Black Health

Black Health Profile

Black health in South Dakota

22,814

Black residents (ACS)

2.60%

Of state population

South Dakota has a small Black population (about 23,000). Sanford USD Medical Center in Sioux Falls is the state's largest health system. Medicaid expansion was adopted via constitutional amendment in 2022, with enrollment beginning July 2023.

The largest Black health disparity tracked on these pages varies by metric. Use the ten topic pages below to see each one cited against the state's primary-source dataset.

On the positive side, every US state now has CDC-funded maternal mortality review committees, and most have at least one HRSA-designated federally qualified health center serving low-income Black residents. The ten facet pages below point to state-specific programs and providers.

Key takeaways

  • Black residents: 22,814 (2.6% of the state).
  • Medicaid expansion adopted.
  • Medicaid does not cover doula services.
  • Certified nurse-midwife scope-of-practice recognized by Medicaid.
  • 12-month postpartum Medicaid extension active.

Policy context in South Dakota

South Dakota has adopted Medicaid expansion under the Affordable Care Act. Medicaid does not currently cover doula services. Postpartum Medicaid coverage extends for 12 months after delivery, the federal recommended standard.

Data sources & refresh cadence

  • US Census ACS 5-year 2019–2023, Table B02001 (race) & S1903 (income).
  • CDC WONDER Multiple Cause of Death (D69) & Underlying Cause of Death (D76), 2018–2022 release.
  • KFF Medicaid expansion and state coverage trackers, Q1 2026.
  • SAMHSA National Survey on Drug Use and Health, 2022 state annual.
  • HRSA NHSC workforce data, 2024.

Last upstream refresh: