South Dakota Governor ‘Leaning Against’ Medicaid Expansion

Natural Resources Committee Chairman, South Dakota Gov. Dennis Daugaard, third from left, listens to Department of Agriculture Secretary Tom Vilsack, right, during the committee’s panel discussion on extreme wea... Natural Resources Committee Chairman, South Dakota Gov. Dennis Daugaard, third from left, listens to Department of Agriculture Secretary Tom Vilsack, right, during the committee’s panel discussion on extreme weather and the army corps of engineers: preparing states for the future” at the National Governors Association 2013 Winter Meeting in Washington, Sunday, Feb. 24, 2013. Others are, from left, Deputy Commanding General for Civil and Emergency Operation of the U.S. Army Corps of Engineers Maj. Gen. Michael Walsh and California Gov. Jerry Brown. MORE LESS

South Dakota Gov. Dennis Daugaard (R) will likely not give the go-ahead for his state to join the Medicaid expansion under the Affordable Care Act, the Argus Leader reported Saturday.

“I probably am leaning against expansion,” Daugaard said. “As time passes, particularly during 2014, that will become clearer. Right now, it’s hard to know.”

As the Argus Leader noted, an estimated 48,000 South Dakotans would receive coverage under the expansion of Medicaid under the new federal health care law. States are encouraged but not required to accept the expanded coverage. The federal government has pledged to pay 90 percent or more of the costs associated with the expansion.

The GOP-controlled South Dakota legislature would likely only vote to expand Medicaid coverage with the governor’s support.

Daugaard announced late last year that he would not include the expansion in the state’s budget, but said at the time that he was not opting out of the program.

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