HB 1143 — authorize the possession and self-administration of diabetes medications by a student on school property and at school-related events and activities.
Last action — Signed by the Governor on 2026-03-09 H.J. 534
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
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 chanceBased 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
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Enacted
Current position in the legislative process.
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20 sponsors
20 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (15 R · 5 D) — cross-party backing.
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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
77 added · 59 removedPlain-language change summary
The revised bill now explicitly allows students with diabetes to carry and use their diabetes medications, along with any necessary equipment, while on school property or at school events. Previously, the bill only covered students with asthma or anaphylaxis. This change is important because it ensures that diabetic students have access to their medication when they need it, promoting their health and safety in school settings.
26.137.1026.137.11 101st Legislative Session 1143 South Dakota Legislature House Bill 1143 HOUSEENROLLED HEALTHA ANDN HUMANACT SERVICESENTITLED ENGROSSEDAn IntroducedAct by:to authorize the possession and self-administration of diabetes medications by a student on school property and at school-related events and activities.
RepresentativeB RehfeldtE AnIT ActENACTED toBY authorizeTHE theLEGISLATURE possessionOF andTHE self-administrationS ofTATE diabetesOF medicationsS byOUTH aD studentAKOTA on: school property and at school-related events and activities.
B E IT ENACTED BY THE L EGISLATURE OF THE STATE OF SOUTH D AKOTA :
Terms used in this section and §§ 13-32-11 to 13-32-13, inclusive, mean:
(1) "Medication," an inhaled bronchodilatorbronchodilator, or, auto-injectable epinephrine, or both insulin, or other diabetes medication;
and (4) "School," any public or nonpublic school;school.
(4) "Self-administration of prescription medication," a student's discretionary use of prescription asthma or anaphylaxis medication, or both.
Any student with asthma or anaphylaxis may possess and self-self-administer administer prescription medication, and possess and use related equipment and supplies, while on school property or at a school-related event or activity only if:
(2) The prescription medication has been prescribed for that student as indicated by the prescription label on the medication, or by a prescriber's school orders;
(2)(3) The self-administrationstudent's isparent doneprovides into compliance with the prescriptionschool: or written instructions from the student's physician or other licensed health care provider;
and Overstrikes indicate deleted language.
26.137.10 2 1143 (3) A parent of the student The student's parent provides to the school:
and 26.137.11 2 1143 (b) A written statement, signed by the parent, in which the parent releases the school district or nonpublic school and its employees and agents from liability for an injury arising from the student's self-administration of prescription medication, or possession or use of related equipment and supplies, while on school property or at a school-related event or activity, unless in cases of wanton or willful misconduct;
(c)(4)(4) A written statementstatement, from, signed by the student's physician or other licensed health care provider, signed by the physician or provider, is provided to the school that states:
(i)(a)(a) The student has been diagnosed, by a licensed health care provider, with asthmaasthma, or,anaphylaxis, anaphylaxis or both, or diabetes, and the student is capable of self-administeringself- administering and managing the prescription medication;
(ii)(b)(b) The name and purpose of the medication;
(iii)(c)(c) The prescribed dosage for the medication;
(iv)(d)(d) The times at which or circumstances under which the medication may be administered;
and(e) (v)(e) The period for which the medication is prescribed;
The physician's or provider's statement must be kept on file in the office of the school nurse of the school the student attends or, if there is not a school nurse, in the office of the principal of the school the student attends retained in the student's educational record maintained by the school.
OverstrikesHB1143 indicateENROLLED deleted26.137.11 language.3 1143 An Act to authorize the possession and self-administration of diabetes medications by a student on school property and at school-related events and activities.
Received at this Executive Office I certify that the attached Act originated in this _____ day of _____________, the:
at ____________M.
House as Bill No.
1143 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.
1143 By File No.
____ Asst.
Secretary of State Chapter No.
______ HB1143 ENROLLED
View plain text versions (4)
- Enrolled View text Current pdf February 26, 2026
- Engrossed House Health and Human Services Engrossed pdf February 03, 2026
- Introduced View text pdf January 26, 2026
- 1143A View text pdf
Action History
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Signed by the Governor on 2026-03-09 H.J. 534
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Delivered to the Governor on 2026-03-03 H.J. 480
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Signed by the President S.J. 434
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Signed by the Speaker H.J. 462
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Senate Do Pass Amended , Passed, YEAS 33, NAYS 0 S.J. 402
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Senate Deferred to another day , Passed, S.J. 373
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Certified uncontested, placed on consent , Passed, S.J. 20
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Health and Human Services Do Pass , Passed, YEAS 7, NAYS 0 S.J. 19
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Scheduled for hearing
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First read in Senate and referred to Senate Health and Human Services S.J. 221
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House of Representatives Do Pass Amended , Passed, YEAS 65, NAYS 0 H.J. 248
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Remove from Consent Calendar H.J. 238
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Certified uncontested, placed on consent , Passed, H.J. 6
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Health and Human Services Do Pass Amended , Passed, YEAS 12, NAYS 0 H.J. 6
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Health and Human Services Motion to amend , Passed, H.J. 5 Amendment 1143A
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Scheduled for hearing
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First read in House and referred to House Health and Human Services H.J. 148
Sponsors
- Larry Zikmund · Primary
- Brandon Wipf · Primary
- Nicole Uhre-Balk · Primary
- Jamie Smith · Primary
- Peri Pourier · Primary
- Carl Perry · Primary
- Erik Muckey · Primary
- Scott Moore · Primary
- Logan Manhart · Primary
- Liz Larson · Primary
- Phil Jensen · Primary
- Kevin Jensen · Primary
- Mellissa Heermann · Primary
- Lana Greenfield · Primary
- Tim Goodwin · Primary
- Eric Emery · Primary
- Jeff Bathke · Primary
- Bobbi Andera · Primary
- Taylor Rehfeldt · Primary
- Sydney Davis · Primary
Sponsorship breakdown
Export CSV (upgrade) →20 sponsors · 0 co-sponsors · 85 not signed on
Sponsors (20)
- Larry Zikmund Republican
- Brandon Wipf Republican
- Nicole Uhre-Balk Democratic
- Jamie Smith Democratic
- Peri Pourier Republican
- Carl Perry Republican
- Erik Muckey Democratic
- Scott Moore Republican
- Logan Manhart Republican
- Liz Larson Democratic
- Phil Jensen Republican
- Kevin Jensen Republican
- Mellissa Heermann Republican
- Lana Greenfield Republican
- Tim Goodwin Republican
- Eric Emery Democratic
- Jeff Bathke Republican
- Bobbi Andera Republican
- Taylor Rehfeldt Republican
- Sydney Davis Republican
Co-sponsors (0)
None.
Not signed on (85)
85 members have not signed on to this bill.
Show all 85 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 30 | 0 | 0 | 1 |
| Democratic | 2 | 0 | 0 | 1 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 33 | 0 | 0 | 2 |
| % of votes cast | 94% | 0% | 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 | Yea |
| 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 6 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 7 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Jamie Smith | Democratic | Yea |
| Carl Perry | Republican | Yea |
| Curt Voight | Republican | Yea |
| Kevin Jensen | Republican | Yea |
| Sydney Davis | Republican | Yea |
| Tamara Grove | Republican | Yea |
| Tim Reed | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 60 | 0 | 0 | 3 |
| Democratic | 4 | 0 | 0 | 1 |
| Unaffiliated | 1 | 0 | 0 | 1 |
| Total | 65 | 0 | 0 | 5 |
| % of votes cast | 93% | 0% | 0% | 7% |
How each member voted (70)
| Member | Party | Vote |
|---|---|---|
| Kolbeck (Jack) | — | Yea |
| Van Diepen | — | Not Voting |
| Eric Emery | Democratic | Yea |
| Erik Muckey | Democratic | Yea |
| Erin Healy | Democratic | Yea |
| Kadyn Wittman | Democratic | Not Voting |
| Nicole Uhre-Balk | Democratic | Yea |
| Aaron Aylward | Republican | Yea |
| Al Novstrup | Republican | Yea |
| Amber Arlint | Republican | Yea |
| Bethany Soye | Republican | Yea |
| 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 | Yea |
| Greg Jamison | Republican | Yea |
| Heather Baxter | Republican | Yea |
| Jana Hunt | Republican | Yea |
| Jeff Bathke | Republican | Not Voting |
| Jessica Bahmuller | Republican | Not Voting |
| Jim Halverson | Republican | Yea |
| John Hughes | Republican | Not Voting |
| John Shubeck | Republican | Yea |
| John Sjaarda | Republican | Yea |
| Jon Hansen | Republican | Yea |
| Josephine Garcia | Republican | Yea |
| Julie Auch | Republican | Yea |
| Kaley Nolz | Republican | Yea |
| Karla Lems | Republican | Yea |
| Kathy Rice | Republican | Yea |
| Kent Roe | Republican | Yea |
| Keri Weems | Republican | Yea |
| Lana Greenfield | Republican | Yea |
| Leslie Heinemann | Republican | Yea |
| Liz May | Republican | Yea |
| Logan Manhart | Republican | Yea |
| 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 | Yea |
| Phil Jensen | Republican | Yea |
| 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 | Yea |
| Tony Kayser | Republican | Yea |
| Tony Randolph | Republican | Yea |
| Travis Ismay | Republican | Yea |
| Trish Ladner | Republican | Yea |
| Will Mortenson | Republican | Yea |
| William Shorma | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 12 | 0 | 0 | 0 |
| Democratic | 0 | 0 | 0 | 1 |
| Total | 12 | 0 | 0 | 1 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| Eric Emery | Democratic | Not Voting |
| Bobbi Andera | Republican | Yea |
| Brandei Schaefbauer | Republican | Yea |
| Brian Mulder | Republican | Yea |
| Dylan Jordan | Republican | Yea |
| Heather Baxter | Republican | Yea |
| Jim Halverson | Republican | Yea |
| Josephine Garcia | Republican | Yea |
| Leslie Heinemann | Republican | Yea |
| Logan Manhart | Republican | Yea |
| Nick Fosness | Republican | Yea |
| Taylor Rehfeldt | Republican | Yea |
| Tony Kayser | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors HB 1143?
- HB 1143 is sponsored by Larry Zikmund (Republican), Brandon Wipf (Republican), Nicole Uhre-Balk (Democratic), Jamie Smith (Democratic), Peri Pourier (Republican), Carl Perry (Republican), Erik Muckey (Democratic), Scott Moore (Republican), Logan Manhart (Republican), Liz Larson (Democratic), Phil Jensen (Republican), Kevin Jensen (Republican), Mellissa Heermann (Republican), Lana Greenfield (Republican), Tim Goodwin (Republican), Eric Emery (Democratic), Jeff Bathke (Republican), Bobbi Andera (Republican), Taylor Rehfeldt (Republican), and Sydney Davis (Republican).
- What is the current status of HB 1143?
- This bill has been enacted into law. Introduced January 27, 2026. Enacted.
- Where can I track HB 1143?
- Track HB 1143 free on One Click Politics — get push/email alerts when it moves.
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