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Faith Independent, February 20, 2013

Faith Independent, February 20, 2013

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94¢84241910Februar 20, 2013
WASHINGTON, D.C.—Sena-tors John Thune (R-S.D.) andTom Udall (D-N.M.) today intro-duced legislation to improve ac-cess to emergency services inrural and medically underservedareas. The Strengthening Rural Access to Emergency Services Act(S. 328) would amend the Emer-gency Medical Treatment andLabor Act (EMTALA) to allow el-igible hospitals in rural and med-ically underserved areas to useinteractive telehealth programsto satisfy the federal emergencyroom staffing requirement for an“on call” physician when an asso-ciate provider, such as a physi-cian assistant or nursepractitioner, is already on site atthe rural emergency room. Thisbill is cosponsored by SenatorMichael Bennet (D-Colo.) and issupported by the National RuralHealth Association, the AmericanTelemedicine Association, the American College of EmergencyPhysicians, and the American Academy of Physician Assistants.“Access to fast, reliable emer-gency medicine in rural hospitalsis critically important,” saidThune. “My legislation updatesfederal law to reflect advance-ments in telehealth technologythat are already in use across thecountry. Emergency telehealthtechnology improves the qualityof care provided in rural emer-gency rooms while also leveragingthe technology to address prob-lems in recruiting physicians torural areas. I look forward toworking with my colleagues onboth sides of the aisle to move thislegislation through Congress. ”“Small rural hospitals are life-lines for local communities, andtelehealth technologies can en-hance the emergency room serv-ices they provide," said Udall."New Mexico is a large state andmany residents live far fromurban areas, so telehealth offersus the best avenue to meet theirhealthcare needs. I am verypleased to join Senator Thune tointroduce this bipartisan legisla-tion that will help save time andsave lives."Currently, small rural hospi-tals across the country are facingphysician recruiting challenges,partly due to federal require- Are you living on a fixedincome and having trouble mak-ing ends met?Do you have large medical ex-penses?Do you need help taking care of your spouse?Do you want a milder climate?Have to drive long distances fordialysis or other medical care?Need help daily to bath orchange bandages?Here at the State VeteransHome you can bring your own car,come and go as you please, ortake a 60-day furlough rent free.Individual residents pay a main-tenance fee based on 50 percent of their income and assets; couplespay 55%. This entitles the resi-dent to receive a room, utilities(except telephone), bedding, laun-dry services, meals, medical serv-ices, pharmaceutical services,physical therapy, activities, andsocial services. We have a buswith a wheelchair lift availablefor our many planned activities.The dining room serves threemeals every day, supplies snacksfor activities, and provides forspecial diets. Included in themaintenance fee, a local physi-cian comes to the Veterans Homeregularly and is on call for med-ical services. Clinics are held forspecial needs. The nurses aides of the home are all certified and al-ways supervised by a registerednurse. Our nursing departmentprovides supervised medications,whirlpool baths and a physicaltherapist provides restorativetherapy on an individual basis.We also have exercise equipmentavailable for any resident’s use. A licensed dietitian helps residentswith their special diets. We alsohave a licensed Pharmacist onstaff to assist you with your med-ications.For more information contactyour local veteran service officeror the State Veterans Home at605-745-5127.ments that do not reflect advance-ments in emergency telehealthtechnology that can be employedto create a practice environmentthat is more attractive to youngphysicians. EMTALA requires aphysician to be on call and able toarrive to the emergency depart-ment within 30 minutes, even if an associate provider, such as anurse practitioner or physicianassistant, is already covering theemergency department. Forphysicians in small hospitals whosee patients all day and thenmust be on call at night, this cre-ates a “24/7” work environmentthat can be unattractive to manyyoung physicians and unneces-sarily drives up the costs of health care.Thune and Udall’s bill wouldallow for a physician available byan interactive emergency tele-health system to satisfy EMTALA requirements at eligible ruralhospitals when an associateprovider is on site, and wouldkeep patients at their local hospi-tal and avoid unnecessary, expen-sive transfers to larger hospitals.
Thune, Udall ntroduce bll to mprove accessto emergenc servces n rural areas
South Dakota Veterans Home thebest kept secret in South Dakota
 After receiving unanimous ap-proval from the House Healthand Human Services Committee,Senate Bill 72 was on the sched-ule for consideration by the fullHouse on Wednesday, February13. The measure earlier passedthe Senate by a vote of 33 to 0.This legislation requires theDepartment of Health to set up“an expedited inspection process”which allows follow-up inspec-tions for food service, lodging orcampground licensees.The prime sponsor, Sen. RyanMaher (R-Isabel), explained tothe committee that foodservice es-tablishments are supposed to re-ceive two inspections a year bythe Department of Public Safety.The inspection scores are thenposted online by the Departmentof Health, where they may beviewed by the public.“(Under SB 72) If a businessreceives a score between 90 and99, there is no trigger mechanismfor an inspection,” he told thecommittee. “We figured that’s afairly decent score, so there is noneed for reinspection. If theyshould get between an 80 and an89, that business would have anoption for a reinspection, and theywould have to pay a fee of $100 tocover that additional cost.”The follow-up inspection wouldtake place within sixty days, andthe new score would be added tothe establishment’s online scorepage.Tom Martinec, Deputy Secre-tary of the Department of Health,said, “The concern is that, if I’man operator of a restaurant, I getan uncharacteristically low scoreand I have to wait 6 months ormore until the next inspection. And then I’m kind of stuck withthat low score, and the generalpublic might be making a decisionwhether to frequent my businessor not based on that uncharacter-istically low score.” He went on tosay that, “This gives the ownerthe ability to request an expe-dited inspection, have us comeback out, give them anotherchance to improve that score be-fore the next routine inspectionhappens. It’s a limited option. Wedon’t think it will necessarily bewidely used, but it’s an optionavailable for those business own-ers to take should they choose todo so.”SDRA Executive DirectorShawn Lyons testified in supportof the bill, stating, “It’s an issuethat we’ve talked about with theDepartment of Health over the
Continued on Page 3
Senate Bill 72: Would allow foodservice and lodginglicensees to request follow-up inspections
Reprinted with permission
Many states tax the sales of goods. A few also tax services.South Dakota has a broad-based, four percent sales tax onnearly all goods and services.Because past legislatorsand governors have maintainedthe broadness of the tax, it is asteady, reliable source of revenue,even in times of economic dis-tress.Broadening this tax basehelped Gov. Janklow cut propertytaxes 30 percent. Taxing the salesof a broad array of goods andservices also helps our state avoidan income tax.However, an ever-presenttemptation exists to ask for ex-ceptions. Interest groups come toPierre each year to argue for a taxexemption on their particulargoods or services. They are sup-ported by their lobbyists andmembers.These exemptions do nothave policy goals, other than re-lieving a particular group frompaying sales tax. They are not de-signed to attract new economicactivity or help create jobs. Someinterest groups have better argu-ments than others, but one fact isalways true: Each time an exemp-tion is created, it benefits a nar-row group at the expense of all other South Dakota taxpayers.Even if some exemptions aresmall, the principle of a broad-based tax is violated.Each time an exemption iscarved out, there isless revenue for priorities like ed-ucation, healthcare, or economicdevelopment. For each exemp-tion, we send a message to thenext interest group thatthey also should try to avoid pay-ing sales tax.I vetoed legislation last yearthat would have exempted thesales tax on hay for livestock bed-ding. Several exemptions havebeen proposed this year, includ-ing certain coaching services,some rodeo admissions, and salesof used truck tires. Certainlythese are very small exemptions,proposed by groups for whom Ihave empathy. Still, I must op-pose the erosion of our broad salestax base through repeated, minorexemptions that ignore our over-
Continued on Page 3
Eroding our broad tax base
By Gov. Dennis Daugaard:
 
Page 2
Februar 20, 2013
• The Faith Independent
Obituary
Fath Communt Health Center 
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Faith Independent
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Published in the Heart of the West River Empire
Publication No. 184760Published Weekly on WednesdayFaith, SD 57626-0038
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LEGAL NEWSPAPER FOR:
State of S.D., MeadeCounty, City of Faith, Faith School District 46-2
Publisher.............................................................Don RavelletteOffice Manager.......................................................Diane IsaacsReporter, Proofreader, Composition.................Loretta Passolt
COPYRIGHT: 1988 Faith Independent. All rights re-served. Nothing may bereprinted, photocopied, or inany way reproduced from this publication, in whole orpart, without the written consent of the publishers.Longtime Faith area rancherand beekeeper, Albert Steen Jr.,88, died peacefully in his sleep inthe early morning hours of Febru-ary 10, 2013 at the Fort Meade VA Hospital near Sturgis, SD.Service of Remembrance washeld Friday, February 15, 2013 atthe Fort Meade Chapel at FortMeade, SD. Rev. Harold Del-bridge officiated and inurnmentof Albert's and his wife Lila'sashes was held at the Black HillsNational Cemetery south of Stur-gis, SD. Albert was born the youngestof five boys to Albert and Eliza-beth (Heiner) Steen on January19, 1925 at the Steen homesteadcabin southeast of Faith, SD. Heattended various country schoolsin Ziebach County. Junior wasthe only son to graduate with theclass of 1943 from Faith HighSchool. He helped his family herdsheep, raise cattle and breakhorses.Junior herded about 1200sheep with his brothers Charlesand Eugene throughout the win-ters, springs and falls of 1943,1944 and 1945 near present dayTakini School. With a remuda of two horses, several sheepdogsand a sheep wagon about the sizeof a small car, the three brothersspent their days on the prairies.It was here that Junior began tosharpen his culinary skills. Hewas often in charge of the chowline and he developed an appreci-ation for cooking.He enlisted in the US Army in April of 1946 and spent the next18 months during WWII at basesin Califonia, Montana and Arkansas. He did clerical work atthe bases in California often aspaymaster. Junior was honorablydischarged in 1947.Junior met Lila Knight in 1949at a dance in Red Scaffold. Theywere married on September 13,1951 before a Justice of the Peacein Rapid City. Together theymoved next door to his parents onthe homestead and began ranch-ing.He worked several years forJim and Ethel Keegan's dirt mov-ing operation as a cat skinner. Hehelped his father-in-law WallyKnight with his dirt moving busi-ness, as well.In 1979 he began his beekeep-ing career with Lawrence Steenand Alan Fowler. He set up beeyards within his own cattle rangeand over most of western Ziebach
 Albert “Junior” Steen
County. Junior extracted honeyat Alan Fowler's plant in Faithuntil he built his own plant in1983. He sold his honey to DutchGold.Junior retired from the beebusiness in 1989, but extractedfor several more years. In 1994 hebought a small herd of cows thathe watched over for years as a petproject. He was a member of theRed Scaffold Volunteer Fire De-partment, the American Legion,Faith Stock Show and Rodeo As-sociation, Sheep Growers Associ-ation and was a storm watcher forthe National Weather Service.He enjoyed fishing, hunting,gardening, good stories, coffee,the Faith News, travelling, hisdogs and cats and card playingwith the Chalmers family. Hisgreatest pleasure was being onthe ranch and cooking supper forhis grandson, Chris, no matterhow late it was.Junior was preceded in deathby his wife Lila of 57 years, hisparents, Albert Sr. and Elizabeth,his brothers, Arnold, Charles,Gene and Lawrence, his sisters-in-law, Verna and Florence Steenand Marjory Knight and hisbrothers-in-law, Jess Knight andLuther Knight.Grateful for having shared inhis life are his daughter, LouAnnSteen of Faith, SD and JomaySteen of McLaughlin, SD; hisgrandchildren, Bobbi (Mark)Misar, Christopher and EugeneSteen and great grandchildren,Jase, Lani and Marty Misar; sis-ters-in-law, Edith Knight of Cherry Creek, Nadine Cook of Covelo, CA and Mary Ann Knightof Eagle Butte, SD and HeleneSteen of Rapid City, SD; brothers-in-law, Stanley Cook of Covelo,CA and Doug Knight of Dupree,SD and numerous nieces andnephews.Condolences to Albert’s familycan be sent through our websiteat www.evansonjensenfuneral-home.com
Keep up with your city, school,and county … Read the Legals
 VA Black Hills Health CareSystem (BHHCS) is pleased toannounce the appointment of Joanne Barreno as the new Sui-cide Prevention Coordinator(SPC).Joanne will work to ensure ap-propriate measures are taken toprevent suicide in the VA BHHCS Veteran population. She will fa-cilitate suicide prevention strate-gies through education,monitoring and coordination of activities. Joanne will assess Vet-erans for high risk suicide, trackappointments and coordinate en-hanced care as needed. As SPC,she will ensure Veterans identi-fied as high risk for suicide aremonitored and maintain commu-nication through phone calls andmailings. Joanne will work in col-laboration with VA Veterans Cri-sis Line staff and others toprovide confidential support andreferral for Veterans in crisis. Shewill also provide educational re-sources to medical providers, Vet-erans, family members andcommunity members about riskfactors and warning signs for sui-cide.Joanne came to work at VA BHHCS in 2008 after transfer-ring from the Vet Center Outsta-tion in Martin, SD. She has beena social worker for various pro-grams at the Hot Springs VA Medical Center and the Commu-nity Based Outpatient Clinic inPierre. Joanne also provided out-patient mental health services toEagle Butte, McLaughlin, Rose-bud and Winner VA clinics whilestationed at Pierre. She com-pleted her Master of Social Workat the University at Buffalo, theState University of New York andBachelor of Social Work at Buf-falo State College.Joanne grew up on her dad’sreservation territory, Cattarau-gus Indian Reservation in Irving,New York. She has been a careerfederal employee since 1985.Joanne is a certified foster parentthrough Lakota OyateWakanyeja Owicakiyapi, Inc.(LOWO). She is also an enrolledOneida band member from SixNations Reserve of the GrandRiver.
VA BHHCS welcomes newSucde Preventon Coordnator 
arching policy goals.I truly believe that we shouldstrive for more TAXPAYERS, notmore TAXES or higherrates. Spreading the burdenamong many makes each one'sburden lighter. We should notcontinue to chip away at oursteady, broad tax base. It’s easy toagree with each group and makean exception "just this once." Butwe must be vigilant against it. Voters, taxpayers and the pub-lic in general don’t have an asso-ciation, interest group, orlobbyists. As your Governor, I be-lieve it’s my responsibility tospeak for the people. It’s my job towork on behalf of the unorganizedmany against the interests of theorganized few. Let's keep our taxrates low by asking everyone toshare in the responsibility to pay.
Gov. Dauugard
Continued from Front Page
 
Februar 20, 2013
• The Faith Independent •
Page 3
Sen. Ryan Maher’sLegislative Report
Bring in your prescriptions and have them filled locally 
3 Easy Ways 
1. Have your physician fax in your prescription to our pharmacy2. Bring us your empty refill bottle 3. Call Vilas with your physician and prescription information
It’s That easy. Faith’s full-service pharmacy is here  to serve you
PH: 605-967-2123
Please bring in your new insurance cards when you fill or  transfer your prescription!
Vilas Pharmacy & Healthcare Store 
PH: 967-2123, Faith, SD
The children of 
Dr. Wayne Sletten
request a card shower in honor of his
80th Birthday 
March 7 
Cards may be mailed to: 1107 Field View Dr., Rapid City, SD 57701
We love you Dad!
last year. If you’re a foodserviceoperator you take those inspec-tion scores very seriously. And soif there’s an opportunity for you toimprove your score, and if it fallsin that wedge category between80 and 89, it’s an opportunity forthe operators to make those im-provements because it’s impor-tant to them, to their customersthat they’re dining at a good es-tablishment.”Lyons also told the committeethat concern about lack of timelyinspections in some areas of thestate is what originally promptedSen. Maher to bring legislationpertaining to inspections. He saidthe Department of Public Safetyis working on addressing those is-sues.Rep. Troy Heinert (D-Mission),a bar and restaurant owner, alsovoiced his support of the bill.“I don’t know how many estab-lishment owners think that in-spections are good, but I do,” Rep.Heinert said. “This is going towork well for establishment own-ers and the public. The public’ssafety is number one.” Voting in favor of SB 72, insupport of SDRA’s position: Rep-resentatives Campbell, Ecklund,Haggar (Jenna), Hawks, Heine-mann (Leslie), Heinert, Hickey,Magstadt, Munsterman, Sly, Soli,Steele and Westra.From the South Dakota Retail-ers Association/Legislative Bul-letin #4 / February 12, 2013
Senate Bill
72
Continued from Front Page
Week 6 of the 9 week session isnow over, with 24 days down and14 to go. So, these last 3 weeks of session is where we start priori-tizing spending. Education andhealthcare remain top prioritiesfor the caucus. We find ourselvesbalancing these needs againstbolstering reserve funds in antic-ipation of sequestration cuts andsupporting economic develop-ment. While it might not seemimportant now, the cuts comingfrom Washington weigh heavilyon all of us here in Pierre. As our session comes to a close,we will hear what cuts will becoming as Congress continues tofight over our spending. If wedon’t prepare, we could be calledinto special session to alter ourbudget due to our federal govern-ment's inability to pass their ownbudget.Good Stewardship of your taxdollars at the state level requirecareful and responsible manage-ment, including keeping ourbudget structurally balanced, andlooking to promote future growththrough economic development.School funding is certainlymany topics of discussion this ses-sion with many bills goingthrough the process trying to getmore money in the K-12 system.Unfortunately, this important de-cision is typically made towardthe very end of the session. Weknow that schools are strugglingto make up for the budget cuts of past years. A component of schoolfunding which was recentlybrought to the Legislature’s at-tention in SB15 is the depletion of the Extraordinary Cost Fundused for students with specialneeds. This is a fund which localschool districts can apply to whenthey have costs which exceed theschool’s special education levy. InSD, there are 18,026 children whoqualify to receive special educa-tion services. This represents14.3% of all of our students and isan increase of 7.1% over a ten-year period. These statistics weretaken from the National Centerfor Education Statistics. The pro-posal of this bill from the SD De-partment of Education wouldshift even more of the funding for-mula for special needs toward thelocal taxpayer and away from thestate government’s responsibility.They are proposing an increase inthe local effort levy for special ed-ucation from $1.2 to $1.3 and inturn decreasing the state’s sharefrom 42.41% to 39.3% by 2015. Also dealing with educationfunding, I have introduced Senatebill 76 which will put funding intothe Education Service Agencieswhich is administered by North-west Area Schools. This bill hasbeen through many revisions. Itpassed out of the Senate Educa-tion Committee and is currentlysitting in the Senate Appropria-tions Committee waiting for fund-ing.I also introduced Senate Bill80, which will be up in House Ed-ucation this week, Wednesday,for a hearing; it has alreadypassed the Senate. This bill willreinstate the accounting proce-dures our schools use too accountfor impact aid funding. This lan-guage was taken out statue thispast session in 2012. This billwill reinstate those laws.This past week in Senate, wepassed Senate Bill 195 to helprestart wind energy projects. TheSenate passed this bill out of com-mittee to provide up-front moneyas an incentive on wind energyprojects. South Dakota is a verywind-rich state with the potentialfor continued expansion. With theObama Administration blockingprojects such as the Big Stone IIexpansion, which would have pro-vided expanded infrastructure forwind energy transmission capa-bility, it falls to states to helpwind facilities develop and ex-pand.This week, the Senate tookswift action to expand our 2ndamendment rights through Sen-ate Bill 166 on Concealed WeaponPermits. It passed the State Af-fairs committee on an 8-0 vote,and passed unanimously on Sen-ate floor. This measure revisesthe years that a concealedweapon permit is valid; reducingthe bureaucracy that citizens facein obtaining and maintaining aconcealed weapon permit. Thismeasure is now on to the House.Currently, we’re coming up ona vote for Senate Joint Resolutionwhich increases the vote requiredto raise taxes. Senate Taxationpassed this measure as amended6-1, and it will be an amendmentto Article 9 of the SD Constitu-tion. This will require the supportof 2/3rd of voters to increase orimpose new taxes – protectingyour hard earned paycheck fromanyone who tries to raise yourtaxes. It provides a better level of consistency, and matches thenumber of votes that it requiresin the legislature.SB 51 is a bill that has to dowith the Retailers Collection Al-lowance. In 2006, the legislaturedecided that as soon as the TaxRelief Fund reached $10 million,retailers would be eligible for areimbursement from that fund tomitigate the cost of collecting andsubmitting sales taxes. This reim-bursement, or “collection al-lowance,” would have originallybeen a cost to the state of $6.4million. SB 15, however, asks citygovernments to pick up $1.5 mil-lion of the tab, which is not neces-sarily a cost to the city so much asit is a source of revenue that theywill no longer collect. An amend-ment is on the table that wouldnot require the municipalities tocover this $1.5 million, whichwould then require the state topick up the full bill. I feel it is onlyfair the state covers the whole col-lection allowance because thatwas the original deal. It is impor-tant to note that municipalitiesare already paying $3 million peryear to the business tax fund inorder to help process the collec-tion of sales, use, and contractor’sexcise taxes. This bill has put usbetween a rock and a hard placebecause the state is not payingthe amount that was agreedupon.On Tuesday, February 12th,the Joint Appropriations Commit-tee heard from the department of Tribal Relations. The mission of this division is to establish andmaintain a positive working rela-tionship between Native Ameri-can South Dakota citizens and allother parts of government. TribalRelations was also established tosecure and coordinate federal,state, and local resources to advo-cate for the Native American pop-ulation. This is a relatively newdepartment instituted by Gover-nor Daugaard, which has beenvery successful in building rela-tionships with our tribes.Please keep in touch on the is-sues and feel free to contact me at(605) 850-3598 or at my legisla-tive email sen.maher@state.sd.us.my personal email address isrmm2697@hotmail.com. I enjoythe chance to serve as an electedofficial in your citizen Legisla-ture. As always you can followeverything online athttp://legis.state.sd.us/ses-sions/2013/index.aspx
Sr. Citizens MenuSr. Citizens Menu
 All meals served with milk andbread. Menu subject to changewithout notice.
 Wed., Feb. 20: NoMeals/Kathy goneThur., Feb. 21:
Roast Beef,Mashed Potatoes & Gravy, Har-vest Beets, Peach Crisp
Fri., Feb. 22:
Macaroni &Cheese, Stewed Tomatoes, But-terscotch Pudding, Banana
Mon., Feb. 25:
Swiss Steakw/Tomato & Onions, Baked Po-tato, Corn, Seasonal Fruit
Tue., Feb. 26:
Sausage Gravyover Biscuit, Green Beans,Squash, Jello w/Strawberries
 Wed., Feb. 27:
Chicken Noo-dle Veg. Soup, Orange Juice, Ba-nana
Thur., Feb. 28:
Roast Pork,Scalloped Potatoes, California Vegetables, Cooked Apples

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