South Dakota legislation · 101st Legislature (2026)
South Dakota HB1292: limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims.
Status: Signed into law, March 30, 2026
What the bill says
An Act ENTITLED An Act to limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims.
From the enrolled text, March 5, 2026:
An Act ENTITLED An Act to limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims. Be it enacted by the Legislature of the State of South Dakota: Section 1. That a NEW SECTION be added to chapter 58-17H: Except as otherwise provided in this section, a previously paid claim may be recouped, recovered, or retroactively denied by the health carrier only within eighteen months from the date the claim payment was made, if the health carrier has provided written notice of the reason to the provider. This limitation does not apply to a previously paid claim that: (1) Was determined by the health carrier to have been submitted fraudulently or to involve waste or abuse; (2) Is the subject of an adjustment with a different health carrier, administrator, or payor, and the adjustment is not affected by a contractual relationship, association, or affiliation involving claims payment, processing, or pricing; (3) Was for medical services covered by casualty insurance, as defined by §§ 58-9-11 to 58-9-27, inclusive; (4) Was for medical services covered by a self-insured health plan governed by the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. §§ 1001 to 1461, inclusive (July 6, 2012); (5) Was for medical services covered under medicare, 42 U.S.C. §§ 1395-1395lll, inclusive (March 15, …
Sponsors
- Sydney Davis (R, 17) · primary sponsor
- Mellissa Heermann (R, HD-007) · primary sponsor
- Amber Arlint (R, HD-012)
- Roger Degroot (R, HD-007)
- Eric Emery (D, HD-026)
- Erik Muckey (D, HD-015)
- Keri Weems (R, HD-011)
- Kadyn Wittman (D, HD-015)
Latest actions
- : Signed by the Governor
- : Delivered to the Governor
- : Signed by the President
- : Signed by the Speaker
- : Do Pass Amended
- : Certified uncontested, placed on consent
- : Do Pass
- : Scheduled for hearing
- : First read in Senate and referred to Health and Human Services
- : Do Pass Amended
Votes
- Do Pass Amended (March 4, 2026): 34 yea, 0 nay, passed
- Do Pass (March 2, 2026): 7 yea, 0 nay, passed
- Do Pass Amended (February 19, 2026): 67 yea, 0 nay, passed
- Do Pass Amended (February 18, 2026): 12 yea, 1 nay, passed
Subjects: Health Care, Insurance, Health Maintenance Organizations
Common questions
- What is HB1292?
- HB1292 is a bill in the South Dakota Legislature (101st Legislature (2026)): limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims.
- What does HB1292 do?
- In its own words: An Act ENTITLED An Act to limit the ability of a health carrier to recoup, recover, or retroactively deny previously paid claims.
- What is the status of HB1292?
- Signed into law as of March 30, 2026. Latest action: Signed by the Governor (March 30, 2026).
- Who sponsored HB1292?
- Sydney Davis (R, 17), with 7 co-sponsors.
- Where is the official record for HB1292?
- On the South Dakota Legislature website: https://sdlegislature.gov/Session/Bill/26466
Source: official South Dakota record. Tracked by Delilah, AI for legislation across all 50 states and Congress.