It sounds like it is also the elected Repubs in the state house.
A 5_2 vote to sink a bill to pause teens from trans surgery..Noem was not in on the vote
Yes she is beholden but apparently so are too many others in their House
That was a committee vote, the guys who regulate the Health industry. They voted, she concurred when she could have said NOT IN MY STATE, or OVER MY DEAD BODY.