South Carolina H 3377: Medicaid expansion

Bill Text

2025-2026 Bill 3377 Text of Previous Version (Dec. 06, 2024) - South Carolina Legislature Online 

South Carolina General Assembly
126th Session, 2025-2026

Bill 3377

Indicates Matter Stricken
Indicates New Matter

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A joint Resolution

TO PROVIDE THAT A STATEWIDE ADVISORY REFERENDUM MUST BE 
CONDUCTED BY THE STATE ELECTION COMMISSION AT THE SAME TIME AS THE 2026 GENERAL 
ELECTION ON THE QUESTION OF WHETHER SOUTH CAROLINA SHOULD PARTICIPATE IN 
MEDICAID EXPANSION.

Be it enacted by the 
General Assembly of the State of South Carolina:

SECTION 1. (A) 
A statewide advisory referendum must be conducted by the State Election 
Commission at the same time as the 2026 General Election on the question of 
whether South Carolina should participate in Medicaid expansion so that 
beginning January 1, 2028, an adult sixty-five years of age and younger whose 
income is at or below one hundred thirty three percent of the federal poverty 
level, with a five percent income disregard, is eligible for Medicaid as 
provided for in the "Patient Protection and Affordable Care Act" (P.L. No. 111 
148), and amendments to that act. The state election laws shall apply to the 
referendum, with the appropriate changes being made. The State Board of 
Canvassers shall publish the results of the referendum and certify them to the 
Governor and each house of the General Assembly.

 (B) Ballots must 
be provided to all qualified electors participating in the referendum with the 
following question printed on the ballot:

 "Do you favor the 
State of South Carolina to participate in Medicaid expansion so that beginning 
January 1, 2028, an adult sixty five years of age and younger whose income is 
at or below one hundred thirty three percent of the federal poverty level, with 
a five percent income disregard, is eligible for Medicaid as provided for in 
the 'Patient Protection and Affordable Care Act' (P.L. No. 111 148), and 
amendments to that act?

Yes p

No p

Those voting in favor 
of the question shall deposit a ballot with a check or cross mark in the square 
after the word 'Yes,' and those voting against the question shall deposit a 
ballot with a check or cross mark in the square after the word 'No'."

 (C) The cost of 
the referendum must be paid from funds appropriated to the State Election 
Commission and the results of the referendum are advisory only.

SECTION 2. This joint resolution takes effect 
upon approval by the Governor.

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