South Dakota SD
BanHB 1080 (2023) prohibits certain medical treatments intended to alter a minor’s sex characteristics.
Last verified: 13 Oct 2026
Medical care for minorsBan
HB 1080 (2023) prohibits certain medical treatments intended to alter a minor’s sex characteristics.
South Dakota Legislature (HB1080)
Medicaid and CHIPFederal funding ended (minors)
State Medicaid policy excludes gender-transition procedures for all ages. A federal CMS final rule (13 Aug 2026) prohibits federal Medicaid and CHIP funding for these procedures for patients under 18 (Medicaid) and under 19 (CHIP).
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
State employee coverageNo explicit policy
State employee health plan documents do not explicitly address gender-transition procedures.
South Dakota state-employee health plan document (sd.gov)
SportsSex-based
State law requires school athletic teams designated for girls or women to be limited to students of the female sex (K-12 and higher education).
SB46
FacilitiesSex-based (schools + government buildings)
State law requires multiple-occupancy restrooms and changing facilities in K-12 schools, and government buildings to be designated and used by biological sex.
HB1259 (2025).
Pronouns and parent noticeNo state law
No state law requires schools to notify parents about a student's gender identity or name and pronoun requests.
No state law identified (statute review, Oct 2026)
CurriculumNo state law
No state law specifically addresses instruction on sexual orientation or gender identity.
No state law identified (statute review, Oct 2026)
Definition of sexDefined by biology
State law defines "sex", "male" and "female" in biological terms for purposes of state law.
HB 1184
Identity documentsBirth-certificate sex cannot be
Birth-certificate sex cannot be changed; driver's licence policy unclear.
South Dakota Unified Judicial System opinion
Shield lawNone
No shield statute identified.
No shield statute identified
AdultsRestricted (funding)
Adult access is limited through public funding rules: Medicaid exclusion at all ages.
SOUTH DAKOTA MEDICAID BILLING AND POLICY MANUAL (dss.sd.gov)
DetransitionNo state law
No state law provides an extended limitations period or other remedy specific to detransitioners.
No state law identified
PrisonsCase-by-case
Pending billsNo active bills
No active bills (checked 13 Oct 2026). The 2026 regular session has adjourned (or the legislature does not meet in 2026), so 2025-26 bills are no longer moving. LegiScan search linked.
LegiScan search, checked 13 Oct 2026 (adjourned legislature)
LitigationNone identified
No active court case on these laws identified in this review.
Review, Oct 2026
Key datesNone upcoming
No upcoming effective dates or court deadlines were identified.
Review, Oct 2026
Sources
- South Dakota Legislature (HB1080) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- Official source: dss.sd.gov →
- South Dakota state-employee health plan document (sd.gov) →
- SB46 →
- HB1259 (2025). →
- HB 1184 →
- South Dakota Unified Judicial System opinion →
- SD DOC Policy 1.4.E.13 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →