SB 233 — prohibit the assessment of certain administrative fees or penalties related to the provision of care by an out-of-network provider.
Last action — Health and Human Services Deferred to the 41st legislative day , Passed, YEAS 5, NAYS 2 S.J. 15
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill is in committee in the Senate. Introduced February 04, 2026. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the Senate.
Odds of enactment
Low chanceBased on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.
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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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In Committee
Current position in the legislative process.
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2 sponsors
2 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (2 R).
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Cleared a recorded vote
Passed 1 recorded vote so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
What changed in the latest version
7 added · 10 removed7 line(s) added, 10 removed.
233A26.948.9 101st Legislative Session 233 South Dakota Legislature Senate Bill 233 AMENDMENT 233A FOR THE INTRODUCED BILL Introduced by:
BBE E IT ENACTED BY THE LEGISLATUREL EGISLATURE OF THE S TATE OF SOUTH D AKOTA :
A health carrier may not,not through contract or otherwise, assess or impose upon a participating health care provider an administrative fee or, penalty, or paymentpenalty reduction, related to any provision of care to a patient that,that member, or enrollee, which involved an out-of-network provider.
Action History
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Health and Human Services Deferred to the 41st legislative day , Passed, YEAS 5, NAYS 2 S.J. 15
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Health and Human Services Motion to amend , Passed, S.J. 15 Amendment 233A
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Scheduled for hearing S.J. 1
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Referred to Senate Health and Human Services S.J. 212
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First Reading Senate S.J. 180
Sponsors
- Mellissa Heermann · Primary
- Sydney Davis · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 103 not signed on · 1 voted No
Sponsors (2)
- Mellissa Heermann Republican
- Sydney Davis Republican Voted No
Co-sponsors (0)
None.
Not signed on (103)
103 members have not signed on to this bill.
Show all 103 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 4 | 2 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 5 | 2 | 0 | 0 |
| % of votes cast | 71% | 29% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Jamie Smith | Democratic | Yea |
| Carl Perry | Republican | Yea |
| Curt Voight | Republican | Yea |
| Kevin Jensen | Republican | Nay |
| Sydney Davis | Republican | Nay |
| Tamara Grove | Republican | Yea |
| Tim Reed | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 233?
- SB 233 is sponsored by Mellissa Heermann (Republican) and Sydney Davis (Republican).
- What is the current status of SB 233?
- This bill is in committee in the Senate. Introduced February 04, 2026. It must pass committee before a floor vote.
- Where can I track SB 233?
- Track SB 233 free on One Click Politics — get push/email alerts when it moves.
Make your voice heard on SB 233
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Last checked for changes 2 months ago · updated continuously
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