HB 1101 prohibits insurers from denying or limiting life, disability, or long-term care insurance coverage solely because someone is a living organ donor. It specifically bans insurers from: (1) refusing coverage based on donor status, (2) requiring donors to stop donating to maintain coverage, or (3) charging higher premiums or imposing other restrictions due to donor status alone. The bill ensures that living organ donors cannot face insurance discrimination without evidence of actual increased health risk. This directly protects individuals who donate organs while alive from unfair treatment by insurance companies.
HB 1160 repeals the legal requirement for a medical marijuana oversight committee in South Dakota. The bill ends a committee that was mandated to meet twice yearly to evaluate the medical cannabis program, including patient access, dispensary operations, testing facilities, and regulatory safeguards. This change removes the committee's structure and duties, which included making recommendations to the legislature about the program's effectiveness and regulations. The repeal applies to the medical cannabis program established under existing law.
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.
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.
HB 1279 permits technical college employees in South Dakota to join the state health plan, directly affecting permanent staff working 20+ hours weekly at least six months yearly. The bill requires the technical college’s local education agency (LEA) to pay equivalent monthly contributions instead of the state, and removes previous restrictions preventing these employees from enrolling. Key provisions include defining "technical college employee" and ensuring LEAs cover the same cost as the state does for other plan-eligible employees. The law takes effect July 1, 2027, and applies only to technical college staff, not other state workers.
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.
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.
South Dakota's Senate Concurrent Resolution 603 supports the U.S. Department of Agriculture (USDA) in establishing a federal working group of nutrition experts to develop evidence-based national standards for foods and beverages that can be purchased with Supplemental Nutrition Assistance Program (SNAP) benefits. The resolution does not create new law but urges Congress to pass legislation implementing the working group’s recommendations, which would align SNAP purchasing rules with current nutrition science and dietary guidelines. It directly affects the federal SNAP program, which provides food assistance to millions of low-income Americans, including South Dakota residents. The resolution emphasizes that national standards require federal action to ensure consistency, avoid state administrative costs, and prevent future policy reversals. This is a supportive measure for federal policy development, not a direct change to SNAP benefits or eligibility.
