State of South Dakota
|
SEVENTY-SIXTH
SESSION
LEGISLATIVE ASSEMBLY, 2001 |
634E0382 |
SENATE HEALTH AND HUMAN SERVICES
COMMITTEE ENGROSSED
NO.
SB 87
-
01/25/2001
|
Introduced by: Senators Diedtrich (Elmer), Moore, and Whiting and Representatives Solum, Davis, McCoy, Slaughter, and Van Etten |
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. Any health benefit plan that provides coverage for prescription drugs or devices, or administers such a plan, including third-party administrators for self-insured plans and state- administered plans, shall issue to its insureds a card or other technology containing uniform prescription drug information. The uniform prescription drug information card or technology shall be in the format approved by the National Council for Prescription Drug Programs (NCPDP) and shall include all of the required and conditional or situational fields and conform to the most recent pharmacy identification card or technology implementation guide produced by NCPDP or conform to a national format acceptable to the director of the Division of Insurance.
Section 2. A health benefit plan shall issue a card or other technology required by section 1 of this Act upon enrollment. The card or technology shall be reissued upon any change in the insured's coverage that impacts data contained on the card or upon any change in the NCPDP
implementation guide. Newly issued cards or technology shall be updated with the latest
coverage information and shall conform to the NCPDP standards then in effect and to the
implementation guide then in use.
Section
3.
As used in this Act, the term, health benefit plan, means an accident and health
insurance policy or certificate; a nonprofit hospital or medical service corporation contract; a
health maintenance organization subscriber contract; a plan provided by a multiple employer
welfare arrangement; or a plan provided by another benefit arrangement, to the extent permitted
by the Employee Retirement Income Security Act of 1974, as amended to January 1, 2001, or
by any waiver of or other exception to that Act provided under federal law or regulation. The
term does not apply to any plan, policy, or contract that provides coverage only for:
Section 4. This Act applies to health benefit plans that are delivered, issued for delivery, or renewed on and after July 1, 2001. For purposes of this Act, renewal of a health benefit policy,
contract, or plan is presumed to occur on each anniversary of the date on which coverage was
first effective on the person or persons covered by the health benefit plan.
Section
5.
The director of insurance shall enforce the provisions of this Act. The director of
insurance may promulgate rules pursuant to chapter 1-26 to establish the format for the uniform
information card or technology to be used in the state following the standards established in
sections 1 and 2 of this Act.