S 449 South Carolina Senate · 2025-2026 Regular Session

Collaborative Practice Agreements

Summary
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-43-245 SO AS TO AUTHORIZE PHARMACISTS AND PHYSICIANS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS FOR PHYSICIANS AND MISCELLANEOUS HEALTHCARE PROFESSIONALS, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-47-205 SO AS TO AUTHORIZE PHYSICIANS AND PHARMACISTS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; AND TO REQUIRE THE STATE BOARD OF PHARMACY AND THE STATE BOARD OF MEDICAL EXAMINERS TO PROMULGATE REGULATIONS GOVERNING THE USE OF COLLABORATIVE PRACTICE AGREEMENTS AND TO PROVIDE THAT COLLABORATIVE PRACTICE AGREEMENTS MAY NOT BE IMPLEMENTED UNTIL AFTER THE REGULATIONS ARE EFFECTIVE. - RATIFIED TITLE
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
Mar 2026
Senate Passage
May 2025
House Passage
Mar 2026
Signed into Law
May 2026
Introduced Mar 13, 2025 Signed May 18, 2026
Floor votes · Senate May 6, 2025 · House Mar 26, 2026

How they voted

440
Passed
Total votes 44
May 6, 2025
D Democratic11
11 Yea
100% Yea
R Republican33
33 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
24
Key actions
8
Committee
4
Amendments
3
May 18, 2026
Signed into law
Signed By Governor
legislature
May 13, 2026
Introduced
House recedes from amendment(s)
lower
May 5, 2026
Introduced
Non-concurrence in House amendment
upper
Mar 27, 2026
Lower · Passed
Read third time and returned to Senate with amendments
lower
Mar 26, 2026
Lower · Passed
Amended
lower
Mar 26, 2026
House · Passed
House Vote: pass (103-0-12)
house
Mar 25, 2026
Lower · Passed
Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs
lower
May 8, 2025
Committee
Referred to Committee on Medical, Military, Public and Municipal Affairs
lower
May 8, 2025
Introduced
Introduced and read first time
lower
May 7, 2025
Upper · Passed
Read third time and sent to House
upper
May 6, 2025
Senate · Passed
Senate Vote: pass (44-0)
senate
Apr 30, 2025
Upper · Passed
Committee report: Favorable Medical Affairs
upper
Mar 13, 2025
Committee
Referred to Committee on Medical Affairs
upper
Mar 13, 2025
Introduced
Introduced and read first time
upper
2 primary · 0 co-sponsors

Sponsors