21.383.11 96th Legislative Session 0

2021 South Dakota Legislature

Senate Bill 154

Introduced by: Senator Steinhauer

An Act to provide for the calculation of cost-sharing requirements regarding pharmacy benefits management.

Be it enacted by the Legislature of the State of South Dakota:

Section 1. That a NEW SECTION be added:

58-29E-8.2. Cost-sharing--Calculation.

When calculating a covered individual's overall contribution to any out-of-pocket maximum, deductible, copayment, coinsurance, or any cost-sharing requirement under a health plan, a covered entity or pharmacy benefits manager shall include any amounts paid by the covered individual or paid on behalf of the covered individual by another person.

Catchlines are not law. (§ 2-16-13.1) Underscores indicate new language.

Overstrikes indicate deleted language.