Health and Human Services

This bill creates a taskforce to study how South Dakota could establish Medicaid managed care entities specifically serving tribal communities, as defined under federal law. The taskforce includes representatives from all federally recognized South Dakota tribes, state health and social services agencies, healthcare providers, insurance companies, and tribal relations officials. It must gather input from stakeholders and submit findings and potential legislation to the Governor by December 2028. The bill does not implement new programs but sets a process for evaluating this option.

SB 90 requires South Dakota's prescription drug monitoring program to collect a patient's gender in addition to existing information (name, date of birth, address, and registry card number) for each medical marijuana registry cardholder. This change applies specifically to individuals holding a qualifying patient registry identification card under South Dakota law. The bill amends existing statute to mandate that the department submit gender data to the monitoring program for all cardholders, including nonresidents. This update aims to expand the demographic data available in the state's drug monitoring system.

HB 1162 adds 59 specific substances - including synthetic opioids like "W-18" and "butonitazene," as well as compounds such as "methiopropamine" - to South Dakota's Schedule I controlled substances list. This means these substances are now classified as having no medical use and a high potential for abuse under state law. The bill directly affects anyone in South Dakota who possesses, distributes, or uses these listed substances, making such actions illegal without specific exemptions. The key mechanism is the explicit inclusion of these chemical compounds (including isomers and salts) into Schedule I, closing potential legal gaps for enforcement.

SB 14 amends South Dakota's pharmacy practice laws by updating key definitions in §36-11-2 and §36-11-11. It clarifies terms like "compounding" (now including preparation based on routine prescribing patterns), "dispensing," and "interchangeable biological product" to align with federal standards. These changes directly affect pharmacists, pharmacy technicians, and pharmacy owners by defining their scope of practice and responsibilities more precisely. The bill focuses on administrative clarity rather than creating new requirements or restrictions.

South Dakota's SB 87 ensures counties cover the full cost of forensic medical examinations for victims of sexual assault or rape, eliminating out-of-pocket expenses for victims. The bill specifies covered costs include physician services, necessary tests (like STD screenings and pregnancy tests), supplies, and medications, with payments capped at Medicaid rates. It allows minors aged 16+ to consent to exams without parental permission and permits exams for protected persons without guardian consent, provided informed consent is obtained. Hospitals and clinics cannot bill victims beyond these Medicaid-based limits, and must notify victims of their no-cost access regardless of cooperation with law enforcement.