This bill establishes a new health care data system overseen by the Division of Insurance in South Dakota, requiring insurers and third-party administrators to submit medical, dental, and pharmaceutical claims data. The data will be used for various purposes, including health care planning, policy development, quality assessment, and public health objectives. The bill outlines specific requirements for data submission, including the inclusion of claims data from self-funded employer-sponsored plans, provided the employer consents. It also mandates that the Division of Insurance may impose civil penalties for non-compliance and allows for the contracting of services to maintain the data system.

Additionally, the bill repeals several sections of existing law that previously assigned the Department of Health the responsibility for the health data system, effectively transferring this responsibility to the Division of Insurance. The new provisions include detailed rules for data reporting, confidentiality, and public access to claims data, ensuring that any released information does not identify individuals. The bill also clarifies that certain types of insurance, such as accident and liability insurance, are exempt from the data submission requirements.

Statutes affected:
Introduced, 01/24/2025: 1-43-19, 1-43-20, 1-43-21, 1-43-24, 1-43-31, 1-43-32, 1-43-33