Skip to content

Tuesday, Oct 13, 2026

Did the One Big Beautiful Bill provide South Dakota with millions for rural health care?


yes

The Rural Health Transformation Program, outlined in the Big Beautiful Bill, included $189 million for South Dakota toward the first year of implementation.

The South Dakota Department of Health outlined four areas that the money would be used to advance rural health care:

  • Connect technology and data for a healthier South Dakota
  • Advance the rural workforce
  • Keep health care access local and strong
  • Transform systems for sustainability

“It doesn’t really do much good to invest in technology and things in hospitals if people can’t actually access the health care,” Gronli said of the rural health care money in regard to the Medicaid cuts.

Jackley said private health care is the answer.

“When you talk about health care and those challenges that we just heard about from my opponent, it’s all because of what was happening with respect to trying to socialize medicine,” Jackley said. “Government health care isn’t the answer.”

See a full discussion of this at South Dakota News Watch

This fact brief is responsive to conversations such as this one.

Sources

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 briefs