South CarolinaH 4562126th General Assembly (2025-2026)House

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "PATIENTS' RIGHT TO TRANSPARENCY AND TIMELY ACCESS TO HEALTHCARE SERVICES ACT" BY ADDING CHAPTER 116 TO TITLE 44 SO AS TO DEFINE NECESSARY TERMS; TO EXCLUDE CERTAIN HEALTHCARE PROVIDERS FROM PREAUTHORIZATION REQUIREMENTS WHO MEET AN EIGHTY PERCENT THRESHOLD OF PREAUTHORIZATION REQUESTS FOR MEDICATIONS AND TREATMENTS DURING A PARTICULAR TIME PERIOD; TO REQUIRE A FAIR AND TRANSPARENT PRIOR AUTHORIZATION PROCESS FOR MEDICATIONS AND TREATMENTS; TO ESTABLISH TIMELINES FOR PREAUTHORIZATION DECISIONS; TO PROHIBIT ONGOING PRIOR AUTHORIZATION REQUIREMENTS FOR PATIENTS LIVING WITH CHRONIC CONDITIONS AFTER PRIOR AUTHORIZATION HAS BEEN PROVIDED UNDER CERTAIN CIRCUMSTANCES; TO PROHIBIT INSURANCE COMPANIES FROM SWITCHING PHARMACEUTICALS DURING A POLICY YEAR; TO ALLOW FOR STEP THERAPY EXCEPTIONS; TO PROVIDE THAT ONCE PRIOR AUTHORIZATION IS GRANTED, HEALTH CARRIERS MUST PAY FOR THE SERVICE WITH EXCEPTIONS; TO REQUIRE CONTINUITY OF CARE WHEN A PATIENT CHANGES INSURANCE POLICIES; TO REQUIRE CERTAIN FILINGS FOR INSURANCE COMPANIES FOR TRANSPARENCY CONCERNING APPROVAL AND DENIAL RATES; AND TO PROVIDE FOR ENFORCEMENT OF THE CHAPTER.

Sponsored By: Heath Sessions (Republican)

In Committee

Summary

Healthcare Services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Heath Sessions

    Republican • House

Cosponsors

  • Gary S. Brewer, Jr.

    Republican • House

  • Tom Davis

    Republican • Senate

  • Sarita L. Edgerton

    Republican • House

  • Thomas R. "Randy" Ligon

    Republican • House

  • Marvin "Mark" Smith

    Republican • House

  • Josiah Magnuson

    Republican • House

  • Chris Wooten

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Member(s) request name added as sponsor: Magnuson, Edgerton

    3/3/2026House
  2. Referred to Committee on Labor, Commerce and Industry

    5/8/2025House
  3. Introduced and read first time

    5/8/2025House

Bill Text

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