RANKING · 2024 ACS · 66 SHOWN OF 66

Highest Medicaid coverage, South Dakota counties

South Dakota counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 66 counties in South Dakota that qualify, ranked against each other statewide. The median across all 66 is 12.4%. Biggest climber in the top 100 since 2020: Campbell County, SD, up 34 places to #31.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Todd County, SDSD8,86350.7%−0.5 pts

02▲1Corson County, SDSD3,78147.2%+7.8 pts

03▲1Dewey County, SDSD5,41937.3%−1.5 pts

04▲1Mellette County, SDSD2,13736.2%+1.4 pts

05▲1Bennett County, SDSD3,30735.5%+1.4 pts

06▼4Oglala Lakota County, SDSD13,33835.0%−8.3 pts

07Ziebach County, SDSD2,38933.1%−1.0 pts

08Jackson County, SDSD2,66633.0%−0.6 pts

09Buffalo County, SDSD1,80229.8%−1.1 pts

10▲3Roberts County, SDSD10,25523.2%+2.7 pts

11Tripp County, SDSD5,70822.4%−2.0 pts

12▲2Jones County, SDSD91321.1%+1.5 pts

13▲10Beadle County, SDSD19,62418.5%+4.5 pts

14▼2Charles Mix County, SDSD9,30318.4%−3.2 pts

15▲9Davison County, SDSD20,06917.6%+3.6 pts

16Fall River County, SDSD7,46717.0%−0.6 pts

17▲5Brule County, SDSD5,27816.1%+1.5 pts

18▼8Lyman County, SDSD3,69416.0%−9.8 pts

19▲2Bon Homme County, SDSD7,24415.4%+0.1 pts

20▲7Day County, SDSD5,48415.3%+1.7 pts

21▲25Yankton County, SDSD23,63514.5%+3.5 pts

22▲12Clay County, SDSD15,03114.2%+2.0 pts

23▲14McCook County, SDSD5,96414.1%+2.4 pts

24▲4Clark County, SDSD4,03113.9%+0.8 pts

25▼6Pennington County, SDSD116,79213.8%−1.8 pts

26▲24Brown County, SDSD37,56113.7%+3.7 pts

27▼10Gregory County, SDSD4,03713.7%−2.5 pts

28▼13Butte County, SDSD10,85613.5%−4.1 pts

29▲26Aurora County, SDSD2,80113.3%+4.7 pts

30▲22Kingsbury County, SDSD5,28413.0%+3.5 pts

31▲34Campbell County, SDSD1,37712.7%+7.1 pts

32▲6Lake County, SDSD10,99312.7%+1.3 pts

33Perkins County, SDSD2,85312.4%+0.1 pts

34▼3Minnehaha County, SDSD212,69112.2%−0.4 pts

35▲27Grant County, SDSD7,53412.1%+5.0 pts

36▲7Deuel County, SDSD4,40812.0%+1.0 pts

37▲4Hutchinson County, SDSD7,41311.8%+0.5 pts

38▼20Miner County, SDSD2,28111.6%−4.1 pts

39▼4Moody County, SDSD6,63211.5%−0.7 pts

40▼14Walworth County, SDSD5,21711.5%−2.5 pts

41▼16Jerauld County, SDSD1,65411.3%−2.7 pts

42▲5Meade County, SDSD30,71111.2%+0.4 pts

43▼3Spink County, SDSD6,15511.2%−0.2 pts

44▲5Lawrence County, SDSD29,45910.9%+0.7 pts

45▲14Hand County, SDSD3,12110.7%+2.7 pts

46▼10Hughes County, SDSD17,57010.7%−1.0 pts

47▼8Sanborn County, SDSD2,38810.7%−0.7 pts

48▼16McPherson County, SDSD2,34710.5%−1.9 pts

49▼20Turner County, SDSD9,31410.5%−2.6 pts

50▼8Hamlin County, SDSD6,90010.1%−1.1 pts

51▼21Codington County, SDSD29,5629.8%−3.2 pts

52▼4Custer County, SDSD9,4319.6%−1.1 pts

53▲3Hanson County, SDSD3,4569.6%+1.1 pts

54▼34Haakon County, SDSD1,8029.2%−6.2 pts

55▼2Edmunds County, SDSD4,0229.0%0.0 pts

56▲2Marshall County, SDSD4,4269.0%+0.9 pts

57Stanley County, SDSD3,0188.8%+0.5 pts

58▲2Brookings County, SDSD37,6358.3%+0.4 pts

59▲4Douglas County, SDSD2,8888.3%+2.1 pts

60▲4Sully County, SDSD1,4798.2%+2.4 pts

61Lincoln County, SDSD77,1457.4%−0.5 pts

62▼18Potter County, SDSD2,3777.4%−3.6 pts

63▼18Union County, SDSD17,4027.2%−3.8 pts

64▼13Faulk County, SDSD2,1786.6%−3.1 pts

65▼11Harding County, SDSD1,3316.4%−2.6 pts

66Hyde County, SDSD1,1914.8%+0.5 pts

SHOWING 1–66 OF 66

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES