PIERRE, S.D. - While it might seem like a nuisance, a looming requirement for local phone calls in South Dakota is being phased in as part of a public service.

The state's Public Utilities Commission is asking residents to incorporate South Dakota's lone area code of 605 when making a local call, even though it's not required just yet.

That will change over the next year when dialing all ten digits will be necessary as the Federal Communications Commission prepares to establish 988 as the dial code for the National Suicide Prevention Lifeline.

PUC Chairman Chris Nelson said some local lines start with those numbers, making the extra step crucial. He encouraged people to embrace it now.

"A lot of us have numbers pre-programmed into our phones, and so that ten digits is already being dialed," said Nelson. "But for those of us that aren't, that's something that we're going to have to begin getting used to."

The phase-in of the requirement begins in October, depending on your provider, and will be finalized by next summer. The transition is affecting area codes across three dozen states.

Because of its rural backdrop, South Dakota has long existed with its one area code, making shorter dialing routine for most residents. But Nelson said he hopes the state gets behind the movement so the national project can help save lives.

"We see this as something that can hopefully be a resource to intervene when people are in those crisis moments," said Nelson.

To make the transition easier, he suggested people double check any pre-programmed numbers in their home phones or alarm systems in case they don't have the embedded area code.

The national prevention line has served through a "1-800" set-up. But the FCC recently adopted plans for 988 to make it easier to remember.

January's cold temperatures in Missouri and across the nation can pose risks for those with heart conditions.

The American Heart Association has tips on staying heart-healthy in winter - including dressing warmly to reduce strain on your heart, and avoiding overexertion during activities like shoveling snow.

St. Louis Physician, Dr. Ravi Johar, is a board member of the American Heart Association. He said snow shoveling is a leading cause of winter heart problems, especially for men in their 50s and 60s.

He stressed that cold weather constricts blood vessels, increasing the heart's demand for more blood during exertion.

"So you have a combination of the body needing more blood to the heart and getting less flow through it because of the cold weather," said Johar, "and that unfortunately can lead to a heart attack - and it's one of the most common times that you do see a heart attacks occurring, is at that time of the year."

Other winter tips from the American Heart Association include eating balanced meals with fruits, vegetables, lean proteins, and whole grains - and limiting alcohol because it can make you feel warmer than you are, raising the risk of hypothermia.

While it may be very comforting to enjoy a hot cup of cocoa or apple cider in the winter, heart health experts warn these drinks are often loaded with sugar - which can be dangerous for the heart if you drink too much.

Dr. Johar added that exercising in winter can be very beneficial.

"Exercise at any time of the year will increase your immunity," said Johar. "So during cold and flu season, having a little bit better immunity is always beneficial. You do need to make sure you have enough fluids, you need to stay hydrated even though you don't feel quite as thirsty cause you're not sweating as much, it's real important to make sure you stay hydrated."

The American Heart Association emphasizes that people should pay attention to symptoms like chest discomfort, dizziness, or unusual fatigue, and seek medical help if needed.

Advocates for patients are calling on UCHealth to end its practice of filing lawsuits over unpaid bills, after a 9News report found that the state's largest healthcare provider has sued more of its patients than has any other major provider.

Dana Kennedy, co-executive director of the Center for Health Progress, said the vast majority of patients are not trying to get out of paying their bills.

She said many patients taken to court would have qualified for financial assistance.

"In an emergency, you may end up at a UCHealth hospital," said Kennedy. "And the last thing that you want to worry about is if you are going to be getting sued. You want to be able to focus on your own health and healing."

A spokesperson for UCHealth - which recorded nearly $840 million in 2023 profits - said lawsuits are only filed as a last resort when patients don't pay, and are necessary to remain financially sustainable.

Not all health providers turn to lawsuits.

In response to similar complaints, lawmakers in Maryland recently passed a measure requiring hospitals to pay back low-income patients they sued who would have qualified for free care.

Erin Ostlie-Madden is a physician assistant and volunteers with Care Not Courts, a campaign to end medical debt lawsuits.

She said the practice hurts people already struggling financially, just because they sought medical care.

"They have to take time off of work, which can additionally harm them financially," said Ostlie-Madden. "They might need to hire a lawyer. If the lawsuit goes through, they can have their wages garnished."

State lawmakers have passed protections to ensure that patients can access financial assistance.

But Kennedy said, as anyone who has tried to navigate hospital websites and telephone systems knows, they don't always make it easy.

"They are required by law to provide community benefit," said Kennedy. "And the practice of suing people in communities does not support the health and healing of patients, it really causes more harm to all of us in Colorado."




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Oregon's largest health care strike, including the state's first doctors' strike, is set to begin this Friday if a settlement cannot be reached.

The Oregon Nurses Association delivered a 10-day notice of an open-ended strike to Providence Health and Services in Oregon last week, accusing it of dangerous levels of understaffing, neglecting patient care and offering inadequate pay and benefits.

Dr. Charlie Saltalamacchia, an OB/GYN physician at Providence Women's Clinic, said in labor and delivery there is no cap on the number of patients, leading to unsafe conditions.

"We can sometimes have patients that we're responsible for in excess of 30 during a shift," Saltalamacchia observed. "There can be multiple emergencies happening at the same time with no limits. "

Without a deal, nearly 5,000 nurses, doctors and other providers will walk off the job at all eight Oregon Providence hospitals and six clinics starting this Friday. CEO Jennifer Burrows wrote in a statement Providence offered double-digit pay raises for nurses and accused the union of refusing to compromise. The union countered they are being stonewalled.

Saltalamacchia noted providers often stay longer than their shifts and are asking for pay and working conditions comparable to other hospitals.

"These health care workers have worked for so many years at great personal expense and cost to provide excellent patient care," Saltalamacchia emphasized. "These requests are just really reasonable."

Providence is a nonprofit operating 51 hospitals in seven states. It merged with California's St. Joseph system in 2016.

Jay Formick, a registered nurse at Providence Willamette Falls Medical Center, said the merger marked a turning point.

"They went from being companions or partners in the process of negotiating a contract to becoming hard and fast opponents," Formick contended.

Providence initially refused to negotiate during the 10-day strike notice, prompting the nurses association to file an unfair labor practice charge. Providence has since said in a statement it will resume talks with union doctors and urged them not to strike, citing the difficulty of replacing them compared with nurses.