South DakotaHB 1143101st South Dakota Legislature (2026)House

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

Sponsored By: Davis, Sydney (Republican), Rehfeldt, Taylor (Republican)

Signed by Governor

EducationPublic Health and SafetyStudents

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Bill Overview

Analyzed Economic Effects

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

School diabetes access comes with liability limits

South Dakota students can carry and self-administer insulin and other prescribed diabetes medicine at public and private schools. They can also carry and use needed diabetes equipment and supplies, including at school-related events and activities. These school medication rules also cover asthma inhalers and auto-injectable epinephrine for anaphylaxis. A licensed health care provider must diagnose the condition, and a prescription label or prescriber’s school orders must confirm the prescription. A parent or person acting as a parent must give the school signed permission. They must also sign a release covering injuries from the student’s medication or equipment use. This release protects the school and its employees and agents, except in cases of willful or wanton misconduct. The school must receive a signed provider statement confirming the diagnosis and the student’s ability to manage and self-administer the medicine. It must list the medicine’s name, purpose, dose, timing or circumstances for use, prescription period, and permitted equipment and supplies. The school must keep that statement in the student’s education record.

Sponsors & Cosponsors

Sponsors

  • Davis, Sydney

    Republican • Senate

  • Rehfeldt, Taylor

    Republican • House

Cosponsors

  • Andera, Bobbi L.

    Republican • House

  • Bathke, Jeff

    Republican • House

  • Emery, Eric

    Democratic • House

  • Goodwin, Tim

    Republican • House

  • Greenfield, Lana J.

    Republican • House

  • Heermann, Mellissa

    Republican • House

  • Jensen, Kevin D.

    Republican • Senate

  • Jensen, Phil

    Republican • House

  • Larson, Liz

    Democratic • Senate

  • Manhart, Logan

    Republican • House

  • Moore, Scott

    Republican • House

  • Muckey, Erik

    Democratic • House

  • Perry, Carl

    Republican • Senate

  • Pourier, Peri

    Republican • House

  • Smith, Jamie

    Democratic • Senate

  • Uhre-Balk, Nicole

    Democratic • House

  • Wipf, Brandon

    Republican • Senate

  • Zikmund, Larry P.

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 117 • No: 0

Senate vote • 2/25/2026

Do Pass Amended

Yes: 33 • No: 0

Senate vote • 2/23/2026

Do Pass

Yes: 7 • No: 0

House vote • 2/6/2026

Do Pass Amended

Yes: 65 • No: 0

House vote • 2/3/2026

Do Pass Amended

Yes: 12 • No: 0

Actions Timeline

  1. Signed by the Governor

    3/9/2026House
  2. Delivered to the Governor

    3/3/2026House
  3. Signed by the President

    3/2/2026Senate
  4. Signed by the Speaker

    2/26/2026House
  5. Senate Do Pass Amended, Passed, YEAS 33, NAYS 0

    2/25/2026Senate
  6. Senate Deferred to another day, Passed

    2/24/2026Senate
  7. Certified uncontested, placed on consent

    2/23/2026Senate
  8. Senate Health and Human Services Do Pass, Passed, YEAS 7, NAYS 0

    2/23/2026Senate
  9. Scheduled for hearing

    2/23/2026Senate
  10. First read in Senate and referred to Senate Health and Human Services

    2/9/2026Senate
  11. House of Representatives Do Pass Amended, Passed, YEAS 65, NAYS 0

    2/6/2026House
  12. Remove from Consent Calendar

    2/5/2026House
  13. Certified uncontested, placed on consent

    2/3/2026House
  14. House Health and Human Services Do Pass Amended, Passed, YEAS 12, NAYS 0

    2/3/2026House
  15. House Health and Human Services Motion to amend, Passed

    2/3/2026House
  16. Scheduled for hearing

    2/3/2026House
  17. First read in House and referred to House Health and Human Services

    1/27/2026House

Bill Text

  • Introduced

    1/26/2026

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