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The Bottom Line:


Medicaid expansion would provide health insurance to 42,000 South Dakotans who need it


17,000 valid signatures are required to qualify our Medicaid expansion Initiated Measure 


Ideally we will collect all of these signatures by Judge Kornemann's adjusted due date of May 2022!

Additional Campaign Resources

Getting Started

Not sure where to being? Try completing some of the actions on our 'Getting Started' page.

Great Plains Tribal Chairmen's Healthcare Survey

We want to hear how you feel about healthcare the Dakotas so we put together a brief survey using artificial intelligence (AI) in the form of our digital Smart Assistant "The Doctor." The survey is approximately 8 questions long and won't be available forever. 

Help! Circulate a Petition!

We need 17, 000 valid signatures by 5/23/22 to ensure Medicaid expansion qualifies, stays, and wins at the 2022 ballot box! Click below to access our "how to" guide and Medicaid expansion petition materials right now!

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Grassroots networks like Dakotans For Health are critical to the success of ballot measures. 

Steve Hildebrand   |  Sioux Fall, SD

Health Insurance for 42,000

We have partnered with the South Dakota AFL-CIO and Great Plains Tribal Chairmen's Association on a ballot measure that will deliver healthcare to those who need it but can’t afford it, including many parents, seniors, and hardworking families of four who earn less than $34,000 a year. It will bring $300 million of our tax dollars home from Washington, D.C. every year that will make it possible to provide health insurance to the uninsured, lower insurance premiums, make prescription drugs more affordable, keep our rural hospitals open, and create thousands of new jobs, but we need your help...

Grassroots Networks Win Initiatives

Grassroots networks are the central component of our strategy to qualify the measure, build support for passage, and establish a constituency that can implement and defend the law. So be the change you want to see in this world. Join our grassroots effort and start circulating a petition to expand Medicaid right now!


Federal Judge denies NOEM. Extends signature deadline for Initiated Measures...

On Wednesday, November 3rd Federal Judge Charles B Kornmann rejected Governor Noem’s request to stop his August allowing signature gathering



The 8th Circuit yesterday rejected Governor Noem’s request to stop Judge Lawrence Piersol’s recent ruling that SB 180 is...


Frazier: Build Back Better is taking care of the middle class and most vulnerable among us

There’s no better time than now for Congress to expand access to Medicaid as part of the ongoing budget reconciliation process...

Campaign Updates

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The work of expanding Medicaid is critical to the longterm success of Indian Country and I would like to thank Dakotans for Health for taking it on. People's lives literally depend on it.

Chairman Robert Flying Hawk

Yankton Sioux Tribe

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Medicaid Expansion

A Citizen Ballot Initiative