Rep. Taylor Rehfeldt

Maddy summaryHB 1148 adopts the Respiratory Care Interstate Compact, allowing respiratory therapists licensed in South Dakota to practice in other participating states without obtaining separate licenses. The bill also requires respiratory care practitioners to undergo a criminal background check and submit fingerprints as part of their South Dakota licensure application. This compact aims to increase access to respiratory therapy services, support military families by easing relocation for therapists, and address workforce shortages through streamlined interstate practice. It preserves each state’s authority to regulate licensure and protect public health while creating a standardized process for therapists moving across state lines.

Maddy summaryHB 1149 adopts the Athletic Trainer Licensure Compact, allowing South Dakota to join a multi-state agreement that enables licensed athletic trainers from participating states to practice in South Dakota without obtaining a separate license. The bill requires athletic trainers seeking to practice under the compact to undergo a fingerprint-based criminal background check (paid by the trainer) and establishes mutual recognition of licenses across member states. Key provisions include reducing administrative burdens for trainers, improving access to athletic care through streamlined interstate practice, and ensuring states maintain authority to regulate practice within their borders. This directly affects athletic trainers seeking to work across state lines and patients in South Dakota who may access care from out-of-state professionals.

Maddy summaryHB 1200 appropriates $8 million from South Dakota's general fund to the Department of Public Safety for grants to nonprofit organizations providing specific victim services. It directly supports nonprofits focused on helping children abused or neglected, domestic violence victims, sexual assault victims, or victims of commercial sexual exploitation/trafficking. The bill allows grant funds to cover 24/7 emergency services, counseling, crisis lines, case management, sexual assault nurse examiner training, and child advocacy center services - excluding new programs or legal aid. Nonprofits must apply annually between July 1 and August 31, report on services delivered, and prioritize organizations seeking additional funding. The appropriation becomes effective June 30, 2026.

Maddy summaryHB 1199 is a definitional bill that clarifies terms related to health insurance preauthorization and utilization reviews. It adds specific definitions (like "adverse determination," "ambulatory review," and "authorized representative") to South Dakota law governing health benefit plans. The bill does not create new requirements or change current preauthorization rules - it only establishes clearer language for how these processes are described in law. This affects health insurers, providers, and patients by standardizing terminology used in coverage decisions. The bill has no substantive policy changes beyond these definitions.

Maddy summarySB 36 requires electric utilities and wholesale electricity generators in South Dakota to develop and submit wildfire mitigation plans to either the Public Utilities Commission or their local governing body (like a city council). These plans must include specific strategies for risk assessment, infrastructure inspections, vegetation management, and community outreach to reduce wildfire risks. Utilities must also submit annual compliance reports by April 1st each year, with filing fees of $500 for initial plans and $250 for reports. The bill establishes a standardized process for these plans and reports but does not specify liability protections beyond the plan requirements.

Maddy summaryHB 1099 would reclassify FDA-approved psilocybin medications from Schedule I to Schedule IV under South Dakota law. This change would allow medical providers to prescribe these specific pharmaceutical products without the strict restrictions currently applied to Schedule I substances. The bill specifically affects only psilocybin in drug products approved by the FDA, not raw psilocybin or unapproved formulations. This amendment aligns South Dakota's scheduling with federal approval status for medical use.

Maddy summaryHB 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.

Maddy summarySouth 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.

Maddy summarySB 198 restricts student cell phone use during instructional time in South Dakota public schools. The bill prohibits students from using cell phones unless they have an approved medical or educational accommodation, or during an emergency affecting health/safety. School districts must create policies outlining disciplinary actions for violations. This directly affects all K-12 students in South Dakota public schools during the school day as defined by each district.

Maddy summaryHB 1056 requires South Dakota's Department of Social Services to submit a federal waiver request by September 1, 2026, to exclude soft drinks from the Supplemental Nutrition Assistance Program (SNAP). The bill defines "soft drink" as nonalcoholic sweetened beverages (excluding milk, milk substitutes, and approved juices) and mandates annual waiver requests if initially denied. If approved, the restriction would take effect within six months, directly affecting SNAP participants who currently purchase soft drinks with benefits. This policy change would alter eligibility under federal SNAP rules for South Dakota recipients.