- Associated Press - Tuesday, October 7, 2014

SIOUX FALLS, S.D. (AP) — South Dakota medical patients could have more choice of doctors within their health insurance networks if voters approve a ballot measure that is drawing strong opposition from the health insurance industry.

Initiated Measure 17 seems simple enough: doctors who agree to the conditions set forth by insurers, including payments for services provided to patients, could join the insurer’s preferred provider list. Preferred providers, also known as in-network, usually are less expensive than those outside of a network.

But the measure is controversial, with specialty hospitals and many doctors in favor, while insurers and large health care hospital systems are opposed.

Even though South Dakota is a small market, the insurance industry is watching closely because similar proposals have been considered in other states including Pennsylvania and New Hampshire.

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