HB 1105 prevents property owners in specific areas from using contracts or declarations to block healthcare services on commercial property. It applies to municipalities/townships under 3,000 people (per federal census) or areas officially designated as medically underserved by South Dakota’s Department of Health. The bill invalidates any contract or declaration that restricts the use of commercial property for healthcare services like clinics, diagnoses, or treatment in these areas. This directly affects property owners and developers who previously could impose such restrictions, while enabling healthcare providers to operate in underserved communities.
HB 1210 bans employers, schools, state agencies, and other entities from requiring COVID-19 vaccinations as a condition for employment, enrollment, or accessing services. It directly affects workers, students, and individuals seeking public benefits or services. Violating this ban would result in a Class 2 misdemeanor penalty. The law overrides existing requirements and takes effect immediately upon enactment.
HB 1255 requires South Dakota's Department of Health to accept medical records from the U.S. Department of Veterans Affairs (VA) when veterans apply for a medical cannabis registry ID card. Veterans must submit VA records (within three years) showing a debilitating condition, along with proof of an honorable military discharge, to qualify under this provision. This eliminates the need for veterans to obtain a new certification from a South Dakota healthcare provider for the card application. The bill applies specifically to veterans meeting these documentation requirements, streamlining access to medical cannabis registry cards.
SB 8 allows South Dakota public schools to stock and administer epinephrine nasal spray (in addition to auto-injectors) for students experiencing severe allergic reactions (anaphylaxis) during school hours. It requires schools to adopt clear policies for storage and use, notify parents about these policies, and train designated staff (like school nurses) to recognize allergic reactions, administer the nasal spray, and provide emergency care. The bill also provides liability protection for schools and staff who follow the protocol, shielding them from ordinary negligence claims when acting in good faith during emergencies. This directly affects all public school districts, students with allergies, and school personnel authorized to respond to allergic emergencies.
HB 1153 protects healthcare providers' right to refuse participation in or payment for medical services that conflict with their moral, ethical, or religious beliefs (Section 2). It applies broadly to all healthcare professionals (like doctors, nurses, pharmacists), healthcare entities (hospitals, clinics), and organizations arranging medical payments (Section 1). The bill prohibits discrimination against providers who exercise this right, engage in protected speech about it, report violations, or disclose conscience-related concerns to authorities (Section 3). It clarifies that employers may accommodate this right through reassignment or schedule changes but cannot retaliate, while not affecting existing duties to provide non-conflicting care.
This bill (HB 1228) provides financial support to South Dakota National Guard members who donate an organ for transplantation. It requires the Department of the Military to pay a stipend based on recovery time: 50% of active-duty basic pay for two weeks or less recovery, or 150% for longer recovery, as certified by a doctor. To qualify, members must follow National Guard donation protocols, give one month's notice before surgery, and undergo the procedure at an approved transplant hospital. The stipend is only available if the member does not receive paid leave from their civilian employer for the donation. The bill directly affects National Guard members who choose to donate organs while serving.
HB 1068 allows South Dakota pharmacists to dispense ivermectin and hydroxychloroquine to adults 18+ based on written protocols created by physicians. These protocols must include risk assessments, drug information (indications, usage, side effects), and instructions for handling adverse events. The law shields physicians and pharmacists from liability for good-faith compliance, except in cases of gross negligence or willful misconduct. It directly affects healthcare providers who dispense these drugs and patients receiving them under this new process.
HB 1112 modifies South Dakota's definition of "electronic smoking device" to explicitly include any device containing or delivering nicotine (or other substances with nicotine) intended for human consumption. This change clarifies that e-cigarettes, vape pens, e-cigars, and similar devices delivering nicotine fall under the definition, regardless of other substances they may contain. The amendment directly affects tobacco businesses selling these products and enforcement of existing laws regulating electronic smoking devices. The bill does not create new restrictions but ensures the definition aligns with how such devices are commonly used and marketed.
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.
This bill proposes a constitutional amendment to remove South Dakota's legal requirement to provide expanded Medicaid coverage. It specifically targets Section 10 of Article XXI, which currently mandates that the state provide Medicaid benefits to adults aged 18-65 with incomes at or below 133% of the federal poverty level. If approved by voters, the amendment would eliminate this constitutional obligation, allowing the state to potentially modify or discontinue the expanded eligibility rules. The change directly affects low-income South Dakota adults who currently qualify under the existing Medicaid expansion.
