HB1044EnactedAppropriations
make an appropriation to implement the rural health transformation program, and to declare an emergency.
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.