2ja

___________________ moved that SB 2 be amended as follows:

     On page 2, line 24 of the printed bill, after " pool " insert ". Such contract with an administrator shall be designed to become effective".

     On page 3 , line 4, after " members " insert ", one of which shall be an employee,".

     On page 4 , after line 1, insert:

"

     The board shall file a report with the Legislature each year on or before January first, which shall include information regarding the operation of the risk pool, such as assessments, numbers of enrollees, claims, expenses, and premiums.".

     On page 4 , line 7, after " of " insert "this".

     On page 5 , line 9, after " claim " insert "to the risk pool".

     On page 5 , line 21, before " Any " insert "An enrollee shall notify any health care provider or any provider of pharmacy goods or services prior to receiving goods or services or as soon as reasonably possible that the enrollee is qualified to receive comprehensive coverage under the risk pool.".

     On page 5 , line 21, after " provider " insert "or provider of pharmacy goods or services".

     On page 5 , line 23, after " Each " insert "health care".

     On page 6 , line 1, after " delivered. " insert "Each provider of pharmacy goods or services shall be reimbursed at one hundred fifteen percent of South Dakota's medicaid reimbursement for any goods or services provided.".

     On page 6 , line 6, after " coverage. " insert "However, the provider may bill the enrollee for noncovered services.".

     On page 6 , line 7, delete " director " and insert "board".

     On page 6 , line 9, delete " director " and insert "board".

     On page 6 , line 10, delete " the board and " .

     On page 7 , line 3, delete " may not be more than " and insert "shall be".

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     On page 7 , line 5, delete " insurance policies " and insert "benefit plans".

     On page 7 , line 18, delete " premiums " and insert "assessments".

     On page 8 , line 9, delete " insurance policies " and insert "benefit plans".

     On page 11 , line 16, delete " coverage equivalent to a plan " and insert "creditable coverage as defined in §  58-17-69".

     On page 11 , line 17, delete " created by this Act " .

     On page 12 , line 1, after " government, " insert "TRICARE,".

     On page 12 , line 20, after " provide " insert "individual".