Bill Sponsor
South Carolina House Bill 4069
Session 2025-2026
Patient-Friendly Billing
Became Law
Became Law
Signed by Governor on Jun 30, 2026
Bill Intelligence

The bill amends the South Carolina Code of Laws by adding requirements for patient billing for healthcare services and supplies. It specifically requires healthcare facilities to provide an electronic or written itemized bill of charges to patients upon request, with clear language, and to notify them of their rights. The bill includes provisions for the content of the itemized bill and authorizes healthcare facilities to issue itemized bills electronically. Non-compliance may result in disciplinary action. The bill takes effect from January 1, 2027, upon approval by the Governor.

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First Action
Feb 20, 2025
Latest Action
Jul 1, 2026
Origin Chamber
House
Type
Bill
Bill Number
4069
State
South Carolina
Session
2025-2026
Sponsorship by Party
Republican
Primary
Republican
Primary
Republican
Primary
House Votes (3)
Senate Votes (2)
Motion Text
Adopt Conference Report
House Roll Call Votes
Unknown
Ford, Greg
Yes
Unknown
Henderson-Myers,, Rosalyn D., Ph.D. Herbkersman, William G.
Yes
Unknown
Lastinger, John T., Jr.
Yes
Unknown
Mitchell, Dianne
Yes
Unknown
Morgan, T. Alan, Jr.
Yes
Unknown
Neese, Mike M.
Yes
Unknown
Sanders, Richard Blake
Yes
Unknown
Scott, Keishan M.
Yes
Excused
Unknown
Waters, Courtney S.
Yes
Summary
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-7-327 SO AS TO ESTABLISH CERTAIN REQUIREMENTS PERTAINING TO PATIENT BILLING FOR HEALTH SERVICES AND SUPPLIES. - RATIFIED TITLE
07/01/2026
South Carolina Legislature
Act No. 253
07/01/2026
South Carolina Legislature
Effective date 06/30/26
06/30/2026
South Carolina Legislature
Signed By Governor
06/29/2026
South Carolina Legislature
Ratified R 270
06/25/2026
Senate
Ordered enrolled for ratification
06/25/2026
Senate
Roll call Ayes-38 Nays-0
06/25/2026
Senate
Conference report received and adopted
06/25/2026
House
Roll call Yeas-103 Nays-0
06/25/2026
House
Conference report received and adopted
05/14/2026
Senate
Conference committee appointed Cash, Garrett, Ott
05/14/2026
House
House insists upon amendment and conference committee appointed Reps. Davis, Sessions, Waters
05/14/2026
Senate
Non-concurrence in House amendment
05/14/2026
House
Roll call Yeas-113 Nays-0
05/14/2026
House
Returned to Senate with amendments
05/14/2026
House
Senate amendment amended
05/12/2026
Senate
Read third time and returned to House with amendments
05/08/2026
South Carolina Legislature
Scrivener's error corrected
05/07/2026
Senate
Roll call Ayes-46 Nays-0
05/07/2026
Senate
Read second time
05/07/2026
Senate
Amended
05/07/2026
Senate
Committee Amendment Adopted
04/30/2026
Senate
Committee report: Favorable with amendment Medical Affairs
03/26/2025
Senate
Referred to Committee on Medical Affairs
03/26/2025
Senate
Introduced and read first time
03/26/2025
House
Read third time and sent to Senate
03/25/2025
House
Roll call Yeas-116 Nays-0
03/25/2025
House
Read second time
03/25/2025
House
Amended
03/25/2025
House
Member(s) request name added as sponsor: Wickensimer
03/20/2025
House
Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs
03/04/2025
House
Member(s) request name added as sponsor: Magnuson
02/20/2025
House
Referred to Committee on Medical, Military, Public and Municipal Affairs
02/20/2025
House
Introduced and read first time
Sources
Record Created
Feb 20, 2025 6:44:33 PM
Record Updated
Jul 1, 2026 11:34:50 PM