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Repeal provisions for state assistance to persons experiencing chronic renal failure.

South Dakota currently operates a state assistance program that helps people with chronic kidney failure afford dialysis and transplant services when they can't pay for it themselves. This bill eliminates that entire program, meaning the state will no longer provide financial help to kidney failure patients for these life-saving treatments. People needing dialysis or transplants will need to rely solely on federal programs like Medicare and Medicaid, insurance, or other sources of funding.

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 constitutional amendment would make South Dakota's expanded Medicaid coverage automatic only while the federal government pays at least 90% of the costs; once federal funding drops below that threshold, the state would no longer be required to cover adults earning up to 133% of the federal poverty level. Currently, South Dakota's constitution requires this expanded Medicaid coverage indefinitely, but this change would tie it to federal funding levels. Voters would decide whether to approve this amendment in the next general election.