SIOUX FALLS, S.D. — The number of rural communities with few options for elder care continues to grow across South Dakota. The Hudson Care and Rehab Center in the southeastern corner of the state was the most recent closure, and marked the sixth nursing home center closure in the past year-and-a-half.

Mark Deak, executive director with the South Dakota Health Care Association, called the closures a "crisis" and said it's all the result of inadequate funding.

"You hear the word 'crisis' a lot, and sometimes I think that word is overused. But it's certainly not in this case,” Deak said. “And the primary factor is under-funding. South Dakota has one of the largest Medicaid gaps in the country."

More than half of the total resident population in nursing centers relies on Medicaid to pay for their care. South Dakota lawmakers authorized a 10% increase in Medicaid reimbursement for the state's nursing facilities earlier this year, but Deak said nursing centers still lose an average of $42 per day for each resident paying through Medicaid.

According to Deak, the statewide costs of unreimbursed nursing-center care total more than $48 million annually. He noted South Dakota is not alone in its struggle to maintain housing options for the elderly and disabled.

"It's a widespread challenge for many, many states,” he said. “I just think, given the nature of South Dakota and its rather small population and yet very large geographic land mass, that problem is exacerbated."

In Nebraska, 16 nursing facilities closed between 2015 and 2018, and 22 have been placed under state receivership - the majority of them located in rural areas. Deak said he believes the crisis calls for a statewide and national discussion.

"None of us are getting any younger, and I believe that obligation to care for our loved ones - our parents, our grandparents cared for us, we need to be able to do the same for them - and we just need to make it a priority,” he said.

In addition to Hudson, recent long-term care center closures in South Dakota have occurred in Sioux Falls, Huron, Madison, Mobridge, Tripp, Bryant and Rosholt.


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A bill in the Maryland General Assembly would regulate cryptocurrency kiosks, the more than 700 ATM-like machines for virtual currencies around the state.

The FBI received more than 4,400 complaints about the kiosks in 2023, according to a report on cryptocurrency scams. Nearly 60% of complaints came from people over the age of 60.

The legislation would establish registration and operating requirements for the kiosks in the state, enforced by the Commissioner for Financial Regulation.

Tammy Bresnahan, senior director of advocacy for AARP Maryland, said crypto kiosks have become a new way for scammers to target people.

"These kiosks have become a haven for scammers to call people to say, 'There's a problem with your account. You need to take money -- $4,500 in cash -- and deposit it into this nearby cryptocurrency kiosk because your account has been compromised,'" Bresnahan explained.

The total losses from cryptocurrency kiosks in 2023 exceeded $150 million.

The FBI advised no legitimate law enforcement or government agency would call or message demanding payment with a cryptocurrency. Bresnahan pointed out one of the issues with kiosks is they are not required to provide a user a receipt for their transaction, making them hard to track.

"Operators must clearly disclose transaction fees and exchange rates," Bresnahan urged. "And there has to be some kind of receipt. It doesn't have to be a printed receipt, but it has to be some kind of detailed receipt, whether it's on the system or whether it comes out printed. Because, right now, when you put money in there, you don't get anything."

Other states, like Minnesota and Vermont, have already passed legislation regulating virtual currency kiosks.

A local "Meals on Wheels" organization is forging ahead with an event to provide meals and personal care items to seniors in four Illinois counties, despite the looming uncertainty about federal funding helping to run the programs.

"March for Meals" brings community members and elected officials together, who volunteer to deliver and serve nutritious meals to seniors in Cook, Grundy, Kendall and Will counties.

Caitlin Wilson, manager of the Schaumburg Community Café, said they also help pack care bags to deliver to those who are homebound.

"Just to know that they're not alone," Wilson explained. "That we are here and they're not left just at home, that we are thinking about them."

Nationally, March for Meals commemorates the Older Americans Act and the funding it provides for nutrition programs for people in their 60s and older. The Illinois March for Meals event is March 31 at the Schaumburg Community Café.

Seniors make up about 22% of Illinois' population. Many statewide programs, including Meals on Wheels, rely on federal funding to keep running.

Every five years, Congress needs to reauthorize the Older Americans Act. The last time it happened was in 2020 and the funding expired in Sept. 2024. Wilson said the need is clear, even if its future is unclear under the new administration.

"We have seniors that come that this is their only source of socialization and even nutrition," Wilson pointed out. "It's definitely important that we continue our goal in the community, because we have those seniors that really depend on these programs."

Wilson added events like these are crucial to raising awareness about the need for senior services, and this year, the additional challenge of potential federal funding cuts.

"It's definitely a huge program and it is a huge impact, with the seniors not sure what's going on and what's going to happen," Wilson emphasized. "But we are here and it's important that we stay here."

Michigan is home to more than 470,000 veterans, yet many have never accessed the military benefits to which they are entitled. The gap in support prompted a local war veteran to take action.

During the COVID-19 pandemic, nearly 200 Michigan veterans died by suicide, well above the state's average, and the number is growing.

Joshua Parish, president of the nonprofit service organization VETLIFE and an Iraq War veteran, is working to change it. His organization, which started in 2018, provides veterans with sustainable resources, free events and community support to help them navigate civilian life. Parish said one of their flagship events called VetFest attracts more than 3,000 people at each event.

"We have 60 resource providers that help connect the dots," Parish explained. "What we're seeing is one month after the VetFest event, a 60% increase in veterans going down to their local resources, which is what we want."

Parish emphasized his main goal is to educate and empower veterans to be their own best advocate. He believes by doing so, it will decrease the veteran suicide rate.

More than 8 million U.S. veterans are 65 and older, nearly half of the veteran population. Many face isolation, depression and struggles transitioning to civilian life, even decades later. As a veteran, Parish has battled mental health challenges himself. He added many feel a loss of purpose and betrayed by the government they once served.

"If you can give these veterans or help cultivate the sense of purpose, the sense of identity, and just make them feel like a person again, I feel like that's going to drastically reduce the veterans' suicide rate," Parish contended.

Many veterans rely on VA pensions, Social Security or disability benefits, making it crucial for them to know and access the resources they have earned.