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. It was signed into law by Governor Kristi Noem on February 13, 2023 and took effect on July 1, 2023.
HB 1080 restricts medical professionals from administering most forms of gender-affirming care to South Dakotans under eighteen years of age. 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. 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. Medical professionals face discipline if they violate HB 1080.
Governor Kristi Noem supported HB 1080 prior to its passage. The primary author of the bill, Bethany Soye, stated that gender-affirming medical care was "mutilation" and "experimental".
HB 1080 was opposed by the South Dakota State Medical Association after its introduction, along with several medical professionals. The Human Rights Campaign condemned the law. The American Civil Liberties Union opposed HB 1080 and had considered a lawsuit against it.