Monday, Feb. 9, 2026
Does SD have some of the most ‘ambulance deserts?’
South Dakota is fourth in the nation with the percent of people who live in an ambulance desert, according to a 2023 study.
The state has 15.2% of its county populations in areas underserved by ambulances – behind Montana (27.8%), New Mexico (19.6%) and Utah (19.1%).
The study, completed in May 2023 by the Maine Rural Health Research Center and the Rural Health Research and Policy Centers, defines an ambulance desert as places and people that are more than 25 minutes from an ambulance service.
South Dakota is among eight states that have fewer than three ambulances per 1,000 square miles. The state’s geographic size and small population put it toward the top for rural areas facing a lack of services.
The Legislature is considering a bill that would create a task force to study classifying emergency medical services as “essential.”
This fact brief is responsive to conversations such as this one.
Sources
- KELO-TV South Dakota Senate advances EMS funding study bill
- Maine Rural Health Research Center and Rural Health Research and Policy Centers Ambulance Deserts study (2023)
About fact briefs
Fact briefs are bite-sized, well-sourced explanations that offer clear "yes" or "no" answers to questions, confusions, and unsupported claims circulating online. They rely on publicly available data and documents, often from the original source. Fact briefs are written and published by newsrooms in the Gigafact network.
See all fact briefsLatest Fact Briefs
Has South Dakota shared voter rolls with the DOJ?
Tuesday, Feb. 3, 2026
Can people hunt on South Dakota tribal lands?
Sunday, Feb. 1, 2026
Does Southeast SD generate more tourism dollars than the Black Hills?
Wednesday, Jan. 28, 2026