Healthcare

HB 1210 bans employers, schools, state agencies, and other entities from requiring COVID-19 vaccinations as a condition for employment, enrollment, or accessing services. It directly affects workers, students, and individuals seeking public benefits or services. Violating this ban would result in a Class 2 misdemeanor penalty. The law overrides existing requirements and takes effect immediately upon enactment.

This bill appropriates $500 million in federal funds to the South Dakota Department of Health to implement the rural health transformation program, authorized under the One Big Beautiful Bill Act (Pub. L. No. 119-21). It directly affects rural healthcare providers and facilities by funding program implementation. Key provisions include requiring the health secretary to approve vouchers for payments and mandating unspent funds by June 30, 2031, to revert per state law. The bill also declares an emergency to expedite its implementation upon passage.

This bill proposes a constitutional amendment to remove South Dakota's legal requirement to provide expanded Medicaid coverage. It specifically targets Section 10 of Article XXI, which currently mandates that the state provide Medicaid benefits to adults aged 18-65 with incomes at or below 133% of the federal poverty level. If approved by voters, the amendment would eliminate this constitutional obligation, allowing the state to potentially modify or discontinue the expanded eligibility rules. The change directly affects low-income South Dakota adults who currently qualify under the existing Medicaid expansion.

HB 1081 exempts certain healthcare providers, public safety workers, and caregivers from jury duty under specific conditions. Healthcare providers caring for pregnant patients or those with serious medical conditions can request exemption if their absence would cause patient hardship, such as uncontrolled pain or worsened health. Public safety workers (like police and EMTs) and individuals solely responsible for daily care of a permanently disabled household member may also be exempt if their absence risks public safety or the disabled person’s health. The bill also requires courts to notify jurors 14 days in advance of their required service date.