21.310.13 96th Legislative Session 400
Introduced by: The Committee on Commerce and Energy at the request of the Department of Labor and Regulation
An Act to revise certain provisions regarding the abuse of health insurance.
Be it enacted by the Legislature of the State of South Dakota:
Section 1. That § 58-17-60 be AMENDED.
58-17-60. Certain payments exempt.
Payments made pursuant to federal
medicare laws or payments made to the
health-care a
health care provider
according to a contract or agreement between an employer and employee
which
that
requires a
third‑party payor to pay the full amount for health-care
health
care services
are exempt from §§ 58-17-57
to 58-17-60,
inclusive.
Payments by a person to a health care provider for services that are
not processed as a claim by a third-party payor are exempt from §§
58-17-57 to 58-17-60, inclusive, and may count towards a deductible
or co-payment in the person's health benefit plan. A third-party
payor may not prohibit a health care provider from, nor penalize a
health care provider for, providing consumers with information on
cost sharing or cash prices for services.
Catchlines are not law. (§ 2-16-13.1) Underscores indicate new language.
Overstrikes
indicate deleted language.