverty level plus five percent of the federal poverty level for the applicable family size, as authorized by federal law as of January 1, 2021. Such person shall receive coverage that meets or exceeds the benchmark or benchmark-equivalent coverage requirements, as such terms are defined by federal law as of January 1, 2021.
The State of South Dakota may not impose greater or additional burdens or restrictions on eligibility or enrollment standards, methodologies, or practices on any person eligible under this section than on any person otherwise eligible for Medicaid under South Dakota law.
No later than March 1, 2023, the Department of Social Services shall submit all state plan amendments necessary to implement this section to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services.
The State of South Dakota shall take all actions necessary to maximize the federal financial medical assistance percentage in funding medical assistance pursuant to this section.
This section shall be broadly construed to accomplish its purposes and intents. If any provision in this section or the application thereof to any person or circumstance is held invalid or unconstitutional, such invalidity or unconstitutionality shall not affect other provisions or applications of the section that can be given effect without the invalid or unconstitutional provision or application, and to this end the provisions of this section are severable.
History: Proposed by initiated amendment (Constitutional Amendment D), approved Nov. 8, 2022, eff. Jul. 1, 2023.
Effective July 1, 2025
§ 10. Medicaid eligibility expanded.
Beginning July 1, 2023, the State of South Dakota shall provide Medicaid benefits to any person over eighteen and under sixty-five whose income is at or below one hundred thirty-three percent of the federal poverty level plus five percent of the federal poverty level for the applicable family size, as authorized by federal law as of January 1, 2021. Such person shall receive coverage that meets or exceeds the benchmark or benchmark-equivalent coverage requirements, as such terms are defined by federal law as of January 1, 2021.
The State of South Dakota may not impose greater or additional burdens or restrictions on eligibility or enrollment standards, methodologies, or practices on any person eligible under this section than on any person otherwise eligible for Medicaid under South Dakota law, except that the State of South Dakota may, to the extent permitted by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, impose a work requirement on any person, eligible under this section, who has not been diagnosed as being physically or mentally disabled.
No later than March 1, 2023, the Department of Social Services shall submit all state plan amendments necessary to implement this section to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services.
The State of South Dakota shall take all actions necessary to maximize the federal financial medical assistance percentage in funding medical assistance pursuant to this section.
This section shall be broadly construed to accomplish its purposes and intents. If any provision in this section or the application thereof to any person or circumstance is held invalid or unconstitutional, such invalidity or unconstitutionality shall not affect other provisions or applications of the section that can be given effect without the invalid or unconstitutional provision or application, and to this end the provisions of this section are severable.
History: Proposed by initiated amendment (Constitutional Amendment D), approved Nov. 8, 2022, eff. Jul. 1, 2023; amendment proposed by SL 2024, ch 2 (Constitutional Amendment F), approved Nov. 5, 2024, eff. Jul. 1, 2025.