<html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"><head><meta charset="UTF-8"><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 58-17H-18 - Program to be administered by qualified licensed health care professionals.</title><meta name="Generator" content="PowerTools for Open XML"><style>span { white-space: pre-wrap; } p.s2b5fcd33c46346c5b7e72861a5872c79Normal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2b5fcd33c46346c5b7e72861a5872c79SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2b5fcd33c46346c5b7e72861a5872c79CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2b5fcd33c46346c5b7e72861a5872c79Normal-000000 { text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s2b5fcd33c46346c5b7e72861a5872c79DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2b5fcd33c46346c5b7e72861a5872c79000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2b5fcd33c46346c5b7e72861a5872c79SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2b5fcd33c46346c5b7e72861a5872c79SCL-000002 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2b5fcd33c46346c5b7e72861a5872c79DefaultParagraphFont-000003 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } body { text-decoration-skip-ink: none; } </style><meta name="viewport" content="width=device-width, initial-scale=1"><meta name="twitter:card" content="summary"><meta property="og:title" content="SD 58-17H-18 - Program to be administered by qualified licensed health care professionals."><meta property="og:description" content="SDLRC Codified Law 58-17H-18 - Program to be administered by qualified licensed health care professionals."><meta property="og:type" content="website"><meta property="og:url" content="https://sdlegislature.gov/Statutes/58-17H-18"><meta property="og:image" content="https://lawmakerdocuments.blob.core.usgovcloudapi.net/photos/logoshape.webp"><meta property="og:site_name" content="South Dakota Legislature"></head><body><div><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal"><a href="https://sdlegislature.gov/Statutes?Statute=58-17H-18" rel="noopener"><span class="s2b5fcd33c46346c5b7e72861a5872c79SENU">58-17H-18</span></a><span xml:space="preserve" class="s2b5fcd33c46346c5b7e72861a5872c79SENU">. </span><span class="s2b5fcd33c46346c5b7e72861a5872c79CL">Program to be administered by qualified licensed health care professionals.</span></p><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal-000000"><span class="s2b5fcd33c46346c5b7e72861a5872c79DefaultParagraphFont">Qualified licensed health care professionals shall administer the utilization review program and oversee review decisions. Any adverse determination shall be evaluated by an appropriately licensed and clinically qualified health care provider.</span></p><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal"><span xml:space="preserve" class="s2b5fcd33c46346c5b7e72861a5872c79000001"> </span></p><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal"><span class="s2b5fcd33c46346c5b7e72861a5872c79SCL">Source:</span><span xml:space="preserve" class="s2b5fcd33c46346c5b7e72861a5872c79SCL-000002"> SL 2011, ch 219, § 43.</span></p><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal"><span xml:space="preserve" class="s2b5fcd33c46346c5b7e72861a5872c79000001"> </span></p><p dir="ltr" class="s2b5fcd33c46346c5b7e72861a5872c79Normal"><span xml:space="preserve" class="s2b5fcd33c46346c5b7e72861a5872c79DefaultParagraphFont-000003">Commission Note: </span><span class="s2b5fcd33c46346c5b7e72861a5872c79DefaultParagraphFont">SL 2012, ch 239, § 1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed."</span></p></div></body></html>