This is an interesting development, as I listen to a consultant for the Council of State Governments deliver a presentation on Medicaid expansion to members of the Legislature. It appears that Dave Hewett, lobbyist for the South Dakota Association of Healthcare Organizations, plans to speak next. He was one-half of the effort to raise the state sales tax last fall. Voters rejected the increase, including the half that was supposed to be spent on Medicaid expansion. The Hewett presentation wasn’t mentioned on the handout from the six legislative leaders promoting the CSG presentation.