---
type: "Bill"
title: "Physician assistants and advanced practice registered nurses"
description: "AN ACT TO AMEND SECTION 40-33-34, AS AMENDED, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO MEDICAL ACTS THAT ADVANCED PRACTICE REGISTERED NURSES MAY PERFORM, SO AS TO INCLUDE ISSUING ORDERS FOR CERTAIN HOME HEALTH SERVICES; TO AMEND SECTION 40-47-935, AS AMENDED, RELATING TO MEDICAL ACTS THAT PHYSICIAN ASSISTANTS MAY PERFORM, SO AS TO INCLUDE ISSUING ORDERS FOR CERTAIN HOME HEALTH SERVICES; TO AMEND SECTION 44-69-20, RELATING TO DEFINITIONS IN THE LICENSURE OF HOME HEALTH AGENCIES ACT, SO AS TO INCLUDE ORDERS FOR PART-TIME OR INTERMITTENT SKILLED NURSING CARE ISSUED BY ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS PURSUANT TO THE PROVISIONS OF THIS ACT; AND TO MAKE THE PROVISIONS OF THIS ACT EFFECTIVE SIXTY DAYS AFTER APPROVAL BY THE GOVERNOR. - ratified title"
jurisdiction: "us/states/sc"
legislature: "South Carolina General Assembly"
session: "2021-2022"
identifier: "S 503"
citation: "South Carolina S 503 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Hutto"]
version_count: 5
action_count: 17
vote_count: 2
first_action: "2021-01-28"
last_action: "2021-06-01"
source: "openstates"
source_identifier: "ocd-bill/1da54cd0-97b5-4cf9-8cae-d1711964be53"
source_url: "https://www.scstatehouse.gov/billsearch.php?billnumbers=503&session=124&summary=B"
source_hash: "020c42666af9116aecbd63893f79799f43e19ba2bd8b41f210ab9807a60d9cdd"
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 S 503 (2021-2022) — Physician assistants and advanced practice registered nurses

AN ACT TO AMEND SECTION 40-33-34, AS AMENDED, CODE OF LAWS OF SOUTH CAROLINA, 1976, RELATING TO MEDICAL ACTS THAT ADVANCED PRACTICE REGISTERED NURSES MAY PERFORM, SO AS TO INCLUDE ISSUING ORDERS FOR CERTAIN HOME HEALTH SERVICES; TO AMEND SECTION 40-47-935, AS AMENDED, RELATING TO MEDICAL ACTS THAT PHYSICIAN ASSISTANTS MAY PERFORM, SO AS TO INCLUDE ISSUING ORDERS FOR CERTAIN HOME HEALTH SERVICES; TO AMEND SECTION 44-69-20, RELATING TO DEFINITIONS IN THE LICENSURE OF HOME HEALTH AGENCIES ACT, SO AS TO INCLUDE ORDERS FOR PART-TIME OR INTERMITTENT SKILLED NURSING CARE ISSUED BY ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN ASSISTANTS PURSUANT TO THE PROVISIONS OF THIS ACT; AND TO MAKE THE PROVISIONS OF THIS ACT EFFECTIVE SIXTY DAYS AFTER APPROVAL BY THE GOVERNOR. - ratified title

## Version chain

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

1. **Filed** (filed) — [source](https://www.scstatehouse.gov/sess124_2021-2022/bills/503.htm)
2. **1/28/2021** (committee substitute) — [source](https://www.scstatehouse.gov/sess124_2021-2022/prever/503_20210128.htm)
3. **3/23/2021** (committee substitute) — [source](https://www.scstatehouse.gov/sess124_2021-2022/prever/503_20210323.htm)
4. **3/30/2021** (committee substitute) — [source](https://www.scstatehouse.gov/sess124_2021-2022/prever/503_20210330.htm)
5. **4/29/2021** (committee substitute) — [source](https://www.scstatehouse.gov/sess124_2021-2022/prever/503_20210429.htm)

## Votes

- Passage of Bill — **112–0** (pass) · lower
- 2nd Reading — **39–0** (pass) · upper

## Sponsors

- Hutto — primary (person)

## Timeline

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

- **2021-01-28** Introduced and read first time `introduction, reading-1`
- **2021-01-28** Referred to Committee on Medical Affairs `referral-committee`
- **2021-03-23** Recalled from Committee on Medical Affairs
- **2021-03-25** Read second time `reading-2`
- **2021-03-25** Roll call Ayes-39 Nays-0
- **2021-03-30** Amended `amendment-passage`
- **2021-03-30** Read third time and sent to House `passage, reading-3`
- **2021-04-06** Introduced and read first time `introduction, reading-1`
- **2021-04-06** Referred to Committee on Medical, Military, Public and Municipal Affairs `referral-committee`
- **2021-04-29** Committee report: Favorable Medical, Military, Public and Municipal Affairs `committee-passage-favorable`
- **2021-05-05** Read second time `reading-2`
- **2021-05-05** Roll call Yeas-112 Nays-0
- **2021-05-06** Read third time and enrolled `passage, reading-3`
- **2021-05-13** Ratified R 69
- **2021-05-17** Signed By Governor `executive-signature`
- **2021-06-01** Effective date 07/16/21
- **2021-06-01** Act No. 55

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1da54cd0-97b5-4cf9-8cae-d1711964be53`. Confidence: reported (aggregated from official South Carolina legislature records).