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 engrossed version reduces the federal funding appropriation from $500,000,000 to $402,000,000 and adds a new requirement for the Department of Health to submit quarterly expense reports to legislative oversight bodies, while also moving the reversion deadline earlier from June 30, 2031 to October 30, 2027. This WEAKENS the bill by cutting $98 million in available funding and tightens accountability through mandatory reporting to the Legislature.
This change converted the bill from an engrossed version (committee draft with markup showing edits) to an enrolled version (final official form ready for the Governor's signature), removing the legislative process notation and adding signature lines for executive approval. The substantive content of the bill—appropriating $402,000,000 in federal funds for the rural health transformation program—remains unchanged.
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