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require a feasibility study and actuarial analysis on long-term care services and supports.

The Department of Labor and Regulation must hire an independent company to study whether South Dakota should create a new long-term care insurance program and, if so, what type would work best. The study will examine affordable options that help people pay for services like nursing care or assisted living, look at gaps in current coverage, and estimate how many people would participate and what it would cost the state.

require the costs of nursing homes to be rebased every five years for purposes of Medicaid reimbursement.

# HB 1239 Summary This bill requires South Dakota to recalculate what it reimburses nursing homes for Medicaid services every five years instead of using outdated cost figures, ensuring reimbursement rates better reflect current operating expenses. The bill updates the rules governing how nursing home costs are evaluated and removes outdated provisions that are no longer needed under the new rebasing system.

To authorize a legislative study for the continuum of care for the disabled and elderly of South Dakota.

The Legislature authorizes a study to examine South Dakota's system of care and services for disabled and elderly residents, including how different programs and providers work together to serve these populations. This resolution directs lawmakers to investigate the full range of care options available—from community-based services to institutional care—to identify gaps and potential improvements in the state's support system.

revise Senate Bill 38, An Act to revise the General Appropriations Act for fiscal year 2020, as previously enacted by the Ninety-fifth Session of the South Dakota Legislature.

This bill adjusts the state budget for fiscal year 2020 by reallocating funds across several state agencies and programs. The Bureau of Finance and Management receives an additional $55.7 million in federal funds for computer services, while the Department of Social Services sees reductions in general funding for medical services and children's services, though some of these cuts are offset by increases in federal funding for those same programs.