South Dakota receives $402 million in federal funding to support the rural health transformation program, which was authorized by federal law passed in July 2025. The Department of Health will manage these funds and must report quarterly to the state legislature on how the money is spent, with any unspent funds reverting back by October 2027.
This bill does not directly amend codified state law.
The appropriation was reduced from $500,000,000 to $402,000,000 in federal fund expenditure authority, and the reversion deadline was moved from June 30, 2031 to October 30, 2027.
The bill transitioned from engrossed to enrolled format, removing legislative procedural headers and adding official certification and signature pages required for final enactment.
Other amendments
Signed by the Governor H.J. 172
Delivered to the Governor H.J. 169
Signed by the President S.J. 127
Signed by the Speaker H.J. 168
Senate Do Pass Amended Passed, YEAS 32, NAYS 2. S.J. 124
First read in Senate and referral to committee waived pursuant to JR 6D-1 S.J. 122
House of Representatives Do Pass Amended Passed, YEAS 56, NAYS 11. H.J. 140
Committee on Appropriations Do Pass Amended Passed, YEAS 16, NAYS 2. J. 13
Committee on Appropriations Motion to amend Passed, YEAS 15, NAYS 3. J. 13
Committee on Appropriations Scheduled for hearing J. 1
House of Representatives Referred to Joint Committee on Appropriations H.J. 37
First Reading House H.J. 15
Do Pass Amended
Do Pass Amended
Committee on Appropriations — Motion to amend
Committee on Appropriations — Do Pass Amended