All Roll Calls
Yes: 110 • No: 5
South DakotaHB 1149101st South Dakota Legislature (2026)HouseWALLET
adopt the athletic trainer licensure compact.
Sponsored By: Rehfeldt, Taylor (Republican)
Signed by Governor
AthleticsCompactsCriminal Background InvestigationProfessions and Occupations
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 0 benefits, 0 costs, 7 mixed.
Athletic trainers gain interstate practice options
The law adopts an agreement letting eligible athletic trainers practice in other member states without separate licenses, including through telehealth. The agreement takes effect when a seventh state enacts it; no activation date is given. Trainers must name exactly one unrestricted license as their qualifying license, regardless of where they live or mainly work. They need active Board of Certification certification or the specified education and exam pathway, plus required background checks. They must have no license or privilege restrictions in the previous two years, meet continuing-competence requirements, notify the Commission, and pay fees.
Trainer discipline can stop interstate work
Trainers must follow practice rules where the patient is located, including local telehealth and legal-knowledge requirements. That state may remove practice privileges, impose fines, or recover investigation costs, while following its laws and due process. Only the state issuing the qualifying license can discipline that license; such action stops privileges across all member states. After a license restriction, privileges remain unavailable until it is removed and the trainer has been restriction-free for two years. Restoration also requires recertification, meeting eligibility requirements, and satisfying applicable fines and suspension periods. Trainers must report disciplinary action or restrictions from nonmember states to the Commission within 30 days.
Trainer fees include military family relief
South Dakota's Board of Medical and Osteopathic Examiners must set up fingerprint-based state and federal background checks for participating trainers. Trainers pay the fingerprinting and check costs, and states may charge fees to issue or renew interstate practice privileges. The Commission may assess member states annually and charge privilege holders when other revenue falls short of its approved budget. Active military members and their spouses pay no Commission fee; states may reduce or waive their state fees. The law sets no fee or assessment amounts.
Trainers get time when states leave
A state can leave by repealing its compact law; withdrawal takes effect 180 days after repeal is enacted. The Commission can terminate a defaulting state by majority vote only after it fails to fix violations and other compliance efforts are exhausted. Withdrawing or terminated states must notify affected trainers and recognize practice privileges for at least 180 days after notice. During withdrawal, states must keep meeting investigation and disciplinary-reporting duties. Termination does not erase financial or other obligations already incurred.
Commission staff gain limited lawsuit protection
Commission members, staff, and representatives receive protection from civil lawsuits for covered actions within their official duties. The Commission must defend them and cover eligible claims. These protections exclude intentional, willful, or wanton misconduct. Athletic trainers remain responsible for their own professional malpractice and misconduct.
Trainer records shared with privacy limits
The Commission must run a shared database, and member states must submit required records and monitor disciplinary information. Records include personal details, licenses, practice privileges, discipline, investigation indicators, alternative-program participation dates, and reasons for license denials. Current significant investigation information is limited to member states; states may restrict public sharing under their laws. Records expunged under applicable law must be removed. Certified database records count as authenticated business records and may qualify for exceptions to hearsay limits in legal proceedings.
Shared trainer rules preserve state practice limits
Member states must maintain matching laws, regulate trainers, require continuing competence, investigate complaints, implement background checks, and share required records. Each state appoints one voting Commissioner within 60 days and fills vacancies within 60 days; the Commission meets and reports annually. Commission rules have legal force without separate state rulemaking, with public hearings, majority approval, and 30 days' advance notice. Emergency rules allow 24-hour notice and later ratification; a majority of state legislatures can reject a rule within four years. The agreement overrides conflicting state requirements, but preserves single-state licenses, state immunity, and state control over allowed practice; courts can block conflicting Commission rules. Permitted Commission-state agreements are binding, and compact amendments take effect only after every member state enacts them.
Sponsors & Cosponsors
Sponsor
Rehfeldt, Taylor
Republican • House
Cosponsors
Davis, Sydney
Republican • Senate
Emery, Eric
Democratic • House
Goodwin, Tim
Republican • House
Larson, Liz
Democratic • Senate
Pourier, Peri
Republican • House
Uhre-Balk, Nicole
Democratic • House
Roll Call Votes
Senate vote • 3/9/2026
Do Pass
Yes: 32 • No: 2
Senate vote • 3/4/2026
Do Pass
Yes: 7 • No: 0
House vote • 2/12/2026
Do Pass
Yes: 59 • No: 3
House vote • 2/10/2026
Do Pass
Yes: 12 • No: 0
Actions Timeline
Signed by the Governor
3/30/2026HouseDelivered to the Governor
3/12/2026HouseSigned by the President
3/11/2026SenateSigned by the Speaker
3/10/2026HouseSenate Do Pass, Passed, YEAS 32, NAYS 2
3/9/2026SenateRemove from Consent Calendar
3/5/2026SenateCertified uncontested, placed on consent
3/4/2026SenateSenate Health and Human Services Do Pass, Passed, YEAS 7, NAYS 0
3/4/2026SenateScheduled for hearing
3/4/2026SenateFirst read in Senate and referred to Senate Health and Human Services
2/17/2026SenateHouse of Representatives Do Pass, Passed, YEAS 59, NAYS 3
2/12/2026HouseCertified uncontested, placed on consent
2/10/2026HouseHouse Health and Human Services Do Pass, Passed, YEAS 12, NAYS 0
2/10/2026HouseScheduled for hearing
2/10/2026HouseReferred to House Health and Human Services
1/28/2026HouseFirst Reading House
1/27/2026House
Bill Text
Introduced
1/26/2026
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