CHAPTER 34-12E

DISCLOSURE OF HEALTH CARE CHARGES

34-12E-1      Definition of terms.
34-12E-2 to 34-12E-7. Repealed.
34-12E-8      Disclosure of fees and charges upon request.
34-12E-9      Failure to comply--Disciplinary action.
34-12E-10      Repealed.
34-12E-11      Annual hospital report on charge information--Promulgation of rules.
34-12E-11.1      Website available to public for reporting charge information.
34-12E-12      Hospital charge information website linked to department website.
34-12E-13      Charge information defined.
34-12E-14      Repealed.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-1Definition of terms.

Terms used in this chapter mean:

(1)    "Health care procedure," an act of diagnosis, treatment, or care to a patient for which compensation is or may be charged;

(2)    "Health care provider," any licensed health care facility licensed pursuant to chapter 34-12 or any practitioner of the healing arts, including a physician licensed under chapter 36-4, dentist, optometrist, podiatrist, chiropractor, physical therapist, respiratory care practitioner, occupational therapist, or psychologist;

(3)    "Patient," an individual who receives, or requests to receive, diagnosis, treatment, or care from a health care provider.

Source: SL 1994, ch 276, § 1.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES 34-12E-2
     34-12E-2 to 34-12E-7.   Repealed by SL 2013, ch 154, §§ 11 to 16.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-8Disclosure of fees and charges upon request.

All fees and charges for health care procedures shall be disclosed by a health care provider or facility upon request of a patient.

Source: SL 1994, ch 276, § 8.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-9Failure to comply--Disciplinary action.

Failure to comply with the provisions of this chapter shall be grounds for disciplinary action on behalf of the appropriate licensing agency.

Source: SL 1994, ch 276, § 9.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES 34-12E-10
     34-12E-10.   Repealed by SL 2013, ch 154, § 17.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-11Annual hospital report on charge information--Promulgation of rules.

Any hospital licensed pursuant to chapter 34-12 shall report annually to the South Dakota Association of Healthcare Organizations the charge information as described in § 34-12E-13 for that hospital's All Patient Refined Diagnosis-Related Groups for which that hospital had at least ten cases 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 the charge information by hospitals. The rules shall include:

(1)    The method for hospitals to report charges; and

(2)    Standards that provide for the validity and comparability of charge reports.

Source: SL 2005, ch 182, § 1; SL 2008, ch 169, § 1.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-11.1Website available to public for reporting charge information.

The South Dakota Association of Healthcare Organizations shall develop a web-based system, available to the public at no cost, for reporting the charge information of hospitals. The charge information shall include disclaimers regarding factors, including case severity ratings and individual patient variations, which may affect actual charges to a patient for services rendered. The website shall provide information that compares hospital-specific data to hospital statewide data. The website shall be established by June 1, 2009, and shall be updated no less than annually.

Source: SL 2008, ch 169, § 2.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-12Hospital charge information website linked to department website.

The Department of Health shall provide a link to the web-based system developed pursuant to § 34-12E-11.1 on its website.

Source: SL 2005, ch 182, § 2; SL 2008, ch 169, § 3.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES

34-12E-13Charge information defined.

For the purposes of §§ 34-12E-11 and 34-12E-11.1, the term, charge information, includes the number of discharges; average length of stay; average charge; median charge; demographic information; payer mix; charges not paid and charges paid by medicare, medicaid, and other government programs, and private insurance; and uncompensated care.

Source: SL 2005, ch 182, § 3; SL 2008, ch 169, § 4.




SDLRC - Codified Law 34-12E - DISCLOSURE OF HEALTH CARE CHARGES 34-12E-14
     34-12E-14.   Repealed by SL 2013, ch 154, § 18.