Kristi Noem actually said...

"I believe that IHS should get out of the hospital business. I think they're terrible at it. I don't think they know what they're doing."

"The mismanagement of fiscal stability that is lacking in the area and the agency have just completely eliminated my confidence in the agency."

"I wanted to acknowledge Congresswoman Noem for alleviation of the employer mandate from the tribes."

"I'd much rather see Avera, Sanford, Rapid City Regional Health in these hospitals than AB Staffing solutions."