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 provisions for self-funded employer-sponsored plans, and mandates that the Division may impose civil penalties for non-compliance. Additionally, it allows for the inclusion of Medicaid claims data and sets forth rules for maintaining confidentiality and ensuring data transparency.

The bill also repeals several existing sections of law that previously assigned the Department of Health the responsibility for the health data system, effectively transferring this authority to the Division of Insurance. The new provisions clarify the types of insurance plans that are exempt from data submission requirements and ensure that any released claims data maintains individual anonymity. Overall, the legislation aims to enhance the state's ability to monitor and improve health care services while ensuring compliance and data integrity.

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