Top: Kim Malsam-Rysdon, South Dakota’s Secretary of Social Services, answers a question about Medicaid from a lawmaker Wednesday.

Left: Rapid City activist Stephanie Strong testified against expanding Medicaid on Wednesday.

Right: Sen. Jean Hunhoff, chair of the Senate Health and Human Services Committee, listens to testimony from Myra Remily, a member of the Catholic Presentation Sisters, in favor of expanding Medicaid.