South Dakota's next legislative session is right around the corner, and lawmakers are expected to take a close look at recommendations for enhancing resources for long-term care services.
Ideas for bolstering care infrastructure come from an interim committee that's been studying the issue.
It also coincides with the latest Long-Term Care Scorecard from AARP, which places South Dakota 36th in the nation.
It says the Legislature has made progress in helping the state's 80-thousand unpaid caregivers, but more work is needed.
Associate State Director of Advocacy for AARP South Dakota Erik Nelson took part in working groups for the committee, and said there are opportunities for meaningful action.
"More and more people want to age in their home, age in their communities," said Nelson, "and the programs and services that we can offer and fund to allow that to happen, it's going to be very important."
One recommendation is to establish new reimbursement rates for home and community-based services. And AARP calls for expanding the nursing home and in-home care workforce, with improved recruitment and higher pay.
State Rep. Taylor Rehfeldt - R-Sioux Falls, the assistant majority leader in the House - expects lawmakers to have an appetite for additional support, but cautions there might be some funding challenges.
Karla Abbott, associate professor of nursing at Augustana University and an AARP volunteer, had to provide long-distance care for her father prior to his passing.
She said she hopes to see broader awareness around South Dakota as more people are thrust into these roles.
"Whether it's formal or informal, we need to have more caregiver conferences," said Abbott, "places where they bring in a speaker to maybe talk even about health care, Medicare, or options for when your family member gets too sick for you to care for them."
Last session, the Legislature increased funding for adult day services.
Meanwhile, the latest AARP scorecard notes many states have large numbers of people with low care needs living in nursing homes, indicating a lack of home and community-level services.
The national rate for this situation is 9%. South Dakota's is much higher, at 22%.
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Minnesota is moving closer to ensure all workers are eligible for the state's minimum wage of $10.85 an hour.
The Legislature has been taking action on a labor policy bill which includes a provision to essentially do away with minimum-wage carveouts. If passed, certain groups of workers, such as those hired by small businesses and employees 18 and younger, would no longer have to settle for the lower wage of $8.85 an hour.
Sen. Jennifer McEwen, DFL-Duluth, defended the changes during a Senate floor debate.
"Our businesses in Minnesota are prepared to have a good quality of life for the people in their businesses," McEwen stated.
Republican senators argued the state is creating a burdensome environment for small businesses. The provision in a larger bill also raises the cap on annual wage adjustments tied to inflation from 2.5% to 5%. The omnibus bill cleared its final legislative hurdle Wednesday and now goes to the governor.
Some GOP senators said they acknowledged higher consumer costs are making life hard for low-wage workers.
Sen. Gene Dornink, R-Brownsdale, worried about the tone being set for small businesses.
"Unfortunately, some of the mandates that we've continued to pass over these last few years have made it so businesses are getting discouraged," Dornink contended.
Democrats countered their approach is not about mandates but rather boosting the dignity of workers propping up the state's economy. As for other provisions within the labor bill, there are new requirements for salary transparency in job postings, as well as child labor protections.
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North Dakota is in the top half of states for average weekly grocery bills and a new national report detailed how consumer debt is bridging the gap for households having a hard time covering food expenses.
Policy experts said grocery price increases have outpaced overall inflation. Findings from the Urban Institute showed in 2023, 60% of adults reported their families used credit cards to buy groceries and 7% were not able to make minimum monthly payments on the charges. Nearly one in five dipped into savings to maintain their food supplies.
Kassandra Martinchek, senior research associate at the Urban Institute, said the report reflects the financial strain some people are feeling.
"Some families are really struggling to even meet their basic needs and are taking riskier financial strategies that could leave them less capable to cope with a future financial shot," Martinchek observed. "Something like losing their job."
For those taking advantage of Buy Now, Pay Later options for groceries, 37% reported missing payments on loans. A separate report earlier this year found North Dakota is just below the national average for grocery expenses. However, it is still 23rd highest in the nation, sitting above neighboring states.
Even if food prices start to come down, Martinchek emphasized missed debt payments during the price hikes could have lasting effects.
"They could have constrained access to affordable credit options and struggle to take advantage of different wealth building opportunities," Martinchek explained.
She added it is especially the case for historically disadvantaged households. The report suggested policymakers strengthen social safety nets to help these families as pandemic aid expires. But increasing payments under programs like the Supplemental Nutrition Assistance Program might be hard in a divided Congress. Another recommendation called for bolstering credit counseling and debt management services.
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It's graduation season, and in Minnesota, it's not just high schools and universities sending off waves of students. Organizers say they're seeing a lot of people complete apprenticeship training for careers in the construction trades.
Building Strong Communities is a statewide apprenticeship program that prepares future construction workers over a 12-week period. At its spring graduation at North Hennepin Community College, 105 men and women received their certificates.
Rick Martagon, executive director of Building Strong Communities, said that's up 41% from last year, which coincides with a growth in a more diverse group of apprentices, including older students.
"And a lot of people are making a career change as adults who have been in the workforce for quite a while. And they're interested in doing something else, and they look at the opportunities within the building construction trades and are making that change," he explained.
He thinks there's been a more intentional effort to recruit the next generation of workers in the trades, who might have concerns that the work is harder or not as lucrative as technology jobs. Martagon said starting wages are strong and earned credentials can be used all over the country. National forecasts show an overwhelming need for skilled trade workers with the renewed push for housing construction.
Analysts say the industry needs to move even faster with recruitment, as many construction workers retire. Martagon says the good news is, demand is strong for solid-paying jobs, making their outreach a little easier.
"We're in a good place right now as we see growth in retirements and a good economy, investment in infrastructure," Martagon continued.
Federal programs, like the Bipartisan Infrastructure Law and the Inflation Reduction Act, are spurring projects, including construction related to clean energy. Building Strong Communities is supported by unions around Minnesota and state grants. Leaders say a strong component is that it starts with virtual classes before hands-on training, and participants are given a true sense of what it's like to perform this work - helping them decide whether to continue.
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