South Carolina 2025-2026 Regular Session Status: Passed House

H 5173 — Hospitals

Last action — Referred to Committee on Medical Affairs

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

This bill has passed the House. Introduced February 11, 2026. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Prognosis

Advancing 52% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Passed House

    Current position in the legislative process.

  • 4 sponsors

    4 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 1 recorded vote 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

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 44-7-130, RELATING TO HEALTHCARE FACILITY DEFINITIONS, SO AS TO CHANGE THE DEFINITION OF HOSPITAL.

Bill Text

What changed in the latest version

4 added · 51 removed

Plain-language change summary

The recent amendments to Bill H 5173 primarily involve changes to the definition of a hospital within the South Carolina healthcare law. Specifically, some language was removed while additional details were clarified, which could affect how various healthcare facilities are classified and regulated. This is important because a clearer definition can lead to better compliance with state regulations and potentially improve healthcare delivery in the region. Additionally, these changes may have fiscal implications for state funding and the operation of healthcare facilities.

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Previous
Latest
2025-2026 Bill 5173 Text of Previous Version (Apr.
2025-2026 Bill 5173 Text of Previous Version (Feb.
02, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 5173Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
11, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 5173Indicates 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 April 2, 2026   H.
Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 44-7-130, RELATING TO HEALTHCARE FACILITY DEFINITIONS, SO AS TO CHANGE THE DEFINITION OF HOSPITAL.
5173   Introduced by Reps.
Hewitt, Bannister and G.
M.
Smith   S.
Printed 4/2/26--H.
Read the first time February 11, 2026   ________   The committee on House Ways and Means To whom was referred a Bill (H.
5173) to amend the South Carolina Code of Laws by amending Section 44-7-130, relating to healthcare facility definitions, so as to change the definition of hospital, etc., respectfully Report:
That they have duly and carefully considered the same, and recommend that the same do pass:
  B.W.
BANNISTER for Committee.
    statement of estimated fiscal impact Explanation of Fiscal Impact State Expenditure This bill expands the definition of hospitals in Article 3 of Chapter 7, Title 44, related to the State Health Facility Licensure Act to include REHs.
Effective January 1, 2023, REHs were established as a new Medicare provider type pursuant to the federal Consolidated Appropriations Acts of 2021.
This bill will have no expenditure impact on DHHS or DPH, as both agencies anticipate any responsibilities created by this bill can be managed within existing staff and appropriations.
  State Revenue This bill may result in a minimal revenue decrease for DPH.
Regulation 60-16.201(G) requires an annual $10 licensure fee per inpatient bed.
If an eligible hospital transitions to REH designation, the facility would no longer have inpatient beds, and therefore, no longer contribute these fees.
DPH anticipates this revenue loss will be minimal as only a small number of hospitals with 50 or fewer beds are eligible for this designation.
  Local Expenditure RFA contacted all forty-six counties regarding this legislation and received responses from the counties of Charleston, Dorchester, Florence, Horry, and Lancaster.
These counties indicate that the 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 AMENDING SECTION 44-7-130, RELATING TO HEALTHCARE FACILITY DEFINITIONS, SO AS TO CHANGE THE DEFINITION OF HOSPITAL.
SECTION 2.  This act takes effect upon approval by the Governor.
  SECTION 2.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on April 02, 2026 at 04:14 PM
----XX---- This web page was last updated on February 11, 2026 at 02:06 PM
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  • Introduced Filed vnd.openxmlformats-officedocument.wordprocessingml.document

Action History

  1. Referred to Committee on Medical Affairs

  2. Introduced and read first time

  3. Read third time and sent to Senate

  4. Roll call Yeas-114 Nays-0

  5. Read second time

  6. Member(s) request name added as sponsor: M.M.Smith

  7. Committee report: Favorable Ways and Means

  8. Referred to Committee on Ways and Means

  9. Introduced and read first time

Sponsors

Sponsorship breakdown

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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

Passage of Bill

Passed 114 Yea · 0 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 111009
Republican 2000
Democrat 1001
Total 1140010
% of votes cast 92%0%0%8%
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. — Yea
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 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 — Not Voting
Representative Dennis C. Moss — Yea
Representative Dianne Mitchell — 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 — Not Voting
Representative Gilda Cobb-Hunter — Yea
Representative Greg Ford — Not Voting
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 — Yea
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 — Yea
Representative Joseph M. "Joe" Bustos — Yea
Representative Joseph S. "Joe" White — Yea
Representative Josiah Magnuson — Yea
Representative Justin T. Bamberg — Not Voting
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 — Not Voting
Representative Nathan Ballentine — Yea
Representative Neal A. Collins — Yea
Representative Patrick B. Haddon — Not Voting
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. — Yea
Representative Terry Alexander — Not Voting
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 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 Not Voting
Carla M. Schuessler Republican Yea
Stephen D. Frank Republican Yea

Official roll call →

Subjects

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Frequently asked questions

What does H 5173 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 44-7-130, RELATING TO HEALTHCARE FACILITY DEFINITIONS, SO AS TO CHANGE THE DEFINITION OF HOSPITAL.
Who sponsors H 5173?
H 5173 is sponsored by Representative Lee Hewitt, Representative Bruce W. Bannister, Representative Marvin "Mark" Smith, and Representative G. Murrell Smith, Jr..
What is the current status of H 5173?
This bill has passed the House. Introduced February 11, 2026. It now moves to the second chamber.
Where can I track H 5173?
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