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South Dakota Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
March 3, 2026 SD HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - Senate (34 - 0)
March 3, 2026 SD HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - Senate (34 - 0)
Feb. 19, 2026 SD HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - House (65 - 1)
Feb. 19, 2026 SD HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - House (65 - 1)
Feb. 6, 2026 SD HB 1064 Authorizes the Sale of Producer-Raised Meat and Meat Food Products Directly to Consumers Bill Passed - Senate (28 - 6)
Jan. 29, 2026 SD HB 1064 Authorizes the Sale of Producer-Raised Meat and Meat Food Products Directly to Consumers Bill Passed - House (48 - 18)
March 11, 2025 SD HB 1230 Increases Criminal Penalties for Fentanyl Distribution Concurrence Vote Passed - House (66 - 4)
March 4, 2025 SD HB 1052 Prohibits the Use of Eminent Domain for Carbon Dioxide Pipelines Bill Passed - Senate (23 - 12)
Feb. 18, 2025 SD HB 1193 Rescinds the South Dakota Board of Regents' Requirement for First and Second-Year Students to Live on Campus and Purchase a Meal Plan Bill Failed - House (28 - 42)
Feb. 3, 2025 SD HB 1022 Prohibits the Misbranding of Any Cell-Cultured Protein Product Bill Passed - Senate (35 - 0)
Jan. 30, 2025 SD SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
Jan. 27, 2025 SD HB 1052 Prohibits the Use of Eminent Domain for Carbon Dioxide Pipelines Bill Passed - House (49 - 19)
Jan. 22, 2025 SD HB 1056 Authorizes the Sale and Use of Certain Products that Contain Kratom Drug Bill Passed - House (66 - 0)
Jan. 22, 2025 SD HB 1056 Authorizes the Sale and Use of Certain Products that Contain Kratom Drug Bill Passed - House (66 - 0)
March 5, 2024 SD HB 1092 increases the 911 Surcharge on Phone Lines from $1.25 to $2 Conference Report Adopted - Senate (29 - 4)
March 5, 2024 SD HB 1092 increases the 911 Surcharge on Phone Lines from $1.25 to $2 Conference Report Adopted - House (60 - 10)
March 4, 2024 SD SB 191 Requires Parolees Attain Additional Sign-Offs from Healthcare Practitioners to get a Medical Cannabis Card Bill Passed - House (63 - 7)
March 4, 2024 SD SB 134 Establishes Forest Protection as a State Imperative Bill Passed - House (41 - 29)
Feb. 29, 2024 SD HB 1224 Requires Pregnant Individuals Receive Informed Education Videos on State Abortion Laws and Other Alternatives Bill Passed - Senate (31 - 3)
Feb. 27, 2024 SD SB 170 Appropriates $5.75 Million to the Department of Corrections to Expand Health Care Services at the Pierre Women's Prison Bill Passed - House (66 - 4)
Feb. 27, 2024 SD SB 6 Increases Prison Sentences for Drug Dealers Who Sell Fentanyl to an Individual Who Dies of an Overdose Bill Passed - House (67 - 3)
Feb. 20, 2024 SD SB 191 Requires Parolees Attain Additional Sign-Offs from Healthcare Practitioners to get a Medical Cannabis Card Bill Passed - Senate (29 - 4)
Feb. 14, 2024 SD HB 1224 Requires Pregnant Individuals Receive Informed Education Videos on State Abortion Laws and Other Alternatives Bill Passed - House (63 - 6)
Jan. 30, 2024 SD SB 136 Expands Scope of the Physician Wellness Program and to Declare an Emergency Bill Passed - Senate (29 - 2)
March 7, 2023 SD HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - Senate (26 - 4)
March 7, 2023 SD HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - House (51 - 19)
March 7, 2023 SD SB 1 Expands Definition of Who Can Access Medical Marijuana Program Concurrence Vote Passed - Senate (19 - 15)
March 6, 2023 SD HB 1094 Reduces Tax Rates on Food and Repeals Conditional Reduction of Certain Gross Receipts Tax Rates Bill Passed - Senate (18 - 17)
March 6, 2023 SD SB 1 Expands Definition of Who Can Access Medical Marijuana Program Bill Passed - House (36 - 32)
March 6, 2023 SD SB 174 Prohibits Implementation Policies that Prohibit the Use of Any Energy Utility Service Bill Passed - House (64 - 5)
March 1, 2023 SD HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - Senate (27 - 6)
Feb. 27, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
Feb. 27, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
Feb. 27, 2023 SD HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - House (56 - 13)
Feb. 21, 2023 SD HB 1220 Prohibits Criminal Prosecution of Any Individual Who Receives an Abortion Bill Passed - House (63 - 7)
Feb. 16, 2023 SD HB 1235 Authorizes a COVID-19 Vaccine Conscience Exemption Bill Failed - House (30 - 39)
Feb. 13, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - House (62 - 5)
Feb. 13, 2023 SD HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - House (62 - 5)
March 28, 2022 SD HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Veto Override Failed - House (23 - 47)
March 9, 2022 SD SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - House (50 - 19)
March 9, 2022 SD SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - House (50 - 19)
March 9, 2022 SD SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - Senate (24 - 11)
March 9, 2022 SD SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - Senate (24 - 11)
March 8, 2022 SD SB 117 Repeals Sales Tax on Food Nonconcurrence Vote Passed - Senate (22 - 9)
March 7, 2022 SD SB 117 Repeals Sales Tax on Food Bill Passed - House (47 - 22)
March 7, 2022 SD HB 1228 Expands the Ability for Patients to Seek Investigational Drugs, Biological Products, or Devices Bill Failed - Senate (6 - 25)
March 7, 2022 SD HB 1229 Authorizes LLCs for Physical and Speech Therapists Bill Passed - Senate (34 - 0)
March 2, 2022 SD HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Bill Passed - Senate (30 - 5)
March 2, 2022 SD HB 1113 Prohibits Threats Made To Coerce An Abortion And Providing A Penalty Therefor Bill Passed - Senate (35 - 0)
Feb. 23, 2022 SD HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Bill Passed - House (37 - 33)
Date No. Title Outcome
3/03 HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - Senate (34 - 0)
3/03 HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - Senate (34 - 0)
2/19 HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - House (65 - 1)
2/19 HB 1199 Expands Prior Authorization and Reporting Requirements for Health Carriers Bill Passed - House (65 - 1)
2/06 HB 1064 Authorizes the Sale of Producer-Raised Meat and Meat Food Products Directly to Consumers Bill Passed - Senate (28 - 6)
1/29 HB 1064 Authorizes the Sale of Producer-Raised Meat and Meat Food Products Directly to Consumers Bill Passed - House (48 - 18)
3/11 HB 1230 Increases Criminal Penalties for Fentanyl Distribution Concurrence Vote Passed - House (66 - 4)
3/04 HB 1052 Prohibits the Use of Eminent Domain for Carbon Dioxide Pipelines Bill Passed - Senate (23 - 12)
2/18 HB 1193 Rescinds the South Dakota Board of Regents' Requirement for First and Second-Year Students to Live on Campus and Purchase a Meal Plan Bill Failed - House (28 - 42)
2/03 HB 1022 Prohibits the Misbranding of Any Cell-Cultured Protein Product Bill Passed - Senate (35 - 0)
1/30 SB 30 Repeals Outdated Provisions Within the Insurance Code Bill Passed - House (52 - 14)
1/27 HB 1052 Prohibits the Use of Eminent Domain for Carbon Dioxide Pipelines Bill Passed - House (49 - 19)
1/22 HB 1056 Authorizes the Sale and Use of Certain Products that Contain Kratom Drug Bill Passed - House (66 - 0)
1/22 HB 1056 Authorizes the Sale and Use of Certain Products that Contain Kratom Drug Bill Passed - House (66 - 0)
3/05 HB 1092 increases the 911 Surcharge on Phone Lines from $1.25 to $2 Conference Report Adopted - Senate (29 - 4)
3/05 HB 1092 increases the 911 Surcharge on Phone Lines from $1.25 to $2 Conference Report Adopted - House (60 - 10)
3/04 SB 191 Requires Parolees Attain Additional Sign-Offs from Healthcare Practitioners to get a Medical Cannabis Card Bill Passed - House (63 - 7)
3/04 SB 134 Establishes Forest Protection as a State Imperative Bill Passed - House (41 - 29)
2/29 HB 1224 Requires Pregnant Individuals Receive Informed Education Videos on State Abortion Laws and Other Alternatives Bill Passed - Senate (31 - 3)
2/27 SB 170 Appropriates $5.75 Million to the Department of Corrections to Expand Health Care Services at the Pierre Women's Prison Bill Passed - House (66 - 4)
2/27 SB 6 Increases Prison Sentences for Drug Dealers Who Sell Fentanyl to an Individual Who Dies of an Overdose Bill Passed - House (67 - 3)
2/20 SB 191 Requires Parolees Attain Additional Sign-Offs from Healthcare Practitioners to get a Medical Cannabis Card Bill Passed - Senate (29 - 4)
2/14 HB 1224 Requires Pregnant Individuals Receive Informed Education Videos on State Abortion Laws and Other Alternatives Bill Passed - House (63 - 6)
1/30 SB 136 Expands Scope of the Physician Wellness Program and to Declare an Emergency Bill Passed - Senate (29 - 2)
3/07 HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - Senate (26 - 4)
3/07 HB 1022 Appropriates Funds for the Increased Costs of Building the New State Public Health Laboratory. Conference Report Adopted - House (51 - 19)
3/07 SB 1 Expands Definition of Who Can Access Medical Marijuana Program Concurrence Vote Passed - Senate (19 - 15)
3/06 HB 1094 Reduces Tax Rates on Food and Repeals Conditional Reduction of Certain Gross Receipts Tax Rates Bill Passed - Senate (18 - 17)
3/06 SB 1 Expands Definition of Who Can Access Medical Marijuana Program Bill Passed - House (36 - 32)
3/06 SB 174 Prohibits Implementation Policies that Prohibit the Use of Any Energy Utility Service Bill Passed - House (64 - 5)
3/01 HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - Senate (27 - 6)
2/27 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
2/27 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - Senate (34 - 0)
2/27 HB 1079 Appropriates Funds to the South Dakota Department of Health to Fund Mental Health Services Bill Passed - House (56 - 13)
2/21 HB 1220 Prohibits Criminal Prosecution of Any Individual Who Receives an Abortion Bill Passed - House (63 - 7)
2/16 HB 1235 Authorizes a COVID-19 Vaccine Conscience Exemption Bill Failed - House (30 - 39)
2/13 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - House (62 - 5)
2/13 HB 1135 Establishes Transparency in the Pricing of Prescription Drugs Bill Passed - House (62 - 5)
3/28 HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Veto Override Failed - House (23 - 47)
3/09 SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - House (50 - 19)
3/09 SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - House (50 - 19)
3/09 SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - Senate (24 - 11)
3/09 SB 24 Limits Cultivation of Cannabis Plants Conference Report Adopted - Senate (24 - 11)
3/08 SB 117 Repeals Sales Tax on Food Nonconcurrence Vote Passed - Senate (22 - 9)
3/07 SB 117 Repeals Sales Tax on Food Bill Passed - House (47 - 22)
3/07 HB 1228 Expands the Ability for Patients to Seek Investigational Drugs, Biological Products, or Devices Bill Failed - Senate (6 - 25)
3/07 HB 1229 Authorizes LLCs for Physical and Speech Therapists Bill Passed - Senate (34 - 0)
3/02 HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Bill Passed - Senate (30 - 5)
3/02 HB 1113 Prohibits Threats Made To Coerce An Abortion And Providing A Penalty Therefor Bill Passed - Senate (35 - 0)
2/23 HB 1223 Authorizes Prenatal Care to Minors Without Parental Consent Bill Passed - House (37 - 33)
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