25.877.9 100th Legislative Session 1225 2025 South Dakota Legislature House Bill 1225 Introduced by: Representative Heermann Underscores indicate new language. Overstrikes indicate deleted language. An Act to update and repeal provisions related to the reporting of hospital charge 1 information. 2 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA: 3 Section 1. That § 34-12E-11 be AMENDED: 4 34-12E-11. Any hospital licensed pursuant to chapter 34-12 shall annually report 5 annually charge information to the South Dakota Association of Healthcare Organizations 6 the charge information as described in § 34-12E-13 for that hospital's All Patient Refined 7 Diagnosis-Related Groups for which that hospital had at least ten cases during the twelve 8 months preceding the report, using the hospital's All Patient Refined Diagnosis-Related 9 Groups or the Medicare Severity Diagnosis Related Groups. 10 The Department of Health shall promulgate rules pursuant to chapter 1-26 to 11 provide for the reporting of the charge information by hospitals. The rules shall must 12 include: 13 (1) The the method for hospitals to report charges;, and 14 (2) Standards that provide standards for the validity and comparability of charge 15 reports reported charges. 16 For the purposes of this section, "charge information" means: 17 (1) The number of discharges; 18 (2) The average length of stay; 19 (3) The average charge; 20 (4) The median charge; 21 (5) Demographic information; 22 (6) Payer mix; 23 (7) Charges not paid; 24 (8) Charges paid by medicare, medicaid, other governmental programs, and private 25 insurance; and 26 25.877.9 2 1225 Underscores indicate new language. Overstrikes indicate deleted language. (9) Uncompensated care. 1 Section 2. That § 34-12E-11.1 be REPEALED. 2 The South Dakota Association of Healthcare Organizations shall develop a web -3 based system, available to the public at no cost, for reporting the charge information of 4 hospitals. The charge information shall include disclaimers regarding factors, including 5 case severity ratings and individual patient variations, which may affect actual charges to 6 a patient for services rendered. The website shall provide information that compares 7 hospital-specific data to hospital statewide data. The website shall be established by June 8 1, 2009, and shall be updated no less than annually. 9 Section 3. That § 34-12E-12 be REPEALED. 10 The Department of Health shall provide a link to the web-based system developed 11 pursuant to § 34-12E-11.1 on its website. 12 Section 4. That § 34-12E-13 be REPEALED. 13 For the purposes of §§ 34-12E-11 and 34-12E-11.1, the term, charge information, 14 includes the number of discharges; average length of stay; average charge; median 15 charge; demographic information; payer mix; charges not paid and charges paid by 16 medicare, medicaid, and other government programs, and private insurance; and 17 uncompensated care. 18