The bill proposes an appropriation of $500,000,000 in federal funds to the South Dakota Department of Health for the implementation of the rural health transformation program, as authorized by the One Big Beautiful Bill Act. The bill outlines that the secretary of the Department of Health will be responsible for approving vouchers, while the state auditor will draw warrants to facilitate the authorized expenditures. Additionally, any funds that are not lawfully expended or obligated by June 30, 2031, will revert according to established procedures.

Furthermore, the bill declares an emergency, stating that it is essential for the support of the state government and its public institutions, allowing it to take effect immediately upon passage and approval. This urgency underscores the importance of the rural health transformation program in addressing health care needs in rural areas of South Dakota.