South Dakota's State Loan Repayment Program (SLRP) is for primary care providers, mental health providers, and dental health providers practicing in rural and urban Health Professional Shortage Areas in South Dakota. The purpose of South Dakota's State Loan Repayment Program (SD SLRP) is to improve access to primary care by assisting underserved communities with the recruitment and retention of primary care providers.

Current Cycle

Applications are reviewed and approved on a first-come, first-served basis.

The application period is now closed.

Eligibility Requirements

Clinicians must have a current, full, permanent, unrestricted health professional license, certificate, or registration (whichever is applicable) in South Dakota.

  • Primary Care Physicians (MD or DO)
  • Dentists
  • Dental Hygienists
  • Certified Nurse Midwives
  • Nurse Practitioners
  • Physician Assistants
  • Health Service Psychologists
  • Licensed Clinical Social Workers
  • Licensed Professional Counselors
  • Psychiatric Nurse Specialists
  • Marriage & Family Therapists
  • Registered Nurses
  • Pharmacists
  • Alcohol and Substance Abuse Counselors

Primary Care Physicians (MD or DO) includes:

Family Medicine, Internal Medicine, Pediatrics, Obstetrics/Gynecology, Geriatrics, and Psychiatry

Primary Care Specialties for Nurse Practitioners and Physicians Assistants include:

Adult, Family, Pediatrics, Psychiatry/mental health, Geriatrics, and Women’s health

  • Private Practices (Solo or Group)
  • Centers for Medicare & Medicaid Services Certified Rural Health Clinics
  • Federally Qualified Health Centers (FQHC)
    • Community Health Centers
    • Migrant Health Centers
    • Homeless Programs
    • Public Housing Programs
  • FQHC Look-a-Likes
  • Other Types of Health Facilities
    • Community Outpatient Facilities
    • Community Mental Health Facilities
    • State and County Health Department Clinics
    • Immigration and Customs Enforcement Health Service Corps
    • Free Clinics
    • Mobile Units
    • School-based Programs
    • Critical Access Hospitals affiliated with a qualified outpatient clinic
    • State Mental Health Facilities
  • Indian Health Service Facilities and Programs
    • Federal Indian Health Service (IHS) Clinical Practice Sites
    • Tribal/638 Health Clinics
    • Urban Indian Health Programs
    • IHS and Tribal Hospitals
  • Correctional or Detention Facilities
    • Federal Prisons
    • State Prisons

The following provider work sites are Ineligible Work Site Types for SLRP. The following site types are not eligible to become SLRP NHSC-approved sites, even if they are in, or serve, a HPSA:

  • Inpatient Hospitals (EXCEPT for Medicare-approved CAHs and some IHS hospitals)
  • Clinics that limit care to veterans and active-duty military personnel (including Veterans Health Administration Medical Centers, Hospitals, and Clinics; military bases, and civilian health care providers in the TRICARE Network)
  • Other types of Inpatient Facilities and Inpatient Rehabilitation Programs
  • Residential Facilities
  • Local/County/City Correctional Facilities
  • Home-Based Health Care Settings of Patients or Clinicians
  • Specialty Clinics and/or service-specific sites limited by gender identity, organ system, illness, categorical population, or service (e.g., clinics that only provide STD/HIV/TB services).

SLRP is a highly competitive program with limited funding available.

Currently, long-term care/skilled nursing facilities are not eligible sites for the State Loan Repayment Program. Eligible sites were determined by the Health Resources & Services Administration (HRSA) notice of funding opportunity for this program. This does not preclude future allowance given the shifting landscape of healthcare.

Minimum Service Obligation

2 years (please note: service credit begins when the contract period starts)

Annual Repayment Amount

The SD SLRP provides funds for repayment of qualifying educational loans of up to $25,000 annually for a limited number of full-time primary care providers and up to $12,500 annually for half-time primary care providers. In return for the loan repayment award, participants must complete a two-year service obligation in nonprofit private or public sites located in federally designated Health Professional Shortage Areas (HPSAs).

See if you’re in a designated Health Professional Shortage Area (HPSA)

Default or Breach of Contract Penalties

If a health professional signs a contract to participate in the State Loan Repayment Program and breaches their obligation, they will be responsible for repaying an amount equal to the sum of the following:

  1. The amounts paid for any period not served;
  2. The number of months not served, multiplied by $7,500; and
  3. Interest on (1) and (2).

If the amount resulting from the above formula is less than $31,000, then the clinician owes $31,000. The clinician must pay the amount owed within one year of breach.


SLRP Map of Participating Communities

View a map of communities currently participating in the South Dakota Student Loan Repayment Program (SLRP).

PDF | September 26, 2023

W-9 Form

W-9 Form for Taxpayer Identification Number (TIN) verification and certification.


Student Loan Repayment Program Information

This flyer contains a summary of the Student Loan Repayment Program and how to apply.

PDF | April 3, 2024

Program Administration and Funding

This program is administered by the Office of Rural Health, South Dakota Department of Health. Program eligibility requirements and benefits are established by federal law authorizing the State Loan Repayment Program.

Authority: Public Health Service Act, Title III, Section 3381
American Rescue Plan Act of 2021 (P.L. 117-2), Section 2602
Grant HRSA-22-048