South Carolina H 4795: Motor vehicle accidents

Bill Text

2025-2026 Bill 4795 Text of Previous Version (Dec. 17, 2025) - South Carolina Legislature Online 

South Carolina General Assembly
126th Session, 2025-2026

Bill 4795

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 BY ADDING SECTION 
38-71-2247 SO AS TO PROVIDE REQUIREMENTS FOR DRUG COVERAGE MODIFICATIONS BY 
PHARMACY BENEFITS MANAGERS.

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

SECTION 1. Article 21, Chapter 71, Title 38 of the S.C. Code is 
amended by adding:

 Section 
38-71-2247. (A) A health benefit 
plan issuer may modify drug coverage provided under a health benefit plan if:

 (1) 
the modification occurs at the time of coverage renewal;

 (2) 
the modification is effective uniformly among all group health benefit plan 
sponsors covered by identical or substantially identical health benefit plans 
or all individuals covered by identical or substantially identical individual 
health benefit plans, as applicable; and

 (3) 
no later than the sixtieth day before the date the modification is effective, 
the issuer provides written notice of the modification to the commissioner, 
each affected group health benefit plan sponsor, each affected enrollee in an 
affected group health benefit plan, and each affected individual health benefit 
plan holder.

 (B) 
A modification affecting drug coverage that requires notice under subsection 
(A) includes:

 (1) 
removing a drug from a formulary;

 (2) 
adding a requirement that an enrollee receive prior authorization for a drug;

 (3) 
imposing or altering a quantity limit for a drug;

 (4) 
imposing a step-therapy restriction for a drug; and

 (5) 
moving a drug to a higher cost-sharing tier unless a generic drug alternative 
to the drug is available.

 (C) 
A health benefit plan issuer may elect to offer an enrollee in the plan the 
option of receiving notifications required by this section by email.

 (D) 
A patient may knowingly and voluntarily waive protections afforded them under 
(A), but cannot be induced or coerced by any means to do so. Any waiver made in 
violation of this subsection is void.

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

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This web page was last updated on December 17, 2025 at 01:51 PM