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Amendment B

Utah Campaign Says Amendment B’s 60% Hurdle Could Have Sunk Medicaid and Medical Marijuana Measures

Utah’s Amendment B proposal would set a 60% threshold for specified tax-related citizen initiatives. The opposition campaign says two 2018 measures could have fallen short.

By TheFinanceBase Team 2 min read
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Utah’s proposed Amendment B would require at least 60% voter support for certain citizen initiatives involving specified tax changes. The opposition campaign says that threshold could have blocked the 2018 Medicaid expansion and medical-marijuana initiatives, which received 53.3% and 52.7% of the vote. Both measures passed under the rules then in force; whether Amendment B would have covered them is a separate, conditional question.

What Amendment B would change

Utah lawmakers approved Amendment B for the November 3, 2026 ballot. As described in current coverage, it would set a 60% passage threshold for a citizen initiative that imposes a new tax, expands or increases an existing tax, or makes a specified property-tax-rate change: one that decreases the rate by less than it otherwise would under current law. The threshold is not described as applying to every initiative or ballot question. Utah News Dispatch, September 28, 2026

How the 2018 initiatives compare with 60%

The opposition campaign, Utahns Protecting Our Constitution, points to three 2018 initiatives as examples of measures that received less than 60% support. The reported percentages below come from 2026 coverage; the official statewide canvass is also available from the Utah Lieutenant Governor’s Office.

2018 initiative Reported vote share Compared with proposed 60% threshold
Full Medicaid expansion 53.3% 6.7 percentage points below
Medical marijuana 52.7% 7.3 percentage points below
Better Boundaries redistricting commission 50.3% 9.7 percentage points below

The percentages are reported by The Salt Lake Tribune and Utah News Dispatch. All three initiatives passed under the rules in force in 2018. The arithmetic shows that their vote shares were below 60%; it does not, by itself, establish that Amendment B would have applied to each measure. The campaign’s claim that Medicaid expansion and medical marijuana would have failed is conditional on both the proposed rule applying to them and the past results being assessed under that rule.

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What supporters and opponents argue

Supporters: broader agreement for tax increases

Amendment B sponsor Sen. Lincoln Fillmore and Utah Taxpayers Association president Billy Hesterman argue that initiatives raising taxes should have support beyond a bare majority. Fillmore framed the issue as whether 50.1% should be able to raise taxes on the other 49.9%, or whether such a decision should require broader consensus. Fillmore and Rep. Jason Kyle described Amendment B as leaving the decision with voters while requiring broader agreement for a statewide initiative to raise taxes on families. These arguments were reported in the September 28, 2026 Salt Lake Tribune article.

Opponents: a higher bar for citizen initiatives

Elizabeth Rasmussen of Better Boundaries and Utahns Protecting Our Constitution argues that raising the threshold makes the citizen initiative process harder and weakens a tool voters can use to check government. She also questioned how broadly the proposal’s tax language might be applied; that is her concern, not an established account of how future officials would interpret it. The opposition group announced TV advertising, mail, canvassing, and digital outreach. Utah News Dispatch, September 28, 2026

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What one September poll found

Utah News Dispatch reported that a Noble Predictive Insights poll found 50% of Utah voters supported Amendment B, 21% opposed it, and 23% were unsure. The poll surveyed 602 registered voters from September 8–12, 2026, and reported a margin of error of ±3.99 percentage points. These figures are a time-bounded snapshot, not a prediction or election result; they are reported in the September 28 Utah News Dispatch article.

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