{"data":{"id":"us-sd/sdcl-58-17h-22","jurisdiction":"us-sd","citation":"SDCL § 58-17H-22","heading":"Health carrier oversight of delegated activities--Requirements.","body":"If a health carrier delegates any utilization review activities to a utilization review organization, the health carrier shall maintain adequate oversight, which shall include:\n(1) A written description of the utilization review organization's activities and responsibilities, including reporting requirements;\n(2) Evidence of formal approval of the utilization review organization program by the health carrier; and\n(3) A process by which the health carrier evaluates the performance of the utilization review organization.\nCommission Note: SL 2012, ch 239, § 1 provides: \"The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.\"","path":["TITLE 58. INSURANCE","CHAPTER 58-17H. UTILIZATION REVIEW AND BENEFIT DETERMINATIONS"],"source_url":"https://sdlegislature.gov/Statutes/58-17H-22","current_through":"2026-08-31","vintage":"","retrieved_at":"2026-09-03T15:18:57Z","sha256":"8a9f26ebee0bbdee4026e78df2638029b996aa85c4e4482bb54dce1393bc0b40","source_id":"us-sd","stale":true,"prev":"us-sd/sdcl-58-17h-21","next":"us-sd/sdcl-58-17h-23"},"notice":"GroundRules: Original legal text. Not legal advice."}