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revise provisions regarding replacement nursing facilities.

South Dakota currently prohibits new nursing facilities unless they replace existing ones and meet strict requirements like eliminating safety hazards or complying with state standards. This bill expands those allowable reasons to include improving operations, increasing services, and consolidating with other health care providers. The bill makes it easier for nursing facilities to build replacements by adding these new justifications to the existing list of approved reasons.

revise certain provisions regarding the use of telehealth technologies.

This bill updates South Dakota's definition of telehealth to clarify what technologies and delivery methods count as telehealth services—including video visits, audio with recorded information sharing, and remote monitoring of patients. The changes expand the types of electronic health services that health care providers can use while explicitly excluding basic phone calls, emails, and faxes from the definition of telehealth.