Healthcare

SB 104 requires South Dakota's Medicaid program to reimburse licensed therapists for equine-assisted therapy. The bill mandates reimbursement for physical therapists, occupational therapists, or speech-language pathologists who provide therapy using horse-human interactions to help patients meet treatment goals. This applies to Medicaid recipients and requires the state to submit a federal plan amendment by August 1, 2026, to implement the coverage. The law specifically defines "therapy using equine movement" as therapeutic activities leveraging horse interactions to achieve clinical objectives.

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.

South Dakota's Senate Concurrent Resolution 603 supports the U.S. Department of Agriculture (USDA) in establishing a federal working group of nutrition experts to develop evidence-based national standards for foods and beverages that can be purchased with Supplemental Nutrition Assistance Program (SNAP) benefits. The resolution does not create new law but urges Congress to pass legislation implementing the working group’s recommendations, which would align SNAP purchasing rules with current nutrition science and dietary guidelines. It directly affects the federal SNAP program, which provides food assistance to millions of low-income Americans, including South Dakota residents. The resolution emphasizes that national standards require federal action to ensure consistency, avoid state administrative costs, and prevent future policy reversals. This is a supportive measure for federal policy development, not a direct change to SNAP benefits or eligibility.