Hard to believe that this week marks week seven in the 2026 Session. The BIG news of the week is SB 211 (ambulance bill). The bill failed to pass the Senate by a vote of 17-16! That was a little too close for comfort. Thank you to all of you who engaged in this battle; it was a great team effort.
February 24th was crossover day, and some of the placeholder bills have been eliminated. The House of Representatives finished its calendar early, but the Senate was still in session late yesterday afternoon and into the evening.
Our next Legislative Update will be held by Zoom on March 6, 2026, at 12:00 PM Central Time. I hope to see you there and look forward to answering your questions!
The following are the bills we are tracking:
Bills with a Strikethrough have been killed in some manner and are not included in the report. Bills with an asterisk have been signed by the Governor.
HB 1006: An Act to create a task force to study the creation of Indian Medicaid managed care entities in the state.
*HB 1023: An Act to establish requirements and liability protection for registered nurses and licensed practical nurses serving on ambulance crews. Signed by Governor
*HB 1024: An Act to modify requirements for ambulance operators. Signed by Governor
*HB 1044: An Act to make an appropriation to implement rural health transformation program, and to declare an emergency. Signed by Governor
HB 1059: An Act to increase the amounts required in a motor vehicle liability policy.
HB 1061: An Act to require the acceptance of cash as payment in certain transactions.
HB 1085: An Act to establish provisions for the coverage of nonopioid prescription drugs.
HB 1101: An Act to prohibit an insurer from declining or limiting life, disability, or long-term care insurance policies based solely on an individual’s status as a living organ donor.
HB 1119: An Act to modify provisions regarding directors serving on a farm mutual insurer’s board.
HB 1125: An Act to create a task force to study the impact of artificial intelligence systems on the state.
HB 1130: An Act to amend permissible uses of a school district’s capital outlay fund.
HB 1134: An Act to make an appropriation for the economic development prosperity of South Dakota.
HB 1135: An Act to make an appropriation to enhance the economic health of South Dakota.
HB 1136: An Act to make an appropriation for the development of South Dakota.
HB 1138: An Act to require the licensure of non-medical home care agencies, and to provide a penalty therefor.
HB 1150: An Act to make an appropriation to increase the rate of payment for federally qualified health centers.
HB 1153: An Act to protect certain rights of healthcare providers.
HB 1163: An Act to prohibit certain persons from requiring genetic-based vaccinations.
HB 1166: An Act to require financial interest statements from members of certain state authorities, board, and commissions, and to provide a penalty therefor.
HB 1171: An Act to establish provisions related to the disclosure of COVID-19 and mRNA vaccination status and blood donations.
HB 1180: An Act to ensure the validity of non-compete agreements in the context of jointly owned business entities.
HB 1199: An Act to address preauthorization requirements for certain health care services and utilization review requirements for certain health benefit plans.
HB 1210: An Act to prohibit COVID-19 vaccination requirements and to provide a penalty therefor.
HB 1224: An Act to protect persons from discrimination by financial institutions.
HB 1225: An Act to enhance the future education in South Dakota.
HB 1238: An Act to protect financial institutions taking action to prevent the financial exploitation of consenting, senior, or vulnerable adults.
HB 1248: An Act to amend provisions of the Uniform Commercial Code.
HB 1292: An Act to limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims.
HB 1302: An Act to address issues facing South Dakota.
HB 1303: An Act to promote the future success and development of South Dakota.
HJR 5002: A Joint Resolution proposing and submitting to the voters at the next general election an amendment to the Constitution of the State of South Dakota, repealing the requirement to provide expanded Medicaid.
HCR 6004: A Concurrent Resolution encouraging the use of physical cash in transactions.
SB 6: An Act to reduce the duration of an individual’s reemployment benefits.
SB 36: An Act to authorize utilities to establish wildfire mitigation plans and associated liability limitations for wildlife damages.
*SB 84: An Act to increase thresholds for the value of and eligibility for the partners in education scholarship. Signed by Governor
SB 86: An Act to authorize purchasing agency verification and monitoring of workers’ compensation insurance coverage obtained by public improvement contractors.
SB 89: (Amended title) An Act to create a task force to study the provision of emergency medical services as an essential service and the funding thereof.
SB 98: An Act to prevent virtual currency kiosk fraud.
SB 100: An Act to revise provisions related to trusts.
SB 119: (Amended Title) An Act to make an appropriation to enhance the health of South Dakota create the Capitol Restoration Fund and to transfer moneys thereto.
SB 120: An Act to make an appropriation for the economic development of South Dakota.
SB 121: An Act to make an appropriation for developing the economic viability of South Dakota.
SB 122: (Amended Title) An Act to establish the crime of failure to summon aid for a suicide attempt and provide a penalty therefor.
SB 153: An Act to prohibit certain restrictions in employment contracts for community service providers.
SB 161: An Act to repeal an exemption for certain health care facilities.
SB 168: (Amended Title) An Act to regulate the use of chatbots by minors a conversational AI service.
SB 169: An Act to place requirements on the use of artificial intelligence systems by health carriers in making determinations about the provision of health care services.
SB 172: An Act to enhance the economy of South Dakota.
SB 182: An Act to address the tax situation in South Dakota.
SB 184: An Act to enhance public education in South Dakota.
SB 199: An Act to establish a new fund to provide property tax relief.
SB 211: An Act to prohibit certain billing practices by ambulance service providers and establish reimbursement standards for out-of-network emergency medical services.
SB 227: An Act to establish a minimum damage threshold for a motor vehicle total loss declaration.
SB 233: An Act to prohibit the assessment of certain administrative fees or penalties related to the provision of care by an out-of-network provider.
SB 244: An Act to address issues facing South Dakota.
SB 245: An Act to promote the future success and development of South Dakota.
Respectfully submitted,
Darla Pollman Rogers, NAIFA-South Dakota Lobbyist
