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 drug testing, including "drug testing," which refers to the analysis of biological specimens to detect substances such as alcohol, amphetamines, cocaine, marijuana, opioids, and phencyclidine. Additionally, the term "employee" is defined to encompass 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 a drug-free environment within healthcare facilities.