South Carolina 2025-2026 Regular Session

South Carolina House Bill H4149

Introduced
3/5/25  

Caption

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 37-5-120 SO AS TO PROHIBIT CREDITORS AND DEBT COLLECTORS FROM REPORTING CONSUMER DEBT OBTAINED FROM SERVICES RENDERED AT SOUTH CAROLINA MEDICAL FACILITIES, AND TO PROHIBIT CONSUMER REPORTING AGENCIES FROM INCLUDING SUCH DEBT ON A CONSUMER REPORT.

Summary

H4149 would add a new section to South Carolina law prohibiting creditors and debt collectors from reporting consumer debt arising from services rendered at South Carolina medical facilities to consumer reporting agencies. It also bars consumer reporting agencies from including that medical debt on a consumer report. The bill defines key terms such as consumer, creditor, debt collector, consumer reporting agency, and South Carolina medical facility, with the medical-facility definition covering hospitals, nursing facilities, physician offices, and certain other licensed health care providers in the state. In practical terms, the bill would shield South Carolina residents from having medical bills incurred at in-state medical facilities appear on their credit reports, which could reduce the credit-score consequences of unpaid medical debt. The measure applies broadly to debt from services rendered at covered facilities and would take effect upon the Governor’s approval. It does not create a new debt forgiveness program or eliminate the underlying obligation; rather, it restricts how that debt may be reported in the credit system.

Impact

The bill would amend Title 37, Chapter 5 of the South Carolina Code by creating Section 37-5-120, adding state-level restrictions on credit reporting for medical debt tied to services at South Carolina medical facilities. It would directly affect creditors, debt collectors, and consumer reporting agencies by prohibiting them from furnishing or listing this category of debt on consumer reports. The bill would also interact with federal Fair Credit Reporting Act terminology by incorporating federal definitions for consumer reports and consumer reporting agencies.

Sentiment

Based on the bill text and available context, the overall sentiment appears supportive of consumer protection and relief from medical-debt-related credit harm. The caption and structure of the bill suggest a policy goal of limiting the negative credit consequences of health care expenses, which is generally framed as a patient-protection measure. No committee transcripts or recorded votes were provided, so there is no documented opposition or amendment debate in the available materials.

Contention

The main potential point of contention is the scope of the reporting ban, especially because it applies to all consumer debt from services rendered at South Carolina medical facilities and could affect the credit-reporting practices of hospitals, collection agencies, and credit bureaus. Supporters would likely view the bill as protecting patients from credit damage caused by medical expenses, while critics might argue it interferes with debt collection and credit reporting accuracy or creates uneven treatment for medical debt versus other consumer debt. The bill’s broad definition of covered facilities and providers could also raise questions about implementation and compliance.

Companion Bills

No companion bills found.

Previously Filed As

SC HB1709

Debtors and creditors; consumer reports; Oklahoma medical facility debt; prohibition; effective date.

SC HB1709

Debtors and creditors; consumer reports; Oklahoma medical facility debt; prohibition; effective date.

SC HB1058

Prohibit the reporting of medical debt to a consumer reporting agency and to provide a penalty therefor.

SC HB257

Enact the Ohio Medical Debt Fairness Act

SC SB614

Consumer Protection - Credit Reporting - Medical Debt (Fair Medical Debt Reporting Act)

SC LD558

An Act to Strengthen Consumer Protections by Prohibiting the Report of Medical Debt on Consumer Reports

SC A02192

Prohibits any lessor or agent of a lessor from reporting to any consumer reporting agency, and prohibits consumer reporting agencies from maintaining such information.

SC SB0451

Consumer credit: credit reports and reporting agencies; collection and reporting of medical debt information; regulate. Creates new act.

SC S672

Protect North Carolinians from Medical Debt

SC SB3259

CONSUMERS-MEDICAL DEBT REPORTS

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