State of South Dakota
|
EIGHTY-SECOND SESSION LEGISLATIVE ASSEMBLY, 2007 |
607N0419 |
SENATE BILL
NO.
130
|
Introduced by:
Senators Dempster, Hansen (Tom), Heidepriem, Jerstad, Katus, and Olson
(Ed) and Representatives Dykstra, Cutler, Jerke, Nygaard, and Rave
|
FOR AN ACT ENTITLED, An Act to
require hospitals to report additional information on
hospital reimbursements and to report performance outcome data and to provide that this
information be available on the Department of Health's web site.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That § 34-12E-11 be amended to read as follows:
34-12E-11. Any hospital licensed pursuant to chapter 34-12 shall report annually to the Department of Health the
charges
reimbursement it received
for the
twenty-five
fifty
most
common inpatient
and outpatient
diagnostic-related groups for which there are at least ten cases
rendered by the hospital during the twelve months preceding the report. The Department of
Health shall promulgate rules pursuant to chapter 1-26 to provide for the reporting of
charges
reimbursements
by hospitals. The rules shall include:
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That § 34-12E-11 be amended to read as follows:
34-12E-11. Any hospital licensed pursuant to chapter 34-12 shall report annually to the Department of Health the
(1)
The method for hospitals to report
charges
reimbursements
to the department;
(2)
Standards that provide for the validity and comparability of
charge
reimbursement
reports; and
(3)
The format for making
charge
reimbursement
reports available to the public.
Section 2. That chapter 34-12E be amended by adding thereto a NEW SECTION to read as follows:
Section 2. That chapter 34-12E be amended by adding thereto a NEW SECTION to read as follows:
Any hospital licensed pursuant to chapter 34-12 shall report annually to the Department of
Health performance outcome data for the procedures specified in
§
34-12E-11. The department
shall, by rules promulgated pursuant to chapter 1-26, establish the reporting requirements using
standardized clinical outcome measures recognized by national organizations that establish
standards to measure the performance of hospitals. The performance outcome data may include
such information as length of stay, readmission rates, mortality rates, complication rates, and
infection rates.
Section 3. That § 34-12E-12 be amended to read as follows:
34-12E-12. The Department of Health shall make available the hospital
charge
reimbursement
reports required by § 34-12E-11
and the performance outcome data required by
section 2 of this Act
on its web site. The
charge
reimbursement
reports shall include disclaimers
regarding factors, including case severity ratings and individual patient variations, which may
affect actual
charges to a patient
reimbursements to a hospital
for services rendered. Upon
request, the department shall provide the
charge
reimbursement
reports by first class mail.
Section 4. That § 34-12E-13 be amended to read as follows:
34-12E-13. For the purposes of §§ 34-12E-11 to 34-12E-13, inclusive, the term,
charge
reimbursement
, is that amount that a hospital would expect to
charge
get paid
for an inpatient
or outpatient
diagnostic-related group. Any
charge
reimbursement
that is required by §§ 34-12E-
11 to 34-12E-13, inclusive, to be reported to the public shall be the median
charge
reimbursement
for all cases of the diagnostic-related group occurring in the twelve months
preceding the report.
Section 5. This Act is effective on January 1, 2009.
Section 3. That § 34-12E-12 be amended to read as follows:
34-12E-12. The Department of Health shall make available the hospital
Section 4. That § 34-12E-13 be amended to read as follows:
34-12E-13. For the purposes of §§ 34-12E-11 to 34-12E-13, inclusive, the term,
Section 5. This Act is effective on January 1, 2009.