---
type: "Bill"
title: "AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 7 TO CHAPTER 61, TITLE 44 SO AS TO ENTITLE THE ARTICLE \"RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT ACT\"; TO AUTHORIZE THE STATE OF SOUTH CAROLINA TO JOIN THE RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT IN ORDER TO FACILITATE THE DAY-TO-DAY MOVEMENT OF EMERGENCY MEDICAL SERVICES (EMS) PERSONNEL ACROSS STATE BOUNDARIES IN THE PERFORMANCE OF THEIR ASSIGNED EMS DUTIES AND TO AFFORD IMMEDIATE LEGAL RECOGNITION TO EMS PERSONNEL IN A MEMBER STATE; TO ESTABLISH CERTAIN EMS LICENSURE REQUIREMENTS UNDER THE COMPACT; TO PROVIDE FOR THE PRIVILEGE OF EMS PERSONNEL TO PRACTICE IN ANOTHER MEMBER STATE AND IN REMOTE STATES, WITH EXCEPTIONS; TO ESTABLISH CERTAIN LIMITATIONS ON THE APPLICATION OF THE COMPACT DURING A STATE OF EMERGENCY; TO PROVIDE CERTAIN LIMITATIONS ON THE PRIVILEGE TO PRACTICE UNDER THE COMPACT WHEN AN INDIVIDUAL'S LICENSE IS SUSPENDED OR OTHERWISE RESTRICTED AND TO ENABLE A MEMBER STATE TO TAKE ADVERSE ACTIONS AGAINST AN INDIVIDUAL'S LICENSE IN CERTAIN CIRCUMSTANCES; TO GRANT CERTAIN POWERS TO THE STATE'S EMS AUTHORITY; TO ESTABLISH THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE AND TO PROVIDE FOR ITS MEMBERSHIP, DUTIES, AND AUTHORITY; TO PROVIDE FOR ENFORCEMENT OF THE COMPACT BY MEMBER STATES AND FOR DISPUTE RESOLUTION; AND FOR OTHER PURPOSES; AND TO AMEND SECTION 44-61-20, RELATING TO TERMS DEFINED IN THE \"EMERGENCY MEDICAL SERVICES ACT OF SOUTH CAROLINA\", SO AS TO CHANGE THE DEFINITION OF \"INVESTIGATIVE REVIEW COMMITTEE\". - ratified title"
description: "AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 7 TO CHAPTER 61, TITLE 44 SO AS TO ENTITLE THE ARTICLE \"RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT ACT\"; TO AUTHORIZE THE STATE OF SOUTH CAROLINA TO JOIN THE RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT IN ORDER TO FACILITATE THE DAY-TO-DAY MOVEMENT OF EMERGENCY MEDICAL SERVICES (EMS) PERSONNEL ACROSS STATE BOUNDARIES IN THE PERFORMANCE OF THEIR ASSIGNED EMS DUTIES AND TO AFFORD IMMEDIATE LEGAL RECOGNITION TO EMS PERSONNEL IN A MEMBER STATE; TO ESTABLISH CERTAIN EMS LICENSURE REQUIREMENTS UNDER THE COMPACT; TO PROVIDE FOR THE PRIVILEGE OF EMS PERSONNEL TO PRACTICE IN ANOTHER MEMBER STATE AND IN REMOTE STATES, WITH EXCEPTIONS; TO ESTABLISH CERTAIN LIMITATIONS ON THE APPLICATION OF THE COMPACT DURING A STATE OF EMERGENCY; TO PROVIDE CERTAIN LIMITATIONS ON THE PRIVILEGE TO PRACTICE UNDER THE COMPACT WHEN AN INDIVIDUAL'S LICENSE IS SUSPENDED OR OTHERWISE RESTRICTED AND TO ENABLE A MEMBER STATE TO TAKE ADVERSE ACTIONS AGAINST AN INDIVIDUAL'S LICENSE IN CERTAIN CIRCUMSTANCES; TO GRANT CERTAIN POWERS TO THE STATE'S EMS AUTHORITY; TO ESTABLISH THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE AND TO PROVIDE FOR ITS MEMBERSHIP, DUTIES, AND AUTHORITY; TO PROVIDE FOR ENFORCEMENT OF THE COMPACT BY MEMBER STATES AND FOR DISPUTE RESOLUTION; AND FOR OTHER PURPOSES; AND TO AMEND SECTION 44-61-20, RELATING TO TERMS DEFINED IN THE \"EMERGENCY MEDICAL SERVICES ACT OF SOUTH CAROLINA\", SO AS TO CHANGE THE DEFINITION OF \"INVESTIGATIVE REVIEW COMMITTEE\". - ratified title"
jurisdiction: "us/states/sc"
legislature: "South Carolina General Assembly"
session: "2017-2018"
identifier: "H 4486"
citation: "South Carolina H 4486 (2017-2018)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cobb-Hunter", "Elliott", "Erickson", "Govan", "Henderson", "W. Newton"]
version_count: 7
action_count: 29
vote_count: 3
first_action: "2017-12-13"
last_action: "2018-05-31"
source: "openstates"
source_identifier: "ocd-bill/c91b1f11-9f67-4cdf-978d-18655f27123e"
source_url: "http://www.scstatehouse.gov/billsearch.php?billnumbers=4486&session=122&summary=B"
source_hash: "c4137377373dfdf7b2ce12c907677bab8fd7e0f5ec9deb9418a2c2a121249507"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-sc"]
---

# South Carolina H 4486 (2017-2018) — AN ACT TO AMEND THE CODE OF LAWS OF SOUTH CAROLINA, 1976, BY ADDING ARTICLE 7 TO CHAPTER 61, TITLE 44 SO AS TO ENTITLE THE ARTICLE "RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT ACT"; TO AUTHORIZE THE STATE OF SOUTH CAROLINA TO JOIN THE RECOGNITION OF EMERGENCY MEDICAL SERVICES PERSONNEL LICENSURE INTERSTATE COMPACT IN ORDER TO FACILITATE THE DAY-TO-DAY MOVEMENT OF EMERGENCY MEDICAL SERVICES (EMS) PERSONNEL ACROSS STATE BOUNDARIES IN THE PERFORMANCE OF THEIR ASSIGNED EMS DUTIES AND TO AFFORD IMMEDIATE LEGAL RECOGNITION TO EMS PERSONNEL IN A MEMBER STATE; TO ESTABLISH CERTAIN EMS LICENSURE REQUIREMENTS UNDER THE COMPACT; TO PROVIDE FOR THE PRIVILEGE OF EMS PERSONNEL TO PRACTICE IN ANOTHER MEMBER STATE AND IN REMOTE STATES, WITH EXCEPTIONS; TO ESTABLISH CERTAIN LIMITATIONS ON THE APPLICATION OF THE COMPACT DURING A STATE OF EMERGENCY; TO PROVIDE CERTAIN LIMITATIONS ON THE PRIVILEGE TO PRACTICE UNDER THE COMPACT WHEN AN INDIVIDUAL'S LICENSE IS SUSPENDED OR OTHERWISE RESTRICTED AND TO ENABLE A MEMBER STATE TO TAKE ADVERSE ACTIONS AGAINST AN INDIVIDUAL'S LICENSE IN CERTAIN CIRCUMSTANCES; TO GRANT CERTAIN POWERS TO THE STATE'S EMS AUTHORITY; TO ESTABLISH THE INTERSTATE COMMISSION FOR EMS PERSONNEL PRACTICE AND TO PROVIDE FOR ITS MEMBERSHIP, DUTIES, AND AUTHORITY; TO PROVIDE FOR ENFORCEMENT OF THE COMPACT BY MEMBER STATES AND FOR DISPUTE RESOLUTION; AND FOR OTHER PURPOSES; AND TO AMEND SECTION 44-61-20, RELATING TO TERMS DEFINED IN THE "EMERGENCY MEDICAL SERVICES ACT OF SOUTH CAROLINA", SO AS TO CHANGE THE DEFINITION OF "INVESTIGATIVE REVIEW COMMITTEE". - ratified title

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **12/13/2017** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20171213.htm)
2. **4/19/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180419.htm)
3. **4/25/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180425.htm)
4. **4/26/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180426.htm)
5. **4/3/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180403.htm)
6. **4/4/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180404.htm)
7. **5/8/2018** (committee substitute) — [source](http://www.scstatehouse.gov/sess122_2017-2018/prever/4486_20180508.htm)

## Votes

- Concur in Senate Amendments — **98–0** (pass) · lower
- Passage of Bill — **103–2** (pass) · lower
- 2nd Reading — **43–0** (pass) · upper

## Sponsors

- Cobb-Hunter — primary (person)
- Elliott — primary (person)
- Erickson — primary (person)
- Govan — primary (person)
- Henderson — primary (person)
- W. Newton — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-12-13** Prefiled `filing`
- **2017-12-13** Referred to Committee on Medical, Military, Public and Municipal Affairs `referral-committee`
- **2018-01-09** Introduced and read first time `introduction, reading-1`
- **2018-01-09** Referred to Committee on Medical, Military, Public and Municipal Affairs `referral-committee`
- **2018-02-01** Member(s) request name added as sponsor: W.Newton
- **2018-03-01** Member(s) request name added as sponsor: Govan, Erickson, Cobb-Hunter
- **2018-04-03** Committee report: Favorable Medical, Military, Public and Municipal Affairs `committee-passage-favorable`
- **2018-04-04** Requests for debate-Rep(s). Hill, Fry, Crawford, Atwater, Toole, Daning, Trantham, Long, Hewitt
- **2018-04-04** Scrivener's error corrected
- **2018-04-05** Requests for debate removed-Rep(s). Atwater, Daning, Trantham, Toole, Crawford, Fry, Hewitt, Long
- **2018-04-05** Read second time `reading-2`
- **2018-04-05** Roll call Yeas-103 Nays-2
- **2018-04-05** Unanimous consent for third reading on next legislative day
- **2018-04-06** Read third time and sent to Senate `passage, reading-3`
- **2018-04-09** Introduced and read first time `introduction, reading-1`
- **2018-04-09** Referred to Committee on Medical Affairs `referral-committee`
- **2018-04-19** Committee report: Favorable with amendment Medical Affairs `committee-passage-favorable`
- **2018-04-25** Committee Amendment Adopted `amendment-passage`
- **2018-04-26** Scrivener's error corrected
- **2018-05-08** Amended `amendment-passage`
- **2018-05-08** Read second time `reading-2`
- **2018-05-08** Roll call Ayes-43 Nays-0
- **2018-05-09** Read third time and returned to House with amendments `passage, reading-3`
- **2018-05-10** Concurred in Senate amendment and enrolled
- **2018-05-10** Roll call Yeas-98 Nays-0
- **2018-05-14** Ratified R 254
- **2018-05-18** Signed By Governor `executive-signature`
- **2018-05-30** Effective date 05/18/18
- **2018-05-31** Act No. 248

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c91b1f11-9f67-4cdf-978d-18655f27123e`. Confidence: reported (aggregated from official South Carolina legislature records).