Summary:
Current Status of Medicaid Expansion in State:
State will not expand Medicaid.
Decision Process:
Regular legislative process.
Background:
· Currently:
16% of South Dakota residents are enrolled in Medicaid. 76% of beneficiaries have managed care. The state's Medicaid program covers up to 200% FPL depending on the specific program. The Department of Social Services oversees the state's Medicaid program.
· Expansion:
Expansion of Medicaid to 133% FPL would be a 26% increase over current enrollment.
· Process:
Governor Dennis Daugaard has said that the decision make take several years depending on the economic landscape. The state has decided to participate in the exchange in some capacity.
State Activity:
· South Dakota was one of the states to sue for repeal of the ACA. Governor Daugaard expressed his hope that a President Romney would repeal the ACA.
· The Governor has said that South Dakota will wait to make a decision and evaluate the budget and whether Medicaid costs have come down.
· Democratic state legislators are currently gearing up to support the implementation of Medicaid expansion as their top budget priority. The Expansion was not included in the Governor's budget proposal.
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