South Carolina 2025-2026 Regular Session

South Carolina House Bill H4691

Introduced
1/13/26  

Caption

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 44-6-120 SO AS TO CLARIFY THAT ORGANIZATIONS AND THEIR AFFILIATED PROVIDERS DEEMED ABORTION CLINICS AS DEFINED BY LAW MAY NOT BE CONSIDERED QUALIFIED TO PROVIDE FAMILY PLANNING SERVICES; AND TO PROHIBIT THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES FROM DIRECTING MEDICAID FUNDS TO SUCH ORGANIZATIONS.

Impact

The implications of HB 4691 are significant for family planning services across South Carolina. By prohibiting abortion clinics from participating in Medicaid for family planning, the bill directly affects the availability of such services from these providers. This aligns with prior executive orders and legislative measures aimed at limiting public funds' allocation to abortion services and ensuring that such organizations do not benefit indirectly through Medicaid allocations for family health services. The enforcement of HB 4691 reinforces a stringent regulatory approach to public funding and health care service provision related to reproductive health.

Summary

House Bill 4691 seeks to amend the South Carolina Code of Laws by adding a new section that explicitly states that organizations classified as abortion clinics are not qualified to provide family planning services under the South Carolina Medicaid program. This legislative move aims to clarify previous legal frameworks and reinforce the state's longstanding policy against using taxpayer funds to support abortion services. The bill stipulates that any facilities recognized as abortion clinics, and their affiliated providers, shall be ineligible for Medicaid funding designed for family planning purposes.

Contention

Discussions surrounding HB 4691 have highlighted deep divisions over issues of reproductive rights and health care access. Proponents of the bill argue that it is a necessary step to protect unborn children's rights and prevent taxpayer money from being funneled to organizations that perform abortions. Conversely, critics assert that the legislation may restrict access to essential health services for women, particularly low-income individuals who rely on Medicaid for family planning. The bill also faces potential legal challenges, reflecting ongoing national debates about abortion rights and healthcare fund allocations.

Companion Bills

No companion bills found.

Previously Filed As

SC H4130

Miscarriages

SC H5173

Hospitals

SC H4798

Recovery Community Organizations

SC H5132

Dr. Matilda A. Evans Day

SC H3298

Overtime income tax exemption

SC H3793

Overtime income tax exemption

SC H4388

Medicaid

SC H3422

Real estate trust accounts

SC H4618

Payroll Carry Forward

SC H4145

SC Pray Safe Act

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