South Dakota will create a temporary task force to study how to fund emergency medical services for counties and municipalities and recommend legislative solutions by November 2026. The task force will examine funding mechanisms, ambulance payment policies, and how to potentially use Rural Health Transformation program funds for emergency services, then dissolve after submitting its report.
The amendment gutted the bill by removing provisions that would have required counties and municipalities to provide minimum levels of emergency medical services and mandated the Department of Health to establish service standards, instead narrowing the bill to focus solely on creating a task force to study EMS funding with an added requirement to review the Rural Health Transformation program.
The amendment makes minor wording refinements to the task force's charge, changing "funding mechanisms to support counties and municipalities in the provision of" emergency medical services to "fund counties and municipalities for the provision of" — a stylistic clarification that doesn't substantively alter the bill's purpose of studying EMS funding as an essential service.
The amendment adds a new duty requiring the task force to examine ambulance service payment policies and reimbursement standards for out-of-network emergency medical services, which broadens the bill's focus beyond funding mechanisms to include specific payment reform issues.
This change converts the bill from an engrossed House version to its enrolled final form, removing markup indicators and adding official certification signatures and enactment language required for passage into law. The substantive content of the Emergency Medical Services Funding Task Force remains unchanged—no policy details were altered.
Signed by the Governor S.J. 549
Delivered to the Governor S.J. 488
Signed by the Speaker H.J. 530
Signed by the President S.J. 470
Senate Concurred in amendments Passed, YEAS 29, NAYS 4. S.J. 443
House of Representatives Do Pass Amended Passed, YEAS 61, NAYS 5. H.J. 458
Health and Human Services Do Pass Amended Passed, YEAS 13, NAYS 0.
Health and Human Services Motion to amend
Health and Human Services Scheduled for hearing
House of Representatives Referred to House Health and Human Services H.J. 262
First Reading House H.J. 238
Senate Do Pass Amended Passed, YEAS 27, NAYS 7. S.J. 184
Senate Motion to amend S.J. 184
Health and Human Services Do Pass Amended Passed, YEAS 7, NAYS 0. S.J. 7
Health and Human Services Motion to amend S.J. 7
Health and Human Services Scheduled for hearing
First read in Senate and referred to Senate Health and Human Services S.J. 55
Prime sponsor · Rep.
D
Prime sponsor · Sen.
R
Concurred in amendments
Do Pass Amended
Health and Human Services — Do Pass Amended
Do Pass Amended
Health and Human Services — Do Pass Amended