Medicaid

Attorney General Marty Jackley says he wants legislation designed to restrict the supply of methamphetamine in South Dakota.  Jackley says there's a nationwide meth epidemic, and South Dakota lawmakers have a chance to lessen its effects in the state. 

South Dakota’s State Supreme Court Chief Justice David Gilbertson is pointing to the success of drug courts in reducing recidivism.  During his annual State of the Judiciary speech, Gilbertson called for similar courts for veterans and mental health.

South Dakota Governor Dennis Daugaard delivers his final State of the State address to a joint session of lawmakers. He discusses workforce development, teacher salaries and extending the Open Waters Compromise.

Kealey Bultena / SDPB

South Dakota’s congressional delegation is still intent to repeal and replace the Affordable Care Act, or Obamacare.

Healthcare leaders in South Dakota say congressional legislative proposals could hurt the state.

Barb Storbeck helps people enroll for health insurance through the exchange set up by the Affordable Care Act.

She says many of her clients were getting health insurance for the first time.

Lee Strubinger / SDPB

For about a decade the rate of uninsured Native American children in South Dakota declined by almost fifty percent. In the same period, the rate of uninsured adults went up.

That’s according to a recent study out of Georgetown University, which finds South Dakota is one of two states in the country where that happened.

According to a nationwide study of health insurance coverage rates from 2008 to 2015, the uninsured rate for American Indian and Alaska Native children and families has declined.

Kealey Bultena / SDPB

South Dakota’s United States Senators say their health care plan is better than the Affordable Care Act. Thursday Senate Republicans released a draft of the highly-anticipated health care overhaul bill.

US Senator Mike Rounds says the Better Care Reconciliation Act is more moderate than the US House health care overhaul bill. He says it's a draft until the congressional budget office scores the bill.

Kealey Bultena / SDPB

South Dakota’s governor says federal health care reform can benefit the state’s working poor. The United States Congress failed to repeal and replace the Affordable Care Act. South Dakota’s top official says a different federal change can save tens of millions of dollars.

To understand health care in South Dakota’s future, start in the past. The Affordable Care Act offers subsidies for people with low incomes down to the poverty line. Below that the law needed states to expand Medicaid to cover the working poor.

Kealey Bultena / SDPB

Some South Dakota lawmakers want to loosen regulations on nursing home beds. One measure allows nursing homes to move certain beds within organizations or sell them. A split committee in the State House is sending the legislation to the full chamber.

Kealey Bultena / SDPB

Governor Dennis Daugaard says South Dakotans should not expect millions of dollars from IHS. A deal with the Indian Health Service would have covered medical care for Native Americans who qualify for IHS and Medicaid. The governor says that can’t happen for now.

Indian Health Service leaders agreed to cover millions in medical costs that South Dakota picks up using Medicaid. Governor Dennis Daugaard says that arrangement hinged on the state’s expansion of Medicaid. Because that isn’t happening, does the deal still work?

SDPB

South Dakotans don't have the answers to many of their health care questions. Between federal administration changes and decisions at the state level, the issue of delivering quality, cost-effective health care is bathed in uncertainty. SDPB's Kealey Bultena joins Dakota Midday host Lori Walsh to answer many of those frequently asked questions.

Kealey Bultena / SDPB

South Dakotans don’t have answers to many of their health care questions. Between federal administration changes and decisions at the state level, the issue of delivering quality, cost-effective health care is bathed in uncertainty. Local advocates say patients should not panic; instead they say people can better understand the factors at play nationally and within South Dakota – and know that people are fighting for their wellness.

Kealey Bultena / SDPB

Medicaid expansion in South Dakota may not happen, but many health care providers say they’re not giving up on reforms that could help the working poor. Some health leaders are looking for other ways to deliver medical care to thousands of people.

Doctor Tim Ridgway says the point of the complicated medical system is to take care of people and improve the health of all individuals in communities.

Ridgway says navigating those elements and figuring out how to pay for all of it is an intricate process.

SDPB

SDPB political reporter Lee Strubinger visits about changes in the South Dakota Legislature after last week's election as he joins Lori Walsh on Dakota Midday.

Kealey Bultena / SDPB

State lawmakers say improving quality of health care remains a legislative priority. This on the heels of Governor Dennis Daugaard’s announcement that he will not support Medicaid expansion in 2017. That has lawmakers examining work between the state and federal government.

Kealey Bultena / SDPB

South Dakota political leaders say Medicaid expansion is off the table in the 2017 legislative session.  But one lawmaker says that doesn’t solve the problem of people not being able to afford health coverage.

Governor Dennis Daugaard announced Tuesday that he will not prioritize Medicaid expansion in the next legislative session. He says he made the decision to not expand Medicaid in South Dakota after a meeting with Vice President Elect Mike Pence.

Dakota Political Junkies Kevin Woster and Jonathan Ellis join Dakota Midday host Lori Walsh for a look behind the top political headlines of the week. Topics include the launch of a smaller GEAR UP summer program, the evolving relationship with Donald Trump and the state GOP, and the possibilities of Medicaid expansion in South Dakota.

sd.gov

Governor Dennis Daugaard says he won’t call a special session of the state legislature to vote on Medicaid expansion.  

Daugaard says he has a plan that would not cost the state additional money, and guarantees the federal government will pay for Native American healthcare.

Daugaard says several legislators requested more time to study his plan for Medicaid expansion. His plan would expand coverage to 50,000 South Dakotans between the ages of 18 and 65.  

Representative Jim Bolin says there wasn’t enough support in the House to approve the governor’s plan.

Troy Jones is the new administrator of the Human Services Center in Yankton. The state of South Dakota recently completed a correction plan to address findings from a Centers for Medicaid and Medicare Services report. Jones joins Dakota Midday to talk about his vision for HSC and the value of leadership and collaboration going forward. 

Courtesy photo

Members of the South Dakota Health Care Solutions Coalition continue to crunch the numbers to see if Medicaid expansion is feasible in South Dakota. Kim Malsam-Rysdon is the Secretary of the State Department of Health. She says Governor Dennis Daugaard continues to support a special session of the legislature if the plan is ready and if it makes sense to move forward before the regular session. She says officials are working on firming up commitments from providers.  

Regional Health CEO Backs Medicaid Expansion

Mar 29, 2016
Charles Michael Ray

The CEO of Regional Health, Brent Phillips, says the talk on Medicaid expansion in South Dakota has too often missed the point.  

Phillips says expanding Medicaid to thousands of uninsured residents will not only help Native people but also be a huge boost to the economy.  

Regional Health is among the largest employers in western South Dakota, and one of the largest health care providers in the state.

Brent Phillips, Regional Health CEO grew up on a Dairy Farm.

SDPB

State Lawmakers have finished the main part of their work for the 2016 legislative session.

Statehouse Podcast: Abortion, Education, Vehicular Homicide

Mar 2, 2016

The Statehouse Podcast for March 2nd, 2016 includes coverage of legislation on abortion, education, vehicular homicide, elder abuse, CAFOs, and Medicaid expansion. 

Governor Dennis Daugaard is not asking lawmakers to expand Medicaid this session. State officials received a letter from the federal government outlining policy changes, but the Governor says there’s not enough time in the final days of the session to fully consider the issue.  

 

Statehouse Podcast: Medicaid Expansion Delay, Education, CAFO Zoning

Feb 29, 2016

The Statehouse Podcast for February 29th, 2016 includes coverage of a delay in possible Medicaid expansion, education issues, CAFO zoning changes, and a bill dealing with the sale of fetal body parts.

Gov. Says No Medicaid Expansion This Session

Feb 29, 2016
Jenifer Jones

Governor Dennis Daugaard says he won’t ask state legislators to consider Medicaid expansion this session. He says there’s not enough time to fully consider the issue.

SDPB

Governor Dennis Daugaard says he’s waiting for a document from the federal government before he’s able to move forward with Medicaid expansion. He says the State Health Officer Letter containing the formal decision about policy changes is imminent. He’ll have to decide if it’s too late in the session to have the discussion.

 

The Statehouse Podcast for February 22nd, 2016 includes coverage legislation dealing with education funding, Native history curriculum, derogatory mascots, and limitations on Medicaid expansion.

Statehouse Podcast: Transgender Bathrooms, Medicaid Expansion, Fracking Ban

Feb 11, 2016

The Statehouse Podcast for Thursday, February 11th, 2016 includes coverage of legislation on transgender policy in South Dakota schools,  Medicaid expansion, open government, and a fracking ban.

State Leaders Wait For Medicaid Plan

Feb 8, 2016

Medicaid expansion is one of the major topics at the State Capitol this legislative session. Lawmakers are still waiting to hear details from the federal government before moving forward.

 

Jenifer Jones

The Statehouse Podcast for Sunday, February 7th includes coverage of legislation on medical marijuana, Medicaid expansion, education funding, and government accountability. 

 

Democratic leaders in the Statehouse say they’re optimistic about the Governor’s proposal to expand Medicaid. They say it benefits tens of thousands of South Dakotans and could transform the Indian Health Service.  

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