South CarolinaH 3022126th General Assembly (2025-2026)House

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 43-21-130, RELATING TO THE LONG-TERM CARE COUNCIL, SO AS TO CORRECT REFERENCES TO CERTAIN AGENCIES WITH MEMBERSHIP ON THE COUNCIL; BY AMENDING SECTION 43-21-140, RELATING TO THE PURPOSE AND DUTIES OF COUNCIL, SO AS TO PROVIDE FOR THE SHARING OF DATA WITH MEMBER AGENCIES; AND FOR OTHER PURPOSES.

Sponsored By: Marvin "Mark" Smith (Republican)

Signed by Governor

Summary

Long Term Care Council

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 1 costs, 0 mixed.

Long-Term Care Council membership and rules

The law sets who serves on the Long-Term Care Council. Members include the Governor; the heads of Social Services, Public Health, Behavioral Health (Mental Health and Intellectual and Developmental Disabilities), Aging, and Health and Human Services; the Secretary of Veterans’ Affairs; and the chair of the Joint Legislative Committee on Aging. The Governor also appoints three private members: one provider, one consumer, and one from the insurance industry selling long-term care. Each director may let a designee vote at up to two meetings a year. Private members serve without pay. The council meets at least quarterly, elects its officers, and sends an annual report with new recommendations to the General Assembly by January 2 each year.

Plan to improve long-term care access

The law requires member agencies to share needed data with the council. The council studies long-term care policy and can run research and demonstration projects. It develops recommendations for a statewide service system for all health‑impaired elderly or disabled people, no matter their resources or how they pay. The plan covers charges based on ability to pay for people not on Medicaid, coordination of community services, access to the right mix of services, case management, and discharge planning. The council also studies adult day care, in‑home and institutional respite, adult foster homes, family incentives such as cash help, tax credits, or deductions, and home‑delivered services. It works to keep a statewide access system for long‑term supports and services. The council updates its recommendations each year as needed.

Council cannot force state agencies

The law limits the council’s power. It can recommend and coordinate plans, but it cannot direct or require any member agency to take action. Agencies do not have to adopt council recommendations.

Sponsors & Cosponsors

Sponsor

  • Marvin "Mark" Smith

    Republican • House

Cosponsors

  • Thomas Duval "Val" Guest, Jr.

    Republican • House

  • Roger K. Kirby

    Democrat • House

  • Wm. Weston J. Newton

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 355 • No: 0

House vote • 5/6/2026

(Long Term Care Council)Adopt Amendment 1A  Amendment number 1A

Yes: 118 • No: 0

Senate vote • 4/29/2026

(Long Term Care Council)2nd Reading

Yes: 43 • No: 0

House vote • 2/13/2025

(Long Term Care Council)Passage of Bill

Yes: 97 • No: 0

House vote • 2/13/2025

(Long Term Care Council)Passage of Bill

Yes: 97 • No: 0

Actions Timeline

  1. Act No. 129

    5/26/2026legislature
  2. Effective date 05/15/26

    5/26/2026legislature
  3. Signed By Governor

    5/15/2026Governor
  4. Ratified R 168

    5/14/2026legislature
  5. Concurred in House amendment and enrolled

    5/7/2026Senate
  6. Roll call Yeas-118 Nays-0

    5/6/2026House
  7. Returned to Senate with amendments

    5/6/2026House
  8. Senate amendment amended

    5/6/2026House
  9. Read third time and returned to House with amendments

    4/30/2026Senate
  10. Roll call Ayes-43 Nays-0

    4/29/2026Senate
  11. Read second time

    4/29/2026Senate
  12. Committee Amendment Adopted

    4/29/2026Senate
  13. Committee report: Favorable with amendment Medical Affairs

    4/15/2026Senate
  14. Referred to Committee on Medical Affairs

    2/18/2025Senate
  15. Introduced and read first time

    2/18/2025Senate
  16. Unanimous consent for third reading on next legislative day

    2/13/2025House
  17. Roll call Yeas-97 Nays-0

    2/13/2025House
  18. Read second time

    2/13/2025House
  19. Amended

    2/13/2025House
  20. Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs

    2/12/2025House
  21. Referred to Committee on Medical, Military, Public and Municipal Affairs

    1/14/2025House
  22. Introduced and read first time

    1/14/2025House
  23. Referred to Committee on Medical, Military, Public and Municipal Affairs

    12/5/2024House
  24. Prefiled

    12/5/2024House

Bill Text

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