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2025-2026 Bill 4796: Pharmacy Benefit Managers and Pharmacy Services Administrative Organizations - South Carolina Legislature Online
South Carolina General Assembly
126th Session, 2025-2026
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H. 4796
STATUS INFORMATION
General Bill
Sponsors: Rep. M.M. Smith
Document Path: LC-0549WAB26.docx
Introduced in the House on January 13, 2026
Currently residing in the House Committee on
Labor, Commerce and Industry
Summary: Pharmacy Benefit 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 93
)
1/13/2026
House
Referred to Committee on
Labor, Commerce and Industry
(
House Journal-page 93
)
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
38-71-2340
, RELATING TO COMPLIANCE EXAMINATIONS OF PHARMACY SERVICES
ADMINISTRATIVE ORGANIZATIONS BY THE DEPARTMENT OF INSURANCE, SO AS TO SUBJECT
THE EXAMINATIONS TO THE GENERAL EXAMINATION REQUIREMENTS OF CHAPTER 13, TITLE
38; AND BY AMENDING SECTION
38-71-2250
, RELATING TO COMPLIANCE EXAMINATIONS OF
PHARMACY BENEFITS MANAGERS BY THE DEPARTMENT OF INSURANCE, SO AS TO SUBJECT THE
EXAMINATIONS TO THE GENERAL EXAMINATION 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
38-71-2340
(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.
Examinations conducted pursuant
to this section are subject to the requirements provided in 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 2.
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.
Examinations
conducted pursuant to this section are subject to the requirements provided in
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 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 2:41 PM