South Dakota
$20 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.”
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.”
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.
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.”
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.

Mitchell Republic File Photo
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.
“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.
“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.
South Dakota
Poll: Johnson, Jackley and Rounds lead in SD GOP primary
Editor’s note: If you cite the results of this poll, credit South Dakota News Watch and the Chiesman Center for Democracy, per copyright law and our republishing policy.
PIERRE, S.D. – With seven weeks until the June 2 primary, U.S. House Rep. Dusty Johnson is close to avoiding a runoff in the race to secure the GOP nomination for governor, according to a new poll sponsored by South Dakota News Watch and the Chiesman Center for Democracy at the University of South Dakota.
In the contests for U.S. House of Representatives and U.S. Senate, state Attorney General Marty Jackley and U.S. Sen. Mike Rounds have solid leads over their challengers.
The scientific survey of 500 registered Republicans, conducted April 7-11 by Mason-Dixon Polling and Strategy, found Johnson leading the four-way contest for governor with 34% of likely GOP primary voters supporting his candidacy.
The other three candidates are effectively tied for second due to the margin of error being plus-or-minus 4.5%. State House Speaker Jon Hansen, of Dell Rapids, has 18% support from GOP voters, and Aberdeen businessman Toby Doeden and Gov. Larry Rhoden both have 17%. Roughly 14% of those surveyed were undecided.
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If no candidate receives at least 35% of the vote on the June 2 ballot, a runoff between the top two finishers will take place July 28. The winner of the contest will meet Democrat Dan Ahlers in the Nov. 3 general election.
Rhoden’s support drops; Hansen surges
While Johnson, who grew up in Pierre and lives in Mitchell, saw a 6-point increase from the News Watch/Chiesman poll conducted last October, Rhoden’s support fell 10 points.
Julia Hellwege, director of the Chiesman Center and USD associate professor in political science, said Rhoden’s association with his predecessor, former Gov. Kristi Noem, could be behind the drop in poll numbers.
“He has aligned himself closely with Noem. They worked closely together, and he continues to champion her and stand by her,” she said. “There’s a potential that has been a side effect.”
Rhoden served as lieutenant governor under Noem and became governor in January 2025 when President Donald Trump made her secretary of the Department of Homeland Security. He fired her last month after severe criticism.
Hellwege pointed out the poll found that Johnson even leads in West River, a stronghold for Rhoden, who is from Union Center east of Sturgis.
She said one candidate more than any other has been the main beneficiary of the declining support for the sitting governor.
“Anyone shifting from Rhoden is more likely to shift towards Hansen,” Hellwege said, noting that Hansen is a state lawmaker, like Rhoden was, who plays up his conservative Christian credentials.
Hellwege said in comparing the new poll results with those from last year, a certain pattern can be seen. That includes the surge in support for Hansen and Johnson, a decline in support for Rhoden, a stable level of support for Doeden and a lower number of undecided voters.
“My interpretation is many Rhoden voters in the last poll shifted to Hansen voters and the undecideds went to Johnson,” Hellwege said.
SD governor: Johnson in driver’s seat
Hellwege highlighted the extent to which the math favors Johnson.
“Even if all the undecided voters go to one of those second-place candidates, plus if you factor in the margin of error, they still would barely reach where Johnson is sitting right now,” Hellwege said.
Brad Coker, founder of Mason-Dixon Polling and Strategy, ranked as one of the least-biased and most-factual pollsters, also believes Johnson is in a comfortable position.
“Johnson is moving into the clear front-runner status,” he said.
“People know him. People like him, and that’s probably why he’s ahead right now. Whether he can hold on to that will depend on what the other campaigns – particularly Hansen’s – are able to do in the coming weeks,” Coker told News Watch, pointing to the poll results that found Johnson has a 47% favorability rating, the highest of any of the candidates.
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Coker said Hansen has the best chance to challenge Johnson not only because his candidacy has seen the biggest increase in support but also due to not many people knowing him – yet.
“Hansen’s name recognition is only 73%. He’s still got 27% of the voters who don’t know who he is, which I think gives him a much higher ceiling than Doeden and Rhoden,” Coker said. “That tells me Hansen is getting some traction.”
On the flip side, Doeden’s 35% unfavorable rating and high name recognition indicate his support has mostly peaked, Coker said.
“He has a higher negative rating than positive rating, which tells me he’s got a core group behind him, but his growth potential is far more limited, especially since he has 89% name recognition,” Coker said.
The poll was conducted after the four candidates met in the March 31 KELO-TV debate but before the April 13 SDPB and South Dakota News Watch forum.
US House: Jackley has comfortable lead
Since Johnson ran for governor, that opened up South Dakota’s only seat in the U.S. House of Representatives.
In that contest, Jackley – who is from Sturgis and previously served as U.S. attorney for the District of South Dakota – has a comfortable lead toward securing the GOP nomination.
According to the poll, he has 68% support from South Dakota Republican voters surveyed, well ahead of challenger James Bialota Jr., who has 12%, with 20% of respondents undecided.
“This primary is definitely in Jackley’s favor, even if all the undecideds move to Bialota,” Hellwege said.
The winner will face Democrat Nicole “Nikki” Gronli in the November general election.
US Senate: Incumbent Rounds ahead by large margin
Rounds – who’s from Pierre and was South Dakota’s governor from 2003 to 2011 – also enjoys a sizable lead over his challenger.
He received 66% support from GOP voters surveyed, compared to 18% for challenger Justin McNeal, with 16% of respondents undecided.
“The fact that McNeal, who is vastly outspent by Rounds, is able to get up to 18% is commendable. But at the same time, I don’t think there’s any expectation that Rounds will not be able to hold on to that seat,” Hellwege said.
The winner will take on Democrat Julian Beaudion in November.
Favorability poll results for all governor, House and Senate candidates
The News Watch/Chiesman poll also asked Republicans their opinions of the candidates. To see results for each person, click the arrow below and the tab for each section: overall, by gender, age and region where they’re from.
Coming Tuesday
Tuesday’s story will focus on South Dakota News Watch/Chiesman Center for Democracy poll results on the job performance rating South Dakotans give Gov. Larry Rhoden, Sen. John Thune and other elected officials. The story also includes voter thoughts on Noem’s time as DHS secretary and President Trump’s decision to fire her.
South Dakota News Watch is an independent nonprofit. Read, donate and subscribe for free at sdnewswatch.org. Contact politics and statehouse reporter Alexander Rifaat: 605-736-4396/alexander.rifaat@sdnewswatch.org.
South Dakota
FCS Football Recruiting Roundup: South Dakota, Montana State Target 2027 Defensive Standouts
Welcome to another edition of the FCS Football Central Recruiting Roundup.
As spring practice winds down, recruits are still continuing to get on campus to visit schools and meet with their coaching staff. I caught up with some of the latest prospects who received an offer from an FCS program after their visit.
Amarie King | 2027 | DB | 5’7″ 140 lbs | Case High School | Racine, WI
King received his latest offer from South Dakota on April 17 after speaking with defensive coordinator Billy Kirch.
“Coach Kirch told me bout the offer, and that conversation went well. He told me a lot about the school, and asked me what my family and parents do. He said that my film was amazing and that he wanted to offer me,” King said.
“My recruitment is going well, although it is a little stressful here and there, but I am really just being patient and trusting the process, and keep working.”
He has visits to South Dakota and Drake coming up. Last season, he finished with 44 tackles, eight pass breakups, and six interceptions for the Eagles.
After a great conversation with coach kirch I’m blessed to I’ve received my first division 1 offer from @SDCoyotesFB @AntonGraham_ @MJ_NFLDraft @CoachBKirch @joshmanchigiah pic.twitter.com/jaxIYac67A
— Amarie King (@Amarieking27) April 17, 2026
Jayden Harris | 2027 | ATH | 6’2″ 170 lbs | Manteca High School | Manteca, CA
Harris picked up his latest offer from Montana State on Friday when he was in Bozeman for the Bobcats’ Junior Day, and meeting with cornerbacks coach Jordan Lee, defensive coordinator Bobby Daly, and head coach Brent Vigen.
“First, it was Coach Lee, then I had meetings with Coach Daly and Coach Vigen, who broke the news while we were talking. They want me to come in and play early. They like my versatility as a defensive back, and that’s why they offered me,” Harris said.
“The visit was cool! The snow was coming down, and the coaches still showed love. Recruiting is going well right now. Most schools that are in touch with me see something in me for sure, especially since I’m a zero-star athlete, so that’s love. I feel like I’m the best DB in California, and my measurements and production speak for themselves.”
He also has offers from Idaho, Washington State, and Sacramento State. He has upcoming visits to Arizona State and New Mexico.
Last season, he finished with 63 tackles, 11 pass breakups, nine interceptions, six tackles for loss, two sacks, two forced fumbles, and two pick-sixes for the Buffaloes.
Blessed to receive an offer from Montana State University 🐾 @ballcoachLee @CoachBobbyDaly @CoachSauve @CoachSmith59 @bvigen @BrandonHuffman @Rivals_Recruits @GregBiggins pic.twitter.com/ofYdjJKcmK
— Jay Harris (@JaydenOHarris) April 18, 2026
Maurice “MJ” Harrell | 2026 | DB | 6’1″ 170 lbs | Hutchinson CC | Hutchinson, KS
Harrell picked up his first Division I offer from Houston Christian on April 17 after he spoke with cornerbacks coach DeMarcus Coleman.
“Coach Coleman called and told me he liked what we saw from the videos I sent him, and that he wanted me to be a part of his program,” Harrell said.
Last season, he finished with 20 tackles, 1.5 tackles for loss, one sack, and a fumble recovery for the Blue Dragons. Mercyhurst, Division II UTPB, and Missouri Southern are some other schools he has been in contact with.
Blessed To Receive my first d1 offer from Houstan Christian University pic.twitter.com/OBD9ITQZHS
— MauriceHarrell (@M_Harrell19) April 18, 2026
Jadhari Young | 2026 | WR | 6’1″ 200 lbs | De Anza College | Cupertino, CA
Young received his latest offer from Eastern Illinois on April 15 after speaking with wide receivers coach Tino Smith.
“Coach Smith called me, and we had a long and great conversation. He told me he believes in me and that he thinks I can be great under his coaching,” Young said. “My recruitment has been going great since I graduated two weeks ago. A lot of coaches have expressed a lot of interest in me.”
Young also has offers from Sacramento State, Prairie View A&M, and Chicago State. Last season, he hauled in receptions for 559 yards and seven touchdowns for the Mountain Lions. He was named a Golden Coast Conference First Team selection.
He will be taking his official visit to Eastern Illinois on April 24. Gardner-Webb, West Florida, Monmouth, Stony Brook, and UMass are some other schools he is hearing from.
Blessed to receive my 5th D1 offer from Eastern Illinois University — Dhari Young “DEBO” (@dharigogetit) April 15, 2026
Thank you Coach @coachtinosmith for believing in me💯 pic.twitter.com/yMZjnsfRvK
AJ Moore | 2027 | RB | 5’9″ 200 lbs | College of Dupage | Glen Ellyn, IL
Moore received his first Division I offer from Lindenwood on April 17 after speaking with running backs coach Lane Lawson.
“Coach Lawson called and offered me. He just told me he’d be really excited to have me over and thinks I could be a part of something special with the program they got going over there,” Moore said.
Last season, he finished with 81 carries for 518 yards and five touchdowns, while adding nine receptions for 73 yards and two touchdowns for the Chaparrals, who won their fifth consecutive NJCAA Division III national championship. Moore is working on scheduling his official visit to Lindenwood.
#AGTG After a great conversation with @CoachLawsonLU I am blessed to have my first division 1 offer from Lindenwood University @LindenwoodFB @Dupage_Football @JUCOFFrenzy @AllenTrieu @JordanWesty1 pic.twitter.com/DGLjZC4gIA
— AJ Moore (@ajmoore6_) April 17, 2026
Leshem Nyante | 2027 | OT | 6’5″ 265 lbs | Anna High School | Anna, TX
Nyante picked up his latest offer from Texas Rio Grande Valley on April 17 after he spoke with offensive line coach Jeff Bowen.
“Coach Bowen reached out this morning to officially extend the offer. It was a great talk, and he mentioned they really liked my film and how I would fit their system. So we are focused on building that relationship now,” Nyante said.
“I’m really grateful for how my recruiting process is unfolding so far. Things are definitely moving fast with spring ball right around the corner, and it’s been great seeing the increase in interest every week.”
He also has offers from Arkansas State, Division II Midwestern State, and East Central University. Old Dominion, Texas State, UTEP, and New Mexico are some other schools he is hearing from. Nyante will be taking an official visit to Arkansas State in June.
#AGTG After a great conversation with @CoachJeffBowen , I am blessed to receive a D1 offer from @UTRGVFootball !!@8_parr @Coach_Rigg @tylerdedwards33 @Sevier5 @jessedstew @AnnaCoyotesFB @CoachTBush @Perroni247 @SWiltfong_ @CKennedy247 pic.twitter.com/6o9H13baAb
— Leshem (Shem) Nyantee (@leshemnyantee10) April 17, 2026
Matthew Lashley | 2027 | DB | 6’1″ 198 lbs | Riverside City College | Riverside, CA
Lashley received his latest offer from East Texas A&M on April 15 after speaking with safeties coach Luke Jaicks.
“Coach Jaicks called and offered me. He’s a great coach, and I would love to play for him,” Lashley said. “My recruitment is going well; it’s starting to heat up after spring ball.”
He also has an offer from Southern Utah. Last season, he finished with 14 tackles and two interceptions for the Tigers.
Blessed to receive another D1 offer to @Lions_FB! @JacksonSimon25 @nilsonsports pic.twitter.com/X4iLU8VRID
— Matthew Lashley (@MatthewLashley_) April 15, 2026
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