Maddy summaryHB 1292 limits South Dakota health insurance companies' ability to take back payments they've already made for medical services. It requires insurers to provide written notice at least 30 days in advance if they seek to recoup a payment, and restricts such actions to claims paid within the previous 18 months (with exceptions for fraud, Medicare/Medicaid, workers' compensation, or duplicate payments). The bill establishes a dispute resolution process through the Division of Insurance for disagreements, preventing insurers from withholding future payments during the review. This directly affects healthcare providers (like doctors and clinics) who receive payments from insurers and the insurers themselves, applying to claims for services provided on or after July 1, 2026.

Sen. Sydney Davis
Sponsored bills
Maddy summaryHB 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.
Maddy summaryHB 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.
Maddy summaryHB 1220 regulates the retail sale of nicotine products in South Dakota by requiring retailers to obtain a $1,000 license for each business location. It bans sales to anyone under 21, prohibits sales through vending machines, online, by phone, or in-person at locations within 1,000 feet of schools (with exceptions for pre-July 1, 2026, stores), and forbids free samples. Retailers must display age restriction signs and maintain sales records. The bill defines "nicotine products" broadly to include nicotine analogs (unless FDA-approved) and directly affects stores selling e-cigarettes, nicotine pouches, and similar items.
Maddy summaryHB 1199 is a definitional bill that clarifies terms related to health insurance preauthorization and utilization reviews. It adds specific definitions (like "adverse determination," "ambulatory review," and "authorized representative") to South Dakota law governing health benefit plans. The bill does not create new requirements or change current preauthorization rules - it only establishes clearer language for how these processes are described in law. This affects health insurers, providers, and patients by standardizing terminology used in coverage decisions. The bill has no substantive policy changes beyond these definitions.
Maddy summaryHB 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.
Maddy summarySB 237 requires developers seeking conditional use permits for projects that would significantly strain public infrastructure or rights-of-way to send certified mail notice to county or municipal authorities at least 45 days before applying. Authorities must then schedule a public hearing within 30 days to determine if a "haul road agreement" (a contract for using public roads to transport heavy materials) or other conditions are needed. Within 14 days after the hearing, authorities must provide a written decision to the applicant about required agreements or conditions. This bill directly affects developers, counties, and municipalities by adding procedural steps to review infrastructure impacts before granting permits.
Maddy summarySB 240 appropriates $5 million from South Dakota's general fund to create a rural access infrastructure fund, directly affecting all counties by providing funding for infrastructure improvements on township and county secondary roads. Funds are distributed to counties based on their proportion of small structures (like bridges or culverts) on these roads relative to the statewide total, calculated using data reported to the Department of Transportation. The bill requires the Department of Revenue to distribute no more than one-third of the funds annually across fiscal years 2026-2028, with unspent funds reverting by June 2031. It declares an emergency to expedite implementation, focusing solely on the concrete funding mechanism and distribution rules without advocating for outcomes.
Maddy summarySB 130 appropriates $8 million from South Dakota's general fund to the South Dakota Ellsworth Development Authority. The funds must cover public roadway and infrastructure improvements directly needed due to construction at Ellsworth Air Force Base, including road reconstruction, safety upgrades, and traffic studies. The authority must report annually on how funds were used and cannot spend more than 3% of the appropriation on administrative costs. This bill specifically affects infrastructure supporting Ellsworth Air Force Base operations and surrounding public roads.
Maddy summarySB 36 requires electric utilities and wholesale electricity generators in South Dakota to develop and submit wildfire mitigation plans to either the Public Utilities Commission or their local governing body (like a city council). These plans must include specific strategies for risk assessment, infrastructure inspections, vegetation management, and community outreach to reduce wildfire risks. Utilities must also submit annual compliance reports by April 1st each year, with filing fees of $500 for initial plans and $250 for reports. The bill establishes a standardized process for these plans and reports but does not specify liability protections beyond the plan requirements.