SB158DeadHealthcare
Address preauthorization requirements for certain health care services and utilization review requirements for certain health benefit plans.
SB158 updates South Dakota's rules about how health insurance companies review and approve medical services before they're provided. The bill clarifies what counts as a denied claim and defines key terms like "ambulatory review" (outpatient care review) and "authorized representative" in the state's health insurance regulation chapter. These changes make the preauthorization and utilization review process more clearly defined for health benefit plans.