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be "considerable," jumping to $36.8 million by 2020. The cost estimate includes the state share of 5 percent in 2017, 6 percent in 2018, 7 percent in 2019 and 10 percent in 2020 and beyond.
• But expanding Medicaid would help the state leverage federal funds and provide financial relief for South Dakota hospitals dealing with uncompensated costs, the report said.
• "This financial relief will have a positive impact on hospital employees, contractors and the larger business community that rely on the financial health of local hospitals," the report said. "Other providers will also financially benefit from an increase

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