Issue · Healthcare

Healthcare

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

Total bills
23
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 Decisive votes
Helene Duhamel
Helene Duhamel Senate · District 32
R
Strong +
88% 8
Liz Larson
Liz Larson Senate · District 10
D
Strong +
86% 14
Jamie Smith
Jamie Smith Senate · District 15
D
Strong +
83% 18
Tim Reed
Tim Reed Senate · District 7
R
Strong +
82% 17
Scott Moore
Scott Moore House · District 23
R
Strong +
81% 21
John Carley
John Carley Senate · District 29
R
Oppose
29% 14
Bethany Soye
Bethany Soye House · District 9
R
Oppose
29% 7
Taffy Howard
Taffy Howard Senate · District 34
R
Oppose
31% 13
Tina Mulally
Tina Mulally House · District 35
R
Oppose
31% 16
Aaron Aylward
Aaron Aylward House · District 6
R
Oppose
35% 17
Showing 11–20 of 23 bills

All healthcare bills

signed · South Dakota · House Mar 9, 2026

HB 1143: authorize the possession and self-administration of diabetes medications by a student on school property and at school-related events and activities.

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.
signed · South Dakota · House Mar 9, 2026

HB 1146: 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.
signed · South Dakota · Senate Mar 9, 2026

SB 87: clarify and establish requirements related to forensic medical examinations.

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.
passed · South Dakota · House Mar 5, 2026

HB 1279: permit technical college employees to join the state health plan.

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.
passed · South Dakota · Senate Mar 4, 2026

SB 220: authorize a comprehensive study of juvenile correctional and residential facilities, to make an appropriation therefor, and to declare an emergency.

SB 220 directs South Dakota's Department of Corrections to conduct a study evaluating juvenile correctional and residential facilities. The study must examine best practices, therapeutic housing models, vocational training combined with mental health services, and staff-to-youth ratios, including inspections at three facilities outside South Dakota. The bill appropriates $50,000 from the general fund to cover study costs and requires a written report to the Legislative Research Council by September 1, 2026. This is a procedural study bill with no direct policy changes or new requirements for facilities, solely aimed at gathering information for future decisions.
signed · South Dakota · House Feb 25, 2026

HB 1043: make an appropriation to reimburse health care professionals who have complied with the requirements for rural recruitment assistance programs, and to declare an emergency.

HB 1043 allocates $978,294 to reimburse 12 specific rural healthcare professionals (4 family physicians, 2 physician assistants, and 6 nurse practitioners) who met requirements under §34-12G-3 for rural recruitment programs. It also allocates $370,000 to reimburse other eligible healthcare professionals meeting requirements under §34-12G-12. The funds come from the state general fund and are intended to cover costs incurred by providers who participated in designated rural recruitment initiatives. The bill declares an emergency to expedite funding, with unspent funds reverting per standard procedures.
passed · South Dakota · House Feb 25, 2026

HB 1105: restrict contracts and declarations that prohibit the use of commercial or residential property for any healthcare service in medically underserved areas or communities, or in areas with a medically underserved population under federal law.

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.
passed · South Dakota · Senate Feb 20, 2026

SB 145: revise the limitations on a municipality's power to take actions for the promotion of health or the suppression of disease.

This bill (SB 145) amends South Dakota law to clarify and expand municipalities' authority to take actions promoting health or suppressing disease. It removes specific restrictions that previously limited municipal power, such as prohibitions against actions that might interfere with religious freedom, free speech, assembly, or Second Amendment rights. Municipalities can now enact health-related ordinances or resolutions without needing to avoid these specific constitutional considerations. The change directly affects all South Dakota cities and towns when creating local health or disease prevention policies.
passed · South Dakota · Senate Feb 18, 2026

SB 233: prohibit the assessment of certain administrative fees or penalties related to the provision of care by an out-of-network provider.

SB 233 prohibits health insurance carriers from charging administrative fees or penalties to healthcare providers for care involving out-of-network providers. This directly affects health care providers who treat patients using out-of-network services and health carriers that typically impose such fees. The bill’s key provision bans carriers from assessing these fees for any care provided by a provider not contracted with the carrier (defined as "out-of-network"). It creates a clear policy change requiring carriers to cover such care without additional administrative costs to providers.
signed · South Dakota · Senate Feb 12, 2026

SB 8: permit a school district to administer epinephrine using a nasal spray.

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.
Showing 11 to 20 of 23 bills