South Carolina 126th General Assembly Status: Introduced 1 R cosponsors

H 4790 — A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 38-71-2240, RELATING TO THE PLACEMENT OF DRUGS ON MAXIMUM ALLOWABLE COST LISTS, SO AS TO PROVIDE PHARMACY BENEFITS MANAGERS SHALL PROVIDE UNOBSTRUCTED ACCESS TO THEIR MAXIMUM ALLOWABLE COST LISTS TO PATIENTS, CONSUMERS, NETWORK PHARMACY PROVIDERS, AND EACH PHARMACY SUBJECT TO THE MAXIMUM ALLOWABLE COST LIST.

Last action — Member(s) request name added as sponsor: Crawford, Hardee

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the House. Introduced December 16, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Not enough signal yet

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Pharmacy Benefits Managers - Maximum Allowable Cost Lists

Bill Text

Action History

  1. Member(s) request name added as sponsor: Crawford, Hardee

  2. Member(s) request name added as sponsor: Taylor

  3. Member(s) request name added as sponsor: Guest

  4. Member(s) request name added as sponsor: Kilmartin

  5. Referred to Committee on Labor, Commerce and Industry (House Journal-page 91)

  6. Introduced and read first time (House Journal-page 91)

  7. Referred to Committee on Labor, Commerce and Industry

  8. Prefiled

Sponsors

Sponsorship breakdown

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1 sponsors · 12 co-sponsors · 157 not signed on

Sponsors (1)

Co-sponsors (12)

Not signed on (157)

157 members have not signed on to this bill.

Show all 157 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does H 4790 do?
Pharmacy Benefits Managers - Maximum Allowable Cost Lists
Who sponsors H 4790?
H 4790 is sponsored by Representative Kevin Hardee, Representative Bill Taylor, Representative Thomas Duval "Val" Guest, Jr., Representative John Gregory "Jay" Kilmartin, Representative Josiah Magnuson, Representative Thomas E. "Tommy" Pope, Representative Cody T. Mitchell, Carla M. Schuessler (Republican), Representative M. Brian Lawson, Representative Heather Ammons Crawford, Representative Brandon L. Cox, Representative Heath Sessions, and Representative Sylleste H. Davis.
What is the current status of H 4790?
This bill has been introduced in the House. Introduced December 16, 2025. It must pass committee before a floor vote.
Where can I track H 4790?
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Last checked for changes 3 months ago · updated continuously

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