HB 1199 South Dakota House · 2026 Regular Session

address prior authorization and reporting requirements by utilization review organizations and health carriers.

HB 1199 is a definitional bill that clarifies terms related to health insurance preauthorization and utilization reviews. It adds specific definitions (like "adverse determination," "ambulatory review," and "authorized representative") to South Dakota law governing health benefit plans. The bill does not create new requirements or change current preauthorization rules - it only establishes clearer language for how these processes are described in law. This affects health insurers, providers, and patients by standardizing terminology used in coverage decisions. The bill has no substantive policy changes beyond these definitions.

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House Passage

Feb 2026

Senate Passage

Mar 2026

Signed into Law

Mar 2026

Introduced Jan 29, 2026 Signed Mar 30, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

House Health and Human Services Engrossed → Enrolled · 5 edits · Mar 4, 2026

MODERATE

This bill adds new requirements for utilization review organizations and health carriers to conduct annual reviews of prior authorization processes and submit detailed reports to the Division of Insurance. The changes aim to reduce unnecessary prior authorization barriers by requiring agencies to eliminate requirements for services with high approval rates, while also mandating transparency through public reporting of approval rates and processing times.

Scope change

The bill expands regulatory requirements to include annual reviews and elimination of prior authorization requirements for health care services that demonstrate high approval rates, while explicitly excluding dental, pharmaceutical, and prescription drug services from these requirements.

REQUIREMENT

New requirement for utilization review organizations and health carriers to conduct annual reviews of prior authorization processes and eliminate requirements for services with high approval rates that do not promote quality or reduce costs.

Mandatory annual reporting to Division of Insurance including approval/denial statistics, processing times, and data on eliminated prior authorization requirements.

Requirement for the Division of Insurance to publish all submitted reports on its website within sixty days of receipt.

DEFINITION

Clarification that 'health care services' for purposes of this Act excludes dental services, pharmaceutical services, and prescription drug products or supplies.

ENFORCEMENT

Establishes administrative oversight through Division of Insurance with public transparency requirements for compliance monitoring.

Floor votes · Senate Mar 3, 2026

How they voted

34–0

Passed · 1 other

Total votes 35

Mar 3, 2026

D Democratic3

3 Yea

100% Yea

R Republican32

31 Yea 1

96% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 30, 2026

Signed into law

Signed by the Governor on 2026-03-30 H.J. 579

executive

Mar 5, 2026

Upper · Passed

Signed by the President S.J. 486

upper

Mar 4, 2026

Upper · Passed

Signed by the Speaker H.J. 516

upper

Mar 3, 2026

Upper · Passed

Senate Do Pass , Passed, YEAS 34, NAYS 0 S.J. 444

upper

Mar 2, 2026

Upper · Passed

Certified uncontested, placed on consent , Passed, S.J. 23

upper

Mar 2, 2026

Upper · Passed

Health and Human Services Do Pass , Passed, YEAS 7, NAYS 0 S.J. 23

upper

Feb 20, 2026

Introduced

First read in Senate and referred to Senate Health and Human Services S.J. 340

upper

Feb 19, 2026

Lower · Passed

House of Representatives Do Pass , Passed, YEAS 65, NAYS 1 H.J. 367

lower

Feb 17, 2026

Lower · Passed

Certified uncontested, placed on consent , Passed,

lower

Feb 17, 2026

Lower · Passed

Health and Human Services Do Pass Amended , Passed, YEAS 13, NAYS 0

lower

Feb 17, 2026

Lower · Passed

Health and Human Services Hoghoused , Passed,

lower

Jan 29, 2026

Introduced

First read in House and referred to House Health and Human Services H.J. 177

lower

5 primary · 0 co-sponsors