reglab/housing_qa huggingface dataset:
SD Codified L § 28-13-27.1 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-27.1 - Medically necessary hospital services.

28-13-27.1. Medically necessary hospital services.Medically necessary hospital services are services provided in a hospital which meet the following criteria:(1)Are consistent with the person's symptoms, diagnosis, condition, or injury;(2)Are recognized as the prevailing standard and are consistent with generally accepted professional medical standards of the provider's peer group;(3)Are provided in response to a life-threatening condition; to treat pain, injury, illness, or infection; to treat a condition which would result in physical or mental disability; or to achieve a level of physical or mental function consistent with prevailing standards for the diagnosis or condition;(4)Are not furnished primarily for the convenience of the person or the provider; and(5)There is no other equally effective course of treatment available or suitable for the person needing the services which is more conservative or substantially less costly.A county shall rely on the attending physician's determination as to medical necessity of hospital services unless evidence exists to the contrary. Source: SL 1997, ch 170, §5.
SD Codified L § 28-13-27.2 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-27.2 - Cost guidelines for medical and remedial services.

28-13-27.2. Cost guidelines for medical and remedial services.Except for the costs of emergency hospital services, a county may adopt guidelines which define the amount, scope, and duration of medical and remedial services available to eligible persons and the basis for and extent of payments made to providers by counties on behalf of eligible persons. Source: SL 1997, ch 170, §6.
SD Codified L § 28-13-28 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-28 - Statement of costs required of hospital caring for indigent persons--Frequency of statements.

28-13-28. Statement of costs required of hospital caring for indigent persons--Frequency of statements.A hospital may avail itself of the provisions of this chapter for purposes of determining payment for hospitalization of a medically indigent person only if the hospital has filed a detailed statement of costs with the secretary of social services in the form prescribed by the secretary. The statement of costs shall compute and set forth the ratios of costs to charges for the hospital's fiscal year covered by the statement of costs. The statement of costs shall be filed with the secretary at least annually, unless such period is extended or otherwise provided by the secretary, but a hospital may file a detailed statement of costs or amendments to such a statement once every six months. Source: SL 1953, ch 131, §2; SDC Supp 1960, §27.12B02; SL 1976, ch 173, §15; SL 1991, ch 227, §2; SL 1997, ch 170, §7.
SD Codified L § 28-13-29 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-29 - Cost governed by statement or amendment--Claim against county not to exceed usual hospital rates.

28-13-29. Cost governed by statement or amendment--Claim against county not to exceed usual hospital rates.The amount of reimbursement for hospital services is the amount calculated pursuant to §28-13-32.9. It may not exceed the actual cost of hospitalization as defined in subdivision 28-13-27(1) or an amount established by the secretary of the Department of Social Services, whichever is less. The amount established by the secretary shall be based on medicaid payment methodology. A hospital may not maintain a claim against a county for any amount which exceeds the usual ordinary and reasonable charge for any hospital service, even if the charge is less than the hospital's actual cost of hospitalization. If the hospital furnishes hospital services to medically indigent persons residing in the county in which the hospital is located at rates less than the rates provided for in this section, the hospital shall furnish such hospital services to all medically indigent persons at the same rates. Source: SL 1953, ch 131, §2; SDC Supp 1960, §27.12B02; SL 1991, ch 227, §3; SL 1997, ch 170, §8.
SD Codified L § 28-13-30 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-30 - Approval of statement by secretary--Modification of items in statement.

28-13-30. Approval of statement by secretary--Modification of items in statement.The secretary of social services shall make such investigation as necessary, and shall approve the statement of costs only if the statement is accurate, complete, and reliable as could reasonably be expected, and that it discloses, as nearly as may be reasonably determined, the ratios of costs to charges for the hospital's fiscal year covered by the statement of costs. In granting approval, the secretary may modify any items in the statement which require such modification and shall provide written notice of any such modification to the respective hospital. Source: SL 1953, ch 131, §2; SDC Supp 1960, §27.12B02; SL 1976, ch 173, §16; SL 1991, ch 227, §4; SL 1997, ch 170, §23.
SD Codified L § 28-13-31 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-31 - Continuation of statement in effect until withdrawn or amended--Effective date of amendments--Statements available for inspection.

28-13-31. Continuation of statement in effect until withdrawn or amended--Effective date of amendments--Statements available for inspection.No statement of costs, or amendment thereto, may take effect until approved by the secretary of social services and the expiration of thirty days from the filing thereof, and thereafter, for purposes of this chapter, shall remain in full force and effect until the next statement of costs, or amendment thereto, filed by the hospital pursuant to §28-13-28 is approved by the secretary. Any such statement of costs, or amendments thereto, shall be a public record and be available for inspection at any time in behalf of any board of county commissioners. Source: SL 1953, ch 131, §2; SDC Supp 1960, §27.12B02; SL 1976, ch 173, §17; SL 1991, ch 227, §5; SL 1997, ch 170, §24.
SD Codified L § 28-13-32 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32 - County commissioners' objections to statements.

28-13-32. County commissioners' objections to statements.Any board of county commissioners may at any time file, with the secretary of social services and the hospital concerned, objections in writing to any such statement of costs, any items therein, or amended thereto, which objections shall be passed upon by the secretary. Source: SL 1953, ch 131, §2; SDC Supp 1960, §27.12B02; SL 1976, ch 173, §18; SL 1991, ch 227, §6; SL 1997, ch 170, §25.
SD Codified L § 28-13-32.3 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.3 - Medical indigency required for poor relief assistance in the event of hospitalization--Application required--Time--Limitation.

28-13-32.3. Medical indigency required for poor relief assistance in the event of hospitalization--Application required--Time--Limitation.To receive assistance under this chapter for the costs of hospitalization, a person must be medically indigent as defined in §28-13-1.3. The person or someone acting on behalf of the person shall apply to the person's county of residence for assistance within two years of the date of the hospital's discharge of the person. Source: SL 1988, ch 226, §3; SL 1997, ch 170, §9; SL 2002, ch 137, §1.
SD Codified L § 28-13-32.4 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.4 - Submission of application by hospital within one year of discharge--Contents--Additional information not to be required.

28-13-32.4. Submission of application by hospital within one year of discharge--Contents--Additional information not to be required.An application made by a hospital on behalf of a medically indigent person pursuant to §28-13-32.3 shall be submitted to the county auditor within one year of the discharge of the indigent. The application shall include:(1)The notice of hospitalization as provided in §28-13-34.1;(2)The dates of hospitalization;(3)The final diagnosis;(4)The cost of hospital services; and(5)Any financial information in the possession of the hospital concerning the patient or the responsible party, including the availability of insurance coverage.The county may not require the hospital to provide more information concerning such a medically indigent person than is contained in the application provided for in this section and the release of information provided for in §28-13-34.2. Source: SL 1988, ch 226, §4; SL 1997, ch 170, §10.
SD Codified L § 28-13-32.5 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.5 - Determining medical indigence--Annual income guideline.

28-13-32.5. Determining medical indigence--Annual income guideline.For purposes of determining medical indigence, the county shall establish an annual income guideline for the person which is derived as follows:(1)Using the housing index established in §28-13-32.6, determine the housing index for the person's county of residence. Multiply the county index by three hundred six dollars, the median gross rent of residences in South Dakota in 1996;(2)Using the federal poverty guidelines adopted in rules promulgated by the Department of Social Services pursuant to chapter 1-26, determine the federal poverty level for the household size and multiply that figure by one hundred seventy-five percent; and(3)Add the results of subdivisions (1) and (2) of this section and multiply by twelve. Source: SL 1997, ch 170, §12; SL 1998, ch 165, §1.
SD Codified L § 28-13-32.6 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.6 - Housing indexes by county.

28-13-32.6. Housing indexes by county.The housing index for each county is as follows: COUNTYHOUSING INDEXAurora0.65Beadle0.91Bennett0.86Bon Homme0.71Brookings0.96Brown0.95Brule0.80Buffalo0.77Butte0.91Campbell0.74Charles Mix0.65Clark0.72Clay0.95Codington0.92Corson0.47Custer1.03Davison0.90Day0.78Deuel0.79Dewey0.89Douglas0.69Edmunds0.71Fall River0.89Faulk0.66Grant0.81Gregory0.68Haakon0.80Hamlin0.70Hand0.70Hanson0.96Harding0.70Hughes1.03Hutchinson0.72Hyde0.75Jackson0.84Jerauld0.61Jones0.76Kingsbury0.67Lake0.78Lawrence1.00Lincoln0.93Lyman0.77Marshall0.72McCook0.73McPherson0.58Meade1.03Mellette0.74Miner0.65Minnehaha1.23Moody0.79Oglala Lakota0.81Pennington1.26Perkins0.65Potter0.86Roberts0.70Sanborn0.67Spink0.82Stanley1.06Sully0.82Todd0.79Tripp0.83Turner0.78Union0.87Walworth0.97Yankton0.93Ziebach0.82 Source: SL 1997, ch 170, §13; SL 2015, ch 56 (HJR 1005), eff. May 1, 2015.
SD Codified L § 28-13-32.7 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.7 - Determining household income--Sources.

28-13-32.7. Determining household income--Sources.For the purpose of determining a household's income, the county shall consider all sources of income, including the following:(1)Compensation paid to household members for personal services, whether designated as gross salary, wages, commissions, bonus, or otherwise;(2)Net income from self-employment, including profit or loss from a business, farm, or profession;(3)Income from seasonal employment;(4)Periodic payments from pensions or retirement programs, including social security, veterans' benefits, disability payments, and insurance contracts;(5)Income from annuities or trusts, except for a trust held by a third party for the benefit of the minor children of the household;(6)Interest, dividends, rents, royalties, or other gain derived from investments or capital assets;(7)Gain or loss from the sale, trade, or conversion of capital assets;(8)Reemployment assistance or unemployment insurance benefits and strike benefits;(9)Workers' compensation benefits and settlements;(10)Alimony and child support payments received; and(11)School grants and stipends which are used for food, clothing, and housing but not for books and tuition.A federal income tax return is the preferred source for determining earnings. If a federal income tax return is not representative of current earnings, the county may also require pay stubs which include gross and net earnings. Source: SL 1997, ch 170, §14; SL 2019, ch 216, §34.
SD Codified L § 28-13-32.8 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.8 - Household resources.

28-13-32.8. Household resources.For the purpose of determining a household's resources, the county shall consider all resources, including:(1)Equity value of the household's primary residence, excluding the homestead exemption provided for in subdivision 43-45-3(2);(2)Equity value of other real property;(3)Equity value of major recreational and other leisure equipment including watercraft, campers, recreational vehicles, all-terrain vehicles, and snowmobiles;(4)Equity value, in excess of five thousand dollars, of all motor vehicles;(5)Personal assets, including cash in excess of one-half month's income, stocks, securities, accounts and notes due the person or the person's household, cash values of life insurance policies, collectible judicial judgments in favor of the person or the person's household, and monetary gifts;(6)Equity value of business property, including real estate, equipment, and inventory; and(7)Equity value of household goods and personal property beyond that which is reasonably essential for everyday living and self-support.Equity value is determined by subtracting an asset's outstanding indebtedness from its fair market value.The county shall subtract five thousand dollars from the total of the household's countable resources to determine the household's adjusted resources. Source: SL 1997, ch 170, §15.
SD Codified L § 28-13-32.9 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.9 - Determination of person's ability to pay--Factors.

28-13-32.9. Determination of person's ability to pay--Factors.A county is financially responsible only for the hospitalization expense which is beyond the person's ability to pay. A person's ability to pay is determined according to the following:(1)Determine the household's contributions for taxes, social security, medicare, and payments to other standard retirement programs. A household's contribution for taxes is limited to the amount of taxes payable for the actual number of dependents in the household;(2)Determine the household's expenses, including actual rent paid or scheduled principal and interest payments for a personal residence plus property taxes and homeowner's insurance costs; all utilities; child care expenses related to work schedules; grocery expenses up to the maximum allowed under the Food Stamp Program's Thrifty Food Plan as specified in rules promulgated by the Department of Social Services pursuant to chapter 1-26, plus household supplies and toiletries; basic auto expenses, gasoline, and upkeep; employee-paid health, life, and auto insurance payments; installment payments for medical bills; recurring expenses for medicine and medical care; court-ordered child support and alimony paid; automobile installment payments for one vehicle; clothing, reasonable in relation to the household's income; and installment payments, limited to necessary household items required by the household to maintain the needs of everyday living and reasonable in relation to the household's income;(3)Determine the amount of a household's discretionary income by subtracting the sum of the household's contributions and expenses from the household's income determined according to §28-13-32.7. Divide the amount of the household's discretionary income in half and multiply the resulting amount by forty-four dollars and ninety-six cents. The result added to the household's adjusted resources determined according to §28-13-32.8 equals the household's ability to pay the debt and constitutes the household's share of the hospital bill. The amount of forty-four dollars and ninety-six cents represents the amount of medical or hospital expenses which can be amortized over sixty months at twelve percent annual interest per dollar of payment.The amount of the county's obligation is determined by subtracting the amount of the household's ability to pay from the hospital charges computed according to §28-13-29. If the household defaults on the payment of its share of the hospital bill, a hospital may not pursue a collection action against the county for the defaulted payment. Source: SL 1997, ch 170, §16; SL 1998, ch 165, §2.
SD Codified L § 28-13-32.10 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.10 - Indigency by design.

28-13-32.10. Indigency by design.If an individual is indigent by design, the individual is ineligible for medical assistance under the provisions of this chapter and there may be no other criteria used to determine eligibility. Source: SL 1997, ch 170, §22.
SD Codified L § 28-13-32.11 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-32.11 - Determination of household's ability to purchase health insurance.

28-13-32.11. Determination of household's ability to purchase health insurance.For purposes of subsections 28-13-27(6)(c) and (d), when determining whether the household was financially able to purchase health insurance which would have covered the medical costs the county is being requested to pay, the county shall use the following methodology:(1)Determine the household's income and resources according to §§ 28-13-32.7 and 28-13-32.8;(2)Determine the household's contributions for taxes, social security, medicare, and payments to other standard retirement programs according to subdivision 28-13-32.9(1);(3)Except for the medical expenses for which the household is requesting assistance, determine the household's expenses according to subdivision 28-13-32.9(2);(4)Determine the amount of the household's discretionary income by subtracting the sum of the household's contributions and expenses from the household's income. Divide the amount of the household's discretionary income in half. The result added to the household's adjusted resources determined according to §28-13-32.8 equals the household's discretionary income that was available to purchase health insurance;(5)Subtract the amount of the monthly health insurance premium that was available to the household if known or, if unknown, an estimate of the premium the household could be expected to incur. For purposes of this subdivision, the county shall establish such estimate either by obtaining premium estimates from two major medical insurance carriers doing business in the state or by using an estimate based on the rate data provided to the county by the Division of Insurance of the Department of Labor and Regulation. The policy used shall have a benefit design that equals or exceeds the benefit design of the basic benefit plan as developed by the Health Benefit Plan Committee pursuant to §58-18B-32. If the result is a negative number, the health insurance was not affordable. If the result is a positive number, health insurance was affordable and the individual is considered to be indigent by design. Source: SL 2000, ch 134, §2; SL 2004, ch 17, §36; SL 2011, ch 1 (Ex. Ord. 11-1), §162, eff. Apr. 12, 2011.
SD Codified L § 28-13-33 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-33 - County liability for emergency and nonemergency hospitalization of indigent persons--Remedies for recovery of expense by county.

28-13-33. County liability for emergency and nonemergency hospitalization of indigent persons--Remedies for recovery of expense by county.Subject to the provisions of this chapter and except as expressly provided, if a hospital furnishes emergency hospital services to a medically indigent person, the county where the medically indigent person has established residency is liable to the hospital for the reimbursement of the hospitalization. In the case of nonemergency care, the county of residence is liable only to the extent that the board of county commissioners, in good faith, approves an application for assistance. If a county provides payment for nonemergency services, the services shall be approved by the county before the services are provided. To the extent that the county provides payment to a hospital, the county has the same remedies for the recovery of the expense as are provided by chapter 28-14 for the recovery of money expended for the relief and support of poor and indigent persons. Source: SL 1953, ch 131, §3; SDC Supp 1960, §27.12B03; SL 1976, ch 173, §19; SL 1988, ch 226, §2; SL 1997, ch 170, §11.
SD Codified L § 28-13-33.1 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-33.1 - Experimental procedures and treatment for medically indigent patient.

28-13-33.1. Experimental procedures and treatment for medically indigent patient.No county is liable for the payment of any experimental procedures or experimental modes of treatment provided on behalf of a medically indigent person. Source: SL 1997, ch 170, §28.
SD Codified L § 28-13-33.2 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-33.2 - Billing for care of medically indigent patients.

28-13-33.2. Billing for care of medically indigent patients.If submitting a bill to a county for medically necessary hospital services provided on behalf of a person who is medically indigent, the hospital must first demonstrate that it has exhausted all avenues of payment including accepting reasonable monthly payments from the person who does not have the ability to pay the hospital in one lump sum at the time of discharge. Source: SL 1997, ch 170, §30.
SD Codified L § 28-13-34.1 (2021)
2021 South Dakota Codified Laws|Title 28 - Public Welfare and Assistance|Chapter 13 - County Poor Relief|Section 28-13-34.1 - Notice to county where hospitalization is furnished to indigent person--Time for notice of emergency and nonemergency admissions--Contents of notice.

28-13-34.1. Notice to county where hospitalization is furnished to indigent person--Time for notice of emergency and nonemergency admissions--Contents of notice.If hospitalization is furnished to a medically indigent person, the county is not liable for the cost of the hospitalization unless, within fifteen days in the case of an emergency admission, notice of the hospitalization is mailed to the auditor of the county. The notice shall contain:(1)The name and last known address of the patient or the patient's guardian;(2)The name and address of the responsible party, if known;(3)The name of the attending physician;(4)The nature and degree of severity of the illness;(5)The anticipated diagnostic or therapeutic services required;(6)The location at which the services are to be provided;(7)The estimated reimbursement for the services; and(8)A statement that the hospital has asked the patient or the responsible party, if known, whether the patient has served in any branch of the military, is potentially eligible for Indian Health Service benefits, or is a member of a Native American tribe and a statement of the information received in response to the inquiry. Source: SL 1988, ch 226, §1; SL 1989, ch 245; SL 1997, ch 170, §17.