South Dakota House Bill 1080 (2023)

South Dakota House Bill 1080
South Dakota Legislature
Long title An Act to prohibit certain medical and surgical interventions on minor patients.
Citation
Territorial extent	South Dakota
Enacted by	South Dakota House of Representatives
Enacted by	South Dakota Senate
Enacted	February 9, 2023
Signed by	Kristi Noem
Signed	February 13, 2023
Effective	July 1, 2023
First chamber: South Dakota House of Representatives
Introduced by	Bethany Soye [1]
Voting summary	60 voted for 10 voted against
Summary
Prohibits medical professionals from administering gender-affirming medical care to South Dakotans in most circumstances under eighteen years of age.
Status: In force

South Dakota House Bill 1080 (HB 1080), also referred to as the Help Not Harm Bill, is a 2023 law in the state of South Dakota that restricts access to gender-affirming medical care for minors, namely hormone replacement therapy (HRT), puberty blockers, and sex reassignment surgery. ^[2] It was signed into law by Governor Kristi Noem on February 13, 2023 and took effect on July 1, 2023. ^{[3] [4]}

Provisions

HB 1080 restricts medical professionals from administering most forms of gender-affirming care to South Dakotans under eighteen years of age. ^[5] Exceptions to the law exist for those with developmental disorders, those with non-congruent sex chromosome structures, or due to an injury or disease such as premature menopause. ^[6] South Dakotans who were already receiving gender-affirming care prior to July 1, 2023 were included in a grandfather clause, but were required to end treatment by December 31, 2023. ^[6] Medical professionals face discipline if they violate HB 1080. ^[7]

Reactions

Support

Governor Kristi Noem supported HB 1080 prior to its passage. ^{[8] [9]} The primary author of the bill, Bethany Soye, stated that gender-affirming medical care was "mutilation" and "experimental". ^[10]

Opposition

HB 1080 was opposed by the South Dakota State Medical Association after its introduction, along with several medical professionals. ^{[11] [12]} The Human Rights Campaign condemned the law. ^[13] The American Civil Liberties Union opposed HB 1080 and had considered a lawsuit against it. ^{[14] [15]}

See also

• LGBTQ rights in South Dakota
• Transgender rights in the United States

References

1. Migdon, Brooke (2023-02-09). "South Dakota poised to ban gender-affirming care for trans youth". The Hill. Retrieved 2025-06-24.
2. Kashiwagi, Sydney (2023-02-14). "South Dakota governor signs bill prohibiting gender-affirming treatment for transgender minors | CNN Politics". CNN. Retrieved 2025-06-24.
3. Grabow, Madeline (2023-07-01). "Ban on gender-affirming care for trans youth now in effect | South Dakota Public Broadcasting". South Dakota Public Broadcasting. Retrieved 2025-06-24.
4. "Noem signs bill prohibiting certain care for transgender youth | South Dakota Public Broadcasting". South Dakota Public Broadcasting. 2023-02-13. Retrieved 2025-06-24.
5. Walsh, Lori; Koester, Ellen (2023-02-09). "In their own words: The HB 1080 debate | South Dakota Public Broadcasting". South Dakota Public Broadcasting. Retrieved 2025-06-24.
6. "2023 House Bill 1080 | South Dakota Legislature". South Dakota Legislative Research Council. Retrieved 2025-06-24.
7. Harward, Jason (2023-01-17). "South Dakota legislators introduce bill banning transgender surgery for minors". Mitchell Republic. Retrieved 2025-06-24.
8. Matzen, Morgan (2023-02-08). "South Dakota Senate committee advances anti-trans health care bill". Argus Leader. Retrieved 2025-06-24.
9. Fury, Ian (2024-10-15). "News - Governor Noem and Colleagues Defend "Help Not Harm" Legislation". news.sd.gov. Retrieved 2025-06-24.
10. Strubinger, Lee (2023-01-31). "House panel passes bill preventing certain care for transgender individuals | South Dakota Public Broadcasting". South Dakota Public Broadcasting. Retrieved 2025-06-24.
11. Henderson, Kayla (2023-03-12). "Some of the transgender community speaks out on House Bill 1080". KOTA. Retrieved 2025-06-24.
12. Strubinger, Lee (2023-01-17). "Bill introduced to prevent gender-affirming care for transgender youth". South Dakota Public Broadcasting. Retrieved 2025-06-24.
13. "HRC | Human Rights Campaign: The South Dakota Legislature is Continuing its Discriminatory Mission to Legislate Transgender Youth out of Existence". Human Rights Campaign. 2023-02-02. Retrieved 2025-06-24.
14. Huber, Makenzie; Haiar, Joshua (2023-08-04). "Why hasn't a lawsuit challenged SD's trans health care ban?  • South Dakota Searchlight". South Dakota Searchlight. Retrieved 2025-06-24.
15. Matzen, Morgan (2023-07-28). "Protesters call for repeal of HB 1080, SD gender-affirming care ban". Argus Leader. Retrieved 2025-06-24.