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South Dakota becomes the seventh state where voters have forced an expansion of the government health care program that insures low-income people. “Citizens have taken matters into their own hands,” said Kelly Hall, executive director of the Fairness Project, which backed the initiative.

"South Dakotans know their families and neighbors deserve health care without going into debt or avoiding check-ups, procedures, and medication they need," said Kelly Hall, executive director of the Fairness Project. "Citizens took matters into their own hands to pass Medicaid expansion via ballot measure."

“We are thrilled by this victory, which took years of work, coalition building and organizing to achieve,” said Kelly Hall, director of the Fairness Project, which spearheaded the effort.

“Citizens took matters into their own hands to pass Medicaid expansion via ballot measure — showing us once again that if politicians won’t do their job, their constituents will step up and do it for them," said Kelly Hall, executive director of the Fairness Project, which helped pass the ballot measure.

“Direct democracy has been a path for important change and also a path of last resort,” Kelly Hall, a former Obama administration health official who is now the executive director of the Fairness Project, said. “Expanding Medicaid anywhere helps protect it everywhere.”

“South Dakotans know their families and neighbors deserve health care without going into debt or avoiding check-ups, procedures, and medication they need,” Kelly Hall, the executive director of the Fairness Project, which worked with the ballot initiative’s supporters in South Dakota and has helped other states win Medicaid expansion.