South Dakota's HB1131 creates a new legal framework allowing doctors and other primary care providers to offer "direct primary care" services—where patients pay the provider a monthly or periodic fee directly rather than using insurance billing. Under this arrangement, providers cannot bill insurance companies for individual visits, and patients' per-visit charges must stay below their monthly fee amount. The bill clarifies that these direct primary care agreements are not insurance products and won't be regulated under South Dakota's insurance laws.
This bill does not directly amend codified state law.
Signed by the Governor H.J. 570
Signed by the President S.J. 470
Delivered to the Governor H.J. 547
Signed by the Speaker H.J. 541
Senate Do Pass Passed, YEAS 35, NAYS 0. S.J. 441
Health and Human Services Do Pass Passed, YEAS 7, NAYS 0. S.J. 1
Health and Human Services Scheduled for hearing S.J. 1
First read in Senate and referred to Senate Health and Human Services S.J. 350
House of Representatives Do Pass Passed, YEAS 63, NAYS 2. H.J. 390
Health and Human Services Do Pass Passed, YEAS 12, NAYS 1.
Health and Human Services Scheduled for hearing
Health and Human Services Scheduled for hearing
First read in House and referred to House Health and Human Services H.J. 154
Erin Tobin
Prime sponsor · Sen.
R
Tamara St. John
Prime sponsor · Rep.
R
Cosponsors
Do Pass
Health and Human Services — Do Pass
Do Pass
Health and Human Services — Do Pass