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The expansion of Medicaid, a central pillar of the Affordable Care Act, faces immense uncertainty next year, with President-elect Donald J. Trump and top Republicans in Congress embracing proposals that could leave millions of poorer Americans without health insurance and jeopardize a major element of President Obama’s legacy. But influential figures in surprising quarters of the new administration might balk at a broad rollback of Medicaid’s reach, favoring new conditions for access to the government insurance program for the poor but not wholesale cutbacks. (Pear, 11/15)

Republican Gov. Dennis Daugaard said Tuesday that he won't pursue an expansion of Medicaid in 2017 after a discussion with Vice President-elect Mike Pence. The South Dakota governor said in a statement that his decision is based on a Monday meeting in which he and Pence talked about the Trump administration's plans for repealing or reforming the Affordable Care Act. (Nord, 11/15)

Plans to move forward on Medicaid expansion during the 2017 legislative session came to an abrupt halt Tuesday. Gov. Dennis Daugaard, one of the plan's key architects, in a statement said based on the election of Republican Donald Trump and the administration's plans moving forward, he would drop his request that the state Legislature weigh expanding the health insurance program for needy people. (Ferguson, 11/15)