Abortion-pill legal fight: Mayday Health and Watertown attorney Nancy Turbak Berry sued South Dakota over HB 1274, arguing the new felony ban on dispensing and advertising abortion pills violates free speech; the law is set to take effect July 1. Medicaid work requirements pressure: States are balking at Medicaid work rules as budgets tighten, with lawmakers citing cuts to health care and education while noting many Medicaid adults already work, study, or have health barriers. Indigenous health workforce: A proposed Indigenous School of Medicine in Rapid City would blend culture and wellbeing into training, aiming to boost Native physician numbers; a feasibility study is funded by the Robert Wood Johnson Foundation. ALS data spotlight: New state-level ALS incidence estimates from the National ALS Registry show South Dakota among the higher-incidence states (1.84 new cases per 100,000 from 2012–2019). Rural emergency readiness: Custer Ambulance Service received a $10,000 grant to add a generator to its all-electric station, helping it stay operational during power outages. Regenerative agriculture: Black Hills producers Riley and Jimmie Kammerer joined an NRCS regenerative pilot to improve soil health and grazing resilience across thousands of acres. Community wellness space: Vermillion’s Southeast South Dakota Activity Center opened a sensory garden designed to reduce stress and anxiety for people with disabilities and the wider public. Rural hospital funding: Bipartisan legislation extending the Rural Community Hospital Demonstration passed the Senate, supporting rural access to care in states including South Dakota.