Medicaid Provider and Recipient Fraud
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S 915 — Medicaid Provider and Recipient Fraud
Last action — Referred to Committee on Judiciary
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill has passed the Senate. Introduced February 10, 2026. It now moves to the second chamber.
Next likely step: consideration and a floor vote in the House.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Passed Senate
Current position in the legislative process.
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18 sponsors
18 primary, 0 co-sponsors signed on.
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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 43-7-60, RELATING TO THE PROHIBITION OF FALSE CLAIMS, STATEMENTS, OR REPRESENTATION BY MEDICAL PROVIDERS, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS; BY AMENDING SECTION 43-7-70, RELATING TO THE PROHIBITION OF FALSE STATEMENTS OR REPRESENTATION ON APPLICATIONS FOR ASSISTANCE, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS; AND BY AMENDING SECTION 43-7-90, RELATING TO THE ENFORCEMENT OF SECTIONS 43-7-60 TO 43-7-80, SO AS TO AUTHORIZE THE ATTORNEY GENERAL TO ISSUE ADMINISTRATIVE SUBPOENAS AND OTHER APPROPRIATE ACTIONS.
Bill Text
What changed in the latest version
15 added · 128 removedPlain-language change summary
The recent amendment to Bill S 915 brings changes to how false claims made by medical providers and individuals seeking assistance are handled under South Carolina law. Now, there will be a tiered system of violations and penalties, allowing for more proportional consequences based on the severity of the offense. Additionally, the Attorney General will be granted more authority, including the ability to issue administrative subpoenas, to enhance enforcement of these rules. These changes aim to strengthen accountability among medical providers and individuals, ultimately protecting the integrity of assistance programs.
2025-2026 Bill 915 Text of Previous Version (Apr.(Feb.
09,10, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 915Indicates 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 ReportA Aprilbill 9, 2026TO AMEND S.THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 43-7-60, RELATING TO THE PROHIBITION OF FALSE CLAIMS, STATEMENTS, OR REPRESENTATION BY MEDICAL PROVIDERS, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS;
915 Introduced by Senators Garrett, Johnson, Adams, Bennett, Cash, Massey, Corbin, Turner, Blackmon, Kennedy, Stubbs, Reichenbach, Rice, Goldfinch, Elliott and Kimbrell S.
Printed 4/9/26--S.
Read the first time February 10, 2026 ________ The committee on Senate Judiciary To whom was referred a Bill (S.
915) to amend the South Carolina Code of Laws by amending Section 43-7-60, relating to the prohibition of false claims, statements, or representation by medical providers, etc., respectfully Report:
That they have duly and carefully considered the same, and recommend that the same do pass with amendment:
Amend the bill, as and if amended, SECTION 1, by striking Section 43-7-60(A)(1), (2), and (3) and inserting:
(1) "provider" includes Provider" means a person who provides goods, services, or assistance and who is entitled or claims to be entitled to receive reimbursement, payment, or benefits under the state'sState Medicaid programProgram. "Provider" also includes an owner, a billing agent, and a person acting as an employee, representative, or agent of the provider.
(2) "false False claim, statement, or representation" means a claim, statement, or representation made or presented, or attempted to be made or presented, in any form including, but not limited to, a claim, statement, or representation which is computer generated or transmitted or made, produced, or transmitted by an electronic means or device.
(3) "State Medicaid Program" includes means the state or federal agency which administers or assists in the administration of the State Medicaid Program, a Managed Care Organization, or similar entity contracted under the State Medicaid Program to provide goods, services, or assistance.
Amend the bill further, SECTION 1, by striking Section 43-7-60(D) and inserting:
(D) A person who knowingly makes a false claim, statement, or misrepresentation, and any other person who knowingly assists, abets, solicits, or conspires with a person to make a false claim, statement, or misrepresentation, is guilty of a:
A person who violates the provisions of this section subsection (B) or subsection (C), or a person who knowingly aids, assists, abets, solicits, or conspires with another person to violate the provisions of subsection (B) or subsection (C), is guilty of medical assistance provider fraud, a:
Class A misdemeanor and, upon conviction, must be imprisoned not more than three years and fined not more than one thousand dollars for each offense.
(1) Class A misdemeanor for a first offense violation, if the amount of the economic advantage or benefit sought or received is less than five thousand dollars and, upon .
Upon conviction, the person must be imprisoned not more than three years or fined not more than one thousand dollars, or both.;
(2) Class F felony for a first offense violation, if the amount of the economic advantage or benefit sought or received is five thousand dollars or more but less than fifty thousand dollars.
Upon conviction, the person must be fined not less than five thousand nor more than twenty thousand dollars or imprisoned not more than five years, or both.;
or (3) Class E felony for a first offense violation, if the amount of the economic advantage or benefit sought or received is fifty thousand dollars or more.
Upon conviction, the person must be fined not less than twenty thousand nor more than fifty thousand dollars or imprisoned not more than ten years, or both.
Amend the bill further, SECTION 1, by striking Section 43-7-60(F) and inserting:
(E)(F) In addition to all other remedies provided by law, the Attorney General may bring an action to recover damages equal to three times the amount of an overstatement or overpayment and the court may impose a civil penalty of two thousand dollars for each false claim, representation, or overstatement made to a state or federal agency which administers funds under the state's Medicaid program. Upon a finding that the provider has violated a provision of this section, the state agency which administers the Medicaid program may impose other administrative sanctions against the provider authorized by law. A civil or criminal action brought under this section may be filed or brought in either the county where the false claim, statement, or representation violation originated, or in the county in which the false claim, statement, or representation violation was received by the Health and Human Services Finance Commission Department of Health and Human Services or other agency of the State responsible for administering the state's Medicaid Program.
Amend the bill further, SECTION 2, by striking Section 43-7-70(B) and inserting:
(B) A person who violates subsection (A), and any other or a person who knowingly aids, assists, abets, solicits, or conspires with a another person to make a false claim, statement, or misrepresentation as described in to violate subsection (A), is guilty of a:A person who violates the provisions of this section is guilty of medical assistance recipient fraud, a Class A misdemeanor and, upon conviction, must be imprisoned not more than three years or fined not more than one thousand dollars, or both.
(1) Class A misdemeanor for a first offense violation, if the amount of the economic advantage or benefit sought or received is less than five thousand dollars and, upon.
Upon conviction, the person must be imprisoned not more than three years or fined not more than one thousand dollars, or both.;
(2) Class F felony for a first offense violation, if the amount of the economic advantage or benefit received is five thousand dollars or more but less than fifty thousand dollars.
Upon conviction, the person must be fined not less than five thousand nor more than twenty thousand dollars or imprisoned not more than five years, or both.;
or (3) Class E felony for a first offense violation, if the amount of the economic advantage or benefit received is fifty thousand dollars or more.
Upon conviction, the person must be fined not less than twenty thousand nor more than fifty thousand dollars or imprisoned not more than ten years, or both.
Amend the bill further, SECTION 2, by striking Section 43-7-70(D) and inserting:
(D) In addition to all other remedies under this section, the Attorney General may bring a civil action to recover damages equal to three times the amount of the overpayment by the state agency that administers funds under the State Medicaid Program.
A civil or criminal action brought under this section may be filed or brought in either the county where the false claim, statement, or representation violation originated, or in the county in which the false claim, statement, or representation violation was received by the Health and Human Services Finance Commission Department of Health and Human Services or other agency of the State responsible for administering the State Medicaid Program.
Renumber sections to conform.
Amend title to conform.
LUKE RANKIN for Committee.
_______ A bill TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 43-7-60, RELATING TO THE PROHIBITION OF FALSE CLAIMS, STATEMENTS, OR REPRESENTATION BY MEDICAL PROVIDERS, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS;
----XX---- This web page was last updated on AprilFebruary 09,10, 2026 at 03:3202:44 PM
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill creates tiered violations and penalties for false claims related to the Medicaid program and allows for the use of consent agreements.
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Section 43-7-60
It is unlawful for a provider of medical assistance, goods, or services to knowingly and wilfully make or cause to be made a false claim, statement, or representation of a material fact:→ It is unlawful for a provider of medical assistance, goods, or services to knowingly and wilfully make or cause to be made a false claim, statement, or representation of a material fact:The general prohibition remains, but is now included in a structured framework with tiered penalties.
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Section 43-7-60
a: Class A misdemeanor and, upon conviction, must be imprisoned not more than three years and fined not more than one thousand dollars for each offense.→ a: Class A misdemeanor if the amount of the economic advantage or benefit sought or received is less than five thousand dollars. Upon conviction, the person must be imprisoned not more than three years or fined not more than one thousand dollars, or both; felony if the amount of the economic advantage or benefit sought or received is five thousand dollars or more but less than fifty thousand dollars. Upon conviction, the person must be fined not less than five thousand nor more than twenty thousand dollars or imprisoned not more than five years, or both; or felony if the amount of the economic advantage or benefit sought or received is fifty thousand dollars or more. Upon conviction, the person must be fined not less than twenty thousand nor more than fifty thousand dollars or imprisoned not more than ten years, or both.The penalties for violations are now tiered based on the amount of economic advantage, distinguishing between misdemeanors and felonies.
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Section 43-7-60
In addition to all other remedies provided by law, the Attorney General may bring an action to recover damages equal to three times the amount of an overstatement or overpayment and the court may impose a civil penalty of two thousand dollars for each false claim, representation, or overstatement made to a state or federal agency which administers funds under the state's Medicaid program.→ In addition to all other remedies provided by law, the Attorney General may bring an action to recover damages equal to three times the amount of the overstatement or overpayment and the court may impose a civil penalty of two thousand dollars for each false claim, representation, or overstatement made to a state or federal agency which administers funds under the state's Medicaid program.The enforcement mechanism for civil penalties remains, reinforcing the penalties associated with false claims.
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Section 43-7-70
It is unlawful for a person to knowingly and wilfully to make or cause to be made a false statement or representation of material fact on an application for assistance, goods, or services under the state'sState Medicaid Programprogram when the false statement or representation is made for the purpose of determining the person's entitlement to assistance, goods, or services.→ It is unlawful for a person to knowingly and wilfully to make or cause to be made a false statement or representation of material fact on an application for assistance, goods, or services under the state'sState Medicaid programProgram when the false statement or representation is made for the purpose of determining the person's entitlement to assistance, goods, or services.The language maintains the illegal nature of false statements but now fits within a tiered violation system.
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Section 43-7-70
a: Class A misdemeanor and, upon conviction, must be imprisoned not more than three years or fined not more than one thousand dollars, or both.→ a: Class A misdemeanor if the amount of the economic advantage or benefit sought or received is less than five thousand dollars. Upon conviction, the person must be imprisoned not more than three years or fined not more than one thousand dollars, or both; felony if the amount of the economic advantage or benefit received is five thousand dollars or more but less than fifty thousand dollars. Upon conviction, the person must be fined not less than five thousand nor more than twenty thousand dollars or imprisoned not more than five years, or both; or felony if the amount of the economic advantage or benefit received is fifty thousand dollars or more. Upon conviction, the person must be fined not less than twenty thousand nor more than fifty thousand dollars or imprisoned not more than ten years, or both.Similar to Section 43-7-60, penalties now vary based on the economic advantage involved.
Action History
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Referred to Committee on Judiciary
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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-45 Nays-0
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Read second time
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Committee Amendment Adopted
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Committee report: Favorable with amendment Judiciary
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Committed to Committee on Judiciary
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Recalled from Committee on Medical Affairs
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Referred to Committee on Medical Affairs
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Introduced and read first time
Sponsors
- Senator Billy Garrett · Primary
- Senator Michael Johnson · Primary
- Senator Brian Adams · Primary
- Senator Sean M. Bennett · Primary
- Senator Richard J. Cash · Primary
- Senator A. Shane Massey · Primary
- Senator Thomas D. "Tom" Corbin · Primary
- Senator Ross Turner · Primary
- Senator Allen Blackmon · Primary
- Senator Carlisle Kennedy · Primary
- Senator Everett Stubbs · Primary
- Senator Mike Reichenbach · Primary
- Senator Rex F. Rice · Primary
- Senator Stephen L. Goldfinch · Primary
- Senator Jason Elliott · Primary
- Senator Josh Kimbrell · Primary
- Senator Thomas C. Alexander · Primary
- Senator Ronnie W. Cromer · Primary
Sponsorship breakdown
Export CSV (upgrade) →18 sponsors · 0 co-sponsors · 152 not signed on
Sponsors (18)
- Senator Billy Garrett
- Senator Michael Johnson
- Senator Brian Adams
- Senator Sean M. Bennett
- Senator Richard J. Cash
- Senator A. Shane Massey
- Senator Thomas D. "Tom" Corbin
- Senator Ross Turner
- Senator Allen Blackmon
- Senator Carlisle Kennedy
- Senator Everett Stubbs
- Senator Mike Reichenbach
- Senator Rex F. Rice
- Senator Stephen L. Goldfinch
- Senator Jason Elliott
- Senator Josh Kimbrell
- Senator Thomas C. Alexander
- Senator Ronnie W. Cromer
Co-sponsors (0)
None.
Not signed on (152)
152 members have not signed on to this bill.
Show all 152 →"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 | 45 | 0 | 0 | 1 |
| Total | 45 | 0 | 0 | 1 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (46)
Subjects
Frequently asked questions
- What does S 915 do?
- A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 43-7-60, RELATING TO THE PROHIBITION OF FALSE CLAIMS, STATEMENTS, OR REPRESENTATION BY MEDICAL PROVIDERS, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS; BY AMENDING SECTION 43-7-70, RELATING TO THE PROHIBITION OF FALSE STATEMENTS OR REPRESENTATION ON APPLICATIONS FOR ASSISTANCE, SO AS TO CREATE TIERED VIOLATIONS AND PENALTIES FOR THIS SECTION AND PROVIDE FOR THE USE OF CONSENT AGREEMENTS; AND BY AMENDING SECTION 43-7-90, RELATING TO THE ENFORCEMENT OF SECTIONS 43-7-60 TO 43-7-80, SO AS TO AUTHORIZE THE ATTORNEY GENERAL TO ISSUE ADMINISTRATIVE SUBPOENAS AND OTHER APPROPRIATE ACTIONS.
- Who sponsors S 915?
- S 915 is sponsored by Senator Billy Garrett, Senator Michael Johnson, Senator Brian Adams, Senator Sean M. Bennett, Senator Richard J. Cash, Senator A. Shane Massey, Senator Thomas D. "Tom" Corbin, Senator Ross Turner, Senator Allen Blackmon, Senator Carlisle Kennedy, Senator Everett Stubbs, Senator Mike Reichenbach, Senator Rex F. Rice, Senator Stephen L. Goldfinch, Senator Jason Elliott, Senator Josh Kimbrell, Senator Thomas C. Alexander, and Senator Ronnie W. Cromer.
- What is the current status of S 915?
- This bill has passed the Senate. Introduced February 10, 2026. It now moves to the second chamber.
- Where can I track S 915?
- Track S 915 free on One Click Politics — get push/email alerts when it moves.
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