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Make an appropriation to reimburse health care professionals who have complied with the requirements for rural recruitment assistance programs, and to declare an emergency.

South Dakota will pay out a total of about $2.1 million to reimburse healthcare professionals—including family doctors, dentists, physician assistants, and nurse practitioners—who completed requirements under the state's rural recruitment assistance programs. The money comes from the state's general fund and will be distributed by the Department of Health to those who met the program standards. The bill declares an emergency so these reimbursements can happen immediately.

Expand eligibility for the rural recruitment assistance program to include chiropractors and optometrists.

South Dakota's rural recruitment assistance program, which currently helps communities attract physicians and dentists, will now also include chiropractors and optometrists as eligible health care professionals. The Department of Health can use this program to offer recruitment assistance to these additional practitioners willing to practice in eligible rural communities for at least three years.

Make an appropriation to the Department of Revenue for distribution to county rural access infrastructure funds and to declare an emergency.

South Dakota will provide $25 million over three years (2026-2028) to counties for rural access infrastructure improvements, with each county's share based on the number of small structures on township and county roads in that area. This updates the existing rural access program by replacing an outdated August 2021 deadline with the new funding framework and making distribution based on road infrastructure needs rather than a fixed three million dollar amount.

Revise the disposition of revenues from the precious metals severance tax.

This bill changes how South Dakota distributes tax revenue from precious metals mining operations. For newer mining operations (those permitted after January 1, 1981), it increases the threshold from $1 million to $3 million in county revenue before all future tax money goes to the state's general fund instead of being split 80-20 with the county. The bill also clarifies that all precious metals taxes from state-owned lands must go to the common school permanent fund.

Providing legislative approval for a future use water permit application by the Western Dakota Regional Water System.

The legislature approves the Western Dakota Regional Water System's application to reserve about 20,765 acre-feet of water annually from the Missouri River for future use by 20 counties in western South Dakota. State law requires legislative approval for water permits exceeding 10,000 acre-feet per year, and the Department of Agriculture and Natural Resources has already recommended approval of this application.

Make an appropriation for grants to support public transit.

The legislature is appropriating $1 to the Department of Transportation to provide grants or loans for public transit systems to match federal funding, plan and operate transit services, or build and maintain transit facilities. The Transportation Commission will decide which public transit projects receive these funds based on the allowed uses outlined in the bill.