# South Dakota HB 1146: adopt the physician assistant licensure compact. South Dakota HB 1146, adopt the physician assistant licensure compact., is a 101st South Dakota Legislature (2026) House bill sponsored by Davis, Sydney (Republican), Rehfeldt, Taylor (Republican); status signed, last action 2026-03-09 (Signed by the Governor) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/SD-HB1146-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: South Dakota HB 1146 - State: South Dakota - Session: 101st South Dakota Legislature (2026) - Title: adopt the physician assistant licensure compact. - Status: signed - Chamber: House - Introduced: 2026-01-27 - Last action: 2026-03-09, Signed by the Governor - Sponsors: Davis, Sydney (Republican), Rehfeldt, Taylor (Republican) - Cosponsors: 10 - Subjects: Compacts, Health Care, Professions and Occupations - Touches household money: no - Roll calls: 4 (106 yes, 12 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Physician assistants and states face compact fees: cost, low. Participating states can charge physician assistants for permission to practice through the compact. The Commission can charge assistants fees and assess states annually when other revenue cannot cover its approved annual budget. Commission rules set fee amounts and each state's share; the law stat… - Compact staff gain limited lawsuit protection: mixed, low. Commission members, officers, staff, and representatives receive protection from civil lawsuits for covered actions within their Commission duties. The Commission must defend them and cover qualifying claims, settlements, and judgments. Protection also covers actions reasonably believed to fall wit… - Compact states share binding physician assistant rules: mixed, low. The law establishes a shared Commission; the compact takes effect upon enactment by a seventh participating state. South Dakota's enactment alone does not establish that this threshold has been reached. Each state gets one voting delegate, and joining states must follow existing Commission rules an… - Physician assistant records shared with privacy safeguards: mixed, low. The Commission must run a shared system for identification, licenses, discipline, application denials, and significant investigation information. States must submit required records, and the Commission must quickly alert participating states about reported discipline. Significant investigation info… - Physician assistants face coordinated safety oversight: mixed, low. South Dakota must maintain licensing, complaint investigations, shared reporting, and a recognized national exam requirement for physician assistants. Commission rules set the deadline for criminal background checks. South Dakota can discipline practice permission within the state, with existing du… - Physician assistants gain cross-state practice with limits: mixed, low. South Dakota joins a compact that lets eligible physician assistants get permission to practice in other participating states. Assistants need an unrestricted qualifying license, an accredited or Commission-approved education, and current national certification. They must have no felony or misdemea… - Physician assistants get time after states leave: mixed, low. A state's voluntary withdrawal takes effect 180 days after it enacts a repeal law. It must keep recognizing compact practice rights for at least 180 days after notice of withdrawal. When the Commission terminates a state's participation, existing permissions to practice there last 180 days after te… ## Sponsors and cosponsors - Sponsor: Davis, Sydney (Republican), Senate - Sponsor: Rehfeldt, Taylor (Republican), House - Cosponsor: Emery, Eric (Democratic), House - Cosponsor: Goodwin, Tim (Republican), House - Cosponsor: Healy, Erin (Democratic), House - Cosponsor: Hulse, Amber (Republican), Senate - Cosponsor: Muckey, Erik (Democratic), House - Cosponsor: Perry, Carl (Republican), Senate - Cosponsor: Roby, Matt (Republican), House - Cosponsor: Rohl, Michael H. (Republican), Senate - Cosponsor: Uhre-Balk, Nicole (Democratic), House - Cosponsor: Walburg, Tim (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-25 | Senate | Do Pass Amended | pass | 32 | 1 | | | 2026-02-23 | Senate | Do Pass | pass | 7 | 0 | | | 2026-02-17 | House | Do Pass Amended | pass | 56 | 10 | | | 2026-02-10 | House | Do Pass Amended | pass | 11 | 1 | | ## Actions (15) - 2026-03-09: Signed by the Governor (House) - 2026-03-03: Delivered to the Governor (House) - 2026-03-02: Signed by the President (Senate) - 2026-02-26: Signed by the Speaker (House) - 2026-02-25: Senate Do Pass Amended, Passed, YEAS 32, NAYS 1 (Senate) - 2026-02-24: Senate Deferred to another day, Passed (Senate) - 2026-02-23: Certified uncontested, placed on consent (Senate) - 2026-02-23: Senate Health and Human Services Do Pass, Passed, YEAS 7, NAYS 0 (Senate) - 2026-02-23: Scheduled for hearing (Senate) - 2026-02-18: First read in Senate and referred to Senate Health and Human Services (Senate) - 2026-02-17: House of Representatives Do Pass Amended, Passed, YEAS 56, NAYS 10 (House) - 2026-02-12: House of Representatives Deferred to another day, Passed (House) - 2026-02-10: House Health and Human Services Do Pass Amended, Passed, YEAS 11, NAYS 1 (House) - 2026-02-10: House Health and Human Services Motion to amend, Passed (House) - 2026-01-27: First read in House and referred to House Health and Human Services (House) ## Bill text - Introduced, 2026-01-26: [PDF](https://mylrc.sdlegislature.gov/api/Documents/305079.pdf) ## Related bills - HB 1148: adopt the respiratory care interstate compact. (signed) - HB 1149: adopt the athletic trainer licensure compact. (signed) - HB 1051: revise property tax levies for school districts and to revise the state aid to general and special education formulas. (signed) - HB 1082: establish parameters for the reimbursement of school districts that provide free or reduced-price meals to students. (signed) - HB 1245: authorize municipalities to establish a local funding mechanism for capital improvement projects. (signed) - HB 1193: modify the provisions for a refund of taxes to disabled veterans and surviving spouses under certain property tax relief programs. (signed) ## Sources - [Introduced (PDF)](https://mylrc.sdlegislature.gov/api/Documents/305079.pdf) ## Related - [HB 1148: adopt the respiratory care interstate compact.](https://policyrisk.com/state-bill/SD-HB1148-2026) - [HB 1149: adopt the athletic trainer licensure compact.](https://policyrisk.com/state-bill/SD-HB1149-2026) - [HB 1051: revise property tax levies for school districts and to revise the state aid to…](https://policyrisk.com/state-bill/SD-HB1051-2026) - [HB 1082: establish parameters for the reimbursement of school districts that provide fre…](https://policyrisk.com/state-bill/SD-HB1082-2026) - [HB 1245: authorize municipalities to establish a local funding mechanism for capital imp…](https://policyrisk.com/state-bill/SD-HB1245-2026) - [HB 1193: modify the provisions for a refund of taxes to disabled veterans and surviving…](https://policyrisk.com/state-bill/SD-HB1193-2026) - [South Dakota bills](https://policyrisk.com/states/south-dakota/bills) - [South Dakota state hub](https://policyrisk.com/states/south-dakota) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/SD-HB1146-2026 (as of 2026-11-01).