South Dakota
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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South Dakota
South Dakota’s annual History Conference returns to Fort Pierre
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South Dakota
How to watch South Dakota State vs. Arizona State baseball today, time
The South Dakota State baseball team is fighting for its season today against Arizona State in the Lincoln Regional. The game is set for 2 p.m.
The No. 4 Jackrabbits (24-32) lost 4-1 to No. 1 Nebraska in the opening game. No. 3 Arizona State lost a 706 heartbreaker to No. 2 Ole Miss in the opening round in 14 innings. The game took nearly 5.5 hours and ended around 1:20 a.m.
Here’s how to watch South Dakota State’s win-or-go-home game.
Watch South Dakota State baseball vs … on ESPN+
South Dakota State vs. Arizona State baseball stream, radio
Stream: ESPN+
Radio: KJJQ 910 AM
South Dakota State vs. Arizona State time today
- Date: Saturday, May 30
- Time: 2 p.m. CT
- Location: Haymarket Park in Lincoln, Nebraska
South Dakota State vs. Arizona State prediction
Paul Cifonelli, Argus Leader: This was always a tough draw for South Dakota State, as I thought this was the toughest regional in the country. At worst it’s the third toughest, with Chapel Hill and College Station in contention.
The Jackrabbits do have an advantage since Arizona State and Ole Miss went at it until after 1 a.m. Both teams stressed their pitching staffs, and every at bat required intense focus. The problem is South Dakota State doesn’t have the same top-end pitching these other teams do.
If Drew McDowell pitches, the Jacks might have a shot here. Otherwise they’ll have to win a slugfest, and I just don’t like those odds.
Prediction: Arizona State 8, South Dakota State 3
South Dakota
Maternity care deserts: Where they are and how to improve
MISSION, S.D. (Dakota News Now) – In rural South Dakota, miles often separate expectant mothers from healthcare.
“A lot of women out here are left without any maternity care options,” said Rachel Kocak.
In Mission, moms mark their due dates and calculate miles to the nearest delivery location. Rachel Kocak, expecting her third child, said one option just closed.
“We used to have a birthing unit, I think up until a couple of months ago, and they lost their OB. So, Winner is no longer delivering babies,” Rachel said.
Some mothers remember when they could reach the hospital within a five-minute drive.
“IHS, for tribal members, they don’t deliver babies out here or provide prenatal care,” Rachel explained.
Families hope to reach the hospital before the baby arrives.
“So women either have to drive to Valentine, which is about 30 to 35 minutes from Mission, they can go to Wanblee, which is on the Pine Ridge Reservation, or they have to go to Pierre, Rapid City, or Sioux Falls,” Rachel said.
And if the roads are bad.
“I think there are a lot of babies who are unintentionally born at home. So it’s a tough place, I think, for mothers,” Rachel said.
The March of Dimes breaks down government data, showing a large portion of rural South Dakota as a maternity care desert, requiring travel of 38 or more minutes to reach an appointment or delivery room. The infant mortality rate is higher among native American babies born, compared to other races.
Health Department maps show counties in medium blue have 56 infant deaths per 100,000 births. Dark blue counties have three times as many. Grants aim to increase the number of healthcare workers, and funding supports a doula workforce program.
Kocak would like to see doulas and midwives available.
“Great opportunity for anyone who wants to become a home-birth midwife out here. The birth rate is still, I’m not sure what it is, but it’s high. There’s still a growing young population, and just not enough people to help deliver the babies,” Rachel said.
If care were closer, the outcomes could be brighter.
“You know, having the support network can make a huge change in the lives of these young, you know, these babies and young mothers who are building new families,” Rachel said.
The South Dakota Department of Health released a statement to Dakota News Now, which can be read in full below.
The South Dakota Maternal and Infant Health Task Force was created in 2025 to bring partners together to help improve the health and wellbeing of mothers and infants across the state. Their 5-year strategic plan was recently released, which has three priority areas: postpartum care to improve maternal health; safe sleep education and prevention strategies to protect infant health; and systems of care work that improves access, coordination, and quality of care statewide. One of the strategic plan activities that is supported by Rural Health Transformation is the creation of Regional Maternal and Infant Health Hubs, which will create a hub-and-spoke network connecting hospitals, clinics, tribal health services, and community organizations. These hubs will improve care coordination, strengthen referral pathways, and expand access to services for families in rural and tribal communities.
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