<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002 { color: black; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76b000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000004 { color: #0000FF; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:90:02:04"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">44</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">:</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">90</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">:</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">02</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">:</span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000000">04</span></a><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">.  </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">Patient registry identification card application requirements </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">--</span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001"> Initial application.</span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0"> </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">To apply for a patient registry identification card, a South Dakota resident </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">with a debilitating medical condition, or </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">the person responsible for making medical decisions for that person, shall submit to the department:</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76b000003"> </span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    (1)  </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">A completed application on a form supplied by the department that must contain all information required by SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-29"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000004">34-20G-29</span></a><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-33"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000004">34-20G-33</span></a><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">    (2)  </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">A photocopy of an unexpired form of identification acceptable for voter identification pursuant to SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=12-18-6.1"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005">12-18-6.1</span></a><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    (3)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">A photograph meeting all the following requirements:</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (a)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">A high resolution color photo that is not blurry, grainy, pixelated, or digitally altered;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (b)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Uses a clear image of the individual s face without filters;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (c)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Uses a plain white or off-white background;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (d)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Is two by two inches in size;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (e)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Is printed on matte or glossy photo quality paper; and</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (f)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Is not damaged with holes, creases, or smudges;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">    (4)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">If a low-income resident, documentation of household income, including:</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (a)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">If employed, the resident s wage stubs or earning statements for the past 30 days;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (b)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">If self-employed, the resident s most recent federal income tax return and self-employment ledgers;</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (c)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">Proof of all other income of the resident, including Social Security, Supplemental Security Income, workers compensation, unemployment benefits, Bureau of Indian Affairs general assistance, child support, rental income, veterans benefits, pensions, and interest income, for the previous 12 months; and</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">            (d)  </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">The most recent financial statement from any of the resident s checking accounts, savings accounts, certificates of deposit, credit union account, retirement account, stock, bond, or dividend; and</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">    (5)  </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000002">The required fee, pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=44:90:02:17"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005">44:90:02:17</span></a><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">.</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76b000003"> </span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">Source:</span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0"> </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">48 SDR 40, effective October 5, 2021.</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">General Authority:</span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0"> </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-72"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005">34-20G-72</span></a><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">(4)(10)(c).</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">    </span><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000001">Law Implemented:</span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0"> </span><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-29"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005">34-20G-29</span></a><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-72"><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0-000005">34-20G-72</span></a><span class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bC0">(4)(10)(c).</span></p><p dir="ltr" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76bP0"><span xml:space="preserve" class="sf9cf25e4-1f3f-4997-9ec1-ab606f88c76b000003"> </span></p></div></body></html>