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Voters in Missouri, Oklahoma, and South Dakota passed Medicaid expansion through constitutional amendments, but now Republican lawmakers want to tweak or ditch those protections. These ballot pushes come after voters bypassed GOP-led legislatures that blocked expansion before. Supporters call it a direct attack on voter will, while critics argue the programs too pricey without tax hikes or cuts to traditional Medicaid. In Oklahoma and South Dakota, ballot measures are already set, while Missouris is still being debated. This back-and-forth shows how tight those voter-approved locks really are, forcing lawmakers to ask permission again.
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