South Carolina 2025-2026 Regular Session Status: Enacted

H 4067 — Hospital Emergency Departments

Last action — Act No. 49

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

This bill has been enacted into law. Introduced February 20, 2025. Enacted.

Signed by Governor Henry McMaster (Republican) on May 12, 2025.

Prognosis

Likely to advance 76% · 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.

  • 4 sponsors

    4 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.

Summary

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-268 SO AS TO REQUIRE ALL HOSPITALS WITH EMERGENCY DEPARTMENTS TO HAVE AT LEAST ONE PHYSICIAN PHYSICALLY PRESENT ON SITE WHO IS RESPONSIBLE FOR THE EMERGENCY DEPARTMENT AT ALL TIMES THE EMERGENCY DEPARTMENT IS OPEN. - RATIFIED TITLE

Bill Text

What changed in the latest version

8 added · 49 removed

8 line(s) added, 49 removed.

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Latest
2025-2026 Bill 4067 Text of Previous Version (Mar.
2025-2026 Bill 4067 Text of Previous Version (Feb.
Document has been reformatted to meet World Wide Web specifications.) Committee Report March 20, 2025   H.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-268 SO AS TO REQUIRE ALL HOSPITALS WITH EMERGENCY DEPARTMENTS TO HAVE AT LEAST ONE PHYSICIAN PHYSICALLY PRESENT ON SITE WHO IS RESPONSIBLE FOR THE EMERGENCY DEPARTMENT AT ALL TIMES THE EMERGENCY DEPARTMENT IS OPEN.
4067   Introduced by Reps.
Davis and Sessions   S.
Printed 3/20/25--H.
Read the first time February 20, 2025   ________   The committee on House Medical, Military, Public and Municipal Affairs To whom was referred a Bill (H.
4067) to amend the South Carolina Code of Laws by adding Section 44-7-268 so as to require all hospitals with emergency departments to have at least one physician physically, etc., respectfully Report:
That they have duly and carefully considered the same, and recommend that the same do pass:
  S.H.
DAVIS for Committee.
    statement of estimated fiscal impact Explanation of Fiscal Impact State Expenditure This bill requires every hospital in South Carolina with an emergency department, regardless of classification, to have at least one physician physically present on site who is responsible for the emergency department at all times the department is open.
  DPH oversees licensing for hospitals in South Carolina.
DPH states that the requirements of this bill are in the normal course of business.
Therefore, this bill will have no expenditure impact for the agency.
  The fiscal impact of this bill on MUSC is pending, contingent upon a response from the agency.
  Local Expenditure RFA contacted all counties to determine the impact on county hospitals.
RFA received a response from the counties of Beaufort, Chesterfield, and Horry.
These counties anticipate 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 SECTION 44-7-268 SO AS TO REQUIRE ALL HOSPITALS WITH EMERGENCY DEPARTMENTS TO HAVE AT LEAST ONE PHYSICIAN PHYSICALLY PRESENT ON SITE WHO IS RESPONSIBLE FOR THE EMERGENCY DEPARTMENT AT ALL TIMES THE EMERGENCY DEPARTMENT IS OPEN.
----XX---- This web page was last updated on March 20, 2025 at 02:28 PM
----XX---- This web page was last updated on February 20, 2025 at 10:46 AM
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  • Introduced Filed vnd.openxmlformats-officedocument.wordprocessingml.document

How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill requires all hospitals with emergency departments in South Carolina to have at least one physician physically present on site at all times the emergency department is open.

  • Section 44-7-268

    As a condition of licensing and relicensing, every hospital in the State with an emergency department, regardless of classification, must have at least one physician physically present on site who is responsible for the emergency department at all times the emergency department is open.

    This addition mandates the presence of a physician in emergency departments of all hospitals.

Action History

  1. Act No. 49

  2. Effective date 05/12/25

  3. Signed By Governor

  4. Ratified R 75

  5. Read third time and enrolled

  6. Roll call Ayes-44 Nays-0

  7. Read second time

  8. Committee report: Favorable Medical Affairs

  9. Referred to Committee on Medical Affairs

  10. Introduced and read first time

  11. Read third time and sent to Senate

  12. Roll call Yeas-115 Nays-0

  13. Read second time

  14. Member(s) request name added as sponsor: Forrest, Henderson-Myers

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

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

  17. Introduced and read first time

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

4 sponsors · 0 co-sponsors · 166 not signed on

Co-sponsors (0)

None.

Not signed on (166)

166 members have not signed on to this bill.

Show all 166 →

"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

2nd Reading

Passed 44 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 44000
Total 44000
% of votes cast 100%0%0%0%
How each member voted (44)

Official roll call →

Passage of Bill

Passed 115 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 110007
Republican 2000
Democrat 2000
Total 114007
% of votes cast 94%0%0%6%
How each member voted (121)
Member Party Vote
Brittain, T. Case, Jr. — Yea
Representative Luke S. Rankin — Yea
Cox, Bobby J. — Yea
Henderson-Myers, Rosalyn D. — Yea
Johnson, Jeffrey E. — Yea
Johnson, Jermaine L., Sr. — Yea
May, Robert J., III — Yea
Murphy, Chris — Not Voting
Representative Adam L. Duncan — Yea
Representative Annie E. McDaniel — Yea
Representative April Cromer — Yea
Representative Beth E. Bernstein — Yea
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 — Yea
Representative Charles V. Hartz — Yea
Representative Chris Wooten — Yea
Representative Christopher R. "Chris" Hart — Yea
Representative Cody T. Mitchell — Yea
Representative Craig A. Gagnon — Yea
Representative Daniel Gibson — Yea
Representative David Martin — Yea
Representative David R. Hiott — Not Voting
Representative David Vaughan — Yea
Representative Dennis C. Moss — Yea
Representative Donald G. "Don" Chapman — Yea
Representative Donald Ryan McCabe, Jr. — Yea
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 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 — Yea
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 — Not Voting
Representative John R. McCravy III — Yea
Representative John Richard C. King — Yea
Representative Jordan S. Pace — Yea
Representative Joseph M. "Joe" Bustos — Yea
Representative Joseph S. "Joe" White — Yea
Representative Josiah Magnuson — Yea
Representative Justin T. Bamberg — Yea
Representative Kambrell H. Garvin — Yea
Representative Kathy Landing — 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 — Not Voting
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. — Yea
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 — Yea
Representative William C. "Chris" Huff — 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 Yea

Official roll call →

Subjects

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Frequently asked questions

What does H 4067 do?
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-268 SO AS TO REQUIRE ALL HOSPITALS WITH EMERGENCY DEPARTMENTS TO HAVE AT LEAST ONE PHYSICIAN PHYSICALLY PRESENT ON SITE WHO IS RESPONSIBLE FOR THE EMERGENCY DEPARTMENT AT ALL TIMES THE EMERGENCY DEPARTMENT IS OPEN. - RATIFIED TITLE
Who sponsors H 4067?
H 4067 is sponsored by Henderson-Myers, Rosalyn D., Representative Sylleste H. Davis, Representative Heath Sessions, and Representative Cally R. "Cal" Forrest, Jr..
What is the current status of H 4067?
This bill has been enacted into law. Introduced February 20, 2025. Enacted.
Where can I track H 4067?
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