All Roll Calls
Yes: 195 • No: 0
South CarolinaS 0146126th General Assembly (2025-2026)Senate
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "SENATOR ROGER A.
Sponsored By: Nutt
Signed by Governor
Summary
Senator Roger A. Nutt Act, resident's rights in long-term care
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 4 benefits, 0 costs, 2 mixed.
Clear fees and rights when you move in
Before or at admission, the facility gives you a written and spoken list of your rights and how to file a grievance. It must also give you a written list of services and all charges, including items not paid by Medicare, Medicaid, or other insurers. You get the facility’s refund policy based on actual days and any reasonable bed‑hold days, and written updates when prices or policies change. You or your representative manage your money unless you delegate it in writing; if the facility manages funds, it must send a report every three months. The facility keeps a signed acknowledgment in your file and posts clear, state‑approved notices.
Rules and charges when you move out
The facility can transfer or discharge you only for medical reasons, your welfare, others’ welfare, or nonpayment, and must give you at least 30 days’ written notice. You must also get written notice before a room or roommate change. If you choose to move out of a community residential care facility, you must give at least 14 days’ written notice. If you do not, the facility may charge up to 14 days of your daily rate starting from your move date or when it got your notice, and it must stop charging once the bed is filled and tell you in writing when that happens. These 14‑day notice and charge rules do not apply if a higher level of care is required, health or safety is at risk, or you are in the Optional State Supplementation Program.
In-person visits during emergencies guaranteed
During a declared disaster or public health emergency, if visits are limited, you may name up to three people who can visit you. Only one designated visitor may be with you at a time during regular visiting hours. You must give the facility each designee’s name, relationship, and contact information. You can change the list twice each calendar year or when a designee is permanently unable to visit. The law does not require visits by clergy who conflict with your beliefs.
Privacy, family access, and social life
Your legal guardian, family, and other relatives must have immediate access to you unless you say no. You can communicate and send mail in private and join social, religious, and community activities unless a doctor gives a written order saying it is unsafe. You may keep and use personal clothes and belongings as space allows, and the facility must provide secure storage. You are guaranteed privacy for conjugal visits, and married residents may share a room unless a doctor records that sharing is medically unsafe. The facility must keep your medical records confidential and release them only for transfers, when the law or a payment contract requires it, or when you consent.
Safety, dignity, and medical choice protections
You or your legal guardian choose your attending doctor and take part in planning your care. Your doctor must explain your diagnosis and outlook in plain language, and you can refuse experimental research. Staff may not mentally or physically abuse you, and chemical or physical restraints are allowed only with a physician’s order. The facility must treat you with respect, protect your privacy during care, and may not require you to do non‑therapeutic work.
You may hire a private sitter
You or your legal representative may hire a private sitter who is not employed by the facility. The sitter must follow facility policies, and the service cannot violate the law or your facility contract. You must sign a written agreement holding the facility harmless from liability for the sitter.
Sponsors & Cosponsors
Sponsor
Nutt
Affiliation unavailable
Cosponsors
Thomas C. Alexander
Republican • Senate
Thomas D. "Tom" Corbin
Republican • Senate
Ronnie W. Cromer
Republican • Senate
Josh Kimbrell
Republican • Senate
Shane R. Martin
Republican • Senate
Margie Bright Matthews
Democrat • Senate
Overture Walker
Democrat • Senate
Jeff Zell
Republican • Senate
Roll Call Votes
Senate vote • 4/1/2026
(Senator Roger A. Nutt Act, resident's rights in long-term care)to concur
Yes: 42 • No: 0
House vote • 3/26/2026
(Senator Roger A. Nutt Act, resident's rights in long-term care)Passage of Bill
Yes: 110 • No: 0
Senate vote • 4/29/2025
(Senator Roger A. Nutt Act, resident's rights in long-term care)3rd Reading
Yes: 43 • No: 0
Actions Timeline
Act No. 111
4/23/2026legislatureEffective date 04/06/26
4/23/2026legislatureSigned By Governor
4/6/2026GovernorRatified R 119
4/1/2026legislatureRoll call Ayes-42 Nays-0
4/1/2026SenateConcurred in House amendment and enrolled
4/1/2026SenateRead third time and returned to Senate with amendments
3/27/2026HouseUnanimous consent for third reading on next legislative day
3/26/2026HouseRoll call Yeas-110 Nays-0
3/26/2026HouseRead second time
3/26/2026HouseAmended
3/26/2026HouseCommittee report: Favorable with amendment Medical, Military, Public and Municipal Affairs
3/25/2026HouseReferred to Committee on Medical, Military, Public and Municipal Affairs
4/30/2025HouseIntroduced and read first time
4/30/2025HouseRoll call Ayes-43 Nays-0
4/29/2025SenateRead third time and sent to House
4/29/2025SenateAmended
4/29/2025SenateCommittee Amendment Adopted
4/29/2025SenateRead second time
4/24/2025SenateScrivener's error corrected
4/18/2025legislatureCommittee report: Favorable with amendment Medical Affairs
4/15/2025SenateReferred to Committee on Medical Affairs
1/14/2025SenateIntroduced and read first time
1/14/2025SenateReferred to Committee on Medical Affairs
12/11/2024SenatePrefiled
12/11/2024Senate
Bill Text
Introduced
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