Black Health
NBCCEDP South Dakota

Free pap smears in South Dakota — All Women Count!

All Women Count!

The program, the phone, the eligibility

South Dakota offers free pap smears and HPV testing through All Women Count! — call 1-800-738-2301 (ages 21-64, income up to 250% of the federal poverty line).

Call 1-800-738-2301 Visit South Dakota program

Primary source: https://doh.sd.gov/programs/allwomencount/

What the program pays for

  • Pap test
  • HPV test (co-testing for ages 30+)
  • Colposcopy for abnormal results
  • Case management to treatment if cancer is found

How South Dakota's program works

All Women Count! is South Dakota's NBCCEDP grantee — the channel through which women in South Dakota get a free pap smear plus diagnostic follow-up. Call 1-800-738-2301 or visit https://doh.sd.gov/programs/allwomencount/ to start the eligibility check. Intake usually takes 15-20 minutes and can be done by phone.

Who qualifies. Women ages 21-64, uninsured or with coverage that leaves a deductible or copay above what you can afford, with household income up to 250% of the federal poverty level (roughly $36,000 for a single woman at 250% FPL, $65,000 for a family of three). Most states serve women regardless of immigration status through NBCCEDP; the program was designed to backstop gaps the ACA marketplace and Medicaid miss. Some states — California at 200% FPL, Massachusetts at 300% FPL — adjust the threshold upward; others cap at the federal 250%.

What's covered. If a Pap or HPV test is abnormal, the program pays for colposcopy, cervical biopsy, LEEP, and cone biopsy at no charge. If cervical cancer is found, the federal Breast and Cervical Cancer Prevention and Treatment Act (Public Law 106-354) triggers Medicaid treatment eligibility — no separate Medicaid application is required. Transportation and interpretation are covered in most state programs where they are a barrier to completing a scheduled appointment — ask the intake coordinator specifically.

All Women Count! covers Pap, HPV testing, and colposcopy; the program's tribal partnerships were among the first NBCCEDP sites to deploy HPV self-sampling pilots.

For Black families in South Dakota

South Dakota American Indian women's cervical-cancer mortality is ~3× the white-woman rate (SD DOH, 2022).

For Black women and families in South Dakota, the practical route is rarely an abstract national program. It is a local clinic or community navigator who answers the phone, walks you through the intake, and follows up when the appointment letter is delayed. The state program line above is the fastest way to be matched to a navigator serving your county.

Community partners that have historically carried this work — Sisters Network chapters, the Black Mamas Matter Alliance network, the National Black Nurses Association, local churches affiliated with Faith in Public Life, and the NAACP health committees — often maintain navigator lists outside the state portal. If the state line doesn't route cleanly, call the nearest FQHC (every FQHC has certified navigators on staff under federal 330-grant rules).

Where to get help in South Dakota

  • Federally Qualified Health Centers in South Dakota: every FQHC takes Medicaid, charges a sliding scale for uninsured patients, and participates in free-screening pathways. See our FQHC directory for this state at /clinics/sd/.
  • Obstetrics and Gynecology providers in South Dakota: our provider directory filters to this state and specialty. See /providers/sd/.
  • Medicaid in South Dakota: if you qualify for Medicaid, the free-screening pathway extends to treatment if cancer is found (BCCPTA, Public Law 106-354). See our Medicaid navigator at /medicaid/south-dakota/.
  • Black Health outcomes in South Dakota: see state-level race-stratified data at /health/south-dakota/.
  • Cervivor — cervical-cancer survivor network with Black-women-led community chapters: cervivor.org.

References & primary sources

Data refreshed:

Other free screening programs in South Dakota

Breast cancer Colorectal cancer Cardiovascular Diabetes prevention