WeVote
Log In

Bill

Bill

SB 104

require the reimbursement of therapy using equine movement through the state medicaid program.

2026 Regular Session Introduced by Heather Baxter and 5 co-sponsors

South Dakota bill mandates Medicaid reimburse equine-assisted therapy, expanding covered treatments but raising questions about clinical evidence and program costs.

Health and Human Services Deferred to the 41st legislative day , Passed, YEAS 5, NAYS 2 S.J. 9
#publicwelfareandassistance
0
WeVote Research Nonpartisan
Bill Summary · SB 104

Legislative bill overview

SB 104 would mandate South Dakota's Medicaid program to cover and reimburse equine-assisted therapy (therapy involving horse movement and interaction). The bill has passed the Senate Health and Human Services Committee and is advancing through the legislative process.

Why is this important

Medicaid coverage decisions affect which treatments low-income patients can access without personal expense. This bill specifically addresses whether equine therapy—a less conventional treatment modality—qualifies as medically necessary and should be funded by state healthcare dollars, which has budget implications for the state program.

Potential points of contention

  • Clinical evidence standards: Equine therapy lacks the extensive peer-reviewed research base of conventional physical or occupational therapy, raising questions about whether coverage should require stronger efficacy evidence
  • Cost-benefit analysis: Equine therapy is typically more expensive than traditional therapy; Medicaid programs must weigh per-patient costs against available evidence of benefit
  • Scope creep concerns: Mandating coverage of specialized therapies may pressure the program to cover other alternative or emerging treatments, affecting overall budget sustainability
  • Population eligibility: Unclear whether the bill specifies which patient populations (children, specific conditions, etc.) would qualify for coverage

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.