Kristi Noem actually said...

What is stopping us and causing us to lose this battle is the NEPA process.

Noem blames the NEPA process for hindering efforts to combat environmental threats in the Black Hills.

10/25/2011

More Kristi Noem Quotes

Well, what created the situation was CMS coming in and saying they would no longer reimburse for services provided in that emergency departm...

For 7 months the emergency department has been closed.

My tribes will tell you that they feel as though no consultation happens and that virtually they are left out of the decisionmaking process.

they are doing it as charity care, sure, they would like to get something.