HB1131Enacted
authorize primary care agreements.
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.