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Hospital Charity Care in South Dakota: County Poor-Relief, Two-Year Deadline

Updated September 4, 2026. Quick answer: South Dakota requires counties to cover hospitalization costs for a medically indigent resident who applies within two years of discharge.

This guide is limited to the cited South Dakota poor-relief source and its stated scope.

What changes in South Dakota

  • To receive assistance under this chapter for hospitalization costs, a person must be medically indigent as defined by the statute.
  • The person, or someone acting on their behalf, must apply to their county of residence for assistance within two years of the date of the hospital’s discharge.
  • This is a county poor-relief program, administered separately from any hospital’s own federal financial assistance policy.

Where this rule stops

The statute does not set a specific income percentage in the section itself; medically-indigent status is defined by a related section, and the two-year application deadline is a hard cutoff a reader needs to track.

How to verify before you apply

  1. Identify the hospital or facility covered by the source and obtain its current policy.
  2. Ask for the current written policy and application instructions.
  3. Compare the policy with the official source below before relying on any threshold, discount, or deadline.

Related hospital-assistance guides

Primary source

Read S.D. Codified Laws § 28-13-32.3. Verify the current official text and the facility’s current policy before acting; this is a source-backed planning guide, not individualized legal advice.

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