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$20 million injected into support for South Dakota emergency medical services

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 million injected into support for South Dakota emergency medical services


PIERRE — The South Dakota Department of Health pushed out $20 million for improvements to emergency medical services across the state in the past two years, putting much-needed funding toward a number of vital areas, such as telemedicine and grants for local services.

Highlights of the initiative were outlined in the recently released 2023 South Dakota Department of Health annual report.

The influx of dollars should help keep emergency medical services vital in communities across the state, Marty Link, administrator for EMS and trauma programs for the department of health, told the Mitchell Republic.

“Not only was the $20 million instrumental in advancing EMS, but the ongoing support and advocacy for EMS demonstrated the commitment to our pre-hospital care providers,” Link said. “The $20 million provided South Dakota to lift up a one-of-a-kind Telemedicine in Motion initiative, replace 308 LIFEPAK monitor/defibrillators and conduct a statewide sustainability assessment of the state of EMS in South Dakota.”

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Telemedicine in Medicine is a program unique to South Dakota, Link said. It connects physicians and nurse medical professionals with first responders in the field, improving efficiency in patient assessment, treatment and transfer to definitive care centers.

The $1.7 million in funding specifically for the program has helped provide tablets for EMS providers, training and telehealth services, including unlimited data, software, professional support services and project implementation.

Such improvements are important in a primarily rural state like South Dakota, where patients can often find themselves a long way from a treatment center.

“Telemedicine in Motion is a one-of-a-kind pioneering initiative first developed in South Dakota specifically for EMS providers. No where else in the country is there a statewide initiative of its kind,” Link said. “(It) is instrumental in ensuring patients have the best possible care, especially in such a vast frontier and rural state as South Dakota.”

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South Dakota lawmakers approved funding to add video systems to ambulances that let medics get help from more advanced providers.

Arielle Zionts / KFF Health News

Benefits of the system were highlighted in December when medical responders used it to treat Gann Valley rancher Jim Lutter, who had been attacked by a bison at his ranch. The communication system connected the rural ambulance personnel with an emergency medicine physician in Sioux Falls,

who assessed the situation, provided guidance and contacted the receiving hospital in Wessington Springs and advised them on how to prepare.

She also was able to arrange for a helicopter to transport Lutter to Sioux Falls, where he could receive high-level treatment. Ambulance crew members said they were able to devote all their attention to Lutter as the emergency physician advised them, took notes and coordinated responses in Wessington Springs and Sioux Falls thanks to the system.

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Link said 92 of the 122 ambulance services in South Dakota are live and active with the technology, and there have been approximately 900 encounters of its use since November 2022.

Another $11.6 million in funding went to replacing LIFEPAK monitors for local ambulance services.

The monitors help emergency responders identify when patients are experiencing an ST elevated myocardial infarction, aka heart attack, in transport and allows an EKG reading to be transmitted to the receiving hospital and allow the staff there to prepare for the patient.

Time is critical in such medical cases, and detailed communication between ambulance and hospital personnel can make the difference in saving a patient’s life. The monitors help improve that communication.

“The quicker an EMS clinician can identify if a patient is having an ST elevated myocardial infarction and alert hospital staff, the quicker a patient can receive definitive care,” Link said. “Time is of the essence to ensure patients not only get the care they need, but maintain a high quality of life post event.”

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Link said the department has been extremely pleased with participation in both the Telemedicine in Motion and LIFEPAK programs, including cooperation with Indian Health Services that helped supply the Pine Ridge and Eagle Butte ambulance services with equipment from both programs.

In addition, another $8 million went into a regional service designation assessment on the current state of EMS in South Dakota, with $7.5 going toward grants for the development and implementation of systems and solutions to support the sustainability of critical services throughout the state.

South Dakota Gov. Kristi Noem budget address

The South Dakota Department of Health has infused $20 million into programs to improve emergency health services in South Dakota. Gov. Kristi Noem praised the initiative in her state of the state address earlier this month.

Mitchell Republic File Photo

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The assessment is helping officials better understand the current ambulance system and identify its strengths as well as areas that need improvement. One objective, for example, is achieving ambulance response times of 30 minutes or less to any resident or visitor who calls 911.

The assessment is a first for South Dakota, Link said, being far more detailed than any previous review.

“Nothing like this has ever been done before. The department works with, engages and communicates with EMS stakeholders on a regular basis, but this is by far the most comprehensive assessment to date,” Link said. “The report provided several short, medium and long-term recommendations which will guide the department and align the grant opportunities for EMS services in a meaningful way.”

The applications for those grants were opened Jan. 16 and run through March 15. Applicants hoping to receive the grant must provide specific, measurable, attainable, realistic, relevant and time-bound solutions for improving long-term sustainability of EMS in South Dakota.

Funding for the grants must be obligated by the end of 2024, and grant recipients must spend the funding received by Nov. 1, 2026.

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“This will be a competitive grant opportunity for our EMS providers across the state,” Link said. “The department will have approximately $7.5 million to distribute to these providers for a variety of activities that may include, but are not limited to, billing software solutions, supply procurement systems, workforce recruitment and retention, training programs or the development and implementation of regional hubs.”

A second round of grant funding will open and be announced later this summer.

The approximately $20 million in funding for the programs was approved by Gov. Kristi Noem and the South Dakota Legislature in 2022. Noem praised the initiative in her annual state of the state address earlier this month.

“In South Dakota, we value living a healthy life, no matter where you live. Every South Dakotan should have the Freedom to live where they want — but they shouldn’t have to choose between a rural way of life and good health outcomes. In our rural communities, emergency responders are sometimes the only local healthcare providers. They often show up in our very worst moments. But the nationwide EMT turnover rate is 36%. And in South Dakota, nearly 90% of our emergency medical services are done by volunteers,” Noem said in her address.

Noem said the funding is an investment in the long-term health of emergency medical services in the state. And a healthy EMS community means healthier South Dakotans, she said.

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“These efforts are an investment in the future of EMS. More importantly, they are saving lives,” Noem said.

The 2023 South Dakota Department of Health annual report can be found at doh.sd.gov/health-data-reports/annual-report.





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Work, housing and staffing: How South Dakota’s corrections chief aims to keep inmates from returning

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Work, housing and staffing: How South Dakota’s corrections chief aims to keep inmates from returning


SIOUX FALLS – South Dakota’s repeat offense rate for people who leave prison can return to the low point it saw a a dozen years ago, the state’s corrections secretary said Tuesday.

Nick Lamb, now six months into his role atop the Department of Corrections, laid out the agency’s plan Tuesday at the Correctional Rehabilitation Task Force at its meeting in Sioux Falls. The plan includes work release programs, residential housing for inmates and a top-to-bottom restructuring of how the department operates.

Recidivism measures how many inmates return to prison within three years of their release. The figure for South Dakota stood at

 50%

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in the most recent data, which was based on the performance of inmates released in 2021.

South Dakota’s lowest recidivism rate in the last two decades was 39% in 2014.

“We’ll get back there,” Lamb said Tuesday.

Lamb told reporters after the meeting he wants “to start getting in the business of closing prisons” during his tenure.

“Our population is too high for our state,” Lamb said. “We need to get our population down, but we’ve got to give the offenders the tools they need that they haven’t always had.”

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Several recommendations presented on Tuesday, by Lamb and other criminal justice experts, will require more staff and funding.

State Rep. John Hughes, R-Sioux Falls, worries that the Legislature’s budget-setting committee will balk at new spending.

“My concern is that we put all these elaborate proposals together, then when we get to appropriations we’re going to hit the wall,” Hughes said.

Inmates return to work release

Under Lamb’s predecessor, Kellie Wasko, pay for inmate work performed outside the prison walls

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was increased to minimum wage

. After that policy change, fewer communities and organizations contracted inmate workers for community service jobs.

Rep. Tim Reisch, R-Howard, said most of the roughly 250 minimum-security prisoners he oversaw during his tenure as corrections secretary participated in work release.

“They got up and they all had jobs. They were used to getting out of bed, going to work, getting in a habit of that,” Reisch said.

When he toured the prison last year, fewer than 20 were working, he said.

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Lamb has cut inmate wages below minimum wage since he started.

“We reached out to a lot of these communities, basically asking if they need help,” Lamb said. “We lowered the wage, which upset some people, but we need them out working.”

This summer, inmates will work at Sioux Falls parks and at its regional landfill, and they’ll prepare the fairgrounds in Huron for the State Fairgrounds in August. They’ll also help out during Riverboat Days in Yankton, and pitch in on tournament preparation for the National Field Archery Association.

Statewide residential facilities planned

Lamb also wants to establish a residential corrections program. He shared a presentation showing how such a program

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operated in Iowa

, where he served as deputy director of institutional operations for the Iowa Department of Corrections before his move to South Dakota.

In Iowa, most residential facilities were filled with people on probation, parole or work release. He envisions a similar program in South Dakota, with housing outside of traditional prison settings designed to help transition back into the community, but he hasn’t finalized details or a timeline.

“We’re going to try it,” Lamb said. “I’ll be honest, I haven’t talked to the lieutenant governor or anybody else about it, but we need to try it. It works.”

The program has been in Iowa for decades. Iowa’s three-year recidivism rate peaked at 38.9% in 2019 and has since fallen to 32.8%, based on the

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latest data available

.

“I’m not trying to throw you a sales pitch,” Lamb said, but residential programming is “a good idea.”

Lamb said he doesn’t want to replace programs like the one run by the Sioux Falls-based nonprofit St. Francis House, but to add to it.

St. Francis House doesn’t cap how long residents can stay and limits rent to $250 a month. Lamb said a state-run program would include a time limit and higher rent.

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A lack of “felon-friendly housing” is a major driver of recidivism, said Sioux Falls Mayor Paul TenHaken, who’s leaving his position soon after two terms in office. The problem won’t improve without government involvement, he added.

“If the state ever chooses to invest in St. Francis House programming, it’s money well spent,” TenHaken said.

Justice Center recommendations

The percentage of inmates who got rehabilitative programming increased from 27%to 44% between 2023 and 2025, according to a report presented Tuesday by the Council for State Governments Justice Center.

The national nonprofit was contracted to analyze the state’s prison system and help guide the task force’s work.

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Despite the gains in programming, the group reported, 46% of inmates released in 2025 received none. Access was also limited by where inmates were held, due to space and staffing restrictions.

The justice center recommended several changes, including:

  • Creating a rehabilitation and reentry division and hiring several new positions.
  • Creating a centralized waitlist for programs.
  • Streamlining the program catalog to reduce overlap and fill gaps.
  • Sequencing programming to cover an inmate’s entire stay, rather than stacking programs in the last few months of their sentence.
  • Creating a dedicated parole violation program track.

Many of those recommendations hinge on hiring and retaining adequate staff — one of the department’s most significant challenges, according to the group.

Sara Friedman, program director with the Justice Center, said her team consistently heard in interviews that the department tends to shift employees around when attempting new initiatives, rather than hiring. That creates gaps for inmates seeking programming.

Sometimes, for example, shifting staffing patterns will leave facilities without enough security staff to transport inmates to classrooms.

“Technically, you’re fully staffed, but you’re fully staffed so thinly that the moment one thing goes wrong, the waterfall effect is people are not getting their rehabilitative services,” Friedman said.

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Lamb told South Dakota Searchlight after the presentation that he wasn’t surprised by the staffing recommendations. The department lacks adequate staff to backfill for sick or vacationing employees, he said, though he didn’t say how many more employees would need to be hired to address the issue.

The department is already working to create the new rehabilitation and reentry division and centralize its scheduling.

The task force plans to meet two more times before it’ll finalize its recommendations for the Legislature ahead of the next session, which starts in January.

— This story was originally published on southdakotasearchlight.com.





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South Dakota Republicans reject censuring John Thune over stalled SAVE America Act

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South Dakota Republicans reject censuring John Thune over stalled SAVE America Act


South Dakota Republican delegates rejected a push to censure Senate Majority Leader John Thune (R-S.D.) over the stalled SAVE America Act, exposing a fight within the GOP over how far the party should go to force through sweeping new voting restrictions.

South Dakota Republicans voted down a proposed censure of Thune at the state party convention Friday after a resolution accused him of blocking President Donald Trump’s election agenda. 

The measure had advanced out of the party’s Resolutions Committee, but failed before the full convention.

The resolution targeted Thune for what it called “his failure in regards to the SAVE America Act,” a Republican-backed bill that would impose strict proof-of-citizenship and photo ID requirements to vote. 

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Voting rights advocates have warned the bill could block millions of eligible Americans from registering, especially people who do not have easy access to passports, birth certificates or documents matching their current names.

Trump has sharply escalated pressure on Republicans to pass the bill. This week, he abruptly canceled a planned signing ceremony for a bipartisan housing affordability bill, tying the unrelated legislation to his demand that Congress first pass the SAVE America Act.

“Today’s Housing News Conference and Signing is hereby cancelled until such time as we pass the desperately needed SAVE AMERICA ACT, which I consider to be a National Emergency,” Trump wrote.

The censure push reflects growing anger among Trump allies who want Senate Republicans to change or bypass filibuster rules to pass the bill. A filibuster is a Senate procedure that usually requires 60 votes to move most legislation forward. Republicans do not have those votes.

“We don’t have the votes, either to proceed to a talking filibuster nor to sustain one if we got one,” Thune said last week. “That’s just a function of math. There isn’t anything I can do about that.”

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For pro-democracy advocates, the fight is not simply about Thune. It is about a broader Republican effort to turn Trump’s election denialism into federal policy. Noncitizen voting is already illegal and exceedingly rare. 

But the SAVE America Act would use that false crisis to create new barriers for eligible voters.

The South Dakota vote shows the limits of MAGA pressure even in a deep-red state. Delegates were willing to debate punishing their own Senate majority leader, but ultimately rejected escalating the internal fight.

Still, the episode underscores how central voting restrictions have become to the Republican agenda ahead of the midterms.

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17 Republican attorneys general, including South Dakota’s, sue California over plastics law

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17 Republican attorneys general, including South Dakota’s, sue California over plastics law


Seventeen Republican attorneys general, including South Dakota’s, have sued California over a state law that requires plastic packaging producers to move away from single-use plastics, alleging that the law will raise costs for consumers across the country.

Led by Nebraska Attorney General Mike Hilgers and the National Association of Wholesaler-Distributors, the

complaint

filed Monday in the U.S. District Court of the Eastern District of California challenges California’s Plastics Act. Under the law, which took effect May 1, plastic packaging producers

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must reduce single-use plastic

by 25% and ensure all packaging is recyclable or compostable by 2032.

Joining Hilgers in the lawsuit are the attorneys general of Alabama, Florida, Georgia, Idaho, Indiana, Iowa, Louisiana, Missouri, Montana, North Dakota, Oklahoma, South Carolina, South Dakota, Texas, Utah and West Virginia. They say the law is an attempt by California “to impose its own policy preferences on the entire nation.”

The law “will cause steep and persistent price increases” on products used daily by consumers in other states, the plaintiffs argue.

South Dakota Attorney General Marty Jackley said in a news release that the California law “imposes unreasonable, burdensome requirements on businesses and consumers nationwide.”

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The attorneys general also assert that the law violates the Commerce Clause of the U.S. Constitution by interfering with interstate commerce, and that it improperly extends regulatory authority to a private organization. California appointed a nonprofit, the Circular Action Alliance, to help develop, administer and implement the law.

“Once again, California is trying to enact a policy that negatively impacts the rest of the country. If California goes unchecked, consumers will be forced to pay more for basic necessities,” Hilgers said in a news release. “Nebraska is continuing to fight for consumers against California’s overreach.”

Environmental advocacy groups also

sued

California earlier this month, alleging the new regulations “fall short” in meeting the state’s aims of reducing plastic packaging, and that they contain loopholes for producers.

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— This story was originally published on southdakotasearchlight.com.





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