South Dakota

Nursing home representatives hope Trump administration halts ‘impossible’ staffing rule • South Dakota Searchlight

Published

1 year ago

November 16, 2024

Nursing home representatives hope Trump administration halts ‘impossible’ staffing rule • South Dakota Searchlight

Organizations representing South Dakota nursing homes are hopeful President-elect Donald Trump will halt a staffing rule they say could devastate their industry.

The organizations have said for over a year that a new staffing rule imposed by the U.S. Centers for Medicare and Medicaid under President Joe Biden will decimate nursing homes in the state. The price tag for South Dakota nursing homes will be just under $20 million, or $205,000 per facility, they estimate.

“I think we can look forward to different outcomes with those different policymakers in place, not taking that for granted or counting on it as we continue to pursue other strategies,” said Brett Hoffman, director of public policy and communications with the South Dakota Health Care Association. He spoke to the Legislature’s budget committee Thursday in Pierre.

The rule is aimed at increasing accountability and addressing chronically understaffed nursing homes, which can lead to low quality and unsafe care, according to the U.S. Department of Health and Human Services.

SD awards $2M in grants for long-term care, but facilities sought $5M more

Urban areas of the state, such as Sioux Falls and Rapid City as well as midsize cities such as Aberdeen, Spearfish and Yankton, must meet requirements by May 2026. Rural areas have until May 2027.

The most controversial rules dictate that a registered nurse be on staff at all times and that nursing homes meet a staffing standard of 3.48 hours per resident day.

It would be “impossible” to implement the requirements in South Dakota, Hoffman said. He added that up to 600 nursing home residents — 12.5% of the statewide nursing home resident population — would be at risk for displacement.

After a sharp decline during the pandemic in staffing and slow recovery since then, the rule could cost significantly more if nursing homes must contract travel nurses, said Justin Hinker, vice president of post-acute care at the South Dakota Association of Healthcare Organizations.

About 5% of South Dakota facilities currently meet the hours per resident day requirement, Hinker added.

Two lawsuits are challenging the rule, including one involving South Dakota, and there are several federal bills that could overturn the rule, Hinker said. A potential U.S. Supreme Court decision in a separate case could impact federal agencies’ rulemaking authority.

“We’re not opposed to adequate staffing, but we’re not in favor of a one-size-fits-all,” Hinker said.

Hinker told lawmakers a withdrawal of the rule is not the only action needed to support nursing homes in the state. Lawmakers should continue to invest in the “health care continuum” for South Dakota seniors, he said, including assisted living, home health, hospice and palliative care.

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11 hours ago

February 27, 2026

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SD Lottery Millionaire for Life winning numbers for Feb. 26, 2026

Published

23 hours ago

February 27, 2026

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The South Dakota Lottery offers multiple draw games for those aiming to win big.

Here’s a look at Feb. 26, 2026, results for each game:

Winning Millionaire for Life numbers from Feb. 26 drawing

03-14-22-50-57, Bonus: 04

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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South Dakota

SNAP soda ban headed to desk of South Dakota governor, who’s concerned about costs

Published

1 day ago

February 26, 2026

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SNAP soda ban headed to desk of South Dakota governor, who’s concerned about costs

State Sen. Sydney Davis, R-Burbank, speaks in the South Dakota Senate at the Capitol in Pierre on Feb. 10, 2026. Davis is sponsoring a bill that would ban the use of SNAP benefits for soda purchases. (Photo by Makenzie Huber/South Dakota Searchlight)

By: John Hult

PIERRE, S.D. (South Dakota Searchlight) – The question of whether South Dakota moves to ban the use of government food assistance for sugary drinks is in the hands of Republican Gov. Larry Rhoden, who has signaled his opposition to the bill all through the 2026 legislative session.

The state Senate voted 27-6 on Wednesday to endorse House Bill 1056, after the House passed it earlier 58-11. Assuming the same levels of support, both margins are wide enough to overcome a Rhoden veto, should he choose to issue one.

The bill directs the Department of Social Services to ask for a federal waiver to allow the state to bar the use of Supplemental Nutrition Assistance Program benefits for the purchase of soft drinks.

SNAP is a federal program, managed by the state, through which people with low incomes get a monthly allowance for food through a debit-like card that can be used at most stores to buy nearly any consumable grocery item save alcohol and prepared foods.

Representatives from Rhoden’s office testified against the bill in House and Senate committees, arguing that the administrative costs would be too high. A fiscal note attached to the bill between its passage in the House and its appearance on the Senate’s Wednesday calendar estimated that implementation would cost $310,000 through the first two years. Those costs would come from hiring an extra employee and contracting for software to track sales, file reports and help retailers determine which drinks are banned.

Backers see long-term savings to the state, though. A high percentage of SNAP recipients are also on Medicaid, a taxpayer-funded health insurance program open to disabled and income-eligible people.

On Wednesday, Burbank Republican Sen. Sydney Davis noted the connection between excess soda consumption and health problems like obesity, diabetes and tooth decay. Medicaid dental costs alone add up $51 million a year, she said.

Mitchell Republican Sen. Paul Miskimins, a retired dentist, told the body he once counted 32 cavities and seven abscesses in the mouths of 2-year-old twin boys who were covered by Medicaid.

He attributed the tooth decay to sugary beverages.

“I don’t know if that first visit was more traumatic on the boys or on my dental staff and myself,” said Miskimins.

Tamara Grove, R-Lower Brule, was the lone senator to speak in opposition on the Senate floor. She argued that some stores might stop accepting SNAP payments due to the administrative burden of sorting barred products from the rest of their inventories, and pointed out that the bill wouldn’t do a thing to prevent SNAP recipients from loading up on sugary foods like ice cream or snack cakes.

“It gives this look as if there’s going to be this big, huge change in the way that people buy products, but it’s really not going to be,” Grove said.

Some surrounding states, including Nebraska, have moved to ask for a waiver to ban soda sales through SNAP. Such waivers are now an option, as President Donald Trump’s administration is willing to consider granting them. Former President Joe Biden’s administration was not.

Rep. Taylor Rehfeldt, the South Dakota bill’s prime sponsor, got a letter last week from Trump administration officials expressing support for her proposal.

In response, Rhoden spokeswoman Josie Harms told South Dakota Searchlight that the governor “has always been supportive of the Trump Administration’s efforts to Make America Healthy Again,” using a reference to the policy agenda branding used by U.S. Health and Human Services Secretary Robert F. Kennedy Jr.

“We have met directly with his Administration on this issue, and at no point has our opposition been directed at President Trump or his efforts to reform SNAP,” Harms said. “Our focus has always been on ensuring the implementation of SNAP reform works effectively for our state.”

Harms said Wednesday that Rhoden would answer questions about the bill at a Thursday press conference.

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