The US Senate will be working overtime, possibly into August, trying to find agreement on a repeal and replacement of the Affordable Care Act.

Doug Ekeren, President of Avera Sacred Heart Hospital in Yankton, says there are a number of difficult choices involved…..

Ekeren says those in health care have limited input on the process…..

One big piece of the proposal would make cuts to Medicaid. Ekeren says that is another large unknown…..

Debate on the latest Senate proposal may begin next week.