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create the medicaid expansion fund and to provide for the receipt of monies received as a result of expanding medicaid eligibility.

SB 102 creates a new fund called the Medicaid Expansion Fund to collect and manage any money South Dakota receives from expanding Medicaid eligibility to more people. The bill establishes where this federal funding would be deposited and how it can be used, setting up the financial structure to support expanded Medicaid coverage in the state.

expand Medicaid eligibility by the Legislature.

Starting July 1, 2023, South Dakota would expand Medicaid to cover adults ages 18-64 whose income is at or below 133% of the federal poverty line, providing them the same health coverage currently available to other Medicaid recipients. The state would stop this expanded coverage if the federal government funds less than 90% of the costs, making the expansion contingent on federal financial support.

make an appropriation of American Rescue Plan Act moneys for certain home and community-based services, and to declare an emergency.

HB1334 directs federal American Rescue Plan Act funds toward home and community-based services in South Dakota, amending the state's budget law to allocate these COVID-relief dollars for this purpose. The bill declares an emergency to expedite implementation of these services for residents who need support to remain in their homes rather than institutional settings.

provide a reimbursement schedule for chiropractic, dental, and optometric services under the Medicaid program.

This bill requires South Dakota's Department of Social Services to create and publish an official reimbursement schedule that sets payment rates for dental services provided to Medicaid patients. The department must base these payment rates on what dentists typically charge for services in South Dakota and can get help from outside experts to determine those standard fees. The reimbursement schedule will be established through state administrative rules and adjusted annually.

revise provisions regarding cost reimbursement associated with medical cannabis.

This bill clarifies that health insurance companies, workers' compensation insurers, and government medical assistance programs are not required to pay for medical cannabis costs. The change makes explicit that private property owners, landlords, and businesses also cannot be forced to allow cannabis use or cultivation on their premises, even for medical purposes.

authorize the construction and operation of a nursing facility in Lyman County and to declare an emergency.

This bill allows a new nursing facility with up to 50 beds to be built and operated on the Lower Brule Sioux Reservation in Lyman County, overriding existing state law restrictions that normally prohibit new nursing facilities in certain areas. The facility must still meet all other state requirements to participate in the Medicaid program. The bill declares an emergency so it takes effect immediately upon passage.