South Carolina 2025-2026 Regular Session Status: Enacted

S 453 — Teledentistry

Last action — Effective date 05/19/26

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

This bill has been enacted into law. Introduced March 13, 2025. Enacted.

Signed by Governor Henry McMaster (Republican) on May 19, 2026.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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.

In plain language

The bill establishes guidelines for the practice of teledentistry in South Carolina.

This legislation amends South Carolina law to create a framework for teledentistry, defining acceptable practices and unprofessional conduct. It aims to ensure safe and effective dental care through remote consultations.

What this means for you
  • Consumers: Patients may have greater access to dental care through remote consultations.

Summary

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 5 TO CHAPTER 15, TITLE 40 SO AS TO PROVIDE GUIDELINES FOR THE PRACTICE OF TELEDENTISTRY IN THIS STATE, TO OUTLINE UNPROFESSIONAL CONDUCT, AND TO PROVIDE DEFINITIONS RELATED TO TELEDENTISTRY. - RATIFIED TITLE

Bill Text

What changed in the latest version

195 added · 72 removed

195 line(s) added, 72 removed.

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2025-2026 Bill 453 Text of Previous Version (Feb.
2025-2026 Bill 453 Text of Previous Version (Mar.
05, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026(Text matches printed bills.
13, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 453Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.) Committee Report February 5, 2026 S.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE TO TITLE 40, CHAPTER 15, SO AS TO PROVIDE GUIDELINES FOR THE PRACTICE OF TELEDENTISTRY IN THIS STATE, TO OUTLINE UNPROFESSIONAL CONDUCT, AND TO PROVIDE DEFINITIONS RELATED TO TELEDENTISTRY.
453 Introduced by Senator Verdin S.
  Be it enacted by the General Assembly of the State of South Carolina:
Printed 2/5/26--S.
  SECTION 1.  Chapter 15, Title 40 of the S.C.
Read the first time March 13, 2025 ________ The committee on Senate Medical Affairs To whom was referred a Bill (S.
453) to amend the South Carolina Code of Laws by adding Article 5 to Title 40, Chapter 15, so as to provide guidelines for the practice of teledentistry in this state, etc., respectfully Report:
That they have duly and carefully considered the same, and recommend that the same do pass:
DANIEL VERDIN for Committee.
_______ A bill TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 5 TO TITLE 40, CHAPTER 15, SO AS TO PROVIDE GUIDELINES FOR THE PRACTICE OF TELEDENTISTRY IN THIS STATE, TO OUTLINE UNPROFESSIONAL CONDUCT, AND TO PROVIDE DEFINITIONS RELATED TO TELEDENTISTRY.
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1.   Chapter 15, Title 40 of the S.C.
Article 5 Teledentistry    Section 40-15-500.   As used in this chapter:
  Article 5   Teledentistry       Section 40-15-500.
   (1) "Asynchronous transmission" means store and forward technology that allows a licensee to transmit a patient's health information to another licensee for viewing at a later time.
As used in this chapter:
   (2) "Current radiographic records" means radiographs or images taken contemporaneously with an in-person examination.
    (1) "Asynchronous transmission" means store and forward technology that allows a licensee to transmit a patient's health information to another licensee for viewing at a later time.
   (3) "Distant site" means the location of the site where a licensee is providing teledentistry services to a patient located at an originating site.
    (2) "Current radiographic records" means radiographs or images taken contemporaneously with an in-person examination.
   (4) "Emergent care" means treatment of pain, infection, or any other intraoral or perioral condition that presents immediate harm to the well-being of the patient and for which treatment cannot be postponed.
    (3) "Distant site" means the location of the site where a licensee is providing teledentistry services to a patient located at an originating site.
   (5) "Originating site" means the location of the site where a patient is receiving teledentistry services from a licensee at a distant site.
    (4) "Emergent care" means treatment of pain, infection, or any other intraoral or perioral condition that presents immediate harm to the well-being of the patient and for which treatment cannot be postponed.
   (6) "Public health program" means a program approved by the board or any program administered by:
    (5) "Originating site" means the location of the site where a patient is receiving teledentistry services from a licensee at a distant site.
      (a) the Department of Health and Human Services;
    (6) "Public health program" means a program approved by the board or any program administered by:
      (b) a health district;
       (a) the Department of Health and Human Services;
or       (c) a school district.
       (b) a health district;
   (7) "Teledentistry" has the same meaning and may be used interchangeably with the term "Telehealth" as defined in Section 40-42-10(5).
or        (c) a school district.
    (7) "Teledentistry" has the same meaning and may be used interchangeably with the term "Telehealth" as defined in Section 40-42-10(5).
      (a) real-time interactions between a patient at an originating site and a licensee at a distant site;
       (a) real-time interactions between a patient at an originating site and a licensee at a distant site;
      (b) the asynchronous transmission of medical and dental information concerning a patient from an originating site to a licensee at a distant site;
       (b) the asynchronous transmission of medical and dental information concerning a patient from an originating site to a licensee at a distant site;
      (c) interaction between a licensee who is providing dental services to a patient at an originating site and another licensee at the originating site;
       (c) interaction between a licensee who is providing dental services to a patient at an originating site and another licensee at the originating site;
and       (d) monitoring of a patient at an originating site by a licensee at a distant site.
and        (d) monitoring of a patient at an originating site by a licensee at a distant site.
   Section 40-15-510.   In addition to the standard of care requirement provided for in Section 40-42-20(2), a licensee shall not:
      Section 40-15-510.
   (1) provide treatment for any condition based solely on the results of an online questionnaire;
In addition to the standard of care requirement provided for in Section 40-42-20(2), a licensee shall not:
   (2) delegate to a dental hygienist, dental assistant, or any other individual any act or duty through teledentistry that requires the in-person supervision of a licensed dentist or that is otherwise outside the individual's permissible scope of practice;
    (1) provide treatment for any condition based solely on the results of an online questionnaire;
or    (3) provide any treatment or service through teledentistry that is not evidence based or is otherwise experimental.
    (2) delegate to a dental hygienist, dental assistant, or any other individual any act or duty through teledentistry that requires the in-person supervision of a licensed dentist or that is otherwise outside the individual's permissible scope of practice;
   Section 40-15-520.   Except as otherwise provided in this section, a licensee must establish a bona fide relationship with a patient before providing services to a patient through teledentistry.
or     (3) provide any treatment or service through teledentistry that is not evidence based or is otherwise experimental.
      Section 40-15-520.
Except as otherwise provided in this section, a licensee must establish a bona fide relationship with a patient before providing services to a patient through teledentistry.
   (1) reviewed the patient's relevant history, medical records, diagnostic records, and, if treatment is for the correction of a malposition of teeth, the patient's current radiographic records;
    (1) reviewed the patient's relevant history, medical records, diagnostic records, and, if treatment is for the correction of a malposition of teeth, the patient's current radiographic records;
   (2) performed an appropriate, in-person, physical examination of the patient for the purpose of diagnosing, assessing, developing a treatment plan, or determining the patient's current medical or dental condition;
    (2) performed an appropriate, in-person, physical examination of the patient for the purpose of diagnosing, assessing, developing a treatment plan, or determining the patient's current medical or dental condition;
and    (3) a reasonable expectation that the licensee will provide in-person follow-up care and treatment to the patient on a regular basis.
and     (3) a reasonable expectation that the licensee will provide in-person follow-up care and treatment to the patient on a regular basis.
   Section 40-15-530.   Notwithstanding the limitations provided in Section 40-15-540, a licensee may establish a relationship with a patient through teledentistry only:
      Section 40-15-530.
   (1) for the purpose of emergent care;
Notwithstanding the limitations provided in Section 40-15-540, a licensee may establish a relationship with a patient through teledentistry only:
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   (2) in connection with a public health program;
    (1) for the purpose of emergent care;
or    (3) to make an initial diagnosis of a malposition of teeth and to determine the need for an orthodontic appliance.
    (2) in connection with a public health program;
or     (3) to make an initial diagnosis of a malposition of teeth and to determine the need for an orthodontic appliance.
   Section 40-15-540.   Prior to the provision of services to a patient through teledentistry, a licensee shall:
      Section 40-15-540.
   (1) confirm the patient's identity;
Prior to the provision of services to a patient through teledentistry, a licensee shall:
   (2) if the patient is a minor who is not authorized by law to consent to the services, confirm that the parent or legal guardian of the patient is present;
    (1) confirm the patient's identity;
   (3) confirm that the patient is located in a jurisdiction where the provider is licensed or otherwise authorized to practice and document the patient's location in the patient's record;
    (2) if the patient is a minor who is not authorized by law to consent to the services, confirm that the parent or legal guardian of the patient is present;
   (4) obtain:
    (3) confirm that the patient is located in a jurisdiction where the provider is licensed or otherwise authorized to practice and document the patient's location in the patient's record;
      (a) informed written consent that meets the requirements of Section 40-15-580 from a patient who is an adult or a minor authorized by law to provide consent;
    (4) obtain:
or       (b) informed written consent that meets the requirements of Section 40-15-580 from the parent or guardian of a patient who is a minor and is not authorized by law to provide consent;
       (a) informed written consent that meets the requirements of Section 40-15-580 from a patient who is an adult or a minor authorized by law to provide consent;
and    (5) document the informed consent provided pursuant to subsection (4) in the patient's record.
or        (b) informed written consent that meets the requirements of Section 40-15-580 from the parent or guardian of a patient who is a minor and is not authorized by law to provide consent;
   Section 40-15-550.   Prior to providing services through teledentistry and upon the request of a patient to whom services are provided, a licensee or any partnership, corporation, or other entity through which a licensee provides services shall make available to the patient proof of the licensee's identity, the licensee's telephone number, the address at which the licensee practices, the licensee's license number, and any other relevant information concerning the licensee's qualifications and any other licensee who will be involved in providing the services through teledentistry.
and     (5) document the informed consent provided pursuant to subsection (4) in the patient's record.
   Section 40-15-560.   Informed consent to the provision of services through teledentistry requires the patient or his parent or guardian, as applicable, to be informed of:
      Section 40-15-550.
   (1) the types of services that will be provided through teledentistry and any limitations on the provision of those services through teledentistry;
Prior to providing services through teledentistry and upon the request of a patient to whom services are provided, a licensee or any partnership, corporation, or other entity through which a licensee provides services shall make available to the patient proof of the licensee's identity, the licensee's telephone number, the address at which the licensee practices, the licensee's license number, and any other relevant information concerning the licensee's qualifications and any other licensee who will be involved in providing the services through teledentistry.
   (2) the information prescribed by Section 40-15-550 for each provider who will provide services through teledentistry;
      Section 40-15-560.
   (3) precautions that will be taken in the event of a technological failure or an emergency;
Informed consent to the provision of services through teledentistry requires the patient or his parent or guardian, as applicable, to be informed of:
and    (4) any other information prescribed by regulation.
    (1) the types of services that will be provided through teledentistry and any limitations on the provision of those services through teledentistry;
   Section 40-15-570.   Except in situations requiring emergency treatment, a dentist of record is required for all patients being treated through teledentistry.
    (2) the information prescribed by Section 40-15-550 for each provider who will provide services through teledentistry;
    (3) precautions that will be taken in the event of a technological failure or an emergency;
and     (4) any other information prescribed by regulation.
      Section 40-15-570.
Except in situations requiring emergency treatment, a dentist of record is required for all patients being treated through teledentistry.
   Section 40-15-580.   An advertisement of dental services provided through teledentistry must include a disclaimer that reads, in a clearly legible font and size, "An in-person examination with a dentist licensed under Title 40 Chapter 15 of the South Carolina Code of Laws is recommended before beginning telehealth treatment in order to prevent injury or harm" for services involving:
      Section 40-15-580.
   (1) the taking of an impression or the digital scanning of the human tooth, teeth, or jaws, directly or indirectly and by any means or method;
An advertisement of dental services provided through teledentistry must include a disclaimer that reads, in a clearly legible font and size, "An in-person examination with a dentist licensed under Title 40 Chapter 15 of the South Carolina Code of Laws is recommended before beginning telehealth treatment in order to prevent injury or harm" for services involving:
   (2) furnishing, supplying, constructing, reproducing, or repairing any prosthetic denture, bridge, or appliance or any other structure designed to be worn in the human mouth;
    (1) the taking of an impression or the digital scanning of the human tooth, teeth, or jaws, directly or indirectly and by any means or method;
   (3) placing an appliance or structure in the human mouth or adjusting or attempting to adjust the appliance or structure;
    (2) furnishing, supplying, constructing, reproducing, or repairing any prosthetic denture, bridge, or appliance or any other structure designed to be worn in the human mouth;
or    (4) correcting or attempting to correct malformations of teeth or jaws.
    (3) placing an appliance or structure in the human mouth or adjusting or attempting to adjust the appliance or structure;
   Section 40-15-590.   A dentist may only delegate tasks to auxiliaries, including, but not limited to, dental hygienists and dental assistants, to the extent permitted by law, including the Dental Practice Act.
or     (4) correcting or attempting to correct malformations of teeth or jaws.
   Section 40-15-600.   A licensee who provides services through teledentistry shall refer a patient to the emergency department of a hospital or another licensee of acute care in an emergency or any other situation where the provision of acute care is necessary to protect the health and safety of the patient.
      Section 40-15-590.
   Section 40-15-610.   The board shall adopt regulations governing the provision of dental services through teledentistry.
A dentist may only delegate tasks to auxiliaries, including, but not limited to, dental hygienists and dental assistants, to the extent permitted by law, including the Dental Practice Act.
   Section 40-15-620.   It shall be considered unprofessional conduct for a licensee to require a patient to enter into an agreement that restricts the ability of the patient to submit a complaint to the board, file a lawsuit, join a class action lawsuit, make reports to any governmental entity, require the patient to submit to binding arbitration, or otherwise limit or prohibit the patient from obtaining relief for deficiencies in the treatment or services they have received.
      Section 40-15-600.
SECTION 2.   If any provisions within this act conflict with Title 40 of Chapter 42 of the South Carolina Code of Laws ("Telehealth and Telemedicine Modernization Act"), then this act shall govern, as it relates to dental licensees.
A licensee who provides services through teledentistry shall refer a patient to the emergency department of a hospital or another licensee of acute care in an emergency or any other situation where the provision of acute care is necessary to protect the health and safety of the patient.
SECTION 3.   This act takes effect upon approval by the Governor.
      Section 40-15-610.
----XX---- This web page was last updated on February 05, 2026 at 02:40 PM
The board shall adopt regulations governing the provision of dental services through teledentistry.
      Section 40-15-620.
It shall be considered unprofessional conduct for a licensee to require a patient to enter into an agreement that restricts the ability of the patient to submit a complaint to the board, file a lawsuit, join a class action lawsuit, make reports to any governmental entity, require the patient to submit to binding arbitration, or otherwise limit or prohibit the patient from obtaining relief for deficiencies in the treatment or services they have received.
  SECTION 2.  If any provisions within this act conflict with Title 40 of Chapter 42 of the South Carolina Code of Laws ("Telehealth and Telemedicine Modernization Act"), then this act shall govern, as it relates to dental licensees.
  SECTION 3.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on March 13, 2025 at 11:30 AM
View plain text versions (5)

Action History

  1. Effective date 05/19/26

  2. Act No. 210

  3. Signed By Governor

  4. Ratified R 139

  5. Concurred in Senate amendment and enrolled

  6. Roll call Yeas-110 Nays-2

  7. Read second time

  8. Debate adjourned

  9. Scrivener's error corrected

  10. Committee report: Favorable Medical, Military, Public and Municipal Affairs

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

  12. Introduced and read first time

  13. Read third time and sent to House

  14. Roll call Ayes-44 Nays-0

  15. Read second time

  16. Committee report: Favorable Medical Affairs

  17. Referred to Committee on Medical Affairs

  18. Introduced and read first time

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 169 not signed on · 2 voted No

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

Votes

Passage of Bill

Passed 110 Yea · 2 Nay · 12 Other
Party YeaNayPresentNot Voting
Unaffiliated 1071012
Democrat 2000
Republican 1100
Total 1102012
% of votes cast 89%2%0%10%
How each member voted (124)
Member Party Vote
Brittain, T. Case, Jr. — Yea
Representative Luke S. Rankin — Yea
Henderson-Myers, Rosalyn D. — Yea
Johnson, Jeffrey E. — Yea
Johnson, Jermaine L., Sr. — Not Voting
Representative Adam L. Duncan — Yea
Representative Annie E. McDaniel — Yea
Representative April Cromer — Yea
Representative Beth E. Bernstein — Not Voting
Representative Bill Taylor — Yea
Representative Brandon Guffey — Yea
Representative Brandon L. Cox — Yea
Representative Brandon Newton — Yea
Representative Bruce W. Bannister — Yea
Representative Cally R. "Cal" Forrest, Jr. — Yea
Representative Carl L. Anderson — Yea
Representative Chandra E. Dillard — Not Voting
Representative Charles V. Hartz — Yea
Representative Chris Wooten — Yea
Representative Christopher R. "Chris" Hart — Yea
Representative Cody T. Mitchell — Yea
Representative Courtney S. Waters — Yea
Representative Craig A. Gagnon — Yea
Representative Daniel Gibson — Yea
Representative David Martin — Yea
Representative David R. Hiott — Yea
Representative David Vaughan — Yea
Representative Dennis C. Moss — Yea
Representative Dianne Mitchell — Yea
Representative Donald G. "Don" Chapman — Yea
Representative Donald Ryan McCabe, Jr. — Not Voting
Representative Elizabeth "Spencer" Wetmore — Yea
Representative Fawn M. Pedalino — Yea
Representative Gary S. Brewer, Jr. — Yea
Representative Gil Gatch — Yea
Representative Gilda Cobb-Hunter — Yea
Representative Greg Ford — Yea
Representative Hamilton R. Grant — Yea
Representative Harriet A. Holman — Yea
Representative Heath Sessions — Yea
Representative Heather Ammons Crawford — Not Voting
Representative Heather Bauer — Yea
Representative J. David Weeks — Not Voting
Representative J. Todd Rutherford — Yea
Representative JA Moore — Not Voting
Representative Jackie E. "Coach" Hayes — Yea
Representative Jackie R. Terribile — Yea
Representative James E. Teeple — Yea
Representative James Mikell "Mike" Burns — Yea
Representative Jeff Bradley — Yea
Representative Jerry N. Govan, Jr. — Yea
Representative John Gregory "Jay" Kilmartin — Yea
Representative John R. McCravy III — Yea
Representative John Richard C. King — Yea
Representative John T. Lastinger, Jr. — Yea
Representative Jordan S. Pace — Nay
Representative Joseph M. "Joe" Bustos — Not Voting
Representative Joseph S. "Joe" White — Not Voting
Representative Josiah Magnuson — Yea
Representative Justin T. Bamberg — Yea
Representative Kambrell H. Garvin — Yea
Representative Kathy Landing — Yea
Representative Keishan M. Scott — Yea
Representative Kevin Hardee — Yea
Representative Lee Hewitt — Yea
Representative Leon D. "Doug" Gilliam — Yea
Representative Leon Howard — Not Voting
Representative Leonidas E. "Leon" Stavrinakis — Yea
Representative Lonnie Hosey — Yea
Representative Lucas Atkinson — Yea
Representative M. Brian Lawson — Yea
Representative Mark N. Willis — Yea
Representative Melissa Lackey Oremus — Yea
Representative Micajah P. "Micah" Caskey IV — Yea
Representative Michael F. Rivers, Sr. — Yea
Representative Mike M. Neese — Yea
Representative Nathan Ballentine — Yea
Representative Neal A. Collins — Yea
Representative Patrick B. Haddon — Yea
Representative Paul B. Wickensimer — Yea
Representative Paula Rawl Calhoon — Yea
Representative Phillip Bowers — Yea
Representative Phillip D. Lowe — Yea
Representative Richard Blake Sanders — Yea
Representative Richard L. "Richie" Yow — Yea
Representative Robby Robbins — Yea
Representative Robert J. "Rob" Harris — Yea
Representative Robert Q. Williams — Yea
Representative Robert T. Reese — Yea
Representative Roger K. Kirby — Yea
Representative Sarita L. Edgerton — Yea
Representative Seth Rose — Yea
Representative Shannon S. Erickson — Yea
Representative Steven Wayne Long — Yea
Representative Sylleste H. Davis — Yea
Representative T. Alan Morgan, Jr. — Not Voting
Representative Terry Alexander — Yea
Representative Thomas Beach — Yea
Representative Thomas Duval "Val" Guest, Jr. — Yea
Representative Thomas E. "Tommy" Pope — Yea
Representative Thomas F. "Tom" Hartnett, Jr. — Yea
Representative Thomas Lee Gilreath — Yea
Representative Thomas R. "Randy" Ligon — Yea
Representative Timothy A. "Tim" McGinnis — Yea
Representative Travis A. Moore — Yea
Representative W. Scott Montgomery IV — Yea
Representative Wallace H. "Jay" Jordan, Jr. — Yea
Representative Wendell G. Gilliard — Yea
Representative Wendell K. Jones — Yea
Representative William "Bill" Clyburn — Yea
Representative William "Bill" Hager — Not Voting
Representative William C. "Chris" Huff — Yea
Representative William G. "Bill" Herbkersman — Yea
Representative William H. Bailey — Yea
Representative William M. "Bill" Chumley — Yea
Representative William M. "Bill" Hixon — Yea
Representative William R. "Bill" Whitmire — Yea
Representative Wm. Weston J. Newton — Yea
Smith, G. Murrell, Jr. — Yea
Smith, Marvin — Yea
Jason Luck Democrat Yea
Tiffany R. Spann-Wilder Democrat Yea
Carla M. Schuessler Republican Yea
Stephen D. Frank Republican Nay

Official roll call →

2nd Reading

Passed 44 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 44001
Total 44001
% of votes cast 98%0%0%2%
How each member voted (45)

Official roll call →

Subjects

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 S 453 do?
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 5 TO CHAPTER 15, TITLE 40 SO AS TO PROVIDE GUIDELINES FOR THE PRACTICE OF TELEDENTISTRY IN THIS STATE, TO OUTLINE UNPROFESSIONAL CONDUCT, AND TO PROVIDE DEFINITIONS RELATED TO TELEDENTISTRY. - RATIFIED TITLE
Who sponsors S 453?
S 453 is sponsored by Senator Daniel B. "Danny" Verdin III.
What is the current status of S 453?
This bill has been enacted into law. Introduced March 13, 2025. Enacted.
Where can I track S 453?
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