HB 1143 South Dakota House · 2026 Regular Session

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.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 27, 2026 Signed Mar 9, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Health and Human Services Engrossed Enrolled · 4 edits · Feb 26, 2026
MODERATE
This bill was finalized and enrolled for signature, transitioning from a draft version to the official legislative record. The text now includes the formal certification of the House and Senate, along with the Governor's approval, confirming the bill has passed both chambers. The substantive policy content remains focused on allowing students to possess and self-administer diabetes medication on school property.
Scope change
The bill's scope regarding student rights and school responsibilities remains unchanged; the document now reflects its final status as an enrolled act ready for signing.
TECHNICAL

Added official enrollment headers, including the 101st Legislative Session details, the 2026 South Dakota Legislature designation, and the formal act title.

Included the formal certification block for the House and Senate, with spaces for the Chief Clerk, Speaker, and President of the Senate to sign.

Added the Governor's approval section, including the date and signature line, along with the Secretary of State's filing details.

Included the standard footer for enrolled bills, containing fields for Chapter number and File number.

Floor votes · Senate Feb 25, 2026 · House Feb 6, 2026

How they voted

330
Passed · 2 other
Total votes 35
Feb 25, 2026
D Democratic3
2 Yea 1
66% Yea
R Republican32
31 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
12
Committee
4
Amendments
1
Mar 9, 2026
Signed into law
Signed by the Governor on 2026-03-09 H.J. 534
executive
Mar 2, 2026
Upper · Passed
Signed by the President S.J. 434
upper
Feb 26, 2026
Upper · Passed
Signed by the Speaker H.J. 462
upper
Feb 25, 2026
Upper · Passed
Senate Do Pass Amended , Passed, YEAS 33, NAYS 0 S.J. 402
upper
Feb 25, 2026
Senate · Passed
Senate Vote: pass (33-0-2)
senate
Feb 24, 2026
Upper · Passed
Senate Deferred to another day , Passed, S.J. 373
upper
Feb 23, 2026
Upper · Passed
Certified uncontested, placed on consent , Passed, S.J. 20
upper
Feb 23, 2026
Upper · Passed
Health and Human Services Do Pass , Passed, YEAS 7, NAYS 0 S.J. 19
upper
Feb 9, 2026
Introduced
First read in Senate and referred to Senate Health and Human Services S.J. 221
upper
Feb 6, 2026
Lower · Passed
House of Representatives Do Pass Amended , Passed, YEAS 65, NAYS 0 H.J. 248
lower
Feb 6, 2026
House · Passed
House Vote: pass (65-0-5)
house
Feb 3, 2026
Lower · Passed
Certified uncontested, placed on consent , Passed, H.J. 6
lower
Feb 3, 2026
Lower · Passed
Health and Human Services Do Pass Amended , Passed, YEAS 12, NAYS 0 H.J. 6
lower
Feb 3, 2026
Introduced
Health and Human Services Motion to amend , Passed, H.J. 5 Amendment 1143A
lower
Jan 27, 2026
Introduced
First read in House and referred to House Health and Human Services H.J. 148
lower
20 primary · 0 co-sponsors

Sponsors