Issue · Healthcare

Healthcare

Every healthcare bill, vote, and legislator stance in South Dakota, automatically classified by Maddy, our AI policy reader.

Total bills
21
2026 Regular Session
Top supporter
Helene Duhamel
88% support rate
Top opponent
John Carley
29% support rate
Ranked legislators
10
5 support · 5 oppose
Key legislators

Who's moving healthcare in South Dakota

Legislators moving healthcare in South Dakota
Legislator Party Stance Support rate Votes
Helene Duhamel
Helene Duhamel Senate · District 32
R
Strong +
88% 26
Liz Larson
Liz Larson Senate · District 10
D
Strong +
86% 29
Jamie Smith
Jamie Smith Senate · District 15
D
Strong +
83% 41
Tim Reed
Tim Reed Senate · District 7
R
Strong +
82% 36
Scott Moore
Scott Moore House · District 23
R
Strong +
81% 52
John Carley
John Carley Senate · District 29
R
Oppose
29% 29
Bethany Soye
Bethany Soye House · District 9
R
Oppose
29% 19
Taffy Howard
Taffy Howard Senate · District 34
R
Oppose
31% 28
Tina Mulally
Tina Mulally House · District 35
R
Oppose
31% 40
Tony Randolph
Tony Randolph House · District 35
R
Oppose
35% 48
Showing 1–10 of 21 bills

All healthcare bills

signed · South Dakota · House Mar 30, 2026

HB 1299: permit the use of biological filtration systems in water recreational facilities located in certain lodging establishments.

HB 1299 allows small lodging establishments (with 15 or fewer sleeping rooms) to apply for a permit to use biological filtration systems in their water recreational facilities, such as pools or spas. These systems filter water naturally using plants, beneficial bacteria, and microbes - without relying on continuous chemical disinfectants - to meet public health and safety standards. To obtain a permit, establishments must submit proof the system meets water quality requirements, pay a $50 fee, and undergo annual department inspections. If an inspection fails, the permit is revoked, and reapplication is barred for one year. The bill requires the department to establish rules for applications, maintenance, and testing procedures.
signed · South Dakota · Senate Mar 30, 2026

SB 89: create a task force to study the provision of emergency medical services as an essential service and the funding thereof.

SB 89 requires all South Dakota counties and municipalities to ensure a minimum level of emergency medical services (including response times, staffing, and treatment protocols) are available within their boundaries for prehospital care. It directs the state health department to create rules defining these minimum standards, covering aspects like ambulance response and required personnel. The bill also establishes a legislative task force to study funding mechanisms for these services and report recommendations by November 2026. The law would take effect on July 1, 2028, impacting local governments responsible for emergency medical service provision.
signed · South Dakota · House Mar 30, 2026

HB 1148: adopt the respiratory care interstate compact.

HB 1148 adopts the Respiratory Care Interstate Compact, allowing respiratory therapists licensed in South Dakota to practice in other participating states without obtaining separate licenses. The bill also requires respiratory care practitioners to undergo a criminal background check and submit fingerprints as part of their South Dakota licensure application. This compact aims to increase access to respiratory therapy services, support military families by easing relocation for therapists, and address workforce shortages through streamlined interstate practice. It preserves each state’s authority to regulate licensure and protect public health while creating a standardized process for therapists moving across state lines.
signed · South Dakota · House Mar 30, 2026

HB 1149: adopt the athletic trainer licensure compact.

HB 1149 adopts the Athletic Trainer Licensure Compact, allowing South Dakota to join a multi-state agreement that enables licensed athletic trainers from participating states to practice in South Dakota without obtaining a separate license. The bill requires athletic trainers seeking to practice under the compact to undergo a fingerprint-based criminal background check (paid by the trainer) and establishes mutual recognition of licenses across member states. Key provisions include reducing administrative burdens for trainers, improving access to athletic care through streamlined interstate practice, and ensuring states maintain authority to regulate practice within their borders. This directly affects athletic trainers seeking to work across state lines and patients in South Dakota who may access care from out-of-state professionals.
signed · South Dakota · House Mar 30, 2026

HB 1140: permit a court to impose as a condition of probation, or parole in certain circumstances, treatment at a nonprofit entity awarded an alternative care program grant.

HB 1140 allows South Dakota courts to require defendants on probation or parole to complete treatment at nonprofit organizations that have received state grants for "alternative care programs," specifically for individuals convicted of repeat DUI/DWI offenses. The bill adds this option as a condition of probation (under § 23A-27-18.3), requiring the defendant’s consent, program availability, and pre-sentencing application approval. It directly affects individuals convicted of third or fourth DUI/DWI offenses who are on probation or parole, offering an alternative to jail time through treatment. The law modifies driver’s license revocation rules (§ 32-23-4 and 32-23-4.6), allowing courts to permit limited driving (e.g., for work or treatment) upon successful completion of such programs. This creates a concrete pathway for court-mandated treatment instead of incarceration for eligible offenders.
signed · South Dakota · House Mar 30, 2026

HB 1183: revise qualifications for immunity from prosecution following a drug-related overdose.

HB 1183 revises South Dakota's law granting immunity from prosecution for drug possession charges after an overdose. It directly affects individuals experiencing a drug-related overdose who contact emergency services for medical help. The key change specifies that immunity only applies if the evidence used for any charges stems from the overdose event itself and the need for medical assistance. This clarifies eligibility for the existing immunity provision, requiring that the evidence leading to prosecution originated during the overdose situation. The bill does not expand immunity but refines the conditions under which it applies.
vetoed · South Dakota · House Mar 30, 2026

HB 1138: require the licensure of non-medical home care agencies, and to provide a penalty therefor.

HB 1138 requires non-medical home care agencies in South Dakota to obtain a license from the Department of Health before operating. Agencies must submit applications, pay a fee (capped at $100), and verify that home care aides complete 10 hours of mandatory training (covering dementia care, safety, nutrition, and abuse reporting) and pass criminal background checks. The bill directly affects home care agencies, their employees (home care aides), and clients receiving services like bathing assistance, meal prep, or companionship in their homes. Operating without a license is a Class 1 misdemeanor, and agencies must maintain client records and allow department inspections.
signed · South Dakota · House Mar 30, 2026

HB 1006: create a taskforce to study the creation of Indian medicaid managed care entities in the state.

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.
signed · South Dakota · House Mar 10, 2026

HB 1099: reschedule the pharmaceutical composition of crystalline polymorph psilocybin in a drug product approved by the Food and Drug Administration as a Schedule IV controlled substance.

HB 1099 would reclassify FDA-approved psilocybin medications from Schedule I to Schedule IV under South Dakota law. This change would allow medical providers to prescribe these specific pharmaceutical products without the strict restrictions currently applied to Schedule I substances. The bill specifically affects only psilocybin in drug products approved by the FDA, not raw psilocybin or unapproved formulations. This amendment aligns South Dakota's scheduling with federal approval status for medical use.
signed · South Dakota · House Mar 10, 2026

HB 1164: establish the crime of fraudulent assisted reproduction and provide a penalty and civil liability therefor.

HB 1164 makes it a Class 5 felony for licensed healthcare providers to use reproductive material (like sperm or eggs) without a patient’s written consent during assisted reproduction procedures (e.g., IVF). It directly affects healthcare providers, patients, donors, and children born from such procedures. The bill establishes civil liability, allowing patients, spouses, intended parents, children, or donors to sue for $10,000 in liquidated damages plus other costs and attorney fees. Lawsuits must be filed within five years of the child’s 18th birthday or when evidence (like DNA results) is discovered.
Showing 1 to 10 of 21 bills
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