ENTITLED, An Act to require certain health benefit plans to provide coverage to persons with a serious medical condition for certain dental care services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That § 58-17-84.1 be amended to read:
58-17-84.1. Any health benefit plan as defined by § 58-17-63 shall cover anesthesia and hospital or ambulatory surgery center charges for dental care provided to a covered person who:
(1) Is a child under age five; or
(2) If determined by a licensed physician, is severely disabled, has a developmental disability, or otherwise has a medical condition that places the person at serious medical risk.
The coverage applies regardless of whether the services are provided in a hospital, ambulatory surgery center, or a dental office. A health carrier may require prior authorization in the same manner that prior authorization is required for other covered diseases or conditions.
Section 2. That § 58-18-45.1 be amended to read:
58-18-45.1. Any health benefit plan as defined by § 58-18-42 shall cover anesthesia and hospital or ambulatory surgery center charges for dental care provided to a covered person who:
(1) Is a child under age five; or
(2) If determined by a licensed physician, is severely disabled, has a developmental disability, or otherwise has a medical condition that places the person at serious medical risk.
The coverage applies regardless of whether the services are provided in a hospital, ambulatory surgery center, or a dental office. A health carrier may require prior authorization in the same manner that prior authorization is required for other covered diseases or conditions.
Section 3. That the code be amended by adding a NEW SECTION to read:
The provisions of this Act are effective the first plan year, policy year, or renewal date on or after
January 1, 2019.
An Act to require certain health benefit plans to provide coverage to persons with a serious medical condition for certain dental care services.
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I certify that the attached Act originated in the
HOUSE as Bill No. 1205
____________________________
Chief Clerk
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____________________________ Speaker of the House
____________________________ Chief Clerk
____________________________
President of the Senate
____________________________ Secretary of the Senate
House Bill No. 1205
File No. ____
Chapter No. ______ |
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Received at this Executive Office this _____ day of _____________ ,
20____ at ____________ M.
By _________________________
for the Governor
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The attached Act is hereby approved this ________ day of ______________ , A.D., 20___
____________________________
Governor
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STATE OF SOUTH DAKOTA,
ss.
Office of the Secretary of State
Filed ____________ , 20___
at _________ o'clock __ M.
____________________________ Secretary of State
By _________________________
Asst. Secretary of State
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