25.817.13 100th Legislative Session 1210 2025 South Dakota Legislature House Bill 1210 Introduced by: Representative Mulder Underscores indicate new language. Overstrikes indicate deleted language. An Act to prohibit a hospital from reporting medical debt for collection in certain 1 situations. 2 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA: 3 Section 1. That a NEW SECTION be added to chapter 54-1: 4 A hospital, as defined in ยง 34-12-1.1, is prohibited from reporting medical debt to 5 a medical debt collector for the purpose of collecting the medical debt: 6 (1) If the individual informs the hospital of an appeal pertaining to a denial of coverage 7 by the individual's insurance provider, provided the prohibition terminates when 8 the individual receives a final determination from the insurance provider; 9 (2) Before the hospital has made reasonable efforts to determine whether the 10 individual is eligible for assistance under the hospital's financial assistance program 11 and, if eligible, before a decision is made by the hospital on the individual's 12 application for financial assistance; 13 (3) Before the hospital has provided the individual with an itemized statement of health 14 care services or treatments provided to an individual; 15 (4) For thirty days after notifying the individual in writing, by certified mail, or by other 16 traceable delivery method, that a collection action will commence, absent 17 additional action by the individual; 18 (5) While the individual negotiates, in good faith, with the hospital on the final amount 19 of a bill for services or treatments provided to an individual; or 20 (6) While an individual is in compliance with all terms of a payment plan entered into 21 with the hospital. 22 An individual who claims to be adversely affected by this section is permitted to 23 bring a civil action against the hospital for the recovery of actual damages suffered and 24 attorney's fees. 25 25.817.13 2 1210 Underscores indicate new language. Overstrikes indicate deleted language. For purposes of this section, "medical debt" means a debt arising from health care 1 services or treatments provided to an individual. 2 For purposes of this section, "medical debt collector" means a person who collects 3 or attempts to collect a medical debt. 4