South Carolina General Assembly
126th Session, 2025-2026

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H. 4799

STATUS INFORMATION

General Bill
Sponsors: Reps. Lawson, B.L. Cox, C. Mitchell, Pope, Govan, Lastinger, Caskey, M.M. Smith, Williams, Gilliard and Waters
Companion/Similar bill(s): 693
Document Path: LC-0348VR26.docx

Introduced in the House on January 13, 2026
Introduced in the Senate on March 31, 2026
Last Amended on March 26, 2026
Passed by the General Assembly on May 6, 2026

Summary: Certificate of Need

HISTORY OF LEGISLATIVE ACTIONS

Date Body Action Description with journal page number
12/16/2025 House Prefiled
12/16/2025 House Referred to Committee on Medical, Military, Public and Municipal Affairs
1/13/2026 House Introduced and read first time (House Journal-page 94)
1/13/2026 House Referred to Committee on Medical, Military, Public and Municipal Affairs (House Journal-page 94)
1/20/2026 House Member(s) request name added as sponsor: Govan
3/25/2026 House Member(s) request name added as sponsor: Lastinger
3/25/2026 House Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs (House Journal-page 4)
3/26/2026 House Member(s) request name added as sponsor: Caskey, M.M. Smith, Williams, Gilliard, Waters
3/26/2026 House Amended (House Journal-page 47)
3/26/2026 House Read second time (House Journal-page 47)
3/26/2026 House Roll call Yeas-105 Nays-0 (House Journal-page 48)
3/26/2026 House Unanimous consent for third reading on next legislative day (House Journal-page 50)
3/27/2026 House Read third time and sent to Senate (House Journal-page 3)
3/31/2026 Scrivener's error corrected
3/31/2026 Senate Introduced and read first time (Senate Journal-page 13)
3/31/2026 Senate Referred to Committee on Medical Affairs (Senate Journal-page 13)
4/30/2026 Senate Committee report: Favorable Medical Affairs (Senate Journal-page 10)
5/5/2026 Senate Read second time (Senate Journal-page 63)
5/5/2026 Senate Roll call Ayes-46 Nays-0 (Senate Journal-page 63)
5/6/2026 Senate Read third time and enrolled (Senate Journal-page 84)
5/14/2026 Ratified R 203
5/15/2026 Signed By Governor

View the latest legislative information at the website

VERSIONS OF THIS BILL

12/17/2025
3/25/2026
3/26/2026
3/31/2026
4/30/2026


NOTE: THIS IS A TEMPORARY VERSION. THIS DOCUMENT WILL REMAIN IN THIS VERSION UNTIL FINAL APPROVAL BY THE LEGISLATIVE COUNCIL.

(R203, H4799)

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 44-7-170, RELATING TO CERTIFICATE OF NEED EXEMPTIONS, SO AS TO PROVIDE THAT VETERANS HOMES OWNED OR OPERATED BY THE DEPARTMENT OF VETERANS' AFFAIRS DO NOT REQUIRE A CERTIFICATE OF NEED.

Be it enacted by the General Assembly of the State of South Carolina:

Certificate of Need exemptions

SECTION 1.    Section 44-7-170(B) of the S.C. Code is amended to read:

(B) This article does not apply to:

(1) construction of a new hospital with up to fifty beds in any county currently without a hospital;

(2) hospitals owned by the Department of Behavioral Health and Developmental Disabilities and operated by the Office of Mental Health and the Office of Intellectual and Developmental Disabilities, except an addition of one or more beds to the total number of beds of the predecessor departments' health care facilities existing on July 1, 1988;

(3) any federal hospital sponsored and operated by this State;

(4) hospitals owned and operated by the federal government;

(5) veterans' homes owned and operated by the South Carolina Department of Veterans' Affairs.

Time effective

SECTION 2.    This act takes effect upon approval by the Governor.

Ratified the 14th day of May, 2026.

______________________________________________________________________

President of the Senate

_____________________________________________________________________

Speaker of the House of Representatives

Approved the _____________ day of _________________________________________2026.

____________________________________________________________________

Governor

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This web page was last updated on May 14, 2026 at 9:54 PM