Medicaid Expansion

Pending Ballot Question Seeks To Expand Medicaid

23 hours ago
South Daktoa Community Action

A South Dakota direct democracy organization is proposing a Medicaid expansion ballot question for the 2020 election.

According to the Center on Budget and Policy Priorities, if Medicaid were expanded in South Dakota, roughly 40,000 adults would be newly eligible for coverage.

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

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?


Medicaid expansion would have extended health care coverage to South Dakotans who make too little money to afford health insurance but too much money to qualify for state programs. With President-elect Donald Trump and a GOP Congress promising to repeal or overhaul the Affordable Care Act, Governor Dennis Daugaard has declined to pursue Medicaid expansion in South Dakota. SDPB's Kealey Bultena joins Dakota Midday to discuss the issue that has become problematic for some.

Governor Dennis Daugaard joins Dakota Midday host Lori Walsh to preview his FY18 budget address and the upcoming legislate session, and answer questions about Medicaid expansion, education reform, and budget shortfalls.

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.

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.

South Dakota Department of Health

Do you understand all the twists and turns that Medicaid expansion has taken is South Dakota?

Secretary of Health Kim Malsam-Rysdon joins Dakota Midday to help answer some of those questions. She discusses some of the finer details of the governor's plan and the current state of Indian Health Services.

Watertown Regional Airport

Political Junkies join Dakota Midday again to talk about the week's political news. Roger Whittle is the managing editor of the Watertown Public Opinion and Dana Ferguson is a political reporter for the Sioux Falls Argus Leader.

They weigh in on Medicaid expansion, Indian Health Services, and the GOP convention. They also discuss local issues happening in Watertown and Sioux Falls.

Governor Dennis Daugaard joins Dakota Midday to discuss the closing of fiscal year 16. The governor also talks about the state's outlook on Medicaid expansion and  improvements at the Human Services Center in Yankton. The conversation closes with the return of the 155th Engineer Company from Kuwait and the work South Dakotans are completing in the Middle East.

Dakota Digest June 24, 2016

Jun 24, 2016

On this week's edition of Dakota Digest, US House of Representatives candidate Paula Hawks is encouraging her opponent to convince state lawmakers to vote towards expanding medicaid in South Dakota. Also, Governor Dennis Daugaard has proclaimed June 27 be called 'Post-Traumatic Stress Injury Awareness Day." Another happening this week, the Rapid City Chamber of Commerce has revealed a new initiative to promote racial equality in the workplace.

  The Dakota Political Junkies are a rotating panel of the most experienced and insightful political reporters and editors in the state. Seth Tupper looks at the town of Cottonwood (population: 12) as it survives a dissolution vote.

Dakota Midday: Dakota Political Junkies

Jun 1, 2016

Today’s Junkies are Denise Ross, an Editor for the Black Hills Knowledge Network and South Dakota Dashboard and Jonathan Ellis a reporter and columnist for the Sioux Falls Argus Leader.  Together, the Junkies dig into whether Medicaid expansion is politically viable, the complexity of honoring treaty obligations, and some of the more colorful local primary contests ahead of the South Dakota primary next Tuesday.

South Dakota Governor Dennis Daugaard joins Dakota Midday today for an extended conversation. Today's topics include: the possibility of a special session of the SD Legislature to address Medicaid expansion, an explanation of Daugaard's role at the Republican National Convention as a delegate, an update on a state park in Spearfish Canyon, and whether or not the current governor of South Dakota might consider a run from Congress once his time in the governor's mansion comes to a close.

Regional Health operates health care facilities across western South Dakota.  Brent Phillips, the new CEO of Regional Health, joined Dakota Midday to discuss the challenges of rural health care, Medicaid expansion, the Affordable Care Act and issues regarding health care for veterans and American Indians.

Executive Director of the South Dakota Budget and Policy Institute Joy Smolnisky joins Dakota Midday host Lori Walsh to discuss the state budget. This year saw changes in how the state discusses revenue projections. Smolnisky explains the success of the changes and also talks about Medicaid expansion and what the sales tax increase means for South Dakota families and business owners.

Dakota Digest for March 4, 2016

Mar 4, 2016

On this week's edition of Dakota Digest, Governor Dennis Daugaard has veto'd the transgender bathroom bill. Also, the half-penny teacher pay bill has now passed both the senate and house and awaits the Governor's signature. 

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.  


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.

Dakota Digest for February 26, 2016

Feb 29, 2016

On this week's edition of Dakota Digest, education remains the top news in Pierre for the legislative session. Also, Governor Dennis Daugaard discusses medical marijuana and Medicaid expansion.

The Statehouse Podcast for February 28th, 2016 includes coverage of legislation on transgender bathrooms, possible Medicaid expansion, medical marijuana, and education funding.


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.


Statehouse Podcast: Ed Funding, Payday Loans, Medicaid Expansion, Mascots

Feb 24, 2016
Jenifer Jones

The Statehouse Podcast for February 24th, 2016 includes coverage of legislation on education funding, payday loans, Medicaid expansion, mascots, and more.


Dakota Digest for January 29, 2016

Jan 29, 2016

On this week's edition of Dakota Digest, the state legislature has concluded its work for the month of January. This week the top topics were Transgender students and bathrooms in public schools, education, medicaid expansion, and daylight savings time.

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.  

Speaker Wink and Senator Sutton continue the conversation of the Session's top issues ... from raising teacher salaries, to food tax relief. They also discuss how South Dakota citizens can be part of the legislative process.

Kevin Killer and Shawn Bordeaux discuss the intersection of state politics and tribal politics. From education to Medicaid expansion to the arts, the two state representatives highlight issues important to South Dakotans and call for partnerships between Native and non-Natives throughout the state.