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H*3874 Session 126 (2025-2026)
H 3874 {Rat #187, Act #185 of 2026} General Bill, By J.E. Johnson and Schuessler
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 42-15-90, RELATING TO FEES OF ATTORNEYS AND PHYSICIANS AND HOSPITAL CHARGES APPROVED BY THE COMMISSION, SO AS TO REQUIRE THE COMMISSION TO ESTABLISH MEDICAL FEE SCHEDULES AND RELATED SYSTEMS. Be it enacted by the General Assembly of the State of South Carolina: Fee schedules SECTION 1. Section 42-15-90(C) of the S.C. Code is amended to read: (C)(1) The commission may adopt criteria to establish a new fee schedule or adjust an existing fee schedule to establish maximum allowable payments for medical services provided by medical practitioners exclusive of hospital inpatient services and hospital outpatient services and ambulatory surgery centers based in whole or in part on the requirements of a federally funded program, but if it adopts adjustments to an existing fee schedule, it must adopt these adjustments on an annual basis. The commission, in consultation with the cost containment committee, must establish a medical fee schedule and a related system that includes, but is not limited to, procedures for a review of charges and enforcement and implementation procedures. In establishing the fee schedule, the commission must strive to assure the delivery of quality medical care in workers' compensation cases and access by injured workers to primary and specialist care while controlling prices and system costs. The commission may consider multiple reimbursement systems and methodologies in developing the fee schedule including, but not limited to, applying single or multiple conversion factors to the Centers for Medicare and Medicaid Services (CMS) Resource Based Relative Value Scale (RBRVS) system. (2) The commission, in consultation with the cost containment committee, must review the fee schedules adopted pursuant to this section on an annual basis and, when appropriate, the commission shall revise the fee schedules as necessary. The annual review must consider among other factors, the medical consumer price index and the workers' compensation fee schedules of other states in the region. (3) The commission must hold a public hearing to receive comments from stakeholders and shall consider comments received in consultation with the cost containment committee prior to finalizing the annual fee schedule update. (4) The cost containment committee must be comprised of nine voting members appointed by the chairman of the commission: two members representing the medical provider industry; two members representing the workers' compensation insurance industry; two members representing the employer community; two members representing the rights of injured workers; and the chairman of the commission or his appointee. Time effective SECTION 2. This act takes effect upon approval by the Governor. Ratified the 14th day of May, 2026. Approved the 18th day of May, 2026.
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