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South Dakota law

Healthcare & Benefits Laws in South Dakota.

South Dakota healthcare law combines federal frameworks (Medicare, Medicaid, ACA, HIPAA, EMTALA) with state-specific statutes governing facility licensing (through the Department of Health) and professional licensing. South Dakota EXPANDED Medicaid effective July 2023 following voter approval of Constitutional Amendment D (November 2022). South Dakota operates the Prescription Drug Monitoring Program. South Dakota does NOT have a Certificate of Need program.

Last verified: 2026-04-17

State law

Key South Dakota Statutes

No Certificate of NeedSouth Dakota does not maintain a CN program

South Dakota is among the states without a Certificate of Need program.

Medicaid Expansion (Amendment D, 2022)SD Constitution Art. XXI, § 8 (ratified 2022)

Voters approved constitutional Medicaid expansion in November 2022 (Amendment D). Expansion became effective July 2023. Covers adults up to 138% of the federal poverty level.

Prescription Drug Monitoring ProgramSDCL Chapter 34-20E

South Dakota operates a mandatory PDMP. Prescribers must check the PDMP before prescribing opioids in specified circumstances.

Medical LicensureSDCL Chapter 36-4

The South Dakota Board of Medical and Osteopathic Examiners licenses physicians and oversees discipline.

State law

Official Sources

Not Legal Advice

This page summarizes publicly available statutes and rules for informational purposes only. It does not constitute legal advice, and no attorney-client relationship is created by viewing this content. Laws change — always verify with the primary source or consult a licensed attorney in South Dakota.

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