Federal Health Care Reform in South Dakota
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Medicaid/Children’s Health Insurance Program (CHIP)

The South Dakota Department of Social Services is responsible for administering Medicaid and Children’s Health Insurance (CHIP) Program for low-income individuals, families, and children. Medicaid helps pay for the necessary medical expenses individuals need to stay healthy. These expenses may include hospital stays, doctor visits, prescriptions, nursing home care, and other health care needs.

For more information on Medicaid eligibility and the Children’s Health Insurance Program (CHIP) in South Dakota, visit the South Dakota Department of Social Services website.

Apply for Medicaid and CHIP using the South Dakota Online System.

As of October 1, 2013, South Dakotans can apply for Insurance Affordability programs including Medicaid and CHIP through the Federally Facilitated Health Insurance Marketplace.

At this time, South Dakota is not expanding Medicaid. When first passed by Congress, the Patient Protection and Affordable Care Act (ACA) required states, beginning in 2014, to expand their Medicaid programs to adults under age 65 with incomes at or below 138% of the federal poverty level (FPL). Twenty-seven states, including South Dakota, challenged the constitutionality of the ACA.  While the Supreme Court upheld the constitutionality of the ACA, its ruling allowed states to decide whether to expand Medicaid.  In 2013, Governor Daugaard established a workgroup to review this issue. The group was charged with outlining the pros and cons of expanding Medicaid.