South Dakota Code § 28-13A-13

Conditions for disbursement for organ transplants
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The catastrophic county poor relief board may not approve a disbursement for care related to an organ transplant unless the county making application establishes the following:
(1) That the same care is available to nonindigent residents of the county. This may be established by the receipt of letters from six insurance companies doing business in the state verifying that insurance coverage is available for such care;
(2) That the care will not jeopardize the funding of health care services already available within the county;
(3) That the care is reasonable and necessary;
(4) That the care provider has determined that the individual in need of the organ transplant is medically, psychologically, and socially qualified to receive the transplant according to criteria established by the care provider; and
(5) That there is a reasonable expectation that there will be a significant improvement in the individual's duration or quality of life as a result of the transplant.

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