PIERRE, S.D. - Today, medical marijuana technically becomes legal in South Dakota. Supporters say there's still a long way to go for most patients to access the drug, but they feel a sense of positive movement after some wrangling over the process.

Last fall, South Dakota voters endorsed the creation of a medical marijuana program. A legislative effort, spurred by Gov. Kristi Noem, sought to delay implementation.

But the bill failed, allowing legalization of medical cannabis to begin this month. Melissa Mentele, director of New Approach South Dakota, said it's a big relief for patients - suggesting they now have a legal shield with these protections.

"What they do is ensure that South Dakotans that are using for medical purposes cannot be prosecuted," said Mentele.

However, the state health department warns that rules still are being finalized and medical cards won't be issued until later this year. Until then, officials suggest a patient consult a private attorney if they plan to use or grow the drug, even with a written recommendation from a doctor.

State dispensaries aren't likely to open until next year. Independently, the Flandreau Santee Sioux Tribe already is opening its own dispensary.

While the process has been bumpy at times since last fall's vote, Mentele said she feels the state is now handling implementation of Initiated Measure 26 as well as it can.

"It was so thorough that it covered a lot of the stuff that the state has put out for those rules' drafts," said Mentele. "They did follow quite nicely the guidelines set in IM 26."

Mentele led the campaign behind the initiated measure, which was backed by 70% of voters.

South Dakotans also last fall endorsed recreational marijuana for adults, but that issue still is being decided in the courts.

A new report found Missouri's public health agencies are not sharing information effectively and fixing the problem could lead to better health care for people in the state.

The Missouri Department of Health and Senior Services released its first assessment of the state's digital health system, highlighting ways to improve how health data is shared and used. The evaluation uncovered significant gaps in sharing critical information such as disease rates, hospital visits, birth outcomes and access to care.

Joshua Wymer, chief health information and strategy officer for the department, shared key insights from the report.

"Data is still often siloed," Wymer pointed out. "There was an opportunity with data to advance inoperability, there's an opportunity to always be better at privacy and security because we know that the threat of that is always evolving."

The report recommended establishing clear rules and strong leadership for better data management. More than 200 organizations took part in the assessment, through 25 meetings across nine regions.

A separate study found health care providers said patient access to electronic health records improved communication and treatment discussions. Wymer also shared what citizens expect from the systems as health data grows in importance.

"They expect their data to not only be available and readily accessible, but they expect it to be private and secure," Wymer reported. "And they expect an experience that moves closer and closer to them and their routine and their priority."

The assessment revealed Missouri's public health agencies have different digital capabilities but are ready to adopt new data systems.


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Wednesday is National Healthcare Decisions Day and advocates are calling attention to Florida's pressing need for advance care planning, particularly among vulnerable groups.

About one in five Floridians is over 65 and the state also struggles with one of America's highest uninsured rates, at 10.7%, significantly above the 8% national average.

Brandi Alexander, chief engagement officer for the national end-of-life advocacy group Compassion & Choices said Latino residents have nearly double the uninsured rate of white Floridians. She noted there are good reasons for anyone to plan for their future health care needs.

"Nearly half of the population are people of color in Florida," Alexander pointed out. "A 2021 study found that the preventable mortality rate for Black individuals was 1.5 times higher than it was for their white peers."

The annual awareness day encourages families to discuss and document their medical preferences before a crisis strikes. Florida's 52 licensed hospice organizations serve patients through hundreds of care teams statewide, according to state health data. Alexander emphasized clarifying care wishes can alleviate burdens on families and reduce preventable suffering.

Alexander added normalizing the conversations can empower patients and reduce disparities.

"The more we have tools and the more we normalize the conversation, we can start changing some of the negative stigma that comes with talking about death," Alexander stressed. "Because once you're talking about it and you know what options are available to you, you can then really advocate for yourself within the health care system - and that's how we really create change."

Free resources, including advance directive forms and multilingual guides, are available through the state health department and advocacy groups like Compassion & Choices.

Gov. Mike Braun rolled out a sweeping health and government assistance initiative Tuesday, backed by U.S. Health and Human Services Secretary Robert F. Kennedy, Jr., and Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz.

The "Make Indiana Healthy Again" program seeks to reduce welfare spending, increase work participation among benefit recipients, and launches new health studies. Braun signed several executive orders to overhaul the Supplemental Nutrition Assistance Program. He said the changes require work participation for able-bodied adults, reinstate income and asset checks, and end the use of SNAP dollars to buy some sugary items.

"Today's first executive order removes candy and soft drinks from taxpayer funded SNAP benefits," Braun stated. "More SNAP money is spent on sugar drinks and candy than on fruits and vegetables. That changes today."

The governor also ordered studies into diet-related chronic illness in children and the health risks of food dyes. The Indiana Department of Health will lead the research and recommend policy changes based on its findings.

One of Braun's orders targets Medicaid eligibility, aiming to reduce improper payments by ending self-attested applications and requiring hospitals to meet stricter standards.

"A study found 28% of Indiana Medicaid spending - our largest budget line item - was improper spending mostly due to eligibility errors," Braun noted. "Today we're taking action to make sure everyone on Medicaid is eligible for it in the first place."

Other directives promote physical activity and improve local food access, including a new Governor's Fitness Test for students and a review of how to expand direct-to-consumer sales from Indiana farms.


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