South Carolina 2025-2026 Regular Session Status: In Committee

H 4165 — Non-opiod Pain Management

Last action — Recommitted 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 March 06, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 24% · 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.

  • 11 sponsors

    11 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 ARTICLE 20 TO CHAPTER 53, TITLE 44 SO AS TO TITLE THE ARTICLE "NON-OPIOID TREATMENTS FOR PAIN MANAGEMENT," TO DEFINE NECESSARY TERMS, TO PROVIDE FOR THE CREATION OF AN EDUCATIONAL PAMPHLET BY THE DEPARTMENT OF PUBLIC HEALTH REGARDING NON-OPIOID ALTERNATIVES FOR THE TREATMENT OF PAIN, AND TO PROVIDE GUIDELINES FOR PRACTITIONERS OFFERING NON-OPIOID TREATMENT.

Bill Text

What changed in the latest version

13 added · 69 removed

Plain-language change summary

The recent update to Bill H 4165 introduces provisions for non-opioid treatments for pain management, which includes creating an educational pamphlet by the Department of Public Health. This pamphlet will provide information on non-opioid alternatives and will be accessible on their website by September 30, 2025. This change is significant as it aims to promote safer pain management options and reduce reliance on opioids, which can be addictive.

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2025-2026 Bill 4165 Text of Previous Version (May.
2025-2026 Bill 4165 Text of Previous Version (Mar.
01, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 4165Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
06, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 4165Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.) Indicates Matter Stricken Indicates New Matter   Committee Report May 1, 2025   H.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE TO CHAPTER 53, TITLE 44 SO AS TO TITLE THE ARTICLE "NON-OPIOID TREATMENTS FOR PAIN MANAGEMENT," TO DEFINE NECESSARY TERMS, TO PROVIDE FOR THE CREATION OF AN EDUCATIONAL PAMPHLET BY THE DEPARTMENT OF PUBLIC HEALTH REGARDING NON-OPIOID ALTERNATIVES FOR THE TREATMENT OF PAIN, AND TO PROVIDE GUIDELINES FOR PRACTITIONERS OFFERING NON-OPIOID TREATMENT.
4165   Introduced by Reps.
Davis, M.
M.
Smith, B.
L.
Cox, Hartnett, Holman and Sessions   S.
Printed 5/1/25--H.
Read the first time March 6, 2025   ________   The committee on House Medical, Military, Public and Municipal Affairs To whom was referred a Bill (H.
4165) to amend the South Carolina Code of Laws by adding Article 20 to Chapter 53, Title so as to title the article "Non-Opioid Treatments for Pain Management," to, etc., respectfully Report:
That they have duly and carefully considered the same, and recommend that the same do pass with amendment:
      Amend the bill, as and if amended, SECTION 1, Section 44-53-2030, by striking the section before the numbered items and inserting:
    Except in the provision of emergency services and care before providing anesthesia, prior Prior to prescribing, ordering, dispensing, or administering an opioid drug listed as a Schedule II controlled substance for the treatment of pain, a healthcare practitioner shall:
Amend the bill further, SECTION 1, Section 44-53-2030, by inserting after the numbered items:
    Excluded from the requirements of this section are opioids prescribed for medical emergencies, acute trauma, hospitalized patients, cancer, palliative or end-of-life care, sickle cell disease, perioperative care, or prescribed per current Centers for Disease Control Clinical Practice Guidelines for Prescribing Opioids.
Renumber sections to conform.
Amend title to conform.
  S.H.
DAVIS for Committee.
  statement of estimated fiscal impact Explanation of Fiscal Impact State Expenditure This bill requires DPH to develop an educational pamphlet regarding the use of non-opioid alternatives for the treatment of pain and publish it on the department's website no later than September 30, 2025.
Additionally, DPH shall work with the South Carolina ORF to explore and utilize, to the extent permissible by state and federal law, opioid abatement funding for educational and healthcare services related to non-opioid alternatives.
  DPH anticipates that any additional duties created by this bill can be managed within existing staff and appropriations.
Therefore, this bill will have no expenditure impact.
    Frank A.
Rainwater, Executive Director Revenue and Fiscal Affairs Office   _______                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 20 TO CHAPTER 53, TITLE 44 SO AS TO TITLE THE ARTICLE "NON-OPIOID TREATMENTS FOR PAIN MANAGEMENT," TO DEFINE NECESSARY TERMS, TO PROVIDE FOR THE CREATION OF AN EDUCATIONAL PAMPHLET BY THE DEPARTMENT OF PUBLIC HEALTH REGARDING NON-OPIOID ALTERNATIVES FOR THE TREATMENT OF PAIN, AND TO PROVIDE GUIDELINES FOR PRACTITIONERS OFFERING NON-OPIOID TREATMENT.
----XX---- This web page was last updated on May 01, 2025 at 08:03 PM
----XX---- This web page was last updated on March 06, 2025 at 11:14 AM
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Action History

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

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

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

  4. Member(s) request name added as sponsor: Waters, Gilliard, Henderson-Myers

  5. Debate adjourned until Tues., 1-13-26

  6. Amended

  7. Requests for debate-Rep(s). Edgerton, Frank, Magnuson, Cromer, Gilreath, White

  8. Scrivener's error corrected

  9. Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs

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

  11. Introduced and read first time

Sponsors

Sponsorship breakdown

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11 sponsors · 0 co-sponsors · 159 not signed on

Sponsors (11)

Co-sponsors (0)

None.

Not signed on (159)

159 members have not signed on to this bill.

Show all 159 →

"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 4165 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 20 TO CHAPTER 53, TITLE 44 SO AS TO TITLE THE ARTICLE "NON-OPIOID TREATMENTS FOR PAIN MANAGEMENT," TO DEFINE NECESSARY TERMS, TO PROVIDE FOR THE CREATION OF AN EDUCATIONAL PAMPHLET BY THE DEPARTMENT OF PUBLIC HEALTH REGARDING NON-OPIOID ALTERNATIVES FOR THE TREATMENT OF PAIN, AND TO PROVIDE GUIDELINES FOR PRACTITIONERS OFFERING NON-OPIOID TREATMENT.
Who sponsors H 4165?
H 4165 is sponsored by Representative Sylleste H. Davis, Representative Brandon L. Cox, Representative Thomas F. "Tom" Hartnett, Jr., Representative Harriet A. Holman, Representative Heath Sessions, Representative Courtney S. Waters, Representative Wendell G. Gilliard, Representative Jerry N. Govan, Jr., Representative Chris Wooten, Representative Marvin "Mark" Smith, and Henderson-Myers, Rosalyn D..
What is the current status of H 4165?
This bill is in committee in the House. Introduced March 06, 2025. It must pass committee before a floor vote.
Where can I track H 4165?
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