South Dakota voters will decide 4 statewide measures in 2026 on the November 3, 2026 general election ballot. Summaries below stick to the certified ballot language — no editorializing.
South Dakota measures currently pass with a simple majority. Constitutional Amendment L on this ballot would raise that to 60% for future amendments.
Constitutional Amendment I: Medicaid Expansion Conditioned on 90% Federal Funding Amendment
Constitutional amendment (legislative referral)
Condition Medicaid expansion on federal funding remaining at least 90%
Provide that "[an] individual who is not a citizen of the United States is disqualified from voting in any election or upon any question submitted to the voters"
Titles and summaries reflect each state's certified measure list as tracked by Ballotpedia, with links to the full text. Measure lists can change until final certification — always confirm with your state election office. Last reviewed July 9, 2026.