The resolution proposes an amendment to the South Dakota Constitution that would repeal the requirement for the state to provide expanded Medicaid benefits. Specifically, it seeks to eliminate the provision that mandates Medicaid coverage for individuals aged 18 to 65 whose income is at or below 133% of the federal poverty level, as established by federal law as of January 1, 2021. The amendment will be presented to voters during the next general election for their approval.

If passed, this amendment would remove the obligations related to Medicaid expansion, including any associated eligibility criteria and enrollment standards. The resolution emphasizes that the repeal is intended to streamline the state's Medicaid policies and potentially allow for the implementation of work requirements for certain individuals, as permitted by federal guidelines. Overall, the resolution aims to give voters the opportunity to decide on the future of Medicaid expansion in South Dakota.