South Carolina 2025-2026 Regular Session

South Carolina House Bill H4746

Introduced
1/13/26  

Caption

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING SECTION 59-63-77 SO AS TO REQUIRE STUDENTS IN GRADES SEVEN THROUGH TWELVE WHO PARTICIPATE IN INTERSCHOLASTIC ATHLETICS TO RECEIVE AN ANNUAL PHYSICAL EXAMINATION BEFORE PARTICIPATION AND A ONE-TIME ELECTROCARDIOGRAM BEFORE INITIAL PARTICIPATION, TO PROVIDE FOR EXEMPTIONS, LIABILITY LIMITATIONS, AND SCHOOL DISTRICT DUTIES, TO REQUIRE GOVERNING BODIES OF INTERSCHOLASTIC ATHLETICS TO CONFORM THEIR BYLAWS, AND TO PROVIDE FOR EFFECTIVE DATES AND APPLICABILITY.

Impact

The implementation of H4746 is expected to influence state laws concerning school athletics significantly. It not only establishes a more structured health assessment protocol for student athletes but also imposes responsibilities on school districts and governing bodies to ensure adherence to these new regulations. By mandating physical examinations and EKGs, the state aims to lower the risk of athletic-related health incidents, enhancing the overall welfare of student athletes under its jurisdiction.

Summary

House Bill 4746 seeks to amend the South Carolina Code of Laws by introducing a requirement for students in grades seven through twelve participating in interscholastic athletics to undergo an annual physical examination and a one-time electrocardiogram (EKG) prior to their initial participation. Starting from the 2027-2028 school year, these provisions aim to enhance the health and safety of student athletes by ensuring they are adequately screened for underlying medical conditions that could pose risks during athletic activities. Compliance documentation will need to be submitted to the respective school district before students can take part in any athletic competition or practice.

Contention

While the bill's intent focuses on health and safety, it has raised some points of contention. Specifically, provisions allowing for exemptions based on religious objections or medical conditions could generate discussions concerning liability for schools should an injured student have been exempted from required examinations. Furthermore, ensuring that electrocardiograms are accessible at low or no cost may present logistical challenges to schools and could debate resources allocated for student health initiatives.

Companion Bills

No companion bills found.

Previously Filed As

SC H5137

Uniform Requirements for Interscholastic Activity Participation Act

SC HB3596

Relating to prevention of and safety requirements regarding sudden cardiac arrest affecting public school students participating in interscholastic athletics.

SC AB51

Participation in interscholastic athletics and application of the public records and open meetings laws to interscholastic athletic associations.

SC SB16

Participation in interscholastic athletics and application of the public records and open meetings laws to interscholastic athletic associations.

SC H5311

Charter School Playoffs

SC H3802

Participation in school activities and programs

SC H3245

Public school sports participation by private and charter school students

SC HB1123

Relating to interscholastic athletic competition based on biological sex, requirements for physical examinations and genetic testing in interscholastic athletics, and the adoption of rules by the University Interscholastic League to implement these requirements.

SC SB00222

An Act Permitting School Districts To Offer An Exemption From The Physical Education Credit Requirement To High School Students Who Participate In Interscholastic Athletics.

SC A118

Requires school districts to let nonpublic school students participate in district high school interscholastic athletics.

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