Ten years after the Supreme Court ruled that states did not have to expand Medicaid, the politics are changing in states like South Dakota, where rural hospitals and nursing homes are struggling.
Jason Ravnsborg, who killed a man with his car in 2020, was removed from office after the State Senate voted to convict him. He was impeached by the House in April.
The state roundly rejected a proposal, meant to block Medicaid expansion, that would have reduced voters’ ability to direct policy. It was just the latest clash between voters and state legislatures.
In California, two House Republicans face tough primaries, and Los Angeles voters could elevate a conservative billionaire to lead the city. In South Dakota, a congressman faces a right-wing challenge.