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Noem’s proposed Social Services, Human Services cuts worry some lawmakers, health advocates • South Dakota Searchlight

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Noem’s proposed Social Services, Human Services cuts worry some lawmakers, health advocates • South Dakota Searchlight


Gov. Kristi Noem’s proposed cuts to the state’s Social Services and Human Services departments need scrutiny to make sure they don’t endanger the budget and don’t undermine Medicaid expansion or other programs for South Dakotans in need, some lawmakers and health advocates said.

Noem wants to adjust parts of the departments’ budgets downward by a combined $42 million for the current fiscal year, and also wants to reduce their combined budgets for the next fiscal year by $38 million compared to the budget adopted last winter.

“We’ll right-size funding for programs in the Department of Social Services and Department of Human Services to match utilization,” Noem said in her Dec. 3 budget address. “These programs had been reverting money at the end of the fiscal year over the last several years.”

Over the last two years, the Department of Social Services gave a combined $77 million back to state coffers, primarily due to less-than-anticipated caseloads and utilization of departmental programs, according to the state Bureau of Finance and Management year-end summaries. The state Department of Human Services gave back a combined $30.2 million, primarily within long-term services, which includes programs focused on home services, nursing homes and assisted living for older adults and adults with disabilities.

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Economic volatility caused by the COVID-19 pandemic, federal protections during the pandemic that temporarily protected people from losing Medicaid coverage, and voter approval of Medicaid expansion made budget forecasts difficult and may have contributed to the large reversions during the last two years, said Rep. Tony Venhuizen, R-Sioux Falls, who serves on the Legislature’s budget committee.

Lawmakers will begin considering Noem’s budget proposals when they convene Tuesday for their annual legislative session at the Capitol in Pierre.

Medicaid expansion cuts scrutinized

Beyond the overall cuts, Noem is proposing additional, specific reductions in some of the two departments’ programs, including a combined $25 million reduction for current fiscal-year Medicaid enrollments. Medicaid is a joint federal-state health insurance program for low-income adults, children, pregnant women, elderly adults and people with disabilities.

South Dakota voters approved expanded income eligibility for Medicaid in 2022. The Department of Social Services planned and staffed for 57,000 expansion enrollees, but enrollment has been slower than projected. Noem’s budget for the next fiscal year predicts expansion enrollment to reach 32,296. She’s proposing the elimination of 27 state positions due to that slow pace.

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That concerns Ben Hanson, North and South Dakota government relations director the American Cancer Society Cancer Action Network

“I think it’d be shortsighted to make those cuts right now,” Hanson said. “I think they need to give it a little bit more time to continue.”

Less-than-anticipated enrollment so far could be due to “lack of awareness,” according to Hanson. He said the state has done little to no advertising about Medicaid expansion, instead relying on hospitals or advocacy organizations to connect patients. The state Department of Social Services has also received criticism from some lawmakers about a lack of outreach and advertising.

The Community HealthCare Association of the Dakotas works to guide potential enrollees through the process, in addition to its advocacy and policy work. Shelly Ten Napel, the association’s CEO, said “it would be a great thing” for the state to invest in an enrollment marketing campaign — especially targeted at young adults. One of the most uninsured demographics in South Dakota and the nation are adults aged 19-26. 

But Ten Napel is withholding judgment on Noem’s proposed cuts. With today’s technology, Medicaid departments may not need as many employees to enroll patients as they once did, Ten Napel said.

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She’d like to see the Department of Social Services work toward proactive enrollment steps: simplifying the application, automatically enrolling eligible South Dakotans if they use other income-based programs, and using continuous eligibility for patients, which allows Medicaid recipients to stay enrolled for a set amount of time even if their income changes. 

“We want a larger conversation about how to make this process more efficient for the state and easier for consumers,” Ten Napel said.

The department has indicated it hopes to connect eligible patients when they seek other help from the department. Over two-thirds of South Dakotans eligible for expanded Medicaid are also eligible for the Supplemental Nutrition Assistance Program, known as SNAP. The department launched its online enrollment portal, meant to make it easier to apply for programs, last spring.

Legislators debate spending

Despite the slow expansion enrollment, the state’s share of Medicaid expenses is growing. That’s due to expiring federal bonus payments awarded for the eligibility expansion, and due to a federal formula that raises the state’s share of costs in accordance with increases in the state’s per capita income. Noem said her proposed budget includes about $60 million in mandatory ongoing spending increases for the state’s share of Medicaid.

Venhuizen wants to make sure Noem’s proposed cuts don’t underestimate Medicaid costs.

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Rep. Tony Venhuizen, R-Sioux Falls, speaks on the state House floor on Feb. 7, 2024. (Makenzie Huber/South Dakota Searchlight)

The state typically estimates the costs “very conservatively,” leading to reversions and surpluses most years, he said. If Noem estimates too aggressively, it could land the departments in a deficit.

“You want to have a surplus. You want to have a reversion,” Venhuizen said. “In a perfect world, we would end right on the money. But that’s not possible, so the next best thing is to be conservative and end up in the black.”

Venhuizen also plans to propose a state constitutional amendment this year alongside Sen. Casey Crabtree, R-Madison, that would allow the Legislature to eliminate Medicaid expansion if the federal government ever reneges on its promise to cover 90% of the expansion costs. 

If the Legislature approves the amendment, it would go to voters in 2026. Voters already approved a Venhuizen-backed amendment last year that will allow legislators to consider imposing work requirements on Medicaid expansion enrollees. 

Sioux Falls Democratic Rep. Linda Duba, whose service will end this month because she did not seek reelection, said it’s “irresponsible” to cut funding for social and human services while proposing new spending in other areas. 

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Noem’s new spending proposals include $4 million to create education savings accounts that would provide public funds for private school tuition or other alternative instruction costs, and $182 million to continue saving money for the replacement of the aging penitentiary in Sioux Falls with a new prison south of the city.

“You want to grow government over here but you want to cut it over here,” Duba said.

Venhuizen said the cuts proposed by Noem essentially reallocate money back into Medicaid to cover the state’s rising costs.

“Every dollar you spend, you have to find a dollar somewhere else,” he said.

Other notable social and human services cuts proposed

In addition to utilization and Medicaid cuts, Noem proposed other notable cuts to the state Social Services and Human Services departments, including:

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TANF: Noem proposed cutting the state’s spending for Temporary Aid for Needy Families (TANF) by $5.3 million. The program in South Dakota is most commonly used to provide financial benefits to low-income families with the stipulation that they search or train for a job. 

Lawmakers allocated $12 million toward the program last fiscal year, which is more than the minimum federal match needed to continue the program. Duba suspects Noem plans to pull money from the state’s carryover TANF balance, which currently holds $23 million of unused TANF funds, while funding the program at the minimum of $8.54 million to receive a federal match. If money is taken from unused TANF funding, Duba hopes it could go toward other programs “in dire need,” such as assistance for victims of crime.

Indigent medication program: Noem proposed eliminating the indigent medication program, which financially supports South Dakotans to treat mental illness and substance use disorders who don’t have any means to pay for it. The program cost increased from about $500,000 in 2015 to $1 million in 2024, despite serving roughly the same number of people — about 1,360 a year, according to a records request from the Department of Social Services.

Pam VanMeeteren, a nurse practitioner with the Lewis and Clark Behavioral Health Services in Yankton, said the program provides up to two months of medication for an individual during which the patient works to establish another payment source, such as Medicaid. The clinic doesn’t use the program often, but its elimination could be a concern “in some cases,” she added.

“I think there’s always some immediacy to get someone back on their psychiatrist medication,” VanMeeteren said. “To wait two to three weeks to get an application in for another program to cover the cost or get something transferred over, we may miss our window.”

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Is South Dakota State vs New Hampshire football on TV today? Live stream, FCS playoffs preview

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Is South Dakota State vs New Hampshire football on TV today? Live stream, FCS playoffs preview


If you purchase a product through a link on our site, we may receive compensation.

The NCAA FCS College Football Playoffs get underway today as the South Dakota State Jackrabbits (8-4) take on the New Hampshire Wildcats (8-4) in a first round showdown. This game is streaming only, and won’t be on regular broadcast TV. Kickoff takes place on Saturday, November 29 at 10 a.m. PT/1 p.m. ET (11 a.m. MDT) with a live TV broadcast only with ESPN Plus.

You can watch New Hampshire vs. South Dakota State football streaming live on ESPN+ (now called ESPN Select) today.

Is the South Dakota State vs New Hampshire NCAA FCS college football playoff game on TV today, or streaming only?

When: Saturday, November 29 at 10 a.m. PT/1 p.m. ET (11 a.m. MDT)

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Where: Dana J. Dykhouse Stadium in Brookings, SD

TV channel: This game is not available on traditional broadcast TV, and is only streaming on ESPN’s live sports streaming platforms available on the ESPN App with one of the “ESPN Select” or “ESPN Unlimited” subscription plans. (This is the streaming service formerly known as ESPN Plus. Here’s a look at the breakdown of ESPN streaming plans, what they cost and include.)

Where to watch streaming live on TV, or online: You can watch a live stream of this game for less than $12 on ESPN Select (It’s just $11.99/month or $119.99/full year subscription, and you can cancel anytime. Just choose the “ESPN Select” plan in the drop down to sign up for the cheapest version of the service.).

  • The best deal: If you sign up for ESPN Unlimited ($29.99/month), you will get all of the ESPN networks and services, including ESPN, ESPN2, ESPNU, ESPNEWS, ESPN Deportes, SEC Network, ACC Network, ESPN+, ESPN on ABC, SEC Network+, ACC Network Now and ESPN3.



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‘The very best in humanity’: How a stranger gave a South Dakota boy new life

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‘The very best in humanity’: How a stranger gave a South Dakota boy new life


When her infant son began showing signs of jaundice following a full-term, healthy pregnancy, Sarah Beckstrom soon began a journey from fear, anger and sadness to eternal appreciation for a perfect stranger.

But the Mitchell mother and LifeSource, the region’s primary organ procurement organization that helps connect donors and recipients like baby Charlie — now a healthy and active teenager — say continued education around organ donation is necessary to ensure more families can feel what the Beckstroms have for the last decade.

“He was just not thriving. He couldn’t absorb, you know, milk. He was just kind of a not content child,” Beckstrom recently said in an interview with The Dakota Scout, recalling the early signs of the rare genetic liver condition — alpha-1 antitrypsin deficiency — that threatened her son’s life before his first birthday.

State apologizes, but can’t explain missing evidence in prison overdose case

State apologizes, but can’t explain missing evidence in prison overdose case

Charlie was placed on the organ waiting list at 7 months old. Three months later, the call came.

A 13-year-old donor had died, and his liver was a match.

Today Charlie is also 13 — a healthy, energetic one. But for Beckstrom, joy exists alongside grief — for the family who lost their child and ultimately saved hers.

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“It was kind of like I wrote the donor’s family after, which was probably one of the most emotionally challenging, difficult things I’ve ever done,” she said. “That circle wasn’t closed for me. And I’m like, okay, I need to do more. Because they gave him a second chance at life.”

That’s why Beckstrom became a LifeSource ambassador, sharing Charlie’s story in hopes of encouraging more people to check the “yes” box on their driver’s license. The organization oversees the donation system across Minnesota, North Dakota and South Dakota — responding around the clock when someone dies under circumstances that allow organ donation, supporting families, coordinating recovery and transporting organs to recipients.

“When I think about people who say yes to donation, who put donor on their driver’s license, I think that’s the very best in humanity because they’re helping another person,” said Susan Mau Larson, chief administrative officer for LifeSource.

Only about 1 percent of deaths occur in a hospital while the patient is on a ventilator, the criteria that’s typically required for organ donation. But in recent years, medical innovations have helped expand the donor pool nationwide. Perfusion devices can preserve organs longer. The federal HOPE Act allows organ donation between HIV-positive donors and recipients. Broader medical criteria are also increasing the number of viable transplants. Nationally, transplants have risen by about 50 percent over the past decade.

Surgeons say the emotional weight of the process is shared in operating rooms across the country.

Dr. Hassan Turaihi, who performs one or two organ transplants a month at Sanford Health, says the work is both devastating and beautiful.

“Thousands of people are waiting for a second chance at life… a functional heart, a healthy liver, or a working lung,” he said. “Their lives are on pause desperately hoping for a miraculous call so organ donation is a miracle. It’s the ultimate sacrifice.”

Up to eight people can benefit from a single donor — two kidneys, a heart, lungs, eyes, corneas, pancreas, small bowel and a liver, which can be split to help two patients.

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“When I go in for those organ donations, it’s sad to hear the story of family and the donor who made the ultimate sacrifice, but at the same time you know you’re giving someone else the ability to have a new life and new chapter,” Turaihi said.

LifeSource leaders say South Dakota has long had one of the highest donor-registration rates in the nation. But in recent years the rate has slipped from about 60 percent to 57 percent. Mau Larson attributes the decline to national misinformation — claims that organs are lost in transit, that families feel pressured or that the process lacks oversight.

She pushed back on those narratives, emphasizing the accountability and transparency built into every step of the system.

The organization is also working to improve culturally responsive outreach, particularly among American Indian communities. Tribal engagement across South Dakota, including partnerships with Native chaplains and respect for beliefs surrounding keeping the body intact, are initiatives Mau Larson credits with donor rates staying strong in the state.

Data from the federal Organ Procurement and Transplantation Network show the number of American Indians receiving transplants in South Dakota was five in 2023, eight in 2024 and seven in 2025. The state has two kidney-transplant programs, but patients needing other organs — including hearts or livers — typically travel to Minnesota or Colorado. Meanwhile, the number of American Indian deceased donors in South Dakota fluctuated from six in 2023 to two in 2024 and five in 2025.

LifeSource operations are nationwide. In a three-state region that covers South Dakota, North Dakota and Minnesota, that means retrieval teams traveling frequently by air. Transporting organs involves specialized handling protocols, and recent federal changes have streamlined airline procedures and TSA requirements.

Despite ongoing budget negotiations in Washington, Mau Larson said LifeSource has avoided disruptions.

LifeSource leaders say they are grateful for South Dakota’s long record of donor registrations, and they continue answering questions for anyone unsure about what saying “yes” really means.

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“We’re talking about helping another person,” Mau Larson said. “That’s the very best in humanity.”



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Obituary for Donna Mae (Nilson) Davis at Miller Funeral Home & On-Site Crematory

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Obituary for Donna Mae (Nilson) Davis at Miller Funeral Home & On-Site Crematory


Donna Mae Nilson Davis of Hartford, South Dakota, peacefully passed away on Sunday, November 23, 2025, at Dougherty Hospice in Sioux Falls, South Dakota, surrounded by her family. She was 75 years old. Donna Mae Brusse was born on May 8, 1950, in Huron, South Dakota, to Roy Realto and



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