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South Dakota · Through 2026-08-31 · Newer source version available

SDCL § 58-17H-51: Reclassification of benefits with respect to cancer treatment medications.

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Where this section sits in the code
  1. TITLE 58. INSURANCE
  2. CHAPTER 58-17H. UTILIZATION REVIEW AND BENEFIT DETERMINATIONS

A health carrier may not reclassify benefits with respect to cancer treatment medications or increase a copayment, deductible, or coinsurance amount for covered cancer treatment medications that are injected or intravenously administered unless:

(1) The increase is applied generally to other medical or pharmaceutical benefits covered under the plan and is not done to circumvent § 58-17H-50;

(2) The reclassification of benefits with respect to cancer treatment medications is done in a manner that is consistent with §§ 58-17H-50 to 58-17H-52, inclusive; or

(3) A health carrier is applying cost-sharing increases consistent with the annual increases in the cost of health care.

Collected 2026-09-03T15:18:57Z. Source file · JSON

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