Legislation


SB 137 – South Dakota

Status: Enacted
Year Introduced: 2019
Link: http://sdlegislature.gov/Legislative_Session/Bills/Bill.aspx?Bill=137&Session=2019

An Act to provide for the payment of claims for covered services provided by a health care professional via telehealth: No health insurer may exclude a service for coverage solely because the service is provided through telehealth and not provided through in-person consultation or contact between a health care
professional and a patient. Health care services delivered by telehealth must be appropriate and delivered in accordance with applicable law and generally accepted health care practices and standards prevailing at the time the health care services are provided, including rules adopted by the appropriate professional licensing board having oversight of the health care professional providing
the health care services. Health insurers are not required to provide coverage for health care services that are not medically necessary. A health insurance policy, contract, or plan providing for third-party payment may not discriminate between coverage benefits for health care services that are provided in person and the same health care services that are delivered through telehealth as long as the services are appropriate to be provided through telehealth. Nothing in this Act prohibits a health insurer and a health care professional from entering into a contract for telehealth with terms subject to negotiation.


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