Environment
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
StateSouth DakotaEnacted
HB 1199: address prior authorization and reporting requirements by utilization review organizations and health carriers.
Sydney Davis
HB 1199 status: Enacted — Signed by the Governor on 2026-03-30 H.J. 579 (updated Mar 30, 2026).
Source
OpenStates
Confidence
Low
Analysis basis
OpenStates summary
01
What this bill does
Official summary alongside an AI-generated read on where it stands and why.
Overall Score
75OUT OF 100
Score:75/100 civic fit
Risk:Moderate Risk
Impact:Moderate Impact 65/100
Constitutionality95%
Bipartisan70%
Public opinion85%
Bill summary
This bill aims to make it easier for patients to get the medical care their doctors recommend by simplifying the complicated "prior authorization" process (the permission you need from your insurance before getting a treatment). It also forces insurance companies to be more transparent about why they deny coverage. The bill is currently being reviewed in the House of Representatives.
02
Impact analysis
✦ AI analysisModeled effects across six domains, estimated from bill text and comparable legislation.
Economy
Positive outlook
60%
Benefits
- Reduced administrative delay for providers
- Standardized operational workflows
- Clearer justification for coverage denials
Risks
- Compliance costs for health carriers
- Increased operational complexity
- Potential for higher administrative staffing burdens
Society
Positive outlook
85%
Benefits
- Improved patient access to care
- Reduced barriers to doctor-recommended treatments
- Increased clarity on coverage decisions for patients
Risks
- Residual wait times for complex authorizations
- Potential for aggressive insurance company appeals
- Possible coverage interpretation conflicts
Technology Industry
No direct effect
Neutral — no direct effect identified.
Benefits
- No material direct effect identified.
Risks
- No material direct effect identified.
Civic Accountability
Positive outlook
75%
Benefits
- Mandated transparency in denial reasons
- Standardized reporting requirements for UROs
- Increased oversight of utilization review practices
Risks
- Potential for 'check-the-box' compliance
- Ambiguity in specific reporting standards
- Limited public visibility of individual denial records
Public Health & Safety
Positive outlook
80%
Benefits
- Timelier medical interventions
- Reduced hurdles for physician-recommended care
- Improved quality of care delivery
Risks
- Potential for clinical decision-making interference
- Risk of administrative errors affecting urgent care
- Reliance on third-party assessment criteria
03
How trustworthy & consequential it is
Sourcing already shown above, this is what the analysis found worth flagging.
Source
OpenStates
Official bill text or data from OpenStates.
Confidence
Low
Information is limited or incomplete.
Analysis basis
OpenStates summary
Source used for this bill's analysis.
Source note
LegiScan returned a PDF-only document. PDF extraction is not enabled in this build, so the pipeline used a safer fallback.
Analysis scope
Analysis based on abstract summary only
04
Where it stands
Official recordSigned by the Governor on 2026-03-30 H.J. 579
- IntroducedComplete
- CommitteeComplete
- Chamber votesComplete
- Final agreementComplete
- GovernorComplete
- EnactedComplete
05
How it affects your district
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06
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