SB 211 prohibits ambulance providers from billing patients for out-of-network emergency services beyond required coinsurance, copayments, or deductibles. It requires health insurance plans to reimburse out-of-network ambulance providers at local rates (or 325% of Medicare rates if no local rate exists) within 30 days, and mandates clear billing explanations for patients. The law also establishes a complaint process through the Division of Insurance for violations and requires the division to post reimbursement rates online by 2027. It excludes self-funded employer plans, Medicaid, Medicare, and other federally regulated programs from these rules.
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.
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.
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.
SB 181 would end South Dakota's medical cannabis program if the federal government reclassifies cannabis as a Schedule III drug under federal law. It specifically repeals the state's medical cannabis chapter (Chapter 34-20G) upon confirmation by the attorney general that the U.S. Food and Drug Administration has made this federal change. The law requires the Department of Health to notify all current medical cannabis cardholders and licensed businesses about the repeal and its effective date. This change only affects South Dakota's medical cannabis program and would not impact recreational cannabis laws or other state regulations.
SB 194 limits THC potency in medical cannabis products sold at South Dakota dispensaries. It prohibits dispensaries from selling cannabis flower with over 30% THC, liquid concentrates over 60% THC, edibles exceeding 5mg THC per serving or 100mg per container, and cannabis oil over 5% THC. These specific THC thresholds apply directly to products sold at licensed medical dispensaries. The bill aims to restrict the strength of cannabis products available through the state's medical program.
This bill (HB 1023) allows registered nurses (RNs) and licensed practical nurses (LPNs) to serve on ambulance crews in South Dakota under specific conditions. It requires nurses to demonstrate competence in emergency care skills to medical or program directors before working on ambulances, and mandates that their care must stay within their license scope and be supervised. The bill also provides liability protection for RNs and LPNs for routine ambulance care, shielding them from most civil lawsuits unless the care involved gross negligence or willful misconduct. This directly affects ambulance services seeking to employ nurses and the nurses themselves who wish to provide emergency care on ambulances.
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.
