South CarolinaS 0449126th General Assembly (2025-2026)Senate

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-43-245 SO AS TO AUTHORIZE PHARMACISTS AND PHYSICIANS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS FOR PHYSICIANS AND MISCELLANEOUS HEALTHCARE PROFESSIONALS, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-47-205 SO AS TO AUTHORIZE PHYSICIANS AND PHARMACISTS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; AND TO REQUIRE THE STATE BOARD OF PHARMACY AND THE STATE BOARD OF MEDICAL EXAMINERS TO PROMULGATE REGULATIONS GOVERNING THE USE OF COLLABORATIVE PRACTICE AGREEMENTS AND TO PROVIDE THAT COLLABORATIVE PRACTICE AGREEMENTS MAY NOT BE IMPLEMENTED UNTIL AFTER THE REGULATIONS ARE EFFECTIVE.

Sponsored By: Daniel B. "Danny" Verdin III (Republican)

Signed by Governor

Summary

Collaborative Practice Agreements

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Bill Overview

Analyzed Economic Effects

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

New pharmacist-doctor care agreements

The law lets South Carolina doctors and pharmacists sign written care agreements. The agreement must name the patients and support the doctor’s treatment goals with evidence-based medication management. Both must be SC-licensed, in good standing, actively practicing, and physically located in South Carolina. They must share the same electronic medical record or use a HIPAA-compliant way to share records with regular, secure, timely communication. No agreement can start until the Pharmacy and Medical boards issue rules and those rules take effect. The law takes effect May 18, 2026.

Sponsors & Cosponsors

Sponsor

  • Daniel B. "Danny" Verdin III

    Republican • Senate

Cosponsors

  • Josh Kimbrell

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 152 • No: 0

House vote • 3/26/2026

(Collaborative Practice Agreements)Passage of Bill

Yes: 108 • No: 0

Senate vote • 5/6/2025

(Collaborative Practice Agreements)2nd Reading

Yes: 44 • No: 0

Actions Timeline

  1. Effective date 05/18/26

    6/5/2026legislature
  2. Act No. 166

    6/2/2026legislature
  3. Signed By Governor

    5/18/2026Governor
  4. Ratified R 138

    5/14/2026legislature
  5. Ordered enrolled for ratification

    5/13/2026House
  6. House recedes from amendment

    5/13/2026House
  7. Non-concurrence in House amendment

    5/5/2026Senate
  8. Scrivener's error corrected

    3/31/2026legislature
  9. Read third time and returned to Senate with amendments

    3/27/2026House
  10. Unanimous consent for third reading on next legislative day

    3/26/2026House
  11. Roll call Yeas-108 Nays-0

    3/26/2026House
  12. Read second time

    3/26/2026House
  13. Amended

    3/26/2026House
  14. Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs

    3/25/2026House
  15. Referred to Committee on Medical, Military, Public and Municipal Affairs

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

    5/8/2025House
  17. Read third time and sent to House

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

    5/6/2025Senate
  19. Read second time

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

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

    3/13/2025Senate
  22. Introduced and read first time

    3/13/2025Senate

Bill Text

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