Signed by Governor Larry Rhoden

Vote Smart's Synopsis:

Vote to pass a bill that expands prior authorization and reporting requirements for health carriers in South Dakota.

Highlights:

• Requires an annual review and report of authorization requests by a review organization or health carrier (Sec. 1).

• Requires the publishing of the report on a public website within 60 days (Sec. 1). 

• Requires a utilization review organization or health carrier to provide an annual review of each health care service where a health benefit plan requires prior authorization (Sec. 2). 

• Requires an annual review to be submitted to the Division of Insurance in a timely manner (Sec. 3). 

• Exempts dental services, pharmaceutical services, or prescription drug products or supplies from the definition of “health care services” (Sec. 4).

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that expands prior authorization and reporting requirements for health carriers in South Dakota.

Highlights:

• Requires an annual review and report of authorization requests by a review organization or health carrier (Sec. 1).

• Requires the publishing of the report on a public website within 60 days (Sec. 1). 

• Requires a utilization review organization or health carrier to provide an annual review of each health care service where a health benefit plan requires prior authorization (Sec. 2). 

• Requires an annual review to be submitted to the Division of Insurance in a timely manner (Sec. 3). 

• Exempts dental services, pharmaceutical services, or prescription drug products or supplies from the definition of “health care services” (Sec. 4).

Full Bill Text