Printer FriendlyHB 1010 repeal certain outdated and obsolete statutes and rules relate...
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State of South Dakota
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EIGHTY-SEVENTH SESSION
LEGISLATIVE ASSEMBLY, 2012
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400T0225
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HOUSE BILL NO. 1010
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Introduced by: The Committee on Health and Human Services at the request of the
Department of Health
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FOR AN ACT ENTITLED, An Act to repeal certain outdated and obsolete statutes and rules
related to the Department of Health.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section 1. That § 34-1-10 be repealed.
34-1-10. A Division of Dental Health is hereby created, which shall be under the direct
supervision of the secretary of health, and conducted by a full-time director of dental health.
Section 2. That § 34-1-11 be repealed.
34-1-11. The director of dental health shall be a regularly licensed dentist who shall have
at least one school year of training in an accredited school of public health.
Section 3. That § 34-1-12 be repealed.
34-1-12. The duties of the Division of Dental Health shall be the development and
promotion of those activities which result in the protection and improvement of the dental health
of the people of the state.
Section 4. That § 34-1-13 be repealed.
34-1-13. The Department of Health shall adopt rules and regulations for the proper
administration of §§ 34-1-10 to 34-1-12, inclusive. The Department of Health through the
Division of Dental Health shall have supervision over the dentists employed by municipalities,
counties, school districts, and custodial institutions.
Section 5. That § 34-1-31 be repealed.
34-1-31. Any health care facility, as defined in § 34-12-1.1, or any physician or other health
practitioner providing treatment to any person who has been injured in an agricultural accident
or who has suffered an illness or poisoning related to substances or practices used for
agricultural purposes shall report the accident, illness, or poisoning to the Department of Health.
Section 6. That § 34-1-32 be repealed.
34-1-32. The Department of Health shall maintain a registry of all cases of agricultural
injury, illness, or poisoning reported pursuant to § 34-1-31. The department shall compile
statistical data on the cases and shall make summaries of the data available to state and federal
agencies and to the public for purposes of public education and promotion of agricultural safety
and health. The data shall be provided in a manner that does not violate the right to privacy of
any affected person.
Section 7. That § 34-1-33 be repealed.
34-1-33. The Department of Health shall promulgate rules, pursuant to chapter 1-26, to
specify criteria, procedures, and forms for reporting injuries, illnesses, and poisonings pursuant
to § 34-1-31 and to specify categories of information to be maintained and procedures by which
government agencies and the public may obtain information from the registry pursuant to § 34-1-32.
Section 8. That § 34-12-1.1 be amended to read as follows:
34-12-1.1. Terms used in this chapter mean:
(1) "Ambulatory surgery center," any facility which is not part of a hospital and which
is not an office of a dentist, whether for individual or group practice, in which
surgical procedures requiring the use of general anesthesia are performed upon
patients;
(2) "Assisted living center," any institution, rest home, boarding home, place, building,
or agency which is maintained and operated to provide personal care and services
which meet some need beyond basic provision of food, shelter, and laundry;
(3) "Chemical dependency treatment facility," any facility which provides a structured
inpatient treatment program for alcoholism or drug abuse;
(4) "Health care facility," any institution, sanitarium, maternity home, birth center,
ambulatory surgery center, chemical dependency treatment facility, hospital, nursing
facility, assisted living center, rural primary care hospital, adult foster care home,
inpatient hospice, residential hospice, place, building, or agency in which any
accommodation is maintained, furnished, or offered for the hospitalization, nursing
care, or supervised care of the sick or injured;
(5) "Hospital," any establishment with an organized medical staff with permanent
facilities that include inpatient beds and is primarily engaged in providing by or
under the supervision of physicians, to inpatients, any of the following services:
diagnostic or therapeutic services for the medical diagnosis, treatment, or care of
injured, disabled, or sick persons; obstetrical services including the care of the
newborn; or rehabilitation services for injured, disabled, or sick persons. In no event
may the inpatient beds include nursing facility beds or assisted living center beds
unless the same are licensed as such pursuant to this chapter;
(6)
"Maternity home," any institution, place, building, or agency in which, within a
period of six months, more than one woman, during pregnancy, or during or after
delivery, except women related by blood or marriage, are kept for care or treatment;
or which has in its custody or control at any one time, two or more infants under the
age of two years, unattended by parents or guardians, for the purpose of providing
them with care, food, and lodging, except infants related to the one having such
custody or control by blood or marriage;
(7) "Nursing facility," any facility which is maintained and operated for the express or
implied purpose of providing care to one or more persons whether for consideration
or not, who are not acutely ill but require nursing care and related medical services
of such complexity as to require professional nursing care under the direction of a
physician on a twenty-four hour per day basis; or a facility which is maintained and
operated for the express or implied purpose of providing care to one or more persons,
whether for consideration or not, who do not require the degree of care and treatment
which a hospital is designed to provide, but who because of their mental or physical
condition require medical care and health services which can be made available to
them only through institutional facilities;
(8)(7) "Critical access hospital," any nonprofit or public hospital providing emergency care
on a twenty-four hour basis located in a rural area which has limited acute inpatient
services, focusing on primary and preventive care, and which has in effect an
agreement with a general hospital that provides emergency and medical backup
services and accepts patient referrals from the critical access hospital. For the
purposes of this subdivision, a rural area is any municipality of under fifty thousand
population;
(9)(8) "Adult foster care home," a family-style residence which provides supervision of
personal care, health services, and household services for no more than four aged,
blind, physically disabled, developmentally disabled, or socially-emotionally disabled
adults;
(10)(9) "Inpatient hospice," any facility which is not part of a hospital or nursing home
which is maintained and operated for the express or implied purpose of
providing all levels of hospice care to terminally ill individuals on a twenty-four hour per day basis;
(11)(10) "Residential hospice," any facility which is not part of a hospital or nursing
home which is maintained and operated for the express or implied purpose of
providing custodial care to terminally ill individuals on a twenty-four hour per
day basis; and
(12)(11) "Birth center," any health care facility at which a woman is scheduled to give
birth following a normal, uncomplicated pregnancy, but does not include a
hospital or the residence of the woman giving birth.
Section 9. That § 34-14-7 be repealed.
34-14-7. As used in §§ 34-14-8 to 34-14-15, inclusive, "institution" means any school or
college of agriculture, veterinary medicine, medicine, pharmacy, dentistry, or other educational
or scientific establishment properly concerned with the investigation of, or instruction
concerning the structure or functions of living organisms, the cause, prevention, control, or cure
of diseases or abnormal conditions of human beings or animals.
Section 10. That § 34-14-8 be repealed.
34-14-8. Such institutions may apply to the State Department of Health for a license to
obtain animals from establishments maintained by or for municipalities for the impounding,
care, and disposal of animals seized by lawful authority. However, no such establishment may
be required to furnish animals to such institutions. If, after investigation, the State Department
of Health finds that the institution making request for licensure is a fit and proper agency within
the meaning of §§ 34-14-6 to 34-14-15, inclusive, to receive a license, and that the public
interest will be served thereby, it may issue a license to such institution authorizing it to obtain
animals subject to the restrictions and limitations provided in this chapter.
Section 11. That § 34-14-9 be repealed.
34-14-9. Each institution licensed under § 34-14-8 shall pay an annual license fee of ten
dollars for each calendar year, or part thereof, to the State Department of Health. All such
license fees shall be deposited in the general revenue fund of the State of South Dakota.
Section 12. That § 34-14-12 be repealed.
34-14-12. The licensed institution shall provide, at its own expense, for the transportation
of such animals from the establishment to the institution and shall use them only in the conduct
of its scientific and educational activities and for no other purpose.
Section 13. That § 34-14-13 be repealed.
34-14-13. The State Department of Health may promulgate rules pursuant to chapter 1-26
to carry out the provisions of this chapter, including provisions for controlling the humane use
of animals for the diagnosis and treatment of human and animal diseases, the advancement of
veterinary, dental, medical, and biological sciences and the testing and diagnosing,
improvement, and standardization of laboratory specimens, biological products,
pharmaceuticals, and drugs. The department may inspect or investigate any institution which
has applied for a license or has been granted a license under § 34-14-8.
Section 14. That § 34-14-14 be repealed.
34-14-14. It is a Class 1 misdemeanor to furnish impounded animals to an unlicensed
institution.
Section 15. That § 34-14-15 be repealed.
34-14-15. The State Department of Health upon compliance with chapter 1-26, may revoke
the license granted any institution:
(1) If the institution has violated any provisions of §§ 34-14-6 to 34-14-13, inclusive; or
(2) Has failed to comply with the conditions required by the State Department of Health
in respect to the issuance of such license.
Section 16. That § 34-7-1 be repealed.
34-7-1. As used in this chapter:
(1) "Department" means South Dakota Department of Health;
(2) "Federal secretary" means the secretary of health and human services of the United
States;
(3) "Hospital" includes public health centers and general, tuberculosis, mental, chronic
disease, and other types of hospitals, and related facilities, including osteopathic
hospitals, such as laboratories, out-patient departments, nurses' home and training
facilities, and mental service facilities operated in connection with hospitals, but does
not include any hospital furnishing primarily domiciliary care;
(4) "Nonprofit hospital" means any hospital owned and operated by a corporation or
association, no part of the net earnings of which inures, or may lawfully inure, to the
benefit of any private shareholder or individual;
(5) "Public health center" means a publicly owned facility for the provision of public
health services, including related facilities such as laboratories, clinics, and
administrative offices operated in connection with public health centers;
(6) "The federal act" means Public Law 88-443 approved August 18, 1964, entitled the
Hospital and Medical Facilities Amendments of 1964 and all amendments thereto,
Public Law 88-156 approved October 24, 1963, entitled The Maternal and Child
Health and Mental Retardation Amendments for 1963 and all amendments thereto,
Public Law 88-164 approved October 31, 1963, entitled Mental Retardation Facilities
Construction Act and all amendments thereto, or any other public law relating to
hospital survey and construction.
Section 17. That § 34-7-2 be repealed.
34-7-2. The Department of Health constitutes the sole agency of the state for the purpose
of:
(1) Making an inventory of existing hospitals, surveying the need for construction of
hospitals, and developing a program of hospital construction as provided in §§ 34-7-8
to 34-7-18, inclusive; and
(2) Developing and administering a state plan for the construction of public and other
nonprofit hospitals as provided in §§ 34-7-8 to 34-7-18, inclusive.
Section 18. That § 34-7-8 be repealed.
34-7-8. The Department of Health is authorized and directed to make an inventory of
existing hospitals, including public, nonprofit, and proprietary hospitals, to survey the need for
construction of hospitals, and, on the basis of such inventory and survey, to develop a program,
for the construction of such public and other nonprofit hospitals as will, in conjunction with
existing facilities, afford the necessary physical facilities for furnishing adequate hospital, clinic,
and similar services to all the people of the state.
Section 19. That § 34-7-9 be repealed.
34-7-9. The Department of Health is authorized to make application to the federal secretary
for federal funds to assist in carrying out the survey and planning activities herein provided.
Such funds shall be deposited in the state treasury and shall be available to the secretary of
health for expenditure for carrying out the purposes of this chapter. Any such funds received and
not expended for such purposes shall be repaid to the treasury of the United States.
Section 20. That § 34-7-10 be repealed.
34-7-10. The construction program shall provide, in accordance with regulations prescribed
under the federal act, for adequate hospital facilities for the people residing in this state and in
so far as possible shall provide for their distribution throughout the state in such manner as to
make all types of hospital service reasonably accessible to all persons in the state.
Section 21. That § 34-7-11 be repealed.
34-7-11. The Department of Health shall prepare and submit to the federal secretary a state
plan which shall include the hospital construction program developed under §§ 34-7-8 to 34-7-18, inclusive, and which shall provide for the establishment, administration, and operation of
hospital construction activities in accordance with the requirements of the federal act and
regulations thereunder. The department shall, prior to the submission of such plan to the federal
secretary, give adequate publicity to a general description of all the provisions proposed to be
included therein, and hold a public hearing at which all persons or organizations with a
legitimate interest in such plan may be given an opportunity to express their views.
Section 22. That § 34-7-12 be repealed.
34-7-12. The state plan shall set forth the relative need for the several projects included in
the construction program determined in accordance with regulations prescribed pursuant to the
federal act, and provide for the construction, in so far as financial resources available therefor
and for maintenance and operations make possible, in the order of such relative need.
Section 23. That § 34-7-13 be repealed.
34-7-13. After approval of the plan by the federal secretary, the Department of Health shall
publish a general description of the provisions thereof in at least one newspaper having general
circulation in each county in the state, and shall make the plan, or a copy thereof, available upon
request to all interested persons or organizations.
Section 24. That § 34-7-14 be repealed.
34-7-14. The Department of Health shall from time to time review the hospital construction
program and submit to the federal secretary any modifications thereof which it may find
necessary and may submit to the federal secretary such modification of the state plan, not
inconsistent with the requirements of the federal act, as it may deem advisable.
Section 25. That § 34-7-15 be repealed.
34-7-15. The department shall by regulation prescribe minimum standards for the
maintenance and operation of hospitals which receive federal aid for construction under the state
plan. Said department, in adopting minimum standards, shall not adopt any standard which
would in any way discriminate between the various healing arts or which would in any way
prohibit osteopathic hospitals from receiving aid under this chapter or which would prohibit
hospitals allowing osteopathic physicians to practice their profession in said hospital from
receiving federal aid under this chapter.
Section 26. That § 34-7-16 be repealed.
34-7-16. Applications for hospital construction projects for which federal funds are
requested shall be submitted to the department and may be submitted by the state or any political
subdivision thereof or by any public or nonprofit agency authorized to construct and operate a
hospital. Each application for a construction project shall conform to federal and state
requirements.
Section 27. That § 34-7-17 be repealed.
34-7-17. The department shall afford to every applicant for a construction project an
opportunity for a fair hearing. If the department, after affording reasonable opportunity for
development and presentation of applications in the order of relative need, finds that a project
application complies with the requirements of § 34-7-16 and is otherwise in conformity with
the state plan, it shall approve such application and shall recommend and forward it to the
federal secretary.
Section 28. That § 34-7-18 be repealed.
34-7-18. From time to time the Department of Health shall inspect each construction project
approved by the federal secretary, and, if the inspection so warrants, the department shall certify
to the federal secretary that work has been performed upon the project, or purchases have been
made, in accordance with the approved plans and specifications, and that payment of an
installment of federal funds is due to the applicant.
Section 29. That § 34-7-20 be repealed.
34-7-20. In carrying out the purposes of the chapter, the Department of Health is authorized
and directed to require such reports, make such inspections and investigations and prescribe
such regulations as the department deems necessary.
Section 30. That § 34-7-21 be repealed.
34-7-21. In carrying out the purposes of the chapter, the Department of Health is authorized
and directed to procure in its discretion the temporary or intermittent services of experts or
consultants or organizations thereof, by contract, when such services are to be performed on a
part-time or fee-for-service basis and do not involve the performance of administrative duties.
Section 31. That § 34-7-22 be repealed.
34-7-22. The Department of Health is authorized and directed, to the extent that it considers
desirable to effectuate the purposes of this chapter, to enter into agreements for the utilization
of the facilities and services of other departments, agencies, and institutions, public or private.
Section 32. That § 34-7-23 be repealed.
34-7-23. In carrying out the purposes of the chapter, the Department of Health is authorized
and directed to accept on behalf of the state and to deposit with the state treasurer any grant, gift,
or contribution made to assist in meeting the cost of carrying out the purposes of this chapter,
and to expend the same for such purposes.
Section 33. That § 34-7-25 be repealed.
34-7-25. In carrying out the purposes of the chapter, the Department of Health is authorized
and directed to provide such methods of administration and take such other action as may be
necessary to comply with the requirements of the federal act and the regulations thereunder.
Section 34. That § 34-7-27 be repealed.
34-7-27. This chapter may be cited as the "South Dakota Hospital Survey and Construction
Law."
Section 35. That § 34-27-1 be repealed.
34-27-1. Before any person shall proceed to construct any mausoleum, vault, or other burial
structure entirely or partly above ground, capable of containing twenty or more deceased human
bodies for permanent interment, such person shall present the plans for such construction to the
Department of Health and if approved by such department may proceed with the construction
of such mausoleum, vault, or structure; and no such structure shall be erected otherwise than in
accordance with the plans approved by such department.
Section 36. That § 34-27-2 be repealed.
34-27-2. All crypts or catacombs, if any be placed in such mausoleum, vault, or other
structure, shall be so constructed that all parts thereof may be readily examined by the
Department of Health or any health officer, and such crypts or catacombs shall be so
hermetically sealed after any deceased body or bodies shall have been placed therein, that no
offensive or unhealthful odor or effluvia may escape therefrom.
Section 37. That § 34-27-3 be repealed.
34-27-3. Should any person fail to hermetically seal any such crypt or catacomb and by
reason of such failure any offensive odor or effluvia shall arise therefrom, the Department of
Health or any health officer shall upon the complaint of any resident of the township or first or
second class municipality where such mausoleum, vault, or other burial structure may be
situated, compel the sexton or other person in charge of such burial structure immediately to
remove the deceased body or bodies therefrom and properly inter the same at the expense of the
person owning such burial structure; and if no such person can be found in the county where the
same may be located, such interment shall be at the expense of the county where such burial
structure may be situated.
Section 38. That ARSD 44:17:01:01 be repealed.
44:17:01:01. Use of chloramphenicol restricted. The use of chloramphenicol is restricted
to animals not raised for food production. The chemical may not be used in meat-, egg-, or
milk-producing animals.
Section 39. That ARSD 44:17:01:02 be repealed.
44:17:01:02. Use by veterinarians. The use of chloramphenicol shall only be by or on the
order of a licensed veterinarian for nonfood-producing animals. For purposes of §§ 44:17:01:05
to 44:17:01:09, inclusive, the licensed veterinarian normally providing the health care for the
animals identified in the certification statement shall certify by original signature that he has
never prescribed chloramphenicol to such animals. He shall also certify that, to the best of his
knowledge, each party in the chain of ownership or possession has not administered
chloramphenicol to the animals proposed for importation.
Section 40. That ARSD 44:17:01:03 be repealed.
44:17:01:03. Labeling requirements. Commercially distributed chloramphenicol shall be
labeled with the name of the drug. The label shall contain the statement, "Warning: Not For Use
In Animals Which Are Raised For Food Production."
Section 41. That ARSD 44:17:01:04 be repealed.
44:17:01:04. Importation of food animals. No animals raised for food production from any
area outside the United States which has not restricted the use of chloramphenicol as of May 10,
1985, but subsequently restricts its use may be imported into this state for a period of 12 months
from the effective date of the restriction except as provided in §§ 44:17:01:05 to 44:17:01:08,
inclusive.
Section 42. That ARSD 44:17:01:05 be repealed.
44:17:01:05. Certification and permitting of food-producing animals. Prior to importation
into South Dakota of food-producing animals from an area outside the United States where the
use of chloramphenicol is permitted, each party in the chain of ownership or possession of the
animals shall certify that chloramphenicol has not been implanted, injected, or ingested into the
animals and that the animals have not otherwise been exposed to chloramphenicol. The
certification shall be verified in writing by the head of the department of agriculture from the
area from which the animals are imported, or his designee. The certificate constitutes the
application for a permit to import food-producing animals. It shall be filed with the South
Dakota department of health prior to the importation of the animals into this state. The
certificate shall include a list of individual animals which are identified by ear tag or an
equivalent form of identification which clearly allows easy inspection and verification by South
Dakota authorities. The total number, species, and age in weeks shall be stated on the certificate.
Food-producing animals which are intended exclusively for breeding purposes are exempted
from the provisions in §§ 44:17:01:05 to 44:17:01:08, inclusive, provided required health
certification is submitted to the South Dakota livestock sanitary board and a permit for
importation has been issued by the livestock sanitary board.
Section 43. That ARSD 44:17:01:06 be repealed.
44:17:01:06. Certificate requirements. The certificate shall also include the following
information:
(1) The name and address of each owner, producer, and seller and the place or places of
animal origin;
(2) The date of shipping departure;
(3) The name and address of broker/shipper/exporter;
(4) The means of conveyance;
(5) The port of entry into South Dakota and the date and estimated time of arrival;
(6) The destination point of the animals and date and the estimated time of arrival;
(7) The name and address of the consignee; and
(8) The purpose and intended use of the animals in South Dakota.
Section 44. That ARSD 44:17:01:07 be repealed.
44:17:01:07. Verification by department. The department shall verify the contents of the
certificate and may require any additional information or laboratory testing that it determines
necessary. Such verification may include on-site inspections by South Dakota agriculture
officials of the animals intended for importation or qualitative laboratory testing for
chloramphenicol residues in the animals, or both.
If the department of health requires further or confirmatory laboratory testing to verify the
contents of the certificate, the applicant shall produce results of such testing in one of two ways:
(1) The applicant may submit verifiable test results obtained from a laboratory approved
for chloramphenicol analysis of animal tissues by the department of agriculture of the area from
which the animals are imported; or
(2) The applicant may submit an affidavit from a processing plant or other consignee in
South Dakota which indicates it is willing to assume responsibility for holding animals or
retaining carcasses until laboratory testing is completed by the United States department of
agriculture's food safety and inspection service laboratory in Athens, Georgia. If this is done,
the department may issue a conditional permit.
Laboratory testing for chloramphenicol residue shall be done on urine, serum, or muscle
tissues. The acceptable tolerance level for chloramphenicol in the analyzed animal tissues is
zero.
The arrangement for and the expense associated with required laboratory testing is the
responsibility of the applicant requesting a permit to import food-producing animals.
Section 45. That ARSD 44:17:01:08 be repealed.
44:17:01:08. Permit issuance. All required elements of the certification process must be met
for the South Dakota department of health to begin to process a permit to import food-producing
animals.
A permit must be issued to the applicant prior to shipment of the animals. The permit must
be in the possession of the party transporting the animals upon entering this state unless the
department has issued a conditional permit under subdivision 44:17:01:07(2).
The secretary of health shall issue a permit authorizing importation within fourteen days
after the department of health's verification of the contents of the applicant's certificate and
completion of any necessary laboratory tests.
Section 46. That ARSD 44:17:01:09 be repealed.
44:17:01:09. Enforcement. The provisions of this article shall be enforced through
monitoring by the South Dakota highway patrol, the livestock sanitary board, and department
of agriculture field inspectors.
Section 47. That ARSD 44:61:01:01 be repealed.
44:61:01:01. Definitions. Terms used in this article mean:
(1) "Board," the South Dakota Board of Regents;
(2) "Department," the South Dakota Department of Health;
(3) "Participating physician," a primary care physician who has agreed to practice medicine
for a specified length of time in an underserved area in exchange for waiver of the medical
school tuition;
(4) "Primary care physician," a medical doctor licensed in South Dakota who specializes
in family practice, general internal medicine, general pediatrics, or general
obstetrics/gynecology;
(5) "Rural county," a county in South Dakota that has a population under 50,000;
(6) "Service area," a geographic area surrounding a primary care practice site;
(7) "Service obligation," the amount of medical service each participating physician is
obligated to provide in an underserved area or underserved facility;
(8) "Underserved area," a geographic area that has been designated by the department to be
in need of one or more primary care physicians; and
(9) "Underserved facility," a facility designated by the department to be in need of the
services of one or more primary care physicians.
Section 48. That ARSD 44:61:02:02 be repealed.
44:61:02:02. Publication of designations. Annually, the department shall publish maps or
a list of the areas or facilities designated as underserved for each primary care specialty.
Section 49. That ARSD 44:61:02:03 be repealed.
44:61:02:03. Automatic designation as underserved facility. The department shall
automatically designate the following facilities as underserved:
(1) A state-owned health or correctional facility;
(2) A migrant health center as defined in 42 U.S.C. § 254b in effect on July 1, 1994;
(3) A community health center as defined in 42 U.S.C. § 254c in effect July 1, 1994;
(4) A homeless project as defined in 42 U.S.C. § 256 in effect July 1, 1994; and
(5) An Indian Health Service hospital.
Section 50. That ARSD 44:61:03:01 be repealed.
44:61:03:01. Minimum service required. For each year of tuition waived, a primary care
physician must provide direct primary care services for either:
(1) Forty hours a week, 48 weeks a year, in an area or facility designated by the department
as underserved at the time the physician signed the tuition agreement; or
(2) Twenty hours a week, 48 weeks a year for two years, a total of 96 weeks, in an area or
facility designated by the department as underserved at the time the service obligation begins.
Section 51. That ARSD 44:61:03:02 be repealed.
44:61:03:02. Satisfaction of service obligation -- Placement of physicians. Participating
physicians must satisfy their service obligations by practicing as follows:
(1) Participating primary care physicians shall practice in any rural county that has a ratio
of population to primary care physician in excess of 1,500 to 1 or in a facility receiving
automatic designation;
(2) If there is evidence satisfactory to the department that no practice opportunities are
available for that primary care specialty in any rural county that has a ratio of population to
primary care physician in excess of 1,500 to 1 or in any facility receiving automatic designation,
the participating primary care physician shall practice in any remaining municipality in the state
that is located outside a radius of 20 miles extending from the center of any municipality that
has a population of more than 50,000.
Section 52. That ARSD 44:61:03:03 be repealed.
44:61:03:03. Residence in underserved area not required. A physician need not reside in an
underserved area to qualify for a tuition waiver based on a service commitment to an
underserved area or facility.
Section 53. That ARSD 44:61:04:01 be repealed.
44:61:04:01. Annual practice report forms. Each participating physician shall certify the
fulfillment of the service obligation by completing the annual practice report form provided by
the department. The physician shall return the completed form to the department and send a
copy to the Office of Student Affairs, School of Medicine, University of South Dakota,
Vermillion, South Dakota 57069, within 30 days after receipt. The annual practice report form
shall include the location and amount of primary care service performed by the participating
physician.
Section 54. That ARSD 44:61:04:02 be repealed.
44:61:04:02. Forwarding of report to board. The department shall forward one copy of each
annual practice report to the board to certify fulfillment of each participating physician's service
obligation.
Section 55. That ARSD 44:61:04:03 be repealed.
44:61:04:03. Change of address. Each participating physician shall advise the department
in writing of any personal or professional change of address within 30 days after the change.