SB 233 South Dakota Senate · 2026 Regular Session

prohibit the assessment of certain administrative fees or penalties related to the provision of care by an out-of-network provider.

SB 233 prohibits health insurance carriers from charging administrative fees or penalties to healthcare providers for care involving out-of-network providers. This directly affects health care providers who treat patients using out-of-network services and health carriers that typically impose such fees. The bill’s key provision bans carriers from assessing these fees for any care provided by a provider not contracted with the carrier (defined as "out-of-network"). It creates a clear policy change requiring carriers to cover such care without additional administrative costs to providers.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Feb 4, 2026 Last action Feb 18, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
1
Amendments
1
Feb 18, 2026
Upper · Passed
Health and Human Services Deferred to the 41st legislative day , Passed, YEAS 5, NAYS 2 S.J. 15
upper
Feb 18, 2026
Introduced
Health and Human Services Motion to amend , Passed, S.J. 15 Amendment 233A
upper
Feb 6, 2026
Committee
Referred to Senate Health and Human Services S.J. 212
upper
2 primary · 0 co-sponsors

Sponsors