---
type: "Bill"
title: "make an appropriation to implement the rural health transformation program, and to declare an emergency."
description: "make an appropriation to implement the rural health transformation program, and to declare an emergency."
jurisdiction: "us/states/sd"
legislature: "South Dakota Legislature"
session: "2026"
identifier: "HB 1044"
citation: "South Dakota HB 1044 (2026)"
classification: ["bill"]
subjects: ["Appropriation", "Emergency Clause", "Executive/Judiciary Request", "Health Care", "Uncodified Acts"]
status: "enacted"
primary_sponsors: []
version_count: 4
action_count: 12
vote_count: 4
first_action: "2026-01-13"
last_action: "2026-01-29"
source: "openstates"
source_identifier: "ocd-bill/00c9ec27-3cec-45cc-91b8-433e490161b9"
source_url: "https://sdlegislature.gov/Session/Bill/26929"
source_hash: "8966a8efeee5377aa6a799ceaca65230e2ad8860df864b2edf81387e244f5e05"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-sd"]
---

# South Dakota HB 1044 (2026) — make an appropriation to implement the rural health transformation program, and to declare an emergency.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://sdlegislature.gov/Session/Bill/26929/293101)
2. **1044B** (committee substitute) — [source](https://mylrc.sdlegislature.gov/api/Documents/295034.pdf)
3. **Joint Appropriations Engrossed** (committee substitute) — [source](https://sdlegislature.gov/Session/Bill/26929/296485)
4. **Enrolled** (enrolled) — [source](https://sdlegislature.gov/Session/Bill/26929/298941)

## Votes

- Do Pass Amended — **16–2** (pass) · legislature
- Do Pass Amended — **32–2** (pass) · upper
- Do Pass Amended — **56–11** (pass) · lower
- Motion to amend — **15–3** (pass) · legislature

## Sponsors

- House Committee on Appropriations — primary (organization)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-01-13** First Reading House H.J. 15
- **2026-01-15** Referred to Joint Committee on Appropriations H.J. 37 `referral-committee`
- **2026-01-22** Scheduled for hearing J.J. 1
- **2026-01-22** Committee on Appropriations Motion to amend , Passed, YEAS 15, NAYS 3 J.J. 13 Amendment 1044B `amendment-introduction, amendment-passage`
- **2026-01-22** Committee on Appropriations Do Pass Amended , Passed, YEAS 16, NAYS 2 J.J. 13
- **2026-01-26** House of Representatives Do Pass Amended , Passed, YEAS 56, NAYS 11 H.J. 140
- **2026-01-27** First read in Senate and referral to committee waived pursuant to JR 6D-1 S.J. 122 `introduction, reading-1`
- **2026-01-28** Senate Do Pass Amended , Passed, YEAS 32, NAYS 2 S.J. 124
- **2026-01-28** Signed by the Speaker H.J. 168 `passage`
- **2026-01-28** Signed by the President S.J. 127 `passage`
- **2026-01-28** Delivered to the Governor on 2026-01-28 H.J. 169 `executive-receipt`
- **2026-01-29** Signed by the Governor on 2026-01-29 H.J. 172 `executive-signature, executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/00c9ec27-3cec-45cc-91b8-433e490161b9`. Confidence: reported (aggregated from official South Dakota legislature records).