South Dakota

South Dakota credentials two types of addiction counselors. A Certified Addiction Counselor requires, at minimum, a high school diploma, 27 hours of related education courses and 8,000 hours of experience. A higher-level degree can substitute the number of hours (i.e. a person with a bachelor’s degree needs 4,000 hours). A Licensed Addiction Counselor requires a graduate degree, 21 semester hours of relevant education courses and 2,000 hours of experience. S.D. Codified Laws Ann. §36-34 and South Dakota Board of Addiction Professionals

Licensed professional counselors diagnose and treat mental, emotional or behavioral disorders and associated distresses that interfere with mental health. Counselors also conduct assessments and diagnoses for the purpose of planning, implementation and evaluation of treatment plans and interventions. S.D. Codified Laws §36-32-47

As of August 2018, six NPs in South Dakota have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience an NP with independent practice authority can receive a federal waiver to dispense buprenorphine-containing products. An NP who is practicing under the supervision of a physician may be able to receive a federal waiver with proper training or experience and as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. S.D. Codified Laws Ann. §36-9A-1 and S.D. Codified Laws Ann. § 36-9A-12

As of August 2018, 1 PA in South Dakota has received a federal waiver to treat opioid dependency with buprenorphine-containing products. A PA in South Dakota may prescribe Schedule II-V controlled substances if outlined in a practice agreement and supervised by a physician. With proper training or appropriate experience a PA in South Dakota can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. S.D. Codified Laws Ann. §36-4A-26.1

There are currently no statutory or regulatory standards for the certification of peer support service providers.

NPs are authorized to sign medical orders for scope of treatment forms. S.D. Codified Laws Ann. §34-12H

Certified Nurse Practitioners have full practice authority. The certified nurse practitioner shall collaborate with other health care providers and refer or transfer patients as appropriate. S.D. Codified Laws Ann. §36-9A-12

NPs may prescribe drugs, devices and Schedules II-V controlled substances. S.D. Codified Laws Ann. § 36-9A-12

NPs are not explicitly recognized in state policy as primary care providers.

Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. S.D. Codified Laws §36-7-1

Optometrists may not use injectables to diagnose or treat the eye. S.D. Codified Laws §36-7-1

Optometrists may prescribe Schedule III-V controlled substances and also Schedule II hydrocodone or hydrocodone combination medications to persons 12 years of age and older. S.D. Codified Laws §36-7-1

A dental hygienist may perform preventive and therapeutic services under the collaborative supervision of a dentist if the dental hygienist has practiced for two of the past three years, enters into a collaborative agreement with the dentist, and has additional skills and knowledge (e.g., how to respond to dental emergencies, how to manage childhood caries, etc.). Collaborative supervision may be provided to patients in a school, nursing facility, Head Start program, nonprofit mobile dental clinic, community health center, or government program who have been evaluated by a dentist within the previous thirteen months. S.D. Rules 20:43:10

Statute does not identify dental therapists as an oral health provider.

South Dakota allows for teledentistry services delivered through store-and-forward. S.D. Codified Laws §36-6A-1(31)

South Dakota has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.

South Dakota does not allow pharmacists to modify prescriptions.

South Dakota does not allow pharmacists to prescribe hormonal contraceptives.

South Dakota does not allow pharmacists to prescribe tobacco cessation aids.

Supervision is outlined in the practice agreement and approved by the State Medical Board. The physician and the PA must meet twice a month to discuss patient care. S.D. Admin. Rules §20:52:01:03.01

A PA may prescribe drugs and Schedules II-V controlled substances if outlined in the practice agreement and is provided with supervision. S.D. Codified Laws Ann. §36-4A-26.1

A written agreement developed by the supervising physician and the PA is required outlining the delegated activities which the PA may perform. S.D. Admin. Rules §20:52:01:03