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.
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
·
3 edits
·
Feb 26, 2026
MINOR
This document appears to be the enrolled version of House Bill 1146, which adopts the Physician Assistant Licensure Compact in South Dakota. The primary change is the conversion from a draft legislative document to the final enrolled version ready for signature. The substantive content of the bill remains the same, establishing a framework for PAs to practice across state lines while maintaining patient safety standards.
Scope change
The bill's scope remains unchanged - it still establishes the Physician Assistant Licensure Compact for South Dakota, allowing PAs to practice in other participating states and receive compact privileges in South Dakota based on their home state license.
TECHNICAL
Removed browser compatibility warnings and navigation elements (Chrome, Firefox, Edge) that were part of the draft webpage display but not part of the actual legislation.
Added official enrolled formatting including bill number (HB 1146), session information (101st Legislative Session), chapter designation (26.417.13), and enrolled status designation.
Changed the document from a draft legislative webpage display to the final enrolled version ready for the governor's signature.
Floor votes · Senate Feb 25, 2026 · House Feb 17, 2026
How they voted
32–1
Passed · 2 other
Total votes 35
Feb 25, 2026
D
Democratic3
66% Yea
R
Republican32
93% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
17
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 32, NAYS 1 S.J. 402
upper
Feb 25, 2026
Senate · Passed
Senate Vote: pass (32-1-2)
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. 20
upper
Feb 18, 2026
Introduced
First read in Senate and referred to Senate Health and Human Services S.J. 296
upper
Feb 17, 2026
Lower · Passed
House of Representatives Do Pass Amended , Passed, YEAS 56, NAYS 10 H.J. 334
lower
Feb 17, 2026
House · Passed
House Vote: pass (56-10-4)
house
Feb 12, 2026
Lower · Passed
House of Representatives Deferred to another day , Passed, H.J. 315
lower
Feb 10, 2026
Lower · Passed
Health and Human Services Do Pass Amended , Passed, YEAS 11, NAYS 1
lower
Feb 10, 2026
Introduced
Health and Human Services Motion to amend , Passed, Amendment 1146A
lower
Jan 27, 2026
Introduced
First read in House and referred to House Health and Human Services H.J. 148
lower
12 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Amber Hulse
RRepublican
P
Carl Perry
RRepublican
P
Eric Emery
DDemocratic
P
Erik Muckey
DDemocratic
P
Erin Healy
DDemocratic
P
Matt Roby
RRepublican
P
Michael Rohl
RRepublican
P
Nicole Uhre-Balk
DDemocratic
P
Sydney Davis
RRepublican
P
Taylor Rehfeldt
RRepublican
P
Tim Goodwin
RRepublican
P
Tim Walburg
RRepublican
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