South CarolinaH 3831126th General Assembly (2025-2026)House

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "SMART HEART ACT" BY ADDING SECTION 59-17-165 SO AS TO PROVIDE DEFINITIONS AND TO PROVIDE FOR THE DEVELOPMENT AND IMPLEMENTATION OF A CARDIAC EMERGENCY RESPONSE PLAN IN EACH PUBLIC SCHOOL; AND BY AMENDING SECTION 59-17-155, RELATING TO THE AUTOMATED EXTERNAL DEFIBRILLATOR PROGRAM IN HIGH SCHOOLS, SO AS TO PROVIDE EACH PUBLIC SCHOOL SHALL ENSURE THE PRESENCE OF AN AUTOMATED EXTERNAL DEFIBRILLATOR ONSITE AND WITHIN CERTAIN PROXIMITY OF SCHOOL ATHLETIC VENUES, AND TO PROVIDE RELATED TESTING, MAINTENANCE, AND PERSONNEL TRAINING REQUIREMENTS.

Sponsored By: M. Brian Lawson (Republican)

Signed by Governor

Summary

Smart Heart Act

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Every school needs a cardiac plan

Beginning July 1, 2026, and applying to the 2027–28 school year, every district and charter school adopts a written cardiac emergency plan. Plans cover classrooms and school sports, with a response team, 911 activation steps, AED placement and upkeep, drills, staff training, and yearly review using national guidelines. Schools coordinate the plan with local EMS. Private teams that play public schools must follow these rules for those teams. Staff training named in the plan occurs as funding is provided by the General Assembly or the Department of Education.

More AEDs and trained coaches at sports

High schools run an AED program when the state or the education department funds it. Each school makes an AED reachable from every on‑campus athletic venue in an unlocked, marked spot during school days and events, and having trained staff or EMS with an AED also counts. At off‑site events, the host team ensures an AED is present, or the event sponsor does. All AEDs are tested and maintained per the maker’s instructions, and EMS is told the type and location. All coaches keep CPR, first aid, and AED training that meets national standards.

Legal protection for school responders

Schools, staff, and volunteers who create or follow the cardiac plan and give first aid, CPR, or use an AED are protected from lawsuits and criminal charges. This protection does not cover gross negligence or willful or reckless acts. Giving first aid, CPR, or using an AED under the plan is not the practice of medicine or nursing.

State help to fund and buy AEDs

The Department of Education seeks public and private funds and helps districts apply for federal grants tied to these plans and AEDs. The State Fiscal Accountability Authority can set a statewide contract to buy AEDs. The Department of Education issues rules to carry out the law.

Sponsors & Cosponsors

Sponsor

  • M. Brian Lawson

    Republican • House

Cosponsors

  • Heather Bauer

    Democrat • House

  • Donald G. "Don" Chapman

    Republican • House

  • Adam L. Duncan

    Republican • House

  • Craig A. Gagnon

    Republican • House

  • Hamilton R. Grant

    Democrat • House

  • Brandon Guffey

    Republican • House

  • Jackie E. "Coach" Hayes

    Democrat • House

  • Leon Howard

    Democrat • House

  • Marvin "Mark" Smith

    Republican • House

  • David Martin

    Republican • House

  • John R. McCravy III

    Republican • House

  • Dennis C. Moss

    Republican • House

  • Fawn M. Pedalino

    Republican • House

  • Michael F. Rivers, Sr.

    Democrat • House

  • Robby Robbins

    Republican • House

  • Richard Blake Sanders

    Republican • House

  • Carla M. Schuessler

    Republican • House

  • Heath Sessions

    Republican • House

  • Travis A. Moore

    Republican • House

  • Courtney S. Waters

    Democrat • House

Roll Call Votes

All Roll Calls

Yes: 265 • No: 0

House vote • 3/25/2026

(Smart Heart Act)Concur in Senate Amendments

Yes: 117 • No: 0

Senate vote • 3/17/2026

(Smart Heart Act)2nd Reading

Yes: 40 • No: 0

House vote • 4/8/2025

(Smart Heart Act)Passage of Bill

Yes: 108 • No: 0

Actions Timeline

  1. Act No. 108

    4/2/2026legislature
  2. Effective date 07/01/26

    4/2/2026legislature
  3. Signed By Governor

    3/30/2026Governor
  4. Ratified R 115

    3/25/2026legislature
  5. Roll call Yeas-117 Nays-0

    3/25/2026House
  6. Concurred in Senate amendment and enrolled

    3/25/2026House
  7. Read third time and returned to House with amendments

    3/19/2026Senate
  8. Roll call Ayes-40 Nays-0

    3/17/2026Senate
  9. Read second time

    3/17/2026Senate
  10. Committee Amendment Adopted

    3/17/2026Senate
  11. Committee report: Favorable with amendment Education

    3/11/2026Senate
  12. Referred to Committee on Education

    4/9/2025Senate
  13. Introduced and read first time

    4/9/2025Senate
  14. Read third time and sent to Senate

    4/9/2025House
  15. Roll call Yeas-108 Nays-0

    4/8/2025House
  16. Read second time

    4/8/2025House
  17. Amended

    4/8/2025House
  18. Member(s) request name added as sponsor: Waters

    4/8/2025House
  19. Scrivener's error corrected

    4/4/2025legislature
  20. Committee report: Favorable with amendment Education and Public Works

    4/2/2025House
  21. Member(s) request name added as sponsor: Rivers

    4/1/2025House
  22. Member(s) request name added as sponsor: Schuessler

    3/26/2025House
  23. Member(s) request name added as sponsor: Robbins

    2/20/2025House
  24. Member(s) request name added as sponsor: Duncan, Sanders, Grant, Howard, Bauer, Pedalino

    2/13/2025House
  25. Referred to Committee on Education and Public Works

    1/29/2025House

Bill Text

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