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Administrative Rules
Rule 20:06:39:66 Clinical trial.

          20:06:39:66.  Clinical trial. After December 31, 2013, a health insurance issuer that offers a health benefit plan providing health insurance coverage individual market in this state may not:

 

          (1)  Deny participation by a qualified individual in an approved clinical trial;

 

          (2)  Deny, limit or impose additional conditions on the coverage of routine patient costs for items or services furnished in connection with participation in the trial; or

 

          (3)  Discriminate against an individual on the basis of the individual's participation in an approved clinical trial.

 

          A network plan may require a qualified individual who wishes to participate in an approved clinical trial to participate in a trial that is offered through a health care provider who is part of the network plan if the provider is participating in the trial and the provider accepts the individual as a participant in the trial.

 

          Source: 39 SDR 203, effective June 10, 2013.

          General Authority: SDCL 58-17-87.

          Law Implemented: SDCL 58-17-87.

 

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