SD · last verified 2026-05-12
South Dakota — NSA dispute pathway
Ground-ambulance balance-billing law
NO STATE LAW
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State IDR pathway
[VERIFY PENDING]
Federal IDR (45 CFR §149.510)
ERISA self-funded plans
STATE DOI HAS NO JURISDICTION
Self-funded plans always route to Federal IDR + DOL/EBSA enforcement, regardless of state.
How South Dakota fits the NSA picture
SD Division of Insurance page references only the federal NSA. SB211 (2026 session) pending; not enacted.
Free first step — CMS No Surprises Help Desk
The CMS-administered consumer complaint pathway. Free, federal, and the recommended first action for any balance-billed insured patient. You have 90 calendar days from when you knew or should have known of the NSA violation to file.