South CarolinaS 0895126th General Assembly (2025-2026)Senate

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 44-7-130, RELATING TO STATE HEALTH FACILITY LICENSURE ACT DEFINITIONS, SO AS TO ADD TO THE DEFINITION OF "HOSPITAL" ALL HOSPITALS THAT CONVERT TO RURAL EMERGENCY HOSPITALS.

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

Signed by Governor

Summary

Rural Emergency Hospitals

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Psychiatric hospitals can include youth treatment units

Beginning May 18, 2026, a residential treatment facility for children, teens, or young adults counts as a hospital if it is physically part of a licensed psychiatric hospital. Facilities licensed by the Department of Social Services are not included. These residential units are not required to provide on-campus emergency services.

Rural emergency hospitals keep hospital status

Beginning May 18, 2026, South Carolina treats any facility that converts to a Rural Emergency Hospital under federal rules as a hospital under state law. These converted sites must follow the state’s hospital licensing and oversight. This helps keep emergency care options regulated and available in rural communities.

Sponsors & Cosponsors

Sponsor

  • Daniel B. "Danny" Verdin III

    Republican • Senate

Cosponsors

  • Thomas C. Alexander

    Republican • Senate

  • Brad Hutto

    Democrat • Senate

Roll Call Votes

All Roll Calls

Yes: 151 • No: 0

House vote • 4/23/2026

(Rural Emergency Hospitals)Passage of Bill

Yes: 108 • No: 0

Senate vote • 3/25/2026

(Rural Emergency Hospitals)2nd Reading

Yes: 43 • No: 0

Actions Timeline

  1. Effective date 05/18/26

    6/5/2026legislature
  2. Act No. 181

    6/2/2026legislature
  3. Signed By Governor

    5/18/2026Governor
  4. Ratified R 162

    5/14/2026legislature
  5. Read third time and enrolled

    4/24/2026House
  6. Unanimous consent for third reading on next legislative day

    4/23/2026House
  7. Roll call Yeas-108 Nays-0

    4/23/2026House
  8. Read second time

    4/23/2026House
  9. Recalled from Committee on Medical, Military, Public and Municipal Affairs

    4/21/2026House
  10. Referred to Committee on Medical, Military, Public and Municipal Affairs

    3/31/2026House
  11. Introduced and read first time

    3/31/2026House
  12. Read third time and sent to House

    3/26/2026Senate
  13. Roll call Ayes-43 Nays-0

    3/25/2026Senate
  14. Read second time

    3/25/2026Senate
  15. Committee report: Favorable Medical Affairs

    3/19/2026Senate
  16. Referred to Committee on Medical Affairs

    2/4/2026Senate
  17. Introduced and read first time

    2/4/2026Senate

Bill Text

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