{"data":{"id":"us-sd/sdcl-58-17h-9","jurisdiction":"us-sd","citation":"SDCL § 58-17H-9","heading":"Exceptions for payments by capitated and other plans without negotiated fees.","body":"For capitated or other health benefit plans that do not have a negotiated per-service amount for in-network providers, subdivision 58-17H-8(1) does not apply.\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Note: SL 2012, ch 239, § 1 provides: \"The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub.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-9","current_through":"2026-08-31","vintage":"","retrieved_at":"2026-09-03T15:18:57Z","sha256":"7c135f6edbbe7737ea33314a5acc6abb78c228cfffa4505f2d30046cc58e51a5","source_id":"us-sd","stale":true,"prev":"us-sd/sdcl-58-17h-8","next":"us-sd/sdcl-58-17h-10"},"notice":"GroundRules: Original legal text. Not legal advice."}