75th Legislative Session -- 2000

Committee: House Health and Human Services

Wednesday, February 7, 2000

                                            P - Present
                                            E - Excused
                                            A - Absent

Roll Call
P      Broderick
P      Davis
P      Engbrecht
P      Fiegen, Chair
P      Hanson
P      Heineman
P      Hennies
P      McCoy
P      Monroe, Vice-Chair
P      Patterson
P      Peterson
P      Sebert


OTHERS PRESENT: See Original Minutes

The meeting was called to order by Chair Fiegen


MOTION:      TO APPROVE THE MINUTES OF February 4

Moved by:      Representative Engbrecht
Second by:      Representative Monroe
Action:      Prevailed by voice vote.

          HB 1252:   require the offering and rejecting of certain health benefits in certain health benefit plans.

Refer to minutes of February 4

Presented by:      Representative Earley
Proponents:      Darla Lyon, Div of Insurance (Information only)
Opponents:      Kris Kreiter, Blue Cross Blue Shield Insurance
          Darla Pollman Rogers, HIAA & SDALU

MOTION:      AMEND HB 1252



1252ja

     On the printed bill, delete everything after the enacting clause and insert:

"      Section 1. That chapter 58-17 be amended by adding thereto a NEW SECTION to read as follows:

     An insurer that has a policy or certificate of health insurance subject to the provisions of this chapter shall, in addition to the benefits required by this title, offer any prospective insured the option to purchase any benefits that the insurer currently offers either as a separate option, as a rider, or as part of a standard or core benefit package in a policy or certificate. The insurer shall allow the prospective insured to reject any of the standard or core benefits offered in the policy or certificate and obtain the policy or certificate at a reduced rate based upon the actuarial difference in benefit plan design. Nothing in this Act requires any insurer to offer any type of coverage that the insurer would not otherwise make available to qualified applicants. No prospective insured may reject coverage provided pursuant to §  58-17-88 or the Women's Health and Cancer Rights Act of 1998.

     Section 2. That chapter 58-17 be amended by adding thereto a NEW SECTION to read as follows:

     An insurer may file policy forms for approval to meet the requirements of this Act by including benefit provisions that are variable based upon the selection of the benefit structure by the applicant. Each policy benefit which is to be offered as a separate option must use a rate that is actuarially justified, that is filed and approved pursuant to §  58-17-4.1, and that is subject to §  58-17- 64. An insurer may charge reasonable fees for extra processing costs associated with policies issued pursuant to this Act. Such fees must be separately listed on the policy schedule page. This section does not apply to provisions of the policy other than policy benefits. The provisions to which this section does not apply include free look, renewal clauses, preexisting condition clauses, consideration, general provisions, claims payment, eligibility, managed care, and termination of coverage.

     Section 3. That chapter 58-17 be amended by adding thereto a NEW SECTION to read as follows:

     Nothing in this Act applies to a basic hospital expense policy, a basic medical-surgical expense policy, a hospital confinement indemnity policy, a disability or disability income policy, an accident only policy, a specified disease policy, or a limited benefit health coverage. "



Moved by:      Representative Peterson
Second by:      Representative Broderick
Action:      Prevailed by voice vote.

MOTION:      DEFER HB 1252 UNTIL THE 36TH LEGISLATIVE DAY

Moved by:      Representative Peterson
Second by:      Representative Sebert
Action:      Prevailed by roll call vote.   (10-1-1-0)

Voting yes:      Broderick, Davis, Engbrecht, Hanson, Heineman, Hennies, McCoy, Monroe, Peterson, Sebert

Voting no:      Fiegen

Excused:      Patterson

          HCR 1011:   Calling upon the federal government to take responsibility for long- term health care on Indian reservations and to implement a pilot project in South Dakota.

Presented by:      Representative Peterson, Sponsor
Proponents:      Kevin Forsch, Dept of Health
          Representative Hagen

MOTION:      ADOPT RESOLUTION HCR1011

Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Prevailed by roll call vote.   (12-0-0-0)

Voting yes:      Broderick, Davis, Engbrecht, Fiegen, Hanson, Heineman, Hennies, McCoy, Monroe, Patterson, Peterson, Sebert

MOTION:      PLACE HB 1011 ON CONSENT

Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Failed by voice vote.

          HB 1087:   provide for nursing home construction on an Indian reservation.

Presented by:      Representative Volesky, Prime Sponsor
Proponents:      Representative Hagen
          Nick Braune,Peace & Justice Center
Opponents:      Kevin Forsch, Dept of Health

MOTION:      AMEND HB 1087

1087ta

     On page 1 , line 7 of the printed bill , delete " twenty-mile radius. " and insert " forty-five-mile radius. No more than one such nursing facility may be located within the same Indian reservation, and the number of beds in the nursing facility may not exceed thirty. " .


Moved by:      Representative Engbrecht
Second by:      Representative Hanson
Action:      Prevailed by voice vote.

MOTION:      DO PASS HB 1087 AS AMENDED

Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Failed by roll call vote.   (6-6-0-0)

Voting yes:      Davis, Engbrecht, Hanson, Hennies, McCoy, Patterson

Voting no:      Broderick, Fiegen, Heineman, Monroe, Peterson, Sebert

MOTION:      WITHOUT RECOMMENDATIONHB 1087 AS AMENDED

Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Prevailed by roll call vote.   (10-1-0-0)

Voting yes:      Broderick, Davis, Engbrecht, Hanson, Heineman, Hennies, McCoy, Monroe, Patterson, Peterson

Voting no:      Fiegen

          HB 1268:   prohibit the sale of certain tobacco products from displays that are accessible to the public.

Presented by:      Representative Dick Brown, Prime Sponsor
Proponents:      Kitty Kinsman, ACS
          Dean Krogman, American Heart Assn
          Robert Roby, SD American Lung Assn
          Jeremiah Murphy, (Information only)
Opponents:      Jerry Wheeler, SD Retailers
          Dawna Leitzke, SD Pet.Marketers (Handout a)
          Tim Dougherty, SD Liquor Dealers

MOTION:      AMEND HB 1268

1268j

     On page 1 , line 6 of the printed bill , delete everything after " cigarettes " .

     On page 1 , line 7 , delete " ten packages " .

     On page 1 , line 7 , delete " single packages of " .


Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Prevailed by voice vote.

MOTION:      AMEND HB 1268

1268jb

     On page 1 , line 10 of the printed bill , after " products " insert " or to any establishment licensed under chapter 35-4 to sell alcoholic beverages for consumption on the premises where sold " .


Moved by:      Representative Davis
Second by:      Representative Patterson
Action:      Prevailed by voice vote.

MOTION:      DO PASS HB 1268 AS AMENDED

Moved by:      Representative Peterson
Second by:      Representative McCoy
Action:      Prevailed by roll call vote.   (7-4-1-0)

Voting yes:      Davis, Engbrecht, Fiegen, Hanson, Heineman, McCoy, Peterson

Voting no:      Broderick, Monroe, Patterson, Sebert

Excused:      Hennies

          HB 1282:   prohibit physician assistants from performing or assisting at certain medical tasks for the purpose of performing or inducing abortions.

Presented by:      Representative Klaudt
Proponents:      Dr Kelly Krizan, Radiologist
          Rory King, Catholic Diocese of Aberdeen, SD
         
Opponents:      Steve Williams, SDAPA

MOTION:      AMEND HB 1282

1282ja

     On the printed bill, delete everything after the enacting clause and insert:

"      Section 1. The performance of an abortion may not be delegated to any person not licensed under chapter 36-4 and may not be part of a practice or collaborative agreement with a person not licensed under chapter 36-4. "



Moved by:      Representative Monroe
Second by:      Representative Heineman
Action:      Prevailed by voice vote.

MOTION:      DO PASS HB 1282 AS AMENDED

Moved by:      Representative Monroe
Second by:      Representative Hennies
Action:      Prevailed by roll call vote.   (10-2-0-0)

Voting yes:      Broderick, Davis, Engbrecht, Fiegen, Hanson, Heineman, Hennies, McCoy, Monroe, Sebert

Voting no:      Patterson, Peterson

MOTION:      TO AMEND TITLE OF HB 1282

1282mta

     On page 1 , line 1 of the printed bill , delete everything after " to " and insert " prohibit persons other than physicians from performing or assisting at certain medical tasks for the purpose of performing or inducing abortions. " .

     On page 1 , delete line 2 .


Moved by:      Representative Hanson
Second by:      Representative Peterson
Action:      Prevailed by voice vote.

          HB 1313:   prohibit smoking in certain public places.

Gavel passed to Vice Chair Monroe

Presented by:      Representative Fiegen, Prime Sponsor
Proponents:      Kitty Kinsman, ACS
          Dean Krogman, AHA
          Kris Kreiter, Blue Cross Blur Shield Ins
          Robert Roby, SDALA
Opponents:      Jerry Wheeler, SD Retailers
          Dawna Leitzke, SD Pet. Marketers
          Jerimiah Murphy, Lorillard Tobacco Co.

Gavel returned to Chair

MOTION:      AMEND HB 1313

1313ja

     On page 1 of the printed bill , delete lines 13 to 16 , inclusive .

     On page 2 , delete lines 1 to 10 , inclusive .


Moved by:      Representative Hennies
Second by:      Representative Broderick
Action:      Was not acted on.

The Chair deferred HB 1313 until Wednesday, February 9, with pending amendment..

MOTION:      ADJOURN

Moved by:      Representative Monroe
Second by:      Representative Broderick
Action:      Prevailed by voice vote.



Margaret Nickels

_________________________________

Committee Secretary
Kristie K. Fiegen, Chair


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