Overview
In the most recent legislative term, South Dakota passed SB 141, which prohibits a pharmacy benefits manager from prohibiting or penalizing a pharmacist for providing cost-sharing information on the amount a covered individual may pay for a particular prescription drug. Also in 2018, South Dakota sought to expand coverage by introducing two bills that would provide for the utilization and regulation of telemedicine in their state, though both of those bills were tabled at the end of the session.
In the 2015-2016 legislative term, South Dakota passed SB 118 to regulate healthcare price transparency. The legislation requires health carriers to provide prospective enrollees with drug formularies and detailed plan descriptions that explain plan coverage limitations and their financial impact on enrollees (e.g., co-insurances, out-of-pocket expenses, etc.).
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from the 2017-2018 legislative term and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.
*Note: 2019 legislative session updates are currently in progress. Check back weekly for updates.
Introduced: Status: Enacted
Requires that licensed hospitals annually report charge information for each inpatient All Patient Refined Diagnosis Related Group (APR-DRG) for which there are at least ten cases rendered during the preceding twelve month period. The Department …
S.D. Codified Laws § 34-12E-11.1 – South Dakota
Introduced: Status: Enacted
Directs the South Dakota Association of Healthcare Organizations to develop a website (implemented as the South Dakota Hospital PricePoint), available to the public at no cost, containing charge information that compares hospital-specific data to hospital …
S.D. Codified Laws § 34-12E-8 – South Dakota
Introduced: Status: Enacted
Requires that all fees and charges for healthcare procedures must be disclosed by a healthcare provider or facility upon request of a patient. Facilities or providers who fail to comply with a request are subject …
S.D. Codified Laws § 58-17F-4 – South Dakota
Introduced: Status: Enacted
Requires health carriers to provide prospective enrollees with written plan descriptions, including: (i) coverage provisions, benefits, and exclusions; (ii) authorization and review requirements; (iii) the existence of any financial agreements or contractual provisions with review …
S.D. Codified Laws §§ 1-43-19 through 1-43-33 – South Dakota
Introduced: Status: Enacted
Directs the Department of Health to create a comprehensive health data system to monitor costs at provider and plan levels, improve the ability of consumers to make choices about health care, and assist in planning …
Next | See all Legislation Records
Introduced: Status: Enacted
Requires that licensed hospitals annually report charge information for each inpatient All Patient Refined Diagnosis Related Group (APR-DRG) for which there are at least ten cases rendered during the preceding twelve month period. The Department …
S.D. Codified Laws § 34-12E-11.1 – South Dakota
Introduced: Status: Enacted
Directs the South Dakota Association of Healthcare Organizations to develop a website (implemented as the South Dakota Hospital PricePoint), available to the public at no cost, containing charge information that compares hospital-specific data to hospital …
S.D. Codified Laws § 34-12E-8 – South Dakota
Introduced: Status: Enacted
Requires that all fees and charges for healthcare procedures must be disclosed by a healthcare provider or facility upon request of a patient. Facilities or providers who fail to comply with a request are subject …
S.D. Codified Laws § 58-17F-4 – South Dakota
Introduced: Status: Enacted
Requires health carriers to provide prospective enrollees with written plan descriptions, including: (i) coverage provisions, benefits, and exclusions; (ii) authorization and review requirements; (iii) the existence of any financial agreements or contractual provisions with review …
S.D. Codified Laws §§ 1-43-19 through 1-43-33 – South Dakota
Introduced: Status: Enacted
Directs the Department of Health to create a comprehensive health data system to monitor costs at provider and plan levels, improve the ability of consumers to make choices about health care, and assist in planning …
Next | See all Legislation Records
District Court: E.D. Pennsylvania Status: Pending
In September 2016, 35 state attorneys general and the District of Columbia brought a multi-district case against pharmaceutical manufacturer Indivior, MonoSol RX et al., alleging …
See all Litigation Records
Additional Resources
LEGISLATIVE CALENDAR
South Dakota’s current legislative term runs from 1/8/2019 – 3/29/2019. South Dakota’s next legislative term will begin in 2020.BALLOT MEASURES
- Voters in the November 2014 election cycle approved Initiated Measure 17 with a 62-38 percent margin, adopting an Any Willing Provider (AWP) statute which states that no health insurer may exclude a healthcare provider from participating in the insurers panel of providers if the provider is located within the geographic coverage of the benefit plan and is willing and qualified to meet the terms and conditions of participation as established by the provider.
- Initiated Measure 17 was opposed by health insurers because they claim it prevents carriers from controlling costs by negotiating volume discounts with providers. Insurers are also concerned that opening their networks to physician-owned specialty hospitals may incentivize cream skimming and disrupt the narrow-network trend, which otherwise allows insurers to control cost growth by excluding certain providers on the basis of their overall cost. Advocates of the measure assert that the law will protect consumer choice by allowing more providers into benefit plan panels.