South Dakota
Report identifies factors leading to high child Medicaid disenrollment in SD
A new report underscores the percentage of South Dakota disenrolled from Medicaid coverage due to the public health emergency unwinding.
Researchers with the Urban Institute point to three policies that led to the large decrease.
States with high Medicaid disenrollment rates — like South Dakota — also saw high child disenrollment. Last year, the federal government reported a 27 percent in Medicaid enrollment for South Dakota kids.
A new report, created in conjunction with the Robert Wood Johnson Foundation, points to three state policy decisions contributing to those high rates.
“South Dakota is a good illustration of basically all of the things we highlighted in that paper,” said Matthew Buettgens, a senior fellow at the Urban Institute and one of the researchers who compared Medicaid enrollment data with projections.
Buettgens said states that took less than 12 months to disenroll Medicaid applicants had higher disenrollment.
States that prioritized and identified people likely to be ineligible also saw higher child disenrollment.
The Center for Medicaid and Medicare Services allowed states to apply for over a dozen waivers to streamline the unwinding process and reduce the number of people who are unnecessarily disenrolled. Of those fifteen waivers, the state only applied for one.
“That certainly is contributing to the high child disenrollment,” Buettgens said. “It’s not at all clear that that’s the entire story. Because the child disenrollment is so high, there very well may be something else going on.”
The rate of child disenrollment from Medicaid in South Dakota alarmed federal officials last year. US Health and Human services sent a letter to the Noem administration urging it to adopt policies to make Medicaid renewal easier.
In January, state officials attributed the drop in child Medicaid coverage to rising incomes and said they’re following federal guidance for disenrolling children.
In a statement, DSS Secretary Matt Althoff said the department followed all federal guidance during unwinding. He adds all renewals are examined based on eligibility requirements set forth in the state Medicaid plan, which was approved by the feds.
South Dakota Department of Social Services Secretary Matt Althoff full statement:
The South Dakota Department of Social Services has followed all federal guidance during unwinding. All renewals have been examined based on the eligibility requirements set forth in the state’s Medicaid plan, which has been reviewed and approved by the federal government. DSS is confident in the results from our unwinding efforts.
Regarding the UI report, South Dakota is called out in this report based on projections that the study authors alone created. In fact, the report itself acknowledges that state-specific economic factors and employment rates can cause Medicaid enrollment to deviate from their projected trends (second paragraph under limitations, pdf page 14). UI’s analysis is based on estimates of past enrollment trends in their Health Insurance Policy Simulation Model (HIPSM) which they used to project a future enrollment rate. But the study author’s note that for smaller states, there is greater uncertainty in those projections. DSS also notes the study’s acknowledgment that increased economic growth in a state reduces its Medicaid enrollment (UI report executive summary).
DSS offers essential context in which to review Unwinding data for South Dakota:
- Medicaid and CHIP enrollment in South Dakota were steadily declining prior to the start of the public health emergency.
- The policies mentioned in the UI report are not part of the state Medicaid Plan
- South Dakota’s Plan for Unwinding, which was approved by CMS, projected enrollment rates to decline and trend toward pre-pandemic levels. Indeed, this is precisely what occurred.
- The percentage of children enrolled in South Dakota Medicaid declined by 0.32% per year between 2020 and 2023, comparable to the previous two years decline of 0.30% per year.
- South Dakota concurrently experienced declining numbers for SNAP, TANF and CCA (Child Care Assistance) over the same time period measured in the UI report.
- South Dakota had the 4th lowest rate of procedural closures (for administrative rather than income basis) in the nation. (KFF Health News tracker)
Updated
SD Lottery Powerball, Lotto America winning numbers for May 11, 2026
The South Dakota Lottery offers multiple draw games for those aiming to win big.
Here’s a look at May 11, 2026, results for each game:
Winning Powerball numbers from May 11 drawing
24-30-37-56-64, Powerball: 07, Power Play: 3
Check Powerball payouts and previous drawings here.
Winning Lotto America numbers from May 11 drawing
16-19-22-34-46, Star Ball: 01, ASB: 02
Check Lotto America payouts and previous drawings here.
Winning Millionaire for Life numbers from May 11 drawing
42-45-46-48-56, Bonus: 03
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky?Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
-
Prizes of $100 or less: Can be claimed at any South Dakota Lottery retailer.
-
Prizes of $101 or more: Must be claimed from the Lottery. By mail, send a claim form and a signed winning ticket to the Lottery at 711 E. Wells Avenue, Pierre, SD 57501.
-
Any jackpot-winning ticket for Dakota Cash or Lotto America, top prize-winning ticket for Lucky for Life, or for the second prizes for Powerball and Mega Millions must be presented in person at a Lottery office. A jackpot-winning Powerball or Mega Millions ticket must be presented in person at the Lottery office in Pierre.
When are the South Dakota Lottery drawings held?
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Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
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Mega Millions: 10 p.m. CT on Tuesday and Friday.
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Lucky for Life: 9:38 p.m. CT daily.
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Lotto America: 9:15 p.m. CT on Monday, Wednesday and Saturday.
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Dakota Cash: 9 p.m. CT on Wednesday and Saturday.
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Millionaire for Life: 10:15 p.m. CT daily.
This results page was generated automatically using information from TinBu and a template written and reviewed by a South Dakota editor. You can send feedback using this form.
This article originally appeared on Sioux Falls Argus Leader: SD Lottery Powerball, Lotto America winning numbers for May 11, 2026
RAPID CITY, S.D. (KOTA) – More road work and travel impacts are set to begin across western South Dakota this week, with projects ranging from highway striping and crack sealing to temporary rest area closures as well as an upcoming public meeting on a bridge replacement project in Keystone.
The first projects begin Monday, May 11.
S.D. Highway 44: Striping work
On S.D. Highway 44, crews will complete striping work from about 1.5 miles east of Farmingdale to roughly 10.75 miles east of the community.
Work is scheduled from 6 a.m. to 5 p.m. Monday and is expected to continue through Tuesday evening. Drivers should expect daytime lane impacts in the area.
U.S. Highway 385: Striping work
Also beginning Monday, striping operations are scheduled on U.S. Highway 385 from about one mile south of the U.S. Highway 85 junction near Deadwood to the junction itself. Work is expected to take place during daytime hours Monday through Tuesday.
Pavement preservation project on S.D. Highway 20
A pavement preservation project is also scheduled to start Monday on S.D. Highway 20 between Buffalo and Camp Crook. Crews will be sealing cracks in the roadway as part of the project. Traffic will be reduced to one lane during daytime hours, with flaggers and a pilot car guiding motorists through the work zone. Delays of up to 15 minutes are expected.
The contractor for the $112,155 project is Highway Improvement, Inc. of Sioux Falls. The overall completion date is scheduled for Dec. 4.
Drivers are reminded to slow down and use caution around crews and construction equipment in all work zones.
Wasta rest area spring cleaning
Additional travel impacts are expected latter this week with temporary closures planned at the Wasta Rest Areas along Interstate 90 for annual spring cleaning.
The eastbound Wasta Rest Area near mile marker 98 will close at 7 a.m. Tuesday, May 12, and reopen at 9 a.m. Wednesday, May 13. After that reopening, the westbound rest area will close from 9 a.m. Wednesday until 9 a.m. Thursday, May 14. Travelers are encouraged to make alternate plans during the closures.
Public meeting on future bridge replacement project along U.S. Highway 16A in Keystone
On Thursday, May 14, the South Dakota Department of Transportation and Complete Concrete, Inc. will host a public informational meeting on a future bridge replacement project along U.S. Highway 16A in Keystone.
The open house-style meeting will run from 4:30 p.m. to 6:30 p.m. at the Keystone Community Center, 1101 Madill St. Officials say the meeting is intended to provide project details and answer questions from residents, businesses and emergency personnel.
The bridge replacement project is scheduled to begin in October. Plans call for replacing the existing bridge with a box culvert and include additional improvements such as intersection upgrades, resurfacing, pavement markings, traffic signals, ADA upgrades and erosion control. Pedestrian access on both sides of the structure will also be improved.
More information on the Keystone project is available at South Dakota Department of Transportation’s project page.
Current road conditions, closures and construction updates can be found at SD511 or by dialing 511.
See a spelling or grammatical error in our story? Please click here to report it.
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Copyright 2026 KOTA. All rights reserved.
The South Dakota Lottery offers multiple draw games for those aiming to win big.
Here’s a look at May 10, 2026, results for each game:
Winning Millionaire for Life numbers from May 10 drawing
01-03-20-35-46, Bonus: 05
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
- Prizes of $100 or less: Can be claimed at any South Dakota Lottery retailer.
- Prizes of $101 or more: Must be claimed from the Lottery. By mail, send a claim form and a signed winning ticket to the Lottery at 711 E. Wells Avenue, Pierre, SD 57501.
- Any jackpot-winning ticket for Dakota Cash or Lotto America, top prize-winning ticket for Lucky for Life, or for the second prizes for Powerball and Mega Millions must be presented in person at a Lottery office. A jackpot-winning Powerball or Mega Millions ticket must be presented in person at the Lottery office in Pierre.
When are the South Dakota Lottery drawings held?
- Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
- Mega Millions: 10 p.m. CT on Tuesday and Friday.
- Lucky for Life: 9:38 p.m. CT daily.
- Lotto America: 9:15 p.m. CT on Monday, Wednesday and Saturday.
- Dakota Cash: 9 p.m. CT on Wednesday and Saturday.
- Millionaire for Life: 10:15 p.m. CT daily.
This results page was generated automatically using information from TinBu and a template written and reviewed by a South Dakota editor. You can send feedback using this form.
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