S.D. Admin. R. 20:06:39:66

Current through Register Vol. 51, page 57, November 12, 2024

Section 20:06:39:66 - Clinical trial

After December 31, 2013, a health insurance issuer that offers a health benefit plan providing health insurance coverage individual market in this state may not:

(1) Deny participation by a qualified individual in an approved clinical trial;

(2) Deny, limit or impose additional conditions on the coverage of routine patient costs for items or services furnished in connection with participation in the trial; or

(3) Discriminate against an individual on the basis of the individual's participation in an approved clinical trial.

A network plan may require a qualified individual who wishes to participate in an approved clinical trial to participate in a trial that is offered through a health care provider who is part of the network plan if the provider is participating in the trial and the provider accepts the individual as a participant in the trial.

S.D. Admin. R. 20:06:39:66

39 SDR 203, effective 6/10/2013.

General Authority: SDCL 58-17-87.

Law Implemented: SDCL 58-17-87.