* South Dakota will NOT have their own health insurance exchange.
* South Dakota is UNDECIDED on whether to expand Medicaid.
No Health Insurance Exchange For South Dakota
Being a red state, there was little doubt whether the state would develop their own exchange. Gov. Dennis Daugaard has confirmed that they will not and that means any resident of South Dakota needing insurance should go through the federal exchange.
Like most states that have balked at setting up their own exchange, the governor said that the cost was the main reason. Many states are reluctant to commit to something as costly as a state health insurance exchange without knowing whether ObamaCare will ever be a success.
As of July 19, 2013, three companies (Avera Health Plans, Sanford Health Plan, and DAKOTACARE) have been approved by the state to sell insurance plans on the federal health marketplace.
South Dakota Is Undecided On Expanded Medicaid
As of August 19, 2013, South Dakota has not committed to expanding Medicaid and it looks very unlikely at this point. In play is the question of just how much it will cost in the long run to expand such a program. Governor Daudaard has appointed a task force to look into the matter and lay out both the advantages and disadvantages such an expansion.