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South Carolina law

Healthcare & Benefits Laws in South Carolina.

South Carolina healthcare law combines federal frameworks (Medicare, Medicaid, ACA, HIPAA, EMTALA) with state-specific statutes governing facility licensing (through the Department of Public Health — DPH, formerly DHEC) and professional licensing. South Carolina maintains a Certificate of Need program (S.C. Code § 44-7-110 et seq.). South Carolina has NOT expanded Medicaid under the ACA — one of 10 remaining non-expansion states. South Carolina operates the Prescription Drug Monitoring Program (SCRIPTS).

Last verified: 2026-04-17

State law

Key South Carolina Statutes

Certificate of NeedS.C. Code § 44-7-110 et seq.

South Carolina requires Certificate of Need approval for new hospital construction, major capital expenditures, new services, and bed additions.

No Medicaid ExpansionCompare Act — SC has declined expansion

South Carolina has NOT expanded Medicaid under the ACA. One of 10 remaining non-expansion states. Medicaid eligibility remains limited to categorical groups (children, pregnant women, aged/disabled, extremely low-income parents).

Prescription Drug Monitoring Program (SCRIPTS)S.C. Code § 44-53-1610 et seq.

South Carolina operates a mandatory PDMP (SCRIPTS). Prescribers must check SCRIPTS before prescribing Schedule II-IV controlled substances in specified circumstances.

Medical LicensureS.C. Code § 40-47-5 et seq.

The South Carolina Board of Medical Examiners licenses physicians and oversees discipline.

State law

Official Sources

Not Legal Advice

This page summarizes publicly available statutes and rules for informational purposes only. It does not constitute legal advice, and no attorney-client relationship is created by viewing this content. Laws change — always verify with the primary source or consult a licensed attorney in South Carolina.

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