South Dakota’s Senate Health and Human Services Committee just voted a new PBM bill, SB 163, out of committee. SB 163 would prohibit PBMs from reimbursing non-affiliate pharmacies less than affiliate pharmacies, allow a pharmacist to decline to dispense if the reimbursement is below acquisition cost, prohibit PBM imposed fees and retroactive claim adjustment (or “clawbacks”), provide for MAC appeals, and prohibit discriminatory payments for 340B prescriptions. In effect, the bill would tighten PBM regulations, open up opportunities for pharmacies, and better support patient care. SB 163 now moves to the full state Senate for further consideration.
The largest health care providers in South Dakota have proposed to lawmakers that they should drop some requirements for people seeking medical marijuana cards. Physicians would still need to diagnose a patient with a qualified condition (severe pain, seizures, multiple sclerosis), but they just would not need to specify that they recommend marijuana as a treatment. Starting July 1, 2021, cannabis is now legal for both medicinal and recreational use in South Dakota. This proposal will help increase access while some doctors are still hesitant to explicitly prescribe cannibas as treatment while it is still a newly legalized substance.
HB 1263 was passed into law by Governor Kristi Noem on March 25, 2021. This new law provides greater transparency in pricing for health care related costs.
South Dakota Legislature