The waiver submitted by South Dakota seeks to impose work requirements on a portion of the state’s Medicaid recipients. Since South Dakota declined to expand Medicaid through the Affordable Care Act (ACA), only very low-income adults, parents and caregivers receive Medicaid. In order to receive health care through Medicaid in South Dakota, recipients must have an income below 50 percent of the federal poverty limit (FPL), which is only about $883 per month or $10,596 per year for a family of three.

We strongly oppose approval of this waiver and urge Secretary Azar to reject it.

View our comments.