South Dakota 2026 Regular Session Status: Enacted Bipartisan · 8 R · 4 D cosponsors

HB 1146 — adopt the physician assistant licensure compact.

Last action — Signed by the Governor on 2026-03-09 H.J. 534

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 27, 2026. Enacted.

Signed by Governor Larry Rhoden (Republican) on March 09, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence
  • Enacted

    Current position in the legislative process.

  • 12 sponsors

    12 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 R · 4 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

879 added · 854 removed

879 line(s) added, 854 removed.

→
Previous
Latest
26.417.12 101st Legislative Session 1146 South Dakota Legislature House Bill 1146 HOUSE HEALTH AND HUMAN SERVICES ENGROSSED Introduced by:
26.417.13 101st Legislative Session 1146 South Dakota Legislature House Bill 1146 ENROLLED A N ACT ENTITLED An Act to adopt the physician assistant licensure compact.
Representative Rehfeldt An Act to adopt the physician assistant licensure compact.
B E IT ENACTED BY THE LEGISLATURE OF THE S TATE OF S OUTH D AKOTA :
B E IT ENACTED BY THE LEGISLATURE OF THE S TATE OF SOUTH D AKOTA :
"Adverse Action" means any administrative, civil, equitable, or criminal action permitted by a State’s laws which is imposed by a Licensing Board or other authority against a PA License or License application or Compact Privilege such as Overstrikes indicate deleted language.
"Adverse Action" means any administrative, civil, equitable, or criminal action permitted by a State’s laws which is imposed by a Licensing Board or other authority against a PA License or License application or Compact Privilege such as 26.417.13 2 1146 License denial, censure, revocation, suspension, probation, monitoring of the Licensee, or restriction on the Licensee’s practice.
26.417.12 2 1146 License denial, censure, revocation, suspension, probation, monitoring of the Licensee, or restriction on the Licensee’s practice.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 3 1146 N.
26.417.12 3 1146 N.
Fully implement a Criminal Background Check requirement, within a time frame established by Commission Rule, by its Licensing Board receiving the Overstrikes indicate deleted language.
Fully implement a Criminal Background Check requirement, within a time frame established by Commission Rule, by its Licensing Board receiving the HB1146 ENROLLED 26.417.13 4 1146 results of a Criminal Background Check and reporting to the Commission whether the License applicant has been granted a License.
26.417.12 4 1146 results of a Criminal Background Check and reporting to the Commission whether the License applicant has been granted a License.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 5 1146 C.
26.417.12 5 1146 C.
When applying for a Compact Privilege, the Licensee is required to consent to accept service of process by mail at the Licensee’s primary residence on file with the Commission with respect to any action brought against the Licensee by the Commission or a Participating State, including a subpoena, Overstrikes indicate deleted language.
When applying for a Compact Privilege, the Licensee is required to consent to accept service of process by mail at the Licensee’s primary residence on file with the Commission with respect to any action brought against the Licensee by the Commission or a Participating State, including a subpoena, HB1146 ENROLLED 26.417.13 6 1146 with respect to any action brought or investigation conducted by the Commission or a Participating State.
26.417.12 6 1146 with respect to any action brought or investigation conducted by the Commission or a Participating State.
For purposes of taking Adverse Action, the Participating State which issued the Qualifying License shall give the same priority and effect to reported conduct received from any other Participating State as it would if the conduct had occurred Overstrikes indicate deleted language.
For purposes of taking Adverse Action, the Participating State which issued the Qualifying License shall give the same priority and effect to reported conduct received from any other Participating State as it would if the conduct had occurred HB1146 ENROLLED 26.417.13 7 1146 within the Participating State which issued the Qualifying License.
26.417.12 7 1146 within the Participating State which issued the Qualifying License.
Each Participating State shall have and be limited to one delegate selected by that Participating State’s Licensing Board or, if the State has more than Overstrikes indicate deleted language.
Each Participating State shall have and be limited to one delegate selected by that Participating State’s Licensing Board or, if the State has more than HB1146 ENROLLED 26.417.13 8 1146 one Licensing Board, selected collectively by the Participating State’s Licensing Boards.
26.417.12 8 1146 one Licensing Board, selected collectively by the Participating State’s Licensing Boards.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 9 1146 10.
26.417.12 9 1146 10.
Hire employees and engage contractors, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of this Compact, and establish the Commission’s personnel policies and programs relating to conflictsof interest, qualifications of personnel, and other related personnel matters;
Hire employees and engage contractors, elect or appoint officers, fix compensation, define duties, grant such individuals appropriate authority to carry out the purposes of this Compact, and establish the Commission’s personnel policies and programs relating to conflicts of interest, qualifications of personnel, and other related personnel matters;
and Overstrikes indicate deleted language.
and HB1146 ENROLLED 26.417.13 10 1146 23.
26.417.12 10 1146 23.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 11 1146 j.
26.417.12 11 1146 j.
If the Licensee terminates the Qualifying License through which the Licensee applied for the Compact Privilege before its scheduled expiration, and the Licensee has a Qualifying License in another Overstrikes indicate deleted language.
If the Licensee terminates the Qualifying License through which the Licensee applied for the Compact Privilege before its scheduled expiration, and the Licensee has a Qualifying License in another HB1146 ENROLLED 26.417.13 12 1146 Participating State, the Licensee shall inform the Commission that the Licensee is changing that Participating State to be the Participating State through which the Licensee applies for a Compact Privilege and pay to the Commission any Compact Privilege fee required by Commission Rule.
26.417.12 12 1146 Participating State, the Licensee shall inform the Commission that the Licensee is changing that Participating State to be the Participating State through which the Licensee applies for a Compact Privilege and pay to the Commission any Compact Privilege fee required by Commission Rule.
Recommend to the Commission changes to the Commission’s Rules or bylaws, changes to this Compact legislation, fees to be paid by Compact Participating States such as annual dues, and any Overstrikes indicate deleted language.
Recommend to the Commission changes to the Commission’s Rules or bylaws, changes to this Compact legislation, fees to be paid by Compact Participating States such as annual dues, and any HB1146 ENROLLED 26.417.13 13 1146 Commission Compact fee charged to Licensees for the Compact Privilege;
26.417.12 13 1146 Commission Compact fee charged to Licensees for the Compact Privilege;
provided that nothing in this paragraph shall be construed to protect any such person from suit or liability for any damage, loss, injury, or liability caused by the Overstrikes indicate deleted language.
provided that nothing in this paragraph shall be construed to protect any such person from suit or liability for any damage, loss, injury, or liability caused by the HB1146 ENROLLED 26.417.13 14 1146 intentional or willful or wanton misconduct of that person.
26.417.12 14 1146 intentional or willful or wanton misconduct of that person.
All Overstrikes indicate deleted language.
All HB1146 ENROLLED 26.417.13 15 1146 such matters shall be determined exclusively by State law other than this Compact.
26.417.12 15 1146 such matters shall be determined exclusively by State law other than this Compact.
Participating States contributing information to the Data System may, in accordance with State or federal law, designate information that may not be shared Overstrikes indicate deleted language.
Participating States contributing information to the Data System may, in accordance with State or federal law, designate information that may not be shared HB1146 ENROLLED 26.417.13 16 1146 with the public without the express permission of the contributing State.
26.417.12 16 1146 with the public without the express permission of the contributing State.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 17 1146 E.
26.417.12 17 1146 E.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 18 1146 4.
26.417.12 18 1146 4.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 19 1146 The revision shall be subject to challenge by any person for a period of thirty days after posting.
26.417.12 19 1146 The revision shall be subject to challenge by any person for a period of thirty days after posting.
Show all 63 changed rows (23 more)
Previous
Latest
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 20 1146 2.
26.417.12 20 1146 2.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 21 1146 C.
26.417.12 21 1146 C.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 22 1146 1.
26.417.12 22 1146 1.
During this one hundred eighty day-period, all Compact Privileges that were in effect in the Overstrikes indicate deleted language.
During this one hundred eighty day-period, all Compact Privileges that were in effect in the HB1146 ENROLLED 26.417.13 23 1146 withdrawing State and were granted to Licensees licensed in the withdrawing State shall remain in effect.
26.417.12 23 1146 withdrawing State and were granted to Licensees licensed in the withdrawing State shall remain in effect.
The provisions of this Compact shall be severable and if any phrase, clause, sentence, or provision of this Compact is held by a court of competent jurisdiction to be contrary to the constitution of any Participating State, a State seeking participation in the Compact, or of the United States, or the applicability thereof to any government, agency, person, or circumstance is held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of this Compact and Overstrikes indicate deleted language.
The provisions of this Compact shall be severable and if any phrase, clause, sentence, or provision of this Compact is held by a court of competent jurisdiction to be contrary to the constitution of any Participating State, a State seeking participation in the Compact, or of the United States, or the applicability thereof to any government, agency, person, or circumstance is held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of this Compact and HB1146 ENROLLED 26.417.13 24 1146 the applicability thereof to any other government, agency, person, or circumstance shall not be affected thereby.
26.417.12 24 1146 the applicability thereof to any other government, agency, person, or circumstance shall not be affected thereby.
Overstrikes indicate deleted language.
HB1146 ENROLLED 26.417.13 25 1146 An Act to adopt the physician assistant licensure compact.
Received at this Executive Office I certify that the attached Act originated in this _____ day of _____________, the:
at ____________M.
House as Bill No.
1146 By Chief Clerk of the House for the Governor The attached Act is hereby approved this ________ day of Speaker of the House ______________, A.D., 2026 Attest:
Governor Chief Clerk of the House STATE OF SOUTH DAKOTA, ss.
Office of the Secretary of State President of the Senate Filed ____________, 2026 Attest:
at _________ o'clock __M.
Secretary of the Senate Secretary of State House Bill No.
1146 By File No.
____ Asst.
Secretary of State Chapter No.
______ HB1146 ENROLLED
View plain text versions (4)

Action History

  1. Signed by the Governor on 2026-03-09 H.J. 534

  2. Delivered to the Governor on 2026-03-03 H.J. 480

  3. Signed by the President S.J. 434

  4. Signed by the Speaker H.J. 462

  5. Senate Do Pass Amended , Passed, YEAS 32, NAYS 1 S.J. 402

  6. Senate Deferred to another day , Passed, S.J. 373

  7. Certified uncontested, placed on consent , Passed, S.J. 20

  8. Health and Human Services Do Pass , Passed, YEAS 7, NAYS 0 S.J. 20

  9. Scheduled for hearing

  10. First read in Senate and referred to Senate Health and Human Services S.J. 296

  11. House of Representatives Do Pass Amended , Passed, YEAS 56, NAYS 10 H.J. 334

  12. House of Representatives Deferred to another day , Passed, H.J. 315

  13. Health and Human Services Do Pass Amended , Passed, YEAS 11, NAYS 1

  14. Health and Human Services Motion to amend , Passed, Amendment 1146A

  15. First read in House and referred to House Health and Human Services H.J. 148

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

12 sponsors · 0 co-sponsors · 93 not signed on · 11 voted No

Sponsors (12)

Co-sponsors (0)

None.

Not signed on (93)

93 members have not signed on to this bill.

Show all 93 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Do Pass Amended

Passed 32 Yea · 1 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 29101
Democratic 2001
Unaffiliated 1000
Total 32102
% of votes cast 91%3%0%6%
How each member voted (35)
Member Party Vote
Otten — Yea
Jamie Smith Democratic Yea
Liz Larson Democratic Yea
Red Dawn Foster Democratic Not Voting
Amber Hulse Republican Yea
Arch Beal Republican Not Voting
Brandon Wipf Republican Yea
Carl Perry Republican Yea
Casey Crabtree Republican Yea
Chris Karr Republican Yea
Curt Voight Republican Yea
Glen Vilhauer Republican Yea
Greg Blanc Republican Yea
Helene Duhamel Republican Yea
Jim Mehlhaff Republican Yea
John Carley Republican Nay
Joy Hohn Republican Yea
Kevin Jensen Republican Yea
Kyle Schoenfish Republican Yea
Larry Zikmund Republican Yea
Lauren Nelson Republican Yea
Mark Lapka Republican Yea
Michael Rohl Republican Yea
Mykala Voita Republican Yea
Paul Miskimins Republican Yea
Randy Deibert Republican Yea
Sam Marty Republican Yea
Stephanie Sauder Republican Yea
Steve Kolbeck Republican Yea
Sue Peterson Republican Yea
Sydney Davis Republican Yea
Taffy Howard Republican Yea
Tamara Grove Republican Yea
Tim Reed Republican Yea
Tom Pischke Republican Yea

Official roll call →

Do Pass Amended

Passed 56 Yea · 10 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 491004
Democratic 5000
Unaffiliated 2000
Total 561004
% of votes cast 80%14%0%6%
How each member voted (70)
Member Party Vote
Kolbeck (Jack) — Yea
Van Diepen — Yea
Eric Emery Democratic Yea
Erik Muckey Democratic Yea
Erin Healy Democratic Yea
Kadyn Wittman Democratic Yea
Nicole Uhre-Balk Democratic Yea
Aaron Aylward Republican Nay
Al Novstrup Republican Yea
Amber Arlint Republican Yea
Bethany Soye Republican Not Voting
Bobbi Andera Republican Yea
Brandei Schaefbauer Republican Yea
Brian Mulder Republican Yea
Chris Kassin Republican Yea
Curt Massie Republican Yea
David Kull Republican Yea
Drew Peterson Republican Yea
Dylan Jordan Republican Nay
Greg Jamison Republican Yea
Heather Baxter Republican Yea
Jana Hunt Republican Nay
Jeff Bathke Republican Not Voting
Jessica Bahmuller Republican Yea
Jim Halverson Republican Yea
John Hughes Republican Yea
John Shubeck Republican Yea
John Sjaarda Republican Nay
Jon Hansen Republican Yea
Josephine Garcia Republican Yea
Julie Auch Republican Nay
Kaley Nolz Republican Yea
Karla Lems Republican Yea
Kathy Rice Republican Nay
Kent Roe Republican Yea
Keri Weems Republican Yea
Lana Greenfield Republican Yea
Leslie Heinemann Republican Yea
Liz May Republican Yea
Logan Manhart Republican Nay
Marty Overweg Republican Yea
Mary Fitzgerald Republican Yea
Matt Roby Republican Yea
Mellissa Heermann Republican Yea
Mike Derby Republican Yea
Mike Stevens Republican Yea
Mike Weisgram Republican Yea
Nick Fosness Republican Yea
Peri Pourier Republican Not Voting
Phil Jensen Republican Nay
Rebecca Reimer Republican Yea
Roger DeGroot Republican Yea
Scott Moore Republican Yea
Scott Odenbach Republican Yea
Spencer Gosch Republican Yea
Steve Duffy Republican Yea
Taylor Rehfeldt Republican Yea
Terri Jorgenson Republican Yea
Tesa Schwans Republican Yea
Tim Czmowski Republican Yea
Tim Goodwin Republican Yea
Tim Reisch Republican Yea
Tim Walburg Republican Yea
Tina Mulally Republican Not Voting
Tony Kayser Republican Nay
Tony Randolph Republican Nay
Travis Ismay Republican Yea
Trish Ladner Republican Yea
Will Mortenson Republican Yea
William Shorma Republican Yea

Official roll call →

Do Pass Amended

Passed 11 Yea · 1 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 10101
Democratic 1000
Total 11101
% of votes cast 85%8%0%8%
How each member voted (13)
Member Party Vote
Eric Emery Democratic Yea
Bobbi Andera Republican Yea
Brandei Schaefbauer Republican Yea
Brian Mulder Republican Yea
Dylan Jordan Republican Not Voting
Heather Baxter Republican Yea
Jim Halverson Republican Yea
Josephine Garcia Republican Yea
Leslie Heinemann Republican Yea
Logan Manhart Republican Nay
Nick Fosness Republican Yea
Taylor Rehfeldt Republican Yea
Tony Kayser Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 1146?
HB 1146 is sponsored by Tim Walburg (Republican), Nicole Uhre-Balk (Democratic), Michael Rohl (Republican), Matt Roby (Republican), Carl Perry (Republican), Erik Muckey (Democratic), Amber Hulse (Republican), Erin Healy (Democratic), Tim Goodwin (Republican), Eric Emery (Democratic), Taylor Rehfeldt (Republican), and Sydney Davis (Republican).
What is the current status of HB 1146?
This bill has been enacted into law. Introduced January 27, 2026. Enacted.
Where can I track HB 1146?
Track HB 1146 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 1146

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Stay ahead of HB 1146

Last checked for changes 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →