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HB 1044 South Dakota House · 2026 Regular Session

make an appropriation to implement the rural health transformation program, and to declare an emergency.

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.
Issues: ✓ Budget & TaxesSupports Budget & TaxesAppropriates $500M federal funds for rural health program, directly funding essential healthcare services through state budget mechanisms per bill's core purpose.95% confidence ✓ HealthcareSupports HealthcareBill appropriates $500M in federal funds to implement rural health transformation program, directly funding healthcare services for rural providers per health care subject and appropriation provisions.95% confidence
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
House Passage
Jan 2026
Senate Passage
Jan 2026
Signed into Law
Jan 2026
Introduced Jan 27, 2026 Signed Jan 29, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Joint Appropriations Engrossed → Enrolled · 2 edits · Jan 28, 2026
MINOR
The bill text was converted from a draft legislative version to the final enrolled version ready for signing. The substantive policy content remains unchanged, with the main difference being the addition of formal certification language for the Governor's signature and official filing procedures.
TECHNICAL

Added official enrolled formatting including certification language for the Governor's signature, dates for filing, and space for official signatures from legislative officers.

Removed browser compatibility warnings and technical notices that were present in the draft version but are not part of the actual bill text.

Floor votes · Senate Jan 28, 2026 · House Jan 26, 2026

How they voted

32–2
Passed · 1 other
Total votes 35
Jan 28, 2026
D Democratic3
3 Yea
100% Yea
R Republican32
29 Yea 2 Nay 1
90% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
13
Key actions
7
Committee
4
Amendments
1
Jan 29, 2026
Signed into law
Signed by the Governor on 2026-01-29 H.J. 172
executive
Jan 28, 2026
Upper · Passed
Signed by the President S.J. 127
upper
Jan 28, 2026
Upper · Passed
Signed by the Speaker H.J. 168
upper
Jan 28, 2026
Upper · Passed
Senate Do Pass Amended , Passed, YEAS 32, NAYS 2 S.J. 124
upper
Jan 27, 2026
Introduced
First read in Senate and referral to committee waived pursuant to JR 6D-1 S.J. 122
upper
Jan 26, 2026
Lower · Passed
House of Representatives Do Pass Amended , Passed, YEAS 56, NAYS 11 H.J. 140
lower
Jan 26, 2026
House · Passed
House Vote: pass (56-11-3)
house
Jan 22, 2026
Lower · Passed
Committee on Appropriations Do Pass Amended , Passed, YEAS 16, NAYS 2 J.J. 13
lower
Jan 22, 2026
Introduced
Committee on Appropriations Motion to amend , Passed, YEAS 15, NAYS 3 J.J. 13 Amendment 1044B
lower
Jan 15, 2026
Committee
Referred to Joint Committee on Appropriations H.J. 37
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.