The proposed bill mandates that all hospitals in South Dakota implement drug testing programs by January 1, 2026. It introduces new definitions for key terms related to the drug testing process, including "drug testing," which encompasses the analysis of biological specimens for substances such as alcohol, amphetamines, cocaine, marijuana, opioids, and phencyclidine. Additionally, the term "employee" is defined to include full-time, part-time, temporary, or contracted staff members who receive compensation for their work.

Under the new requirements, each hospital must establish policies and procedures that include pre-employment drug testing for all prospective employees and random drug testing for current employees at least once a year. This initiative aims to enhance workplace safety and ensure that hospital staff are not under the influence of drugs while performing their duties.