South Carolina 2025-2026 Regular Session Status: In Committee

S 778 — Prohibit Medicaid Funding for Family Planning by Abortion Providers

Last action — Referred to Committee on Medical Affairs

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

This bill is in committee in the Senate. Introduced January 13, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 16% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    2 primary, 0 co-sponsors signed on.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-75 SO AS TO PROVIDE THAT LICENSED ABORTION CLINICS AND AFFILIATED PHYSICIANS OR MEDICAL PRACTICES ARE UNQUALIFIED TO PROVIDE FAMILY PLANNING UNDER THE STATE'S MEDICAID PROGRAM, TO PROHIBIT STATE AND LOCAL FUNDS FOR FAMILY PLANNING TO BE APPROPRIATED TO A LICENSED ABORTION CLINIC AND AFFILIATED PHYSICIANS AND MEDICAL PRACTICES, AND TO PROVIDE THAT THE DEPARTMENT OF PUBLIC HEALTH MUST PROVIDE A LIST OF QUALIFIED FAMILY PLANNING SERVICE PROVIDERS.

Bill Text

What changed in the latest version

45 added · 7 removed

Plain-language change summary

The recent amendment to Bill 778 in South Carolina introduces a new section that disqualifies licensed abortion clinics and their affiliated physicians from providing family planning services under the state's Medicaid program. Additionally, it prohibits any state or local funds from being allocated to these clinics for family planning purposes. This change is significant because it could limit access to essential reproductive health services for individuals who rely on these clinics for family planning, potentially impacting many residents' health and well-being.

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2025-2026 Bill 778 Text of Previous Version (Jan.
13, 2026) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 778Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
Document has been reformatted to meet World Wide Web specifications.) Senate:
Massey Attorney:
Moffitt Drafting Assistant:
Bishop Date:
January 08, 2026 DOC.
ID.:
/SENATE RESEARCH/KM/DRAFTS/SR-0469KM26/SR-0469KM26.DOCX       A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-75 SO AS TO PROVIDE THAT LICENSED ABORTION CLINICS AND AFFILIATED PHYSICIANS OR MEDICAL PRACTICES ARE UNQUALIFIED TO PROVIDE FAMILY PLANNING UNDER THE STATE'S MEDICAID PROGRAM, TO PROHIBIT STATE AND LOCAL FUNDS FOR FAMILY PLANNING TO BE APPROPRIATED TO A LICENSED ABORTION CLINIC AND AFFILIATED PHYSICIANS AND MEDICAL PRACTICES, AND TO PROVIDE THAT THE DEPARTMENT OF PUBLIC HEALTH MUST PROVIDE A LIST OF QUALIFIED FAMILY PLANNING SERVICE PROVIDERS.
  Be it enacted by the General Assembly of the State of South Carolina:
  SECTION 1.  Article 1, Chapter 6, Title 44 of the S.C.
Code is amended by adding:
      Section 44-6-75.
(A) Any facility licensed by the Department of Public Health to operate as an abortion provider pursuant to Section 44-41-75 and any affiliated physicians or professional medical practices who are operating concurrently with and in the same physical, geographic location or footprint as the licensed facility are unqualified to provide family planning services under the State's Medicaid program.
    (B) State and local funds for family planning, whether through a grant, a contract, state-administered federal funds, or any other form, may not be directly or indirectly provided to any facility licensed by the Department of Public Health to operate as abortion provider pursuant to Section 44-41-75 or to a physician or professional medical practice affiliated with a licensed abortion provider who is operating concurrently with and in the same physical, geographic location or footprint as the licensed facility.
    (C) The department of Public Health shall prepare, produce, and make publicly available in a user-friendly format a list of all qualified family planning service providers operating within a twenty-five-mile radius of any facility licensed to provide abortions pursuant to Section 44-41-75 that is excluded from the State's Medicaid provider network.
  SECTION 2.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on January 13, 2026 at 12:33 PM
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Action History

  1. Referred to Committee on Medical Affairs

  2. Introduced and read first time

Sponsors

Sponsorship breakdown

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2 sponsors · 0 co-sponsors · 168 not signed on

Sponsors (2)

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.

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

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does S 778 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-75 SO AS TO PROVIDE THAT LICENSED ABORTION CLINICS AND AFFILIATED PHYSICIANS OR MEDICAL PRACTICES ARE UNQUALIFIED TO PROVIDE FAMILY PLANNING UNDER THE STATE'S MEDICAID PROGRAM, TO PROHIBIT STATE AND LOCAL FUNDS FOR FAMILY PLANNING TO BE APPROPRIATED TO A LICENSED ABORTION CLINIC AND AFFILIATED PHYSICIANS AND MEDICAL PRACTICES, AND TO PROVIDE THAT THE DEPARTMENT OF PUBLIC HEALTH MUST PROVIDE A LIST OF QUALIFIED FAMILY PLANNING SERVICE PROVIDERS.
Who sponsors S 778?
S 778 is sponsored by Senator A. Shane Massey and Senator Richard J. Cash.
What is the current status of S 778?
This bill is in committee in the Senate. Introduced January 13, 2026. It must pass committee before a floor vote.
Where can I track S 778?
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