HB 1199·SD·house
address prior authorization and reporting requirements by utilization review organizations and health carriers.
Signed into LawFiled Jan 29, 2026
Sponsor: Davis
Latest Action
Signed by the Governor on 2026-03-25
Mar 30, 2026
Summary
The law requires insurers and their review groups to give providers a chance to discuss adverse decisions and creates a 90 % approval threshold for providers to earn a pre‑authorization exemption. It also establishes independent‑review rights, specific timelines, and notice requirements. The changes apply to all health‑benefit plans beginning July 1, 2026, affecting insurers, providers, and patients.
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