The Dakota Scout

The Dakota Scout

State Politics

Reluctant Republicans bless Trump-backed health stimulus; $189M headed to rural S.D.

Rural Healthcare Transformation grants included in Big Beautiful Bill; Legislature sends approval to governor's desk

Joe Sneve's avatar
Joe Sneve
Jan 29, 2026
∙ Paid
Sen. Ernie Otten spoke in support of House Bill 1044 Wednesday before its passage in the South Dakota Senate. (Joe Sneve / The Dakota Scout)

PIERRE — Deficit-conscious Republicans in the South Dakota Legislature voted Wednesday — some reluctantly — to accept nearly $190 million in federal stimulus funding for rural health care, setting aside broader concerns about national debt in favor of infrastructure investments supporters say could reshape access to care across the state.

House Bill 1044 cleared its final legislative hurdle after lawmakers from both parties agreed to distribute $189.4 million in federal Rural Healthcare Transformation grant funds to communities outside South Dakota’s two largest population centers, a rare point of consensus in a Capitol often wary of federal spending.

South Dakota Republicans advancing another Medicaid expansion repeal

South Dakota Republicans advancing another Medicaid expansion repeal

Todd Epp and Joe Sneve
·
Jan 28
Read full story
User's avatar

Continue reading this post for free, courtesy of The Dakota Scout.

Or purchase a paid subscription.
© 2026 The Dakota Scout · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture