Black Hills Knowledge Netowork

The South Dakota gubernatorial election will take place in November 2018. Incumbent Dennis Daugaard is term-limited and cannot seek reelection.
The South Dakota gubernatorial election will take place in November 2018.  Incumbent Dennis Daugaard is term-limited and cannot seek reelection.
Jake DeGroot
May 10, 2017

American Health Care Act May Bring Coverage Changes for Pre-Existing Conditions

South Dakota could see big changes to health care costs if the American Health Care Act passes, reports the Rapid City Journal.  The U.S. House of Representatives recently passed the American Health Care Act of 2017 and now it has moved to the Senate.  This legislation would replace the Affordable Care Act, also known as Obamacare.

In order to become law, the American Health Care Act must be passed by the U.S. Senate and signed by President Trump. In its current form, the legislation would allow insurers to charge higher premiums to individuals with pre-existing conditions by removing them from the community rating requirement of the Affordable Care Act. The bill sets aside $8 billion for states to create "high risk pools" to assist individuals with pre-existing conditions with premium payments. States would be required to set up the high risk pools before applying for a pre-existing conditions waiver. 

Governor Dennis Daugaard and U.S. Rep. Kristi Noem did not comment on the legislation citing the possibility of future amendments to the law.  South Dakota Attorney General and 2018 gubernatorial candidate Marty Jackley is concerned about the bill as it is written, and expressed support for provisions that would provide coverage to individuals with pre-existing conditions. 

Learn more about the American Health Care Act by reading the full report by the non-partisan Congressional Research Service. 

For more information about the Affordable Care Act, visit the Black Hills Knowledge Network's online news archive or issue hub.  For more information about health insurance offered through the Affordable Care Act, you can visit

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