South Carolina 2025-2026 Regular Session Status: In Committee

H 5486 — Medicaid

Last action — Referred to Committee on Medical, Military, Public and Municipal Affairs

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

This bill is in committee in the House. Introduced April 01, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 14% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-120 SO AS TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO CONDUCT AN ANNUAL REVIEW OF MEDICATIONS AND TREATMENTS FOR CHRONIC AND RARE KIDNEY DISEASES FOR ENROLLEES IN THE SOUTH CAROLINA MEDICAID PROGRAM IN ORDER TO DETERMINE THE ADEQUACY OF THE AVAILABLE TREATMENTS AND TO MAKE RECOMMENDATIONS REGARDING POTENTIAL NEW TREATMENTS; TO REQUIRE THE DEPARTMENT TO PUBLISH AN ANNUAL REPORT; AND FOR OTHER PURPOSES.

Bill Text

What changed in the latest version

42 added · 8 removed

42 line(s) added, 8 removed.

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2025-2026 Bill 5486 Text of Previous Version (Apr.
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01, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 5486Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-120 SO AS TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO CONDUCT AN ANNUAL REVIEW OF MEDICATIONS AND TREATMENTS FOR CHRONIC AND RARE KIDNEY DISEASES FOR ENROLLEES IN THE SOUTH CAROLINA MEDICAID PROGRAM IN ORDER TO DETERMINE THE ADEQUACY OF THE AVAILABLE TREATMENTS AND TO MAKE RECOMMENDATIONS REGARDING POTENTIAL NEW TREATMENTS;
TO REQUIRE THE DEPARTMENT TO PUBLISH AN ANNUAL REPORT;
AND FOR OTHER PURPOSES.
  Be it enacted by the General Assembly of the State of South Carolina:
  SECTION 1.  Article 1, Chapter 6, Title 44 of the S.C.
Code is amended by adding:
      Section 44-6-120.  (A) The department shall conduct an annual review of all medications and forms of treatment for chronic and rare kidney diseases, and services for enrollees with a diagnosis of chronic or rare kidney disease, that are eligible for coverage under the South Carolina Medicaid program.
The purpose of the annual review is to determine if the available covered medications, treatments, and services are adequate to meet the needs of enrollees with a diagnosis of chronic or rare kidney disease, and whether the department should seek to add additional medications, treatments, or services.
    (B) When conducting the annual review required by this section, the department shall solicit and consider input from the public, with specific emphasis on attempting to receive input from persons or groups with knowledge and experience in chronic and rare kidney diseases.
    (C) On or before January 15, 2027, and on or before January fifteenth each year thereafter, the department shall submit a report to the clerks of the Senate and the House of Representatives for distribution to the appropriate subject matter committees that details the findings from the annual review required by this section, as well as any recommendations to the General Assembly based upon those findings.
The department shall publish the annual report required by this subsection on its website in a manner accessible by the general public.
  SECTION 2.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on April 01, 2026 at 12:07 PM
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Action History

  1. Referred to Committee on Medical, Military, Public and Municipal Affairs

  2. Introduced and read first time

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 169 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (169)

169 members have not signed on to this bill.

Show all 169 →

"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 5486 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-120 SO AS TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO CONDUCT AN ANNUAL REVIEW OF MEDICATIONS AND TREATMENTS FOR CHRONIC AND RARE KIDNEY DISEASES FOR ENROLLEES IN THE SOUTH CAROLINA MEDICAID PROGRAM IN ORDER TO DETERMINE THE ADEQUACY OF THE AVAILABLE TREATMENTS AND TO MAKE RECOMMENDATIONS REGARDING POTENTIAL NEW TREATMENTS; TO REQUIRE THE DEPARTMENT TO PUBLISH AN ANNUAL REPORT; AND FOR OTHER PURPOSES.
Who sponsors H 5486?
H 5486 is sponsored by Representative Hamilton R. Grant.
What is the current status of H 5486?
This bill is in committee in the House. Introduced April 01, 2026. It must pass committee before a floor vote.
Where can I track H 5486?
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