This bill revises the regulations surrounding the establishment and operation of birth centers in South Dakota, specifically focusing on the licensing and practice of certified professional midwives. It amends existing statutes to clarify that no person may operate a birth center without a license issued by the Department of Health, and it specifies that the application process must include a nonrefundable fee and an inspection to ensure compliance with the new requirements. The bill also introduces a new definition of "practitioner" to include physicians, certified nurse midwives, and certified professional midwives, and mandates that a birth center must have a written plan for each client that addresses their comprehensive needs.

Additionally, the bill emphasizes the importance of risk assessment, stating that practitioners must assess potential clients for low-risk pregnancies before admission and continuously monitor their condition throughout the pregnancy and postpartum period. It also requires that at least one practitioner or registered nurse be present in the birth center during active labor. The legislation repeals a previous requirement that birth centers be located within a certain distance from a hospital, thereby allowing for greater flexibility in their placement. Overall, the bill aims to enhance the safety and quality of care provided at birth centers while ensuring that practitioners are adequately licensed and trained.

Statutes affected:
Introduced, 01/23/2026: 34-12-59, 34-12-60, 34-12-61, 34-12-63, 34-12-58