Most of the campaign spending on a ballot question regarding work requirements for Medicaid expansion recipients has been on the “no” side, with major donations from nonprofits that advocate for people with serious medical conditions.
Amendment F would change the South Dakota Constitution to allow legislative consideration of work requirements for people receiving Medicaid under expanded eligibility approved by voters in 2022.
The sole statewide ballot question committee organized in response to the measure is Vote “No” on Amendment F . The committee recently reported raising $470,000 since September and spending $250,000. Contributions included $313,000 from the American Cancer Society, $65,000 from the American Heart Association and $33,000 from the Leukemia & Lymphoma Society.
Additionally, AARP South Dakota reported spending $97,000 directly on Amendment F advertising, without giving the money to a ballot question committee. The group has a page on its website that encourages South Dakotans to vote no on the measure.