S 453 — Teledentistry
Last action — Effective date 05/19/26
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 13, 2025. Enacted.
Signed by Governor Henry McMaster (Republican) on May 19, 2026.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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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 removed195 line(s) added, 72 removed.
2025-2026 Bill 453 Text of Previous Version (Feb.(Mar.
05,13, 2026)2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026(Text2025-2026Bill 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. 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 IntroducedBe it enacted by Senatorthe VerdinGeneral S.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. Section As40-15-500. used in this chapter:
As (1)used "Asynchronousin transmission"this meanschapter: store and forward technology that allows a licensee to transmit a patient's health information to another licensee for viewing at a later time.
(2)(1) "Current"Asynchronous radiographictransmission" records" means radiographsstore orand imagesforward takentechnology contemporaneouslythat withallows ana in-personlicensee examination.to transmit a patient's health information to another licensee for viewing at a later time.
(3)(2) "Distant"Current site"radiographic records" means theradiographs locationor ofimages thetaken sitecontemporaneously wherewith a licensee is providing teledentistry services to a patient located at an originatingin-person site.examination.
(4)(3) "Emergent"Distant care"site" means treatmentthe location of pain,the infection,site orwhere anya otherlicensee intraoralis orproviding perioralteledentistry conditionservices that presents immediate harm to thea well-being of the patient andlocated forat whichan treatmentoriginating cannotsite. be postponed.
(5)(4) "Originating"Emergent site"care" means thetreatment location of thepain, siteinfection, whereor aany patientother isintraoral receivingor teledentistryperioral servicescondition fromthat apresents licenseeimmediate atharm ato distantthe site.well-being of the patient and for which treatment cannot be postponed.
(6)(5) "Public"Originating healthsite" program" means the location of the site where a programpatient approvedis byreceiving theteledentistry boardservices orfrom anya programlicensee administeredat by:a distant site.
(6) (a)"Public health program" means a program approved by the Departmentboard ofor Healthany andprogram Humanadministered Services;by:
(a) (b)the aDepartment healthof district;Health and Human Services;
or (b) (c) a schoolhealth district.district;
or (7) "Teledentistry"(c) hasa theschool samedistrict. meaning and may be used interchangeably with the term "Telehealth" as defined in Section 40-42-10(5).
(7) "Teledentistry" has the same meaning and may be used interchangeably with the term "Telehealth" as defined in Section 40-42-10(5).
(a) (a) real-time interactions between a patient at an originating site and a licensee at a distant site;
(b) (b) the asynchronous transmission of medical and dental information concerning a patient from an originating site to a licensee at a distant site;
(c) (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) (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),40-15-510. a licensee shall not:
In (1)addition provideto treatmentthe forstandard anyof conditioncare basedrequirement solelyprovided onfor thein resultsSection of40-42-20(2), ana onlinelicensee questionnaire;shall not:
(2)(1) delegateprovide totreatment afor dental hygienist, dental assistant, or any othercondition individualbased anysolely acton or duty through teledentistry that requires the in-personresults supervision of aan licensedonline dentistquestionnaire; or that is otherwise outside the individual's permissible scope of practice;
(2) delegate to a dental hygienist, dental assistant, or any (3)other provideindividual any treatmentact or serviceduty through teledentistry that isrequires notthe evidencein-person basedsupervision of a licensed dentist or that is otherwise experimental.outside the individual's permissible scope of practice;
or Section 40-15-520. (3) Exceptprovide asany otherwisetreatment providedor inservice thisthrough section,teledentistry athat licenseeis mustnot establishevidence abased bonaor fideis relationshipotherwise withexperimental. a patient before providing services to a patient through teledentistry.
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)(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)(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)(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 40-15-540,40-15-530. a licensee may establish a relationship with a patient through teledentistry only:
Notwithstanding (1)the forlimitations theprovided purposein ofSection emergent40-15-540, care;a licensee may establish a relationship with a patient through teledentistry only:
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(2)(1) infor connectionthe withpurpose aof publicemergent healthcare; program;
or (2) (3)in toconnection makewith an initial diagnosis of a malpositionpublic ofhealth teethprogram; and to determine the need for an orthodontic appliance.
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. Section Prior40-15-540. to the provision of services to a patient through teledentistry, a licensee shall:
Prior (1)to confirm the patient'sprovision identity;of services to a patient through teledentistry, a licensee shall:
(2)(1) if the patient is a minor who is not authorized by law to consent to the services, confirm that the parentpatient's oridentity; legal guardian of the patient is present;
(3)(2) confirmif that the patient is located in a jurisdictionminor wherewho theis providernot isauthorized licensedby orlaw otherwiseto authorizedconsent to practicethe andservices, documentconfirm that the patient'sparent locationor inlegal guardian of the patient'spatient record;is present;
(4)(3) obtain: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;
(4) (a)obtain: 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;
or (a) (b) informed written consent that meets the requirements of Section 40-15-580 from the parent or guardian of a patient who is aan minoradult andor isa notminor authorized by law to provide consent;
andor (5)(b) document the informed written consent providedthat pursuantmeets tothe subsectionrequirements (4)of inSection 40-15-580 from the patient'sparent record.or guardian of a patient who is a minor and is not authorized by law to provide consent;
and Section 40-15-550. (5) Priordocument to providing services through teledentistry and upon the requestinformed ofconsent aprovided patientpursuant to whomsubsection services(4) 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 servicespatient's throughrecord. teledentistry.
Section 40-15-560. Section Informed40-15-550. consent to the provision of services through teledentistry requires the patient or his parent or guardian, as applicable, to be informed of:
Prior (1)to providing services through teledentistry and upon the typesrequest of a patient to whom services thatare willprovided, bea providedlicensee or any partnership, corporation, or other entity through teledentistrywhich 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 limitationsother onrelevant information concerning the provisionlicensee's ofqualifications thoseand any other licensee who will be involved in providing the services through teledentistry;teledentistry.
(2) the information prescribed by Section 40-15-55040-15-560. for each provider who will provide services through teledentistry;
Informed (3)consent precautionsto thatthe willprovision beof takenservices inthrough theteledentistry eventrequires ofthe apatient technologicalor failurehis parent or anguardian, emergency;as applicable, to be informed of:
and (1) (4)the types of services that will be provided through teledentistry and any otherlimitations informationon prescribedthe byprovision regulation.of those services through teledentistry;
Section(2) 40-15-570. the Exceptinformation inprescribed situationsby requiringSection emergency40-15-550 treatment,for aeach dentistprovider ofwho recordwill isprovide requiredservices for all patients being treated through teledentistry.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. Section An40-15-580. 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:
An (1)advertisement theof takingdental ofservices anprovided impressionthrough orteledentistry themust digitalinclude scanninga 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 humanSouth tooth,Carolina teeth,Code orof jaws,Laws directlyis orrecommended indirectlybefore andbeginning bytelehealth anytreatment meansin order to prevent injury or method;harm" for services involving:
(2)(1) furnishing,the supplying,taking constructing,of reproducing,an impression or repairingthe anydigital prostheticscanning denture,of bridge,the orhuman appliancetooth, teeth, or anyjaws, otherdirectly structureor designedindirectly toand beby wornany inmeans theor humanmethod; mouth;
(3)(2) placingfurnishing, ansupplying, applianceconstructing, reproducing, or structurerepairing inany theprosthetic humandenture, mouthbridge, or adjustingappliance or attemptingany other structure designed to adjustbe theworn appliancein orthe structure;human mouth;
(3) placing an appliance or structure (4)in correctingthe human mouth or adjusting or attempting to correctadjust malformationsthe ofappliance teeth or jaws.structure;
or Section 40-15-590. (4) Acorrecting dentistor mayattempting only delegate tasks to auxiliaries,correct including,malformations butof notteeth limitedor to,jaws. dental hygienists and dental assistants, to the extent permitted by law, including the Dental Practice Act.
Section 40-15-600. Section A40-15-590. 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.
A Sectiondentist 40-15-610. may Theonly boarddelegate shalltasks adoptto regulationsauxiliaries, governingincluding, thebut provisionnot oflimited to, dental serviceshygienists throughand teledentistry.dental assistants, to the extent permitted by law, including the Dental Practice Act.
Section 40-15-620. Section It40-15-600. 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.
SECTIONA 2. licensee Ifwho anyprovides provisionsservices withinthrough thisteledentistry actshall conflictrefer witha Titlepatient 40to ofthe Chapteremergency 42department of thea Southhospital Carolinaor Codeanother licensee of Lawsacute ("Telehealthcare andin Telemedicinean Modernizationemergency Act"),or thenany thisother actsituation shallwhere govern,the asprovision itof relatesacute care is necessary to dentalprotect licensees.the health and safety of the patient.
SECTION 3. ThisSection act40-15-610. takes effect upon approval by the Governor.
----XX----The Thisboard webshall pageadopt wasregulations lastgoverning updatedthe onprovision Februaryof 05,dental 2026services atthrough 02:40teledentistry. PM
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
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Action History
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Effective date 05/19/26
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Act No. 210
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Signed By Governor
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Ratified R 139
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Concurred in Senate amendment and enrolled
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Roll call Yeas-110 Nays-2
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Read second time
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Debate adjourned
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Scrivener's error corrected
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Committee report: Favorable Medical, Military, Public and Municipal Affairs
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Referred to Committee on Medical, Military, Public and Municipal Affairs
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Introduced and read first time
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Read third time and sent to House
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Roll call Ayes-44 Nays-0
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Read second time
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Committee report: Favorable Medical Affairs
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Referred to Committee on Medical Affairs
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Introduced and read first time
Sponsors
- Senator Daniel B. "Danny" Verdin III · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 169 not signed on · 2 voted No
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 107 | 1 | 0 | 12 |
| Democrat | 2 | 0 | 0 | 0 |
| Republican | 1 | 1 | 0 | 0 |
| Total | 110 | 2 | 0 | 12 |
| % of votes cast | 89% | 2% | 0% | 10% |
How each member voted (124)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 44 | 0 | 0 | 1 |
| Total | 44 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (45)
Subjects
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?
- Track S 453 free on One Click Politics — get push/email alerts when it moves.
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