PHYSICIAN ASSISTANT

2026 LEGISLATIVE UPDATE

During the 2026 legislative session, House Bill 1146, An Act to authorize the state’s participation in the interstate compact on physician assistant licensure, moved through the legislative process and will become law July 1, 2026. 

You can find information on the PA licensure compact in their website: pacompact.org | Home . Information related to upcoming draft rules is available on the PA Compact Commission page. 

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Licensure

Please note that an application fee only extends an initial license to the next renewal date. Initial licenses do vary in duration. It is the responsibility of all licensees to renew their license before expiration. Failure to renew shall result in automatic forfeiture or suspension of the license by statute. Licenses which have forfeited are not automatically entitled to renew. (emphasis supplied).

As a medical professional licensed by this Board, renewal of your South Dakota license is entirely your responsibility. Reminders, if sent, are a courtesy. The licensing board is under no obligation to send reminders to renew a professional license.

How do I start the application process for licensure?

The applicant should create or login to their MySD Account. All applications types can be found through this account. Tutorials on how to create a MySD Account and starting an application can be found here: https://www.sdbmoe.gov/sdbmoe-training-tutorials/. If you need further assistance or have additional questions please email [email protected].

PA Supervision

36-4A-1.1. Collaborative agreement--Requirements--On file--Copy at board request.

The term "collaborative agreement," as used in this chapter, means a contract that:

(1)    Is signed by a physician assistant, who has not filed an affidavit with the board attesting to the completion of at least six thousand practice hours, and a physician licensed in accordance with chapter 36-4; and

(2)    Contains the terms and conditions governing the collaboration of the providers.

A physician who is entering into a collaborative agreement must be free from any disciplinary action that would restrict the ability to collaborate.

A physician assistant, for whom a collaborative agreement has been signed, shall keep a copy of the agreement on file at the physician assistant's primary practice site. The physician assistant shall provide a copy of the signed collaborative agreement to the board, upon request.

36-4A-1.2. Collaborative agreement--When not required--Documentation at board request.

A physician assistant may practice without a collaborative agreement if the physician assistant:

(1)    Is certified by the National Commission on Certification of Physician Assistants; and

(2)    Files an affidavit with the board attesting to the completion of at least six thousand practice hours.

The physician assistant shall provide documentation of national certification and the successful completion of the six thousand practice hours to the board, upon request.

As of July 1, 2025, there is now a new option in your online account to request the affidavit for the exemption of the collaborative agreement. You can follow the below instructions to request the affidavit:

  1. You will click on Add Supervisor under the My Supervision section of your online account.
  2. Select Physician Assistant under Select Profession
  3. Click on “I can not select a supervisor from BMOE list” *This is at the bottom of the search list*
  4. A pop-up box will appear and you will select Need PA Collaborative Agreement Exemption Affidavit and submit.
  5. Board staff is notified of this selection and we will then email you the required affidavit to complete and return to the Board office.
  6. Once the correctly completed affidavit is received this will be published to the Board’s website on your Licensee Look-Up under the Supervision tab.

CME Requirements

To qualify for renewal of a license upon its expiration as prescribed in SDCL chapter 36-4A-32, an applicant for renewal must complete at least 30 hours of continuing education annually or maintain current certification by the National Commission on Certification of Physician Assistants (NCCPA).