South DakotaHB 1023101st South Dakota Legislature (2026)House

establish requirements and liability protection for registered nurses and licensed practical nurses serving on ambulance crews.

Sponsored By: Walburg, Tim (Republican)

Signed by Governor

Emergency Medical ServicesInterim Legislative Committee BillLiabilityPublic Health and Safety

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Nurses gain ambulance roles and liability protection

South Dakota ambulance services can employ licensed registered or practical nurses, or use them as volunteers, instead of emergency medical technicians or advanced life support personnel. Each run must include one of these care providers and one certified ambulance operator. The medical or program director must approve the nurse’s skills with emergency care, equipment, and medicines. Nurses must work within their license limits and under that director’s direction and supervision. Authorized nurses are protected from civil damages for ambulance-run care, except for actions or failures to act that conflict with their training, involve gross negligence, or involve willful misconduct.

Sponsors & Cosponsors

Sponsor

  • Walburg, Tim

    Republican • House

Cosponsors

  • Emery, Eric

    Democratic • House

  • Garcia, Josephine

    Republican • House

  • Grove, Tamara R.

    Republican • Senate

  • Hunt, Jana

    Republican • House

  • Jensen, Kevin D.

    Republican • Senate

  • Kull, David

    Republican • House

  • Reed, Tim S.

    Republican • Senate

  • Voight, Curt

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 120 • No: 0

Senate vote • 1/29/2026

Do Pass Amended

Yes: 33 • No: 0

Senate vote • 1/28/2026

Do Pass

Yes: 7 • No: 0

House vote • 1/22/2026

Do Pass Amended

Yes: 67 • No: 0

House vote • 1/20/2026

Do Pass Amended

Yes: 13 • No: 0

Bill Text

  • Introduced

    1/1/2026

Related Bills

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