Healthcare

failed · South Dakota · House Mar 9, 2026

HB 1160: repeal the medical marijuana oversight committee.

HB 1160 repeals the legal requirement for a medical marijuana oversight committee in South Dakota. The bill ends a committee that was mandated to meet twice yearly to evaluate the medical cannabis program, including patient access, dispensary operations, testing facilities, and regulatory safeguards. This change removes the committee's structure and duties, which included making recommendations to the legislature about the program's effectiveness and regulations. The repeal applies to the medical cannabis program established under existing law.

Topics ✗ HealthcareOpposes HealthcareRepeals committee evaluating medical marijuana program's patient access and safety, removing oversight mechanism for healthcare service.60% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

Track

signed · South Dakota · House Mar 9, 2026

HB 1143: authorize the possession and self-administration of diabetes medications by a student on school property and at school-related events and activities.

HB 1143 allows students with diabetes to possess and self-administer nasal glucagon (a medication for severe low blood sugar) on school property or at school events. It directly affects students diagnosed with diabetes who require this specific treatment. The bill requires a licensed healthcare provider’s diagnosis, written parent authorization, and a physician’s statement detailing the medication’s purpose, dosage, and administration guidelines to be kept on file at the school. Schools must maintain these documents in the student’s health record or with the school nurse. This change expands existing provisions for asthma and anaphylaxis medications to include nasal glucagon for diabetes management.

Topics ✓ EducationSupports EducationAllows diabetic students to manage health emergencies at school, ensuring continued educational access and safety through explicit health protections.90% confidence ✓ HealthcareSupports HealthcareEnables diabetic students to access emergency glucagon treatment at school, improving patient access to critical health services under public health guidelines.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · South Dakota · House Mar 9, 2026

HB 1146: adopt the physician assistant licensure compact.

South Dakota would join the Physician Assistant Licensure Compact, allowing physician assistants (PAs) licensed in other participating states to practice in South Dakota without obtaining a separate state license. This directly affects PAs - especially active-duty military personnel and their spouses - who can use their existing license from another participating state to practice in South Dakota. The key mechanism is the "Compact Privilege," which permits PAs to provide medical services where the patient is located, while maintaining patient safety through existing state licensing board oversight. This reduces licensing barriers for PAs and improves access to medical care across state lines.

Topics ✓ HealthcareSupports HealthcareEnables out-of-state PAs to practice without additional licensing, expanding healthcare access for patients and military personnel in South Dakota.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · South Dakota · Senate Mar 9, 2026

SB 87: clarify and establish requirements related to forensic medical examinations.

South Dakota's SB 87 ensures counties cover the full cost of forensic medical examinations for victims of sexual assault or rape, eliminating out-of-pocket expenses for victims. The bill specifies covered costs include physician services, necessary tests (like STD screenings and pregnancy tests), supplies, and medications, with payments capped at Medicaid rates. It allows minors aged 16+ to consent to exams without parental permission and permits exams for protected persons without guardian consent, provided informed consent is obtained. Hospitals and clinics cannot bill victims beyond these Medicaid-based limits, and must notify victims of their no-cost access regardless of cooperation with law enforcement.

Topics ✓ Criminal JusticeSupports Criminal JusticeEliminates victim costs for forensic exams, aligning with victim rights and access to justice reforms in sexual assault cases.95% confidence ✓ HealthcareSupports HealthcareEliminates out-of-pocket costs for forensic medical exams, covering essential services like STD/pregnancy tests, improving access to healthcare for sexual assault victims.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · South Dakota · Senate Mar 4, 2026

SB 220: authorize a comprehensive study of juvenile correctional and residential facilities, to make an appropriation therefor, and to declare an emergency.

SB 220 directs South Dakota's Department of Corrections to conduct a study evaluating juvenile correctional and residential facilities. The study must examine best practices, therapeutic housing models, vocational training combined with mental health services, and staff-to-youth ratios, including inspections at three facilities outside South Dakota. The bill appropriates $50,000 from the general fund to cover study costs and requires a written report to the Legislative Research Council by September 1, 2026. This is a procedural study bill with no direct policy changes or new requirements for facilities, solely aimed at gathering information for future decisions.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill appropriates $50,000 from general fund for juvenile facility study, directly funding a state budget item per its 'Appropriation' subject.95% confidence ✓ Criminal JusticeSupports Criminal JusticeBill funds study to evaluate juvenile facilities, therapeutic models, and mental health services - directly advancing rehabilitation-focused criminal justice reform in juvenile system.92% confidence ✓ HealthcareSupports HealthcareBill mandates study of mental health services integration in juvenile facilities, directly aligning with healthcare support indicators for mental health services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

signed · South Dakota · House Feb 25, 2026

HB 1043: make an appropriation to reimburse health care professionals who have complied with the requirements for rural recruitment assistance programs, and to declare an emergency.

HB 1043 allocates $978,294 to reimburse 12 specific rural healthcare professionals (4 family physicians, 2 physician assistants, and 6 nurse practitioners) who met requirements under §34-12G-3 for rural recruitment programs. It also allocates $370,000 to reimburse other eligible healthcare professionals meeting requirements under §34-12G-12. The funds come from the state general fund and are intended to cover costs incurred by providers who participated in designated rural recruitment initiatives. The bill declares an emergency to expedite funding, with unspent funds reverting per standard procedures.

Topics ✓ Budget & TaxesSupports Budget & TaxesAllocates $1.35M from state general fund to reimburse rural healthcare providers, directly funding a public health program through budget appropriation.95% confidence ✓ HealthcareSupports HealthcareAllocates $978,294 + $370,000 to reimburse rural healthcare providers for recruitment program costs, directly funding access to underserved areas per §34-12G-3/12.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · South Dakota · House Feb 25, 2026

HB 1105: restrict contracts and declarations that prohibit the use of commercial or residential property for any healthcare service in medically underserved areas or communities, or in areas with a medically underserved population under federal law.

HB 1105 prevents property owners in specific areas from using contracts or declarations to block healthcare services on commercial property. It applies to municipalities/townships under 3,000 people (per federal census) or areas officially designated as medically underserved by South Dakota’s Department of Health. The bill invalidates any contract or declaration that restricts the use of commercial property for healthcare services like clinics, diagnoses, or treatment in these areas. This directly affects property owners and developers who previously could impose such restrictions, while enabling healthcare providers to operate in underserved communities.

Topics ✓ HealthcareSupports HealthcareRemoves property restrictions to improve healthcare access in underserved areas, enabling clinics and services where needed most.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · South Dakota · Senate Feb 20, 2026

SB 145: revise the limitations on a municipality's power to take actions for the promotion of health or the suppression of disease.

This bill (SB 145) amends South Dakota law to clarify and expand municipalities' authority to take actions promoting health or suppressing disease. It removes specific restrictions that previously limited municipal power, such as prohibitions against actions that might interfere with religious freedom, free speech, assembly, or Second Amendment rights. Municipalities can now enact health-related ordinances or resolutions without needing to avoid these specific constitutional considerations. The change directly affects all South Dakota cities and towns when creating local health or disease prevention policies.

Topics ✓ HealthcareSupports HealthcareExpands municipal authority to enact health ordinances without constitutional barriers, directly advancing public health initiatives.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · South Dakota · Senate Feb 18, 2026

SB 233: prohibit the assessment of certain administrative fees or penalties related to the provision of care by an out-of-network provider.

SB 233 prohibits health insurance carriers from charging administrative fees or penalties to healthcare providers for care involving out-of-network providers. This directly affects health care providers who treat patients using out-of-network services and health carriers that typically impose such fees. The bill’s key provision bans carriers from assessing these fees for any care provided by a provider not contracted with the carrier (defined as "out-of-network"). It creates a clear policy change requiring carriers to cover such care without additional administrative costs to providers.

Topics ✓ HealthcareSupports HealthcareProhibits insurance carriers from charging administrative fees to out-of-network providers, protecting patient access to care and reducing financial barriers for providers.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

signed · South Dakota · Senate Feb 12, 2026

SB 8: permit a school district to administer epinephrine using a nasal spray.

SB 8 allows South Dakota public schools to stock and administer epinephrine nasal spray (in addition to auto-injectors) for students experiencing severe allergic reactions (anaphylaxis) during school hours. It requires schools to adopt clear policies for storage and use, notify parents about these policies, and train designated staff (like school nurses) to recognize allergic reactions, administer the nasal spray, and provide emergency care. The bill also provides liability protection for schools and staff who follow the protocol, shielding them from ordinary negligence claims when acting in good faith during emergencies. This directly affects all public school districts, students with allergies, and school personnel authorized to respond to allergic emergencies.

Topics ✓ HealthcareSupports HealthcareBill enables schools to administer emergency anaphylaxis treatment (epinephrine nasal spray), improving student access to critical health care during school hours and aligning with public health safety protocols.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare