72nd Legislative Session -- 1997

Committee: Senate State Affairs

Friday, February 7, 1997

                                            P - Present
                                            E - Excused
                                            A - Absent

Roll Call
P      Dunn (Jim)
P      Everist
P      Munson (David)
P      Dunn (Rebecca)
P      Hunhoff
P      Lawler
P      Whiting
P      Rounds, Vice-Chair
P      Halverson, Chair


OTHERS PRESENT: See Original Minutes

The meeting was called to order by Senator Halverson, Chair.


MOTION:      TO APPROVE THE MINUTES OF FEBRUARY 5, 1997.

Moved by:      Senator Rounds
Second by:      Senator Everist
Action:      Prevailed by voice vote.

          SB 215:   to transfer the Unclaimed Property Office from the State Treasurer's Office to the secretary of revenue.

Proponents:      Gary Viken, Secretary of Revenue
Opponents:      Richard Butler, State Treasurer
          Warren Foss, Administrator of Division of Unclaimed Property, Treasurer's Office
          Karen Lester, Treasurer's Office, with hand-outs
Presented by:      Senator Rounds


MOTION:      AMEND SB 215

o-215
     Delete everything after the enacting clause and insert:

"      Section  1.  That § 1-27-28 be repealed.
     1-27-28.   Terms used in § §   1-27-29 to 1-27-32, inclusive, mean:
                   (1)      "Private entity," any person or entity that is not a public entity as defined by §   3-21-1(2).
                   (2)      "State agency," each association, authority, board, commission, committee, council, department, division, state office, task force, and their officers, legal representatives, consultants, or other agents. The term does not include the Legislature, the Unified Judicial System, any law enforcement agency, or any unit of local government;

     Section  2.  That § 1-27-29 be repealed.
     1-27-29.   A state agency which is authorized by law to investigate, examine, or audit
the papers, books, records, financial condition, or other information held by
or concerning a private entity may not disclose that it is conducting such an
investigation, examination, or audit, except as provided by § §   1-27-28 to
1-27-32, inclusive.

     Section  3.  That § 1-27-30 be repealed.
     1-27-30.   All information obtained from or concerning the private entity by the state
agency as a result of such an investigation, examination, or audit is
confidential, except as provided by § §   1-27-28 to 1-27-32, inclusive.

     Section  4.  That § 1-27-31 be repealed.
1-27-31. A state agency may not disclose that it is investigating, examining, or auditing a private entity, and may only disclose the information obtained from such an investigation, examination, or audit as follows:
     (1) To the private entity being investigated, examined, or audited;      (2) To those persons whom the private entity has authorized in writing to receive such information;      (3) To the officers, employees, or legal representatives of any other state agency which requests the information in writing for the purpose of investigating and enforcing civil or criminal matters. The written request will specify the particular information desired and the purpose for which the information is requested;
     (4) To any administrative or judicial body if the information is directly related to the resolution of an issue in the proceeding, or pursuant to an administrative or judicial order. However, no person may use a subpoena, discovery, or other applicable statutes to obtain such information;
     (5) To another state pursuant to an agreement between the State of South Dakota and the other state, but only if the other state agrees to keep the information confidential as set forth in §§ 1-27-28 to 1-27-32, inclusive;
     (6) To the attorney general, state's attorney, or any state, federal, or local law enforcement officer;
     (7) To a federal agency pursuant to the provisions of federal law; or
     (8) To the extent necessary to submit any final reports or filings which are otherwise required by law to be prepared or filed.

    
     Section  5.  That § 1-27-32 be repealed.
     1-27-32.   Disclosure of information made confidential by § §   1-27-28 to 1-27-32,
inclusive, except as provided in §   1-27-31, is a Class 6 felony.
"




Moved by:      Senator Hunhoff
Second by:      Senator Lawler
Action:      Failed by roll call vote.   (3-5-1-0)

Voting yes:      Dunn (Rebecca), Hunhoff, Lawler

Voting no:      Dunn (Jim), Everist, Whiting, Rounds, Halverson

Excused:      Munson (David)

MOTION:      DO PASS SB 215

Moved by:      Senator Rounds
Second by:      Senator Everist
Action:      Prevailed by roll call vote.   (5-3-1-0)

Voting yes:      Dunn (Jim), Everist, Whiting, Rounds, Halverson

Voting no:      Dunn (Rebecca), Hunhoff, Lawler

Excused:      Munson (David)

          HB 1065:   to increase the minimum wage and to declare an emergency.

Proponents:      Ken Meyer, SD Peace and Justice Center
          Ron Olinger, SD Retailers Assn
          Ray Trankle, SD Industry and Commerce Assn
Presented by:      Senator Rounds

MOTION:      DO PASS HB 1065

Moved by:      Senator Lawler
Second by:      Senator Whiting
Action:      Prevailed by roll call vote.   (9-0-0-0)

Voting yes:      Dunn (Jim), Everist, Munson (David), Dunn (Rebecca), Hunhoff, Lawler, Whiting, Rounds, Halverson

          SB 225:   to refer to a vote of the electors of this state at the next general election a proposal to impose an additional tax upon the sale of alcoholic beverages and to dedicate the revenue to the special county fund and the property tax reduction fund.

Proponents:      Dennis Hansen, SD County Commissioners Assn
          Don Holloway, Pennington Co. Sheriff, Rapid City
          Chuck Shaman, SD Sheriff Assn
          Dick Davis, Butte Co. Sheriff
          Ken McFarland, Sioux Falls
John Harris, Minnehaha Co. Sheriff's Department, Sioux Falls
Robert Kolbe, Minnehaha Co. Commissioner, Sioux Falls
Deloris Coffing, Pennington Co. Commissioner, Rapid City
Orland Paulsen, Pennington Co. Commissioner, Rapid City
Ron Baumgart, Hughes Co. Commissioner, Pierre
Mike Wiese, Brown Co. Commissioner, Aberdeen
Presented by:      Senator Whiting, with hand-out

          SB 225 as amended will be deferred to Monday, February 10, 1997.

          SB 121:   to define medical indigence.

Proponents:      Doneen Hollingsworth, Secretary of Health

MOTION:      AMEND SB 121

o-121g
     On page 1 , line 10, delete the underscored material .

     On page 1 , overstrike lines 10 and 11 .

     On page 2 , line 17 , delete everything after " in " and insert " the closest and most accessible hospital available to meet the emergency need which has been determined by an examination. The absence of emergency services must be expected to result in death, additional serious jeopardy to the individual's health, serious impairment to the individual's bodily functions, or serious dysfunction of any bodily organ or part. Emergency hospital services do not include that care for which treatment is available and routinely provided in a clinic or physician's office " .

     On page 2 , delete lines 18 and 19 .

     On page 2 , line 20 , delete everything before " ; " .

     On page 3 , line 3 , after " attention " insert " ;

             (6)    "Indigent by design," an individual who has chosen not to work, who is a student at a postsecondary institution, who has chosen not to purchase insurance even though financially able to do so, who has failed to purchase insurance which was made available through the individual's employer, or who has transferred resources for the purpose of establishing eligibility for medical assistance available under the provisions of this chapter " .

     On page 3 , line 11 , delete " and " .

     On page 3 , line 13 , after " eligibility " insert " ; and

             (4)    Is not indigent by design " .

     On page 4 , line 16 , overstrike " health " .

     On page 4 , line 16 , before " in " insert " social services " .

     On page 5 , line 3 , before " . " insert " or an amount established by the secretary of the Department of Social Services, whichever is less. The amount established by the secretary shall be based on an analysis of the prevailing charges and payments from claims submitted to the department for payment " .

     On page 5 , line 10 , overstrike " the actual cost of hospitalization " and insert " the rates provided for in this section " .

     On page 6 , delete lines 7 and 8 , and insert " The county may not require the hospital to provide more information concerning such indigent than is contained in the application provided for in this section. " .

     On page 6 , line 14 , remove the overstrikes from " expense " .

     On page 6 , line 14 , delete " actual cost " .

     On page 6 , line 17 , after " . " insert " If a county chooses to provide nonemergency services, the services shall be approved by the county before the services are provided. " .

     On page 13 , line 17 , after " . " insert " If the patient has served in any branch of the military or is a member of a Native American tribe, the hospital shall notify the patient's county of residence by the next business day after the admission. If the hospital fails to notify the county, the county is not liable for the cost of the hospitalization. " .

     On page 14 , after line 21 , insert:

"      Section 22. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:

     If an individual is indigent by design, the individual is ineligible for medical assistance under the provisions of this chapter and there may be no other criteria used to determine eligibility.

     Section 23. That § 28-13-30 be amended to read as follows:

     28-13-30.   The secretary of health social services shall make such investigation as he deems necessary, and shall approve the statement of costs only if he finds it as the statement is accurate, complete and reliable as could reasonably be expected, and that it discloses, as nearly as may be

reasonably determined, the ratios of costs to charges for the hospital's fiscal year covered by the statement of costs. In granting approval, the secretary may modify any items in the statement as he finds which require such modification and shall provide written notice of any such modification to the respective hospital.

     Section 24. That § 28-13-31 be amended to read as follows:

     28-13-31.   No statement of costs, or amendment thereto, may take effect until approved by
the secretary of health social services and the expiration of thirty days from the filing thereof, and thereafter, for purposes of § §   28-13-27 to 28-13-36, inclusive this chapter , shall remain in full force and effect until the next statement of costs, or amendment thereto, filed by the hospital pursuant to §   28-13-28 is approved by the secretary. Any such statement of costs, or amendments thereto, shall be a public record and be available for inspection at any time in behalf of any board of county commissioners.

     Section 25. That § 28-13-32 be amended to read as follows:

     28-13-32.   Any board of county commissioners may at any time file, with the secretary of
health social services and the hospital concerned, objections in writing to any such statement
of costs, any items therein, or amended thereto, which objections shall be passed upon by the secretary.

     Section 26. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:
     If submitting a notice under the provisions of §  28-13-34.1, the hospital shall include a release of information form which has been signed by the patient or the patient's authorized representative. The release of information shall authorize persons or institutions to release, to the county, social security numbers, medical information concerning the patient, and financial information concerning the patient or members of the patient's household.

     Section 27. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:

     A county may review the need for emergency room treatment, an admission, a transfer, a continued stay, or inpatient surgical services. At its option, a county may request the Department of Social Services to provide the needed reviews on the county's behalf.

     Section 28. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:

     No county is liable for the payment of any experimental procedures or experimental modes of treatment provided on behalf of a medically indigent person.

     Section 29. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:



     If an appeal is taken to the circuit court, the court can reverse the decision only if the court determines that the county's determination is clearly erroneous.

     Section 30. That chapter 28-13 be amended by adding thereto a NEW SECTION to read as follows:

     If submitting a bill to a county for medically necessary hospital services provided on behalf of a person who is medically indigent, the hospital must demonstrate that it has exhausted all avenues of payment including accepting reasonable monthly payments from the person who does not have the ability to pay the hospital in one lump sum at the time of discharge. "



Moved by:      Senator Lawler
Second by:      Senator Whiting
Action:      Prevailed by voice vote.

SB 121 as amended will be deferred to Monday, February 10, 1997.

          SB 226:   to provide for an interim study of the impact of gaming in South Dakota.

Proponents:      Dick Jameson with wife Sherry Jameson, Sioux Falls

SB 226 will be deferred to Monday, February 10,1997.

          Chair Senator Halverson announced that a 7:30 PM meeting of State Affairs will take place Monday, February 10, 1997. The regularly scheduled 7:45 AM State Affairs will be held, as usual.

HCR 1001 and HJR 1005 will be deferred to Monday, February 10, 1997.

MOTION:
     ADJOURN

Moved by:      Senator Everist
Second by:      Senator Whiting
Action:      Prevailed by voice vote.



Alma Matzen

_________________________________

Committee Secretary
Harold W. Halverson, Chair




../970207.SST
Page 1