HB1199 clarifies and expands the definition of what counts as an "adverse determination" when health insurance companies or their utilization review contractors deny, reduce, or refuse to pay for health care services. The bill updates South Dakota's health insurance regulations to ensure that insurance denials based on medical necessity, appropriateness, experimental status, or coverage eligibility are all treated consistently under the state's utilization review rules.
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Health and Human Services Scheduled for hearing
First read in Senate and referred to Senate Health and Human Services S.J. 340
House of Representatives Do Pass Passed, YEAS 65, NAYS 1. H.J. 367
Health and Human Services Certified uncontested, placed on consent
Health and Human Services Do Pass Amended Passed, YEAS 13, NAYS 0.
Health and Human Services Hoghoused
Health and Human Services Scheduled for hearing
First read in House and referred to House Health and Human Services H.J. 177
Prime sponsor · Sen
R
Dist. SD-017
Prime sponsor · Rep
R
Dist. HD-014
cosponsor · Rep
R
Dist. HD-010
cosponsor · Sen
R
Dist. SD-003
cosponsor · Rep
D
Dist. HD-026
Do Pass
Do Pass Amended
Do Pass Amended