Missouri, Oklahoma, and South Dakota are uniquely vulnerable to cuts in federal Medicaid funding because they adopted the ACA’s Medicaid expansion via constitutional amendment, making it harder to undo their obligations to state residents.

Missouri, Oklahoma, and South Dakota are uniquely vulnerable to cuts in federal Medicaid funding because they adopted the ACA’s Medicaid expansion via constitutional amendment, making it harder to undo their obligations to state residents. https://www.nytimes.com/2025/04/06/upshot/medicaid-cuts-republicans-states.html?smid=nytcore-ios-share&referringSource=articleShare