South CarolinaH 4067126th General Assembly (2025-2026)HouseWALLET

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-268 SO AS TO REQUIRE ALL HOSPITALS WITH EMERGENCY DEPARTMENTS TO HAVE AT LEAST ONE PHYSICIAN PHYSICALLY PRESENT ON SITE WHO IS RESPONSIBLE FOR THE EMERGENCY DEPARTMENT AT ALL TIMES THE EMERGENCY DEPARTMENT IS OPEN.

Sponsored By: Sylleste H. Davis (Republican)

Signed by Governor

Summary

Hospital Emergency Departments

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Bill Overview

Analyzed Economic Effects

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

Emergency rooms must have a doctor on-site

In South Carolina, every hospital emergency room must have a doctor at the hospital whenever it is open. The doctor is responsible for the emergency room. This is a licensing rule for all hospitals, with no telemedicine substitute. The law takes effect May 12, 2025.

Sponsors & Cosponsors

Sponsor

  • Sylleste H. Davis

    Republican • House

Cosponsors

  • Cally R. "Cal" Forrest, Jr.

    Republican • House

  • Rosalyn D. Henderson-Myers, Ph.D.

    Democrat • House

  • Heath Sessions

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 159 • No: 0

Senate vote • 5/6/2025

(Hospital Emergency Departments)2nd Reading

Yes: 44 • No: 0

House vote • 3/25/2025

(Hospital Emergency Departments)Passage of Bill

Yes: 115 • No: 0

Actions Timeline

  1. Act No. 49

    5/19/2025legislature
  2. Effective date 05/12/25

    5/19/2025legislature
  3. Signed By Governor

    5/12/2025Governor
  4. Ratified R 75

    5/8/2025legislature
  5. Read third time and enrolled

    5/7/2025Senate
  6. Roll call Ayes-44 Nays-0

    5/6/2025Senate
  7. Read second time

    5/6/2025Senate
  8. Committee report: Favorable Medical Affairs

    4/30/2025Senate
  9. Referred to Committee on Medical Affairs

    3/26/2025Senate
  10. Introduced and read first time

    3/26/2025Senate
  11. Read third time and sent to Senate

    3/26/2025House
  12. Roll call Yeas-115 Nays-0

    3/25/2025House
  13. Read second time

    3/25/2025House
  14. Member(s) request name added as sponsor: Forrest, Henderson-Myers

    3/25/2025House
  15. Committee report: Favorable Medical, Military, Public and Municipal Affairs

    3/20/2025House
  16. Referred to Committee on Medical, Military, Public and Municipal Affairs

    2/20/2025House
  17. Introduced and read first time

    2/20/2025House

Bill Text

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