South Dakota Medical Orders for Scope of Treatment (MOST)

It has been almost nine months since Governor Noem passed Senate bill 118 into law which establishes certain provisions regarding advance care planning and allows the execution of a medical order based on a standardized form which is transportable across all healthcare settings and in all facilities.
All medical disciplines should take the time to get educated on the purpose and use of the form.  If you are a nurse, social worker, nurse practitioner, physician assistant or physician, you can go to to ​to find numerous resources, including video testimonials and a copy of the MOST form.
The purpose of the MOST order form is to ensure all individuals who are facing a terminal condition have the opportunity to discuss their condition with their medical provider and have the opportunity to express their values and preferences for life-sustaining treatment documented in a medical order. South Dakota MOST does not replace an advance healthcare directive (durable power of attorney for healthcare or living will). Both documents work together in a patient-centered approach to honor the values, wishes and goals of each patient