Journal of the House of Representatives
of the Second Session of the 111th General Assembly
of the State of South Carolina
being the Regular Session Beginning Tuesday, January 9, 1996

Page Finder Index

| Printed Page 4050, May 22 | Printed Page 4070, May 22 |

Printed Page 4060 . . . . . Wednesday, May 22, 1996

Rep. FELDER stated that the thrust of the amendment was to set a price for certain health care services and the argument that was being made was more directed toward the certificate of need process.

Rep. LANFORD stated that the amendment directed them on how they could enter into the contract which was a part of what was being discussed.

Rep. SEITHEL stated that the amendment did not fix prices.

Rep. LANFORD stated that the point that was being argued was the fact that when there was only one hospital in South Carolina that could provide certain services.

Rep. QUINN stated that if leasing state hospitals was germane, then certainly dealing with HCA, which was a part of the Bill, was germane.

Rep. ROBINSON stated that the amendment defined a regional medical center as a general acute care hospital other than a hospital owned by the federal government and that was certainly not a reference to MUSC and that the amendment was broader than the Bill.

Rep. LANFORD continued to argue, citing the amendment.

Rep. QUINN stated that the Bill did now deal with merging health care facilities with a private corporation.

ACTING SPEAKER CATO stated that the amendment was broader than MUSC and he sustained the Point of Order and ruled the amendment out of order.

SPEAKER IN CHAIR

Reps. S. WHIPPER, SEITHEL and HALLMAN proposed the following Amendment No. 9A, which was tabled.

Amend the bill, as and if amended, on page 11 strike Section 10 in its entirety, and on page 8, line 8, add a new paragraph to read:

/Until such time as the operator of the MUSC Medical Center constructs a Level I emergency room to serve the MUSC Medical Center, the Charleston Memorial Hospital emergency room shall continue to be a treatment center and admission point for both Charleston Memorial Hospital and MUSC Medical Center, with the continued right to admit emergency room patients to either the MUSC Medical Center or the Charleston Memorial Hospital. At all times during the term of the lease, there shall be a Level I emergency room serving and admitting patients to the MUSC Medical Center.

Rep. S. WHIPPER explained the amendment.


Printed Page 4061 . . . . . Wednesday, May 22, 1996

POINT OF ORDER

Rep. FELDER raised the Point of Order that Amendment No. 9A was out of order as it was not germane in that it directly related to a Charleston County emergency room which was not in existence and would cause the people from all over the State to pay and that it did not relate to the subject matter of the Bill as put in by the Senate.

Rep. S. WHIPPER argued contra the Point in stating that it related to the structure of MUSC as it related to the services they provide as well as the hospital. He further stated that it meant as far as the lease arrangement was concerned, it meant the division of the services from the college and hospital.

The SPEAKER stated that it had to tie back in to a specific section of the Bill.

Rep. S. WHIPPER cited Section A of the section under 44-7-3110.

Rep. SEITHEL cited Page 11 of Section 10 and stated that the amendment dealt with the emergency room at Charleston Memorial Hospital.

The SPEAKER questioned that Section 10 stated that you had to maintain the current level and the amendment would require an additional emergency room in certain cases.

Rep. SEITHEL stated that the only time it would require an additional emergency room was if the Medical University or the Columbia HCA decided to close the emergency room at Charleston Memorial.

The SPEAKER stated that it did tie in with Section 10 and he overruled the Point of Order.

Reps. L. WHIPPER and SEITHEL spoke in favor of the amendment.

Rep. FELDER moved to table the amendment, which was agreed to.

Reps. SEITHEL, BREELAND and S. WHIPPER proposed the following Amendment No. 10A, which was tabled.

Amend the bill, as and if amended, on page , by adding an appropriately numbered new SECTION to read:

Change "indigent care in the same manner as is being provided by the Medical University of South Carolina through the operation of this Medical University Hospital and its clinical programs" to "charity care in an amount not less than 5.5% of total gross charges as verified annually to the Medical University of South Carolina Board of Trustees." Add as an additional sentence: "Until such time as the operator of the MUSC Medical Center constructs a Level I emergency room to serve the MUSC Medical Center, the Charleston Memorial Hospital emergency room shall


Printed Page 4062 . . . . . Wednesday, May 22, 1996

continue to be a treatment center and admission point for both Charleston Memorial Hospital and MUSC Medical Center, with the continued right to admit emergency room patients to either the MUSC Medical Center or the Charleston Memorial Hospital. At all times during the term of the lease, there shall be a Level I emergency room serving and admitting patients to the MUSC Medical Center." If any of the provisions in this section are not met, MUSC may terminate the lease without penalty.

Rep. SEITHEL explained the amendment.

Rep. FELDER moved to table the amendment.

Rep. SEITHEL demanded the yeas and nays, which were taken resulting as follows:

Yeas 56; Nays 45

Those who voted in the affirmative are:

Allison              Boan                 Brown, H.
Cain                 Carnell              Cato
Cotty                Cromer               Dantzler
Easterday            Felder               Fleming
Fulmer               Gamble               Harrell
Harris, J.           Jaskwhich            Keegan
Kelley               Kinon                Klauber
Knotts               Koon                 Law
Limbaugh             Marchbanks           Mason
McAbee               McKay                Meacham
Rhoad                Rice                 Richardson
Riser                Robinson             Sharpe
Simrill              Smith, D.            Smith, R.
Spearman             Stille               Stoddard
Stuart               Townsend             Trotter
Tucker               Vaughn               Walker
Wells                Whatley              Wilder
Wilkins              Witherspoon          Wofford
Wright               Young-Brickell

Total--56

Those who voted in the negative are:

Anderson             Baxley               Breeland
Brown, G.            Brown, J.            Brown, T.

Printed Page 4063 . . . . . Wednesday, May 22, 1996

Byrd                 Canty                Clyburn
Cobb-Hunter          Davenport            Delleney
Hallman              Harvin               Herdklotz
Hines, J.            Howard               Hutson
Inabinett            Jennings             Keyserling
Kirsh                Lanford              Lee
Littlejohn           Lloyd                Martin
McCraw               McElveen             McMahand
McTeer               Moody-Lawrence       Neal
Neilson              Phillips             Quinn
Sandifer             Scott                Seithel
Shissias             Tripp                Whipper, L.
Whipper, S.          White                Young

Total--45

So, the amendment was tabled.

LEAVE OF ABSENCE

The SPEAKER granted Rep. CANTY a leave of absence for the remainder of the day.

ACTING SPEAKER HARRELL IN CHAIR

Rep. QUINN proposed the following Amendment No. 13A (Doc Name P:\amend\GJK\22906AC.96), which was tabled.

Amend the bill, as and if amended, by adding an appropriately numbered SECTION to read:

/SECTION . Notwithstanding any other provision of law to the contrary, upon approval of the proposed sale or lease of MUSC's facilities and assets, no bonded indebtedness shall be defeased or satisfied unless or until it has been established that there is de minimis risk that the transaction is void whether by reason or unconstitutionality or otherwise. De Minimis risk must be established by a final and unappealable decision of a competent court that the agreements are legal and enforceable./

Renumber sections to conform.

Amend totals and title to conform.

Rep. QUINN explained the amendment.

Rep. FELDER spoke against the amendment.

Rep. HUTSON spoke in favor of the amendment.


Printed Page 4064 . . . . . Wednesday, May 22, 1996

Rep. FELDER moved to table the amendment.

Rep. DAVENPORT demanded the yeas and nays, which were taken resulting as follows:

Yeas 60; Nays 36

Those who voted in the affirmative are:

Allison              Baxley               Boan
Brown, G.            Brown, H.            Brown, T.
Cain                 Carnell              Cooper
Cotty                Dantzler             Felder
Fulmer               Gamble               Hallman
Harrell              Harvin               Herdklotz
Hines, J.            Hodges               Jaskwhich
Jennings             Keegan               Kelley
Keyserling           Klauber              Knotts
Koon                 Lanford              Law
Limbaugh             Martin               Mason
McAbee               McKay                Neilson
Rhoad                Rice                 Riser
Rogers               Sandifer             Sharpe
Smith, D.            Smith, R.            Spearman
Stille               Stoddard             Stuart
Townsend             Tucker               Vaughn
Walker               Whatley              Wilder
Wilkins              Witherspoon          Wofford
Wright               Young                Young-Brickell

Total--60

Those who voted in the negative are:

Anderson             Breeland             Byrd
Cave                 Cobb-Hunter          Cromer
Davenport            Delleney             Easterday
Fleming              Harris, J.           Howard
Hutson               Inabinett            Kinon
Kirsh                Littlejohn           Lloyd
Marchbanks           McCraw               McElveen
McMahand             Meacham              Moody-Lawrence
Neal                 Phillips             Quinn
Seithel              Shissias             Simrill

Printed Page 4065 . . . . . Wednesday, May 22, 1996

Tripp                Trotter              Waldrop
Whipper, L.          Whipper, S.          White

Total--36

So, the amendment was tabled.

AMENDMENT NO. 6A--MOTION TO RECONSIDER TABLED

Rep. FLEMING moved to reconsider the vote whereby Amendment No. 6A was tabled.

Rep. FELDER moved to table the motion to reconsider.

Rep. QUINN demanded the yeas and nays, which were taken resulting as follows:

Yeas 63; Nays 34

Those who voted in the affirmative are:

Allison              Baxley               Boan
Breeland             Brown, G.            Brown, H.
Brown, J.            Byrd                 Cain
Carnell              Cato                 Cave
Cobb-Hunter          Cooper               Dantzler
Felder               Fulmer               Gamble
Harrell              Harvin               Herdklotz
Hines, J.            Jaskwhich            Jennings
Keegan               Kelley               Keyserling
Kinon                Klauber              Knotts
Koon                 Law                  Limbaugh
Lloyd                Martin               Mason
McKay                McTeer               Neilson
Richardson           Robinson             Sandifer
Scott                Sharpe               Smith, D.
Smith, R.            Spearman             Stille
Townsend             Trotter              Tucker
Vaughn               Walker               Wells
Whatley              Whipper, L.          Whipper, S.
White                Wilkins              Witherspoon
Wofford              Young                Young-Brickell

Total--63


Printed Page 4066 . . . . . Wednesday, May 22, 1996

Those who voted in the negative are:
Anderson             Brown, T.            Davenport
Delleney             Easterday            Fleming
Hallman              Harris, J.           Hodges
Howard               Hutson               Inabinett
Kirsh                Lanford              Littlejohn
Marchbanks           McCraw               McElveen
McMahand             Meacham              Moody-Lawrence
Neal                 Phillips             Quinn
Rhoad                Rice                 Riser
Seithel              Shissias             Simrill
Stoddard             Tripp                Waldrop
Wilder

Total--34

So, the motion to reconsider was tabled.

Rep. KIRSH proposed the following Amendment No. 14A, which was tabled.

Amend the bill, as and if amended, strike on page 9, on line 24, after "code":

/and compliance with the provisions of this act is exclusive and shall satisfy the approval requirements of any and all other statutory provisions requiring the review and/or approval of any agency, department or division.

Rep. KIRSH explained the amendment.

Rep. BOAN spoke against the amendment.

Rep. SEITHEL spoke in favor of the amendment.

SPEAKER IN CHAIR

Rep. SEITHEL continued speaking.

Rep. FELDER moved to table the amendment.

Rep. KIRSH demanded the yeas and nays, which were not ordered.

The amendment was then tabled by a division vote of 37 to 21.


Printed Page 4067 . . . . . Wednesday, May 22, 1996

Rep. SEITHEL proposed the following Amendment No. 16A, which was tabled.

Amend the bill, as and if amended, on page 11, line 1 strike SECTION 6 and insert the following to read:

/SECTION Notwithstanding any other provision of law to the contrary, upon approval of the proposed sale or lease of MUSC's facilities and assets, nothing shall be deemed to require MUSC or the State of South Carolina to pay any sum for the return of its own real property at the expiration of the lease.

Rep. SEITHEL explained the amendment.

Rep. FELDER moved to table the amendment.

Rep. SEITHEL demanded the yeas and nays, which were taken resulting as follows:

Yeas 49; Nays 36

Those who voted in the affirmative are:

Allison              Boan                 Cain
Carnell              Cato                 Cotty
Felder               Fulmer               Gamble
Harrell              Harvin               Herdklotz
Hines, J.            Hodges               Jaskwhich
Keegan               Keyserling           Kinon
Klauber              Knotts               Koon
Law                  Limbaugh             Mason
McKay                McMahand             McTeer
Rhoad                Rice                 Richardson
Riser                Robinson             Sandifer
Sharpe               Smith, D.            Smith, R.
Spearman             Stuart               Townsend
Trotter              Tucker               Vaughn
Walker               Wells                Whatley
Wilkins              Witherspoon          Wofford
Young-Brickell

Total--49

Those who voted in the negative are:

Anderson             Baxley               Breeland
Brown, J.            Byrd                 Cave

Printed Page 4068 . . . . . Wednesday, May 22, 1996

Dantzler             Davenport            Delleney
Easterday            Hallman              Harris, J.
Howard               Hutson               Inabinett
Kirsh                Lanford              Littlejohn
Lloyd                Marchbanks           McCraw
McElveen             Meacham              Moody-Lawrence
Phillips             Quinn                Scott
Seithel              Shissias             Simrill
Stille               Stoddard             Waldrop
Whipper, L.          Whipper, S.          Wilder

Total--36

So, the amendment was tabled.

Rep. SEITHEL proposed the following Amendment No. 17A, which was tabled.

Amend the bill, as and if amended, page , by adding an appropriately numbered new SECTION to read:

/SECTION Notwithstanding any other provision of law to the contrary, upon approval of the proposed sale or lease of MUSC's facilities and assets, the transaction shall not be finalized until an independent appraisal has been conducted of all of MUSC's property and equipment that will be affected by the lease and the purchasing or leasing Company pays fair market value for that equipment and property.

Rep. SEITHEL explained the amendment.

Rep. KLAUBER moved to table the amendment.

Rep. SEITHEL demanded the yeas and nays, which were taken resulting as follows:

Yeas 57; Nays 23

Those who voted in the affirmative are:

Allison              Boan                 Brown, H.
Cain                 Carnell              Cato
Cooper               Cotty                Dantzler
Easterday            Felder               Fleming
Fulmer               Gamble               Harrell
Harris, J.           Harvin               Herdklotz
Hines, J.            Hutson               Jaskwhich

Printed Page 4069 . . . . . Wednesday, May 22, 1996

Keegan               Keyserling           Kinon
Klauber              Knotts               Koon
Lanford              Law                  Limbaugh
Mason                McKay                McTeer
Rhoad                Rice                 Richardson
Riser                Robinson             Sharpe
Simrill              Smith, D.            Smith, R.
Spearman             Stille               Stuart
Townsend             Tucker               Vaughn
Walker               Wells                Whatley
Wilder               Wilkins              Witherspoon
Wofford              Wright               Young-Brickell

Total--57

Those who voted in the negative are:

Anderson             Baxley               Brown, J.
Davenport            Delleney             Hallman
Howard               Kirsh                Littlejohn
McCraw               Meacham              Moody-Lawrence
Neilson              Phillips             Quinn
Sandifer             Seithel              Shissias
Stoddard             Trotter              Waldrop
Whipper, L.          Whipper, S.          

Total--23

So, the amendment was tabled.

Rep. HOWARD moved that the House do now adjourn.

Rep. YOUNG-BRICKELL demanded the yeas and nays, which were taken resulting as follows:

Yeas 16; Nays 75

Those who voted in the affirmative are:

Anderson             Baxley               Cave
Davenport            Hallman              Harris, J.
Howard               Lloyd                Martin
McKay                McMahand             Rhoad

Printed Page 4070 . . . . . Wednesday, May 22, 1996

Scott                Stuart               Whipper, S.
White

Total--16

Those who voted in the negative are:

Allison              Boan                 Brown, H.
Brown, J.            Byrd                 Cain
Carnell              Cato                 Cooper
Cotty                Cromer               Dantzler
Delleney             Easterday            Felder
Fleming              Fulmer               Gamble
Harrell              Harvin               Herdklotz
Hines, J.            Hutson               Jaskwhich
Keegan               Kelley               Keyserling
Kinon                Kirsh                Klauber
Knotts               Koon                 Lanford
Law                  Limbaugh             Littlejohn
Marchbanks           Mason                McCraw
McTeer               Meacham              Moody-Lawrence
Neilson              Phillips             Quinn
Rice                 Richardson           Riser
Robinson             Sandifer             Seithel
Sharpe               Shissias             Simrill
Smith, D.            Smith, R.            Spearman
Stille               Stoddard             Townsend
Tripp                Trotter              Tucker
Vaughn               Waldrop              Walker
Wells                Whatley              Whipper, L.
Wilder               Wilkins              Witherspoon
Wofford              Wright               Young-Brickell

Total--75

So, the House refused to adjourn.


| Printed Page 4050, May 22 | Printed Page 4070, May 22 |

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