South Carolina 2025-2026 Regular Session Status: In Committee

H 3875 — Midwives and Birthing Centers

Last action — Member(s) request name added as sponsor: Sanders

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

This bill is in committee in the House. Introduced January 30, 2025. It must pass committee before a floor vote.

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

Prognosis

Stalled 20% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 4 sponsors

    4 primary, 0 co-sponsors signed on.

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 ENACTING THE "PERINATAL INTEGRATION ACT OF 2025"; AND BY ADDING SECTION 44-89-110 SO AS TO REQUIRE THE DEPARTMENT OF PUBLIC HEALTH TO PROMULGATE REGULATIONS THAT INTEGRATE MIDWIVES AND BIRTHING CENTERS INTO THE ORGANIZATION OF PERINATAL LEVELS OF CARE.

Bill Text

What changed in the latest version

77 added · 27 removed

Plain-language change summary

The recently amended Bill 3875, known as the "Perinatal Integration Act of 2025," now includes provisions that require the South Carolina Department of Public Health to establish regulations for integrating midwives and birthing centers into the state's perinatal care system. This change is significant because it aims to improve collaboration among healthcare providers, ultimately enhancing maternal and newborn health outcomes by facilitating smoother transitions in care, especially in cases of complications during childbirth. The bill highlights the importance of better coordination among various care providers, addressing previous issues linked to poorer health outcomes due to inadequate collaboration.

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2025-2026 Bill 3875 Text of Previous Version (Jan.
SP&èSÏviýÚÞäÐÐ;¾S_ä—4U‘ÕæÒéŠVÐiT´ËÚá„fô[R3 Mql»¼ŠÂȂ_5«ÿv8imÍÜcñ0ŸrÉ:Úf”¦_yÕä9‘¸Ùõv‡—£]b5.Ç,ÀÆÀ`õ¢Õ]°t­;w¬F¯'™J{5Su‡Nk5:­V£i¼°fÏT4Yr;«!»æÐ‡®ÆNÀp¶ª÷;âTú½¾>Dtéi'0ª=M[;S·•þ¦ÐeǶÅlO@¶tÛP½o`ª¥[fў€áåZx¯{š«®ÐwO¨6Ÿ€ÒW5CmM@RÍ¡¤­š@Óxa²%aV»µ& ÷²2ЇÏ?˅®[Ð4ÃæÁÝå 4!ÔÓ{Šé¯HnOV„ZÜHºk=K±:›Øµ]݀)yÏF¨KYyžd+¹.Í>‡ðn«-·‡LV– mho:YÓîk¶ãtOPÙq{îÐÚHZ+å„ÒÌê£ìM£‹ª3Ÿðe•ÌcWwޖ‡¸µ'kH|)²nÔ) ^²ÛpäÇøÉüښŠ`֌ÓÒ¨¬˜Óò0­«e97ºÜƒžÖ$Y­ófË4PyÜC(aáÍ Lð²*6É¥·X_Ǜë+"âUù:+(§}ÍF0¬öêß \Œ7”¾¼Ý9 åòÁIuÿßäW/.¹xY~\]»¸Ã»òØ&;*X|4x»óŽ)9}ehïõ‡º½§Ž½çX޹§ØýÞ@rš,KÿYKH¨í»Z†øëæ4«Œ\¿à†7’Ž›Aµ`Êö±§è}m¥bÑe©ï*Õ.
30, 2025) - South Carolina Legislature Online South Carolina General Assembly126th Session, 2025-2026Bill 3875Indicates Matter StrickenIndicates New Matter(Text matches printed bills.
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Document has been reformatted to meet World Wide Web specifications.)                 A bill   TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "PERINATAL INTEGRATION ACT OF 2025";
AND BY ADDING SECTION 44-89-110 SO AS TO REQUIRE THE DEPARTMENT OF PUBLIC HEALTH TO PROMULGATE REGULATIONS THAT INTEGRATE MIDWIVES AND BIRTHING CENTERS INTO THE ORGANIZATION OF PERINATAL LEVELS OF CARE.
  Whereas, collaboration among health professionals can improve safety and quality, particularly when care is transferred from low-resource to high-resource settings;
and   Whereas, poor coordination of care across providers and birth settings has been associated with adverse maternal newborn outcomes;
and   Whereas, South Carolina has a Midwifery Integration Score of thirty-four out of one hundred according to a 2018 study "Mapping integration of midwives across the United States:
Impact on access, equity, and outcomes" by Vedam S, Stoll K, MacDorman M, Declercq E, Cramer R, Cheyney M, et al.
In this study, lower scores were correlated with lower rates of physiologic birth, more obstetric interventions, and more adverse neonatal outcomes;
and   Whereas, midwives and birthing centers in a community setting should be afforded access to the initiation of smooth transitions for mothers who encounter complications during childbirth;
and   Whereas, the ability of midwives and birthing centers to function autonomously to their full scope of practice in community settings, in collaboration with other members of the health system, can enhance the cost effectiveness and accessibility of maternity care, particularly in rural or impoverished communities.
Now, therefore,   Be it enacted by the General Assembly of the State of South Carolina:
  SECTION 1.  This act may be cited as the "Perinatal Integration Act of 2025."   SECTION 2.  Chapter 89, Title 44 of the S.C.
Code is amended by adding:
      Section 44-89-110.
(A) For purposes of this section:
       (1) "Integrate" means to facilitate the full exercise of a scope of practice, autonomy, self-regulation, collaboration, and a smooth transition between midwives, birthing centers, and hospitals that provide perinatal services.
"Integrate" does not mean to supervise midwives or birthing centers.
       (2) "Perinatal levels of care" means the regulatory implementation of perinatal services.
    (B) The department shall promulgate regulations that recognize midwives within the definition of facilities and integrate midwives and birthing centers into the organization of perinatal levels of care.
These regulations must include, but are not limited to:
       (1) access to physician-to-provider consultation available twenty-four hours a day;
       (2) transfer methods and protocols from a midwife or birthing center to a hospital within a fifty-mile radius that provides level one or higher perinatal services;
       (3) access to professional continuing education relating to safe transfers and the escalation of care;
and        (4) the collection of data on transfer outcomes to evaluate the effectiveness and safety of the transfer of care from a midwife or birthing center to a hospital.
    (C) Nothing in this section may be construed to:
       (1) allow or require the department or hospitals to promulgate regulations or requirements that restrict the scope of practice, change existing licensure requirements, or impose any other regulation or requirement on midwives or birthing centers, other than methods and protocols for the transfer of a patient to a hospital;
or        (2) require hospitals to give midwives hospital-admitting privileges.
  SECTION 3.  This act takes effect upon approval by the Governor.
----XX---- This web page was last updated on January 30, 2025 at 12:12 PM
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Action History

  1. Member(s) request name added as sponsor: Sanders

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

  3. Introduced and read first time

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Not signed on (166)

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Frequently asked questions

What does H 3875 do?
A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "PERINATAL INTEGRATION ACT OF 2025"; AND BY ADDING SECTION 44-89-110 SO AS TO REQUIRE THE DEPARTMENT OF PUBLIC HEALTH TO PROMULGATE REGULATIONS THAT INTEGRATE MIDWIVES AND BIRTHING CENTERS INTO THE ORGANIZATION OF PERINATAL LEVELS OF CARE.
Who sponsors H 3875?
H 3875 is sponsored by Representative Craig A. Gagnon, Representative James Mikell "Mike" Burns, Representative April Cromer, and Representative Richard Blake Sanders.
What is the current status of H 3875?
This bill is in committee in the House. Introduced January 30, 2025. It must pass committee before a floor vote.
Where can I track H 3875?
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