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FILE - In this March 18, 2020 file photo, Kim Malsam-Rysdon, Secretary of Health for the State of South Dakota, addresses the media during a press conference accompanied by South Dakota Gov. Kristi Noem, left, at Monument Health in Rapid City, S.D. A small hospital serving the Cheyenne River Sioux Tribe has sent two coronavirus patients to an out-of-state hospital in recent days, even as South Dakota's top health officials insist the state has plenty of hospital capacity for COVID-19 patients. Malsam-Rysdon said hospital diversions and transfers are part of the way that hospitals share the burden of patients. (Jeff Easton/Rapid City Journal via AP,  File)

FILE - In this March 18, 2020 file photo, Kim Malsam-Rysdon, Secretary of Health for the State of South Dakota, addresses the media during a press conference accompanied by South Dakota Gov. Kristi Noem, left, at Monument Health in Rapid City, S.D. A small hospital serving the Cheyenne River Sioux Tribe has sent two coronavirus patients to an out-of-state hospital in recent days, even as South Dakota's top health officials insist the state has plenty of hospital capacity for COVID-19 patients. Malsam-Rysdon said hospital diversions and transfers are part of the way that hospitals share the burden of patients. (Jeff Easton/Rapid City Journal via AP, File)

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