Medicaid | Medicare

The State Tribal-Relations Interim Committee approved four proposals it plans to bring to South Dakota’s next legislative session.

Avera Health announces the organization is ending its participation in the Aetna Medicare Advantage Network. They say issues within the network are hurting their patient’s experience.

AstraZeneca Pharmaceuticals, a global pharmaceutical company, is joining a lawsuit against the state of South Dakota over a new law.

The South Dakota Department of Social Services is seeking public comment on its Medicaid work requirement waiver.

The South Dakota Department of Social Services assumes it will have lower Medicaid utilization in the coming year. That's led state lawmakers reduced the state Medicaid match by $4.5 million for the coming fiscal year.

Senators are approving a joint resolution asking voters to allow the legislature to make changes to Medicaid if the Republican congress and Trump administration reduce the federal match to provide healthcare for low-income individuals.

After Medicaid Expansion was put into the state constitution by voters, many thought that was the end of the battle. Potential changes in DC, however, is prompting a legislative effort to tighten South Dakota’s Medicaid rules.

South Dakota Medicaid will soon cover birth and postpartum doula services. Doulas can support families as part of a broader healthcare team during pregnancy and through the year following birth.

South Dakota voters will decide whether to allow state lawmakers to require Medicaid recipients work in order to receive healthcare benefits. Last election, voters approved expanding Medicaid benefits for individuals by 56 percent.

Many state lawmakers are skeptical of DSS projections for Medicaid expansion in the 2025 fiscal year.