S 449 — Collaborative Practice Agreements
Last action — Effective date 05/18/26
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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 18, 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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2 sponsors
2 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 allows pharmacists and physicians to create collaborative practice agreements.
This bill amends current laws to define and authorize collaborative practice agreements between pharmacists and physicians. It also mandates the creation of regulations governing these agreements.
What this means for you
- Families: Families may benefit from enhanced healthcare coordination between pharmacists and physicians.
- Healthcare: Healthcare professionals will have a structured framework for collaboration to improve patient management.
Summary
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-43-245 SO AS TO AUTHORIZE PHARMACISTS AND PHYSICIANS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS FOR PHYSICIANS AND MISCELLANEOUS HEALTHCARE PROFESSIONALS, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-47-205 SO AS TO AUTHORIZE PHYSICIANS AND PHARMACISTS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; AND TO REQUIRE THE STATE BOARD OF PHARMACY AND THE STATE BOARD OF MEDICAL EXAMINERS TO PROMULGATE REGULATIONS GOVERNING THE USE OF COLLABORATIVE PRACTICE AGREEMENTS AND TO PROVIDE THAT COLLABORATIVE PRACTICE AGREEMENTS MAY NOT BE IMPLEMENTED UNTIL AFTER THE REGULATIONS ARE EFFECTIVE. - RATIFIED TITLE
Bill Text
What changed in the latest version
10 added · 36 removed10 line(s) added, 36 removed.
2025-2026 Bill 449 Text of Previous Version (Apr.(Mar.
30,13, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 449Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.) Committee Report April 30, 2025 S. A bill TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS;
449 Introduced by Senators Verdin and Kimbrell S.
Printed 4/30/25--S.
Read the first time March 13, 2025 ________ The committee on Senate Medical Affairs To whom was referred a Bill (S.
449) to amend the South Carolina Code of Laws by amending Section 40-43-30, relating to definitions for the South Carolina Pharmacy Practice Act, so as to provide a definition, 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 AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS;
SECTION 3. Section 40-47-20 of the S.C.
----XX---- This web page was last updated on AprilMarch 30,13, 2025 at 11:2111:30 PMAM
Action History
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Effective date 05/18/26
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Act No. 166
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Signed By Governor
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Ratified R 138
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Ordered enrolled for ratification
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House recedes from amendment(s)
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Non-concurrence in House amendment
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Scrivener's error corrected
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Read third time and returned to Senate with amendments
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Unanimous consent for third reading on next legislative day
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Roll call Yeas-108 Nays-0
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Read second time
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Amended
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Committee report: Favorable with amendment 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
- Senator Josh Kimbrell · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 168 not signed on
Co-sponsors (0)
None.
Not signed on (168)
168 members have not signed on to this bill.
Show all 168 →"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 | 105 | 0 | 0 | 15 |
| Republican | 2 | 0 | 0 | 0 |
| Democrat | 1 | 0 | 0 | 1 |
| Total | 108 | 0 | 0 | 16 |
| % of votes cast | 87% | 0% | 0% | 13% |
How each member voted (124)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 44 | 0 | 0 | 0 |
| Total | 44 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (44)
Subjects
Frequently asked questions
- What does S 449 do?
- AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-43-245 SO AS TO AUTHORIZE PHARMACISTS AND PHYSICIANS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS FOR PHYSICIANS AND MISCELLANEOUS HEALTHCARE PROFESSIONALS, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-47-205 SO AS TO AUTHORIZE PHYSICIANS AND PHARMACISTS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; AND TO REQUIRE THE STATE BOARD OF PHARMACY AND THE STATE BOARD OF MEDICAL EXAMINERS TO PROMULGATE REGULATIONS GOVERNING THE USE OF COLLABORATIVE PRACTICE AGREEMENTS AND TO PROVIDE THAT COLLABORATIVE PRACTICE AGREEMENTS MAY NOT BE IMPLEMENTED UNTIL AFTER THE REGULATIONS ARE EFFECTIVE. - RATIFIED TITLE
- Who sponsors S 449?
- S 449 is sponsored by Senator Daniel B. "Danny" Verdin III and Senator Josh Kimbrell.
- What is the current status of S 449?
- This bill has been enacted into law. Introduced March 13, 2025. Enacted.
- Where can I track S 449?
- Track S 449 free on One Click Politics — get push/email alerts when it moves.
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