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2025-2026 Bill 4793: Pharmacy Benefits Managers and Pharmacy Services Administrative Organizations - South Carolina Legislature Online
South Carolina General Assembly
126th Session, 2025-2026
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H. 4793
STATUS INFORMATION
General Bill
Sponsors: Reps. Sessions, Davis, B.L. Cox, Lawson, Schuessler, C. Mitchell, Pope, White, Guest, Taylor and Gibson
Document Path: LC-0571WAB26.docx
Introduced in the House on January 13, 2026
Currently residing in the House
Summary: Pharmacy Benefits Managers and Pharmacy Services Administrative Organizations
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
Labor, Commerce and Industry
1/13/2026
House
Introduced and read first time (
House Journal-page 92
)
1/13/2026
House
Referred to Committee on
Labor, Commerce and Industry
(
House Journal-page 92
)
1/20/2026
House
Member(s) request name added as sponsor: White
1/21/2026
House
Member(s) request name added as sponsor: Guest
2/3/2026
House
Member(s) request name added as sponsor: Taylor
3/3/2026
House
Member(s) request name added as sponsor: Gibson
View the latest
legislative information
at the website
VERSIONS OF THIS BILL
12/17/2025
A bill
TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING
SECTION
38-71-2250
, RELATING TO EXAMINATIONS OF PHARMACY BENEFITS MANAGERs
BOOKS AND RECORDS, SO AS TO PROVIDE THE EXAMINATIONS ARE SUBJECT TO THE
REQUIREMENTS OF CHAPTER 13, TITLE 38; AND BY AMENDING SECTION
38-71-2340
,
RELATING TO EXAMINATIONS OF PHARMACY SERVICES ADMINISTRATIVE ORGANIZATION BOOKS
AND RECORDS, SO AS TO PROVIDE THE EXAMINATIONS ARE SUBJECT TO THE REQUIREMENTS
OF CHAPTER 13, TITLE 38.
B
e it enacted by the
General Assembly of the State of South Carolina:
S
ECTION 1.
S
ection
38-71-2250
(B) of the S.C. Code is amended to
read:
(
B)
(
1) As often as the director deems
appropriate, but not less frequently than once every five years, the director
may examine or audit the books and records of a pharmacy benefits manager
providing claims processing services or other prescription drug or device
services for a health benefit plan that are relevant to determining if the
pharmacy benefits manager is in compliance with this
act
article
.
Examinations conducted
pursuant to this section are subject to the provisions of Chapter 13.
The
pharmacy benefits manager shall pay the charges incurred in the examination,
including the expenses of the director or his designee and the expenses and
compensation of his examiners and assistants. The director or his designee
promptly shall institute a civil action to recover the expenses of examination
against a pharmacy benefits manager which refuses or fails to pay.
(
2)
The information or data acquired during an examination pursuant to this section
is considered proprietary and confidential and is not subject to the South
Carolina Freedom of Information Act.
S
ECTION 2.
S
ection
38-71-2340
(B) of the S.C. Code is amended to
read:
(
B)
(
1) As often as the director deems
appropriate, but not less frequently than once every five years, the director
may examine or audit the books and records of a pharmacy services
administrative organization providing prescription drug coverage or benefits on
behalf of pharmacies or pharmacy benefits managers that are relevant to
determining if the pharmacy services administrative organization is in
compliance with this
act
article
.
Examinations conducted pursuant to this section are
subject to the provisions of Chapter 13.
The pharmacy services
administrative organization must pay the charges incurred in the examination,
including the expenses of the director or his designee and the expenses and
compensation of his examiners and assistants. The director or his designee promptly
must institute a civil action to recover the expenses of examination against a
pharmacy services administrative organization which refuses or fails to pay.
(
2)
The information or data acquired during an examination pursuant to this section
is considered proprietary and confidential and is not subject to the South
Carolina Freedom of Information Act.
S
ECTION 3. This act takes effect upon approval
by the Governor.
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This web page was last updated on January 13, 2026 at 2:40 PM