A bill allowing South Dakota health care providers to refuse services based on moral, ethical or religious objections advanced Thursday after an 8–5 vote in the House Health and Human Services Committee. Rep. Leslie Heinemann, the bill’s sponsor, said it protects providers from discrimination and helps retain workers who avoid certain specialties due to conscience concerns.
Supporters said it could apply to abortions, vaccinations and transgender‑related care. Opponents—including major health systems, business groups and trial lawyers—argued the proposal is overly broad, could harm patients and strain rural facilities. Critics said it prioritizes providers over patient rights. The bill now moves to the House floor.
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