Senate Bill 87 updates South Dakota's health insurance regulations to clarify what counts as an "adverse determination" when insurers deny or limit coverage for health care services. The bill defines adverse determinations to include denials based on medical necessity reviews, eligibility decisions, prospective or retrospective reviews, and coverage rescissions, ensuring insurers must follow consistent standards when making these decisions.
Senate Withdrawn at the Request of the Prime Sponsor S.J. 136
Senate Referred to Senate Health and Human Services S.J. 142
First Reading Senate S.J. 71
Prime sponsor · Sen
R
Dist. SD-017
Prime sponsor · Rep
R
Dist. HD-014
Cosponsors