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South Dakota voters will decide in November whether the state should become the 39th to expand Medicaid under the Affordable Care Act, a move that would provide coverage to 42,000 low-income residents. The Nebraska expansion was delayed for nearly two years by state officials after voters approved a ballot measure in 2018. The group is following a playbook used elsewhere, emphasizing how Medicaid expansion at the ballot after validating thousands of petition signatures. South Dakota voters will decide in November whether the state should become the 39th to expand Medicaid under the Affordable Care Act, a move that would provide coverage to 42,000 low-income residents. In the states without Medicaid expansion, but results have varied.
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