Proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, conditioning the requirement of expanded Medicaid on the level of federal medical assistance.

This bill proposes a constitutional amendment to South Dakota that would tie the state's obligation to expand Medicaid coverage to the level of federal funding provided for the program. It directly affects South Dakota residents and the state government by establishing a condition under which expanded Medicaid benefits must be implemented. The key provision requires that the state only expand Medicaid if the federal government contributes a sufficient level of financial assistance, effectively making state participation dependent on federal financial support levels. This change would alter the state's current Medicaid obligations by adding a financial condition precedent to the expansion requirement.