South Carolina S 669: A SENATE RESOLUTION TO CONGRATULATE MR. ROBERT O. BROCK UPON THE OCCASION OF HIS RETIREMENT FROM THE OCONEE COUNTY BOARD OF VOTER REGISTRATION AND ELECTIONS, TO COMMEND HIM FOR HIS THIRTY-SIX AND ONE-HALF YEARS OF DISTINGUISHED PUBLIC SERVICE TO OCONEE COUNTY AND THE STATE OF SOUTH CAROLINA, AND TO WISH HIM CONTINUED SUCCESS AND HAPPINESS IN ALL HIS FUTURE ENDEAVORS.

Bill Text

2025-2026 Bill 669 Text of Previous Version (May. 16, 2025) - South Carolina Legislature Online 

South Carolina General Assembly
126th Session, 2025-2026

Bill 669

Indicates Matter Stricken
Indicates New Matter

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A bill

TO AMEND THE SOUTH CAROLINA CODE OF LAWS SO AS TO ENACT 
THE "TEAM BASED HEALTHCARE ACT"; AND BY ADDING CHAPTER 48 TO TITLE 40, SO AS TO 
PROVIDE DEFINITIONS RELATED TO THE TEAM BASED HEALTHCARE ACT; TO REQUIRE APRNS, 
PAS, AND AAS TO PRACTICE AS A PART OF A PATIENT CARE TEAM, REGARDLESS OF 
PRACTICE SETTING, AND TO PROVIDE GUIDLINES FOR THE CARE TEAM; TO CREATE THE TEAM 
BASED HEALTHCARE COMMITTEE AS A COMMITTEE TO ASSIST THE BOARD OF MEDICAL 
EXAMINERS AND THE BOARD OF NURSING ON MATTERS RELATED TO TEAM-BASED HEALTHCARE 
IN THIS STATE AND TO PROVIDE FOR HOW THE COMMITTEE WILL BE STRUCTURED; AND TO 
PROVIDE THAT THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES 
(DEPARTMENT), IN COLLABORATION WITH THE SOUTH CAROLINA BOARD OF MEDICAL 
EXAMINERS, THE SOUTH CAROLINA BOARD OF NURSING, AND THE SOUTH CAROLINA 
DEPARTMENT OF PUBLIC HEALTH, MUST ISSUE A REPORT WITH RECOMMENDATIONS REGARDING 
PROPOSED INCENTIVES FOR APRNS, PAS, AND PHYSICIANS TO PRACTICE AS A PART OF A 
PATIENT CARE TEAM.

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

SECTION 1. This act may be cited as the "Team Based Health Care Act".

SECTION 2. Title 40 of the S.C. Code is amended by adding:

CHAPTER 48

Team Based Health Care Act

 Section 
40-48-10. As used in this chapter:

 (1) "Advanced 
practice registered nurse" (APRN) means an individual licensed to practice with 
the support of a physician for a nurse practitioner (NP), certified nurse midwife 
(CNM) or clinical nurse specialist (CNS) or with physician supervision for a certified 
registered nurse anesthetist under Chapter 33 of this title.

 (2) "Anesthesiologist's 
assistant" means an individual licensed to practice under the supervision of an 
anesthesiologist under Title 40, Chapter 47.

 (3) "Collaboration" 
means the communication and decision-making process among members of a patient 
care team related to the treatment and care of a patient and includes 
communication of data and information about the treatment and care of a 
patient, including exchange of clinical observations and assessments, and the development 
of an appropriate plan of care, including decisions regarding the health care 
provided, accessing and assessment of appropriate additional resources or 
expertise, and arrangement of appropriate referrals, testing, or studies.

 (4) "Consultation" 
means a process whereby a member of the patient care team seeks the advice or 
opinion of the patient care team physician regarding a patient diagnosis, 
condition, or treatment.

 (5) "Patient 
care team" means a multidisciplinary team of health care providers actively 
functioning as a unit with the leadership of and the collaboration or 
supervision, whichever is required by state law, of one or more patient care 
team physicians, in ratios in accordance with state and federal law, for the 
purposes of providing and delivering health care to a patient or group of 
patients.

 (6) "Patient 
care team physician" means a physician who is actively licensed to practice 
medicine in this State, who is actively practicing medicine within the 
geographic boundaries of this State, and who maintains responsibility, provides 
leadership, and is available for collaboration and consultation or supervision, 
as required by state law, in the care of all patients as part of a patient care 
team.

 (7) "Physician" 
means an individual licensed to practice medicine in this State under Title 40, 
Chapter 47.

 (8) "Physician 
assistant" (PA) means an individual licensed to practice under the supervision 
of a physician under Title 40, Chapter 47.

 (9) "Practice 
agreement" means a written agreement developed by a nurse practitioner, certified 
nurse midwife, or clinical nurse specialist and a physician pursuant to Section 
40-33-20(45).

 (10) "Scope 
of practice guidelines" means a written agreement signed by a physician assistant 
and a physician pursuant to Section 40-47-960.

 (11) "Supervision 
of a PA" means overseeing the activities of, and accepting responsibility for, 
the medical services rendered by a PA as part of a physician-led team in a 
manner approved by the board.

 (12) "Supervision 
of a CRNA" means that the licensed doctor of medicine, osteopathy, or dentistry 
is present during an operation or procedure or is immediately available to 
respond and provide patient care as needed.

 (13) "Supervision 
of an AA" means medically directing and accepting responsibility for the 
anesthesia services rendered by an anesthesiologist's assistant in a manner 
approved by the Board of Medical Examiners. The supervising anesthesiologist 
must be in the hospital and in the anesthet