---
type: "Bill"
title: "Ambulance Assessment"
description: "AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 9 TO CHAPTER 6, TITLE 44 SO AS TO CREATE AN AMBULANCE ASSESSMENT FEE FOR PRIVATE AMBULANCE SERVICES; TO REQUIRE THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES TO ESTABLISH AND CHARGE AMBULANCE SERVICES A UNIFORM FEE; TO ESTABLISH AN AMBULANCE FEE TRUST FUND AND TO PROVIDE FOR THE AUTHORIZED USES OF THE FUND; TO ALLOW THE DEPARTMENT TO IMPOSE PENALTIES AGAINST AMBULANCE SERVICES THAT FAIL TO PAY ASSESSED FEES; AND FOR OTHER PURPOSES. - RATIFIED TITLE"
jurisdiction: "us/states/sc"
legislature: "South Carolina General Assembly"
session: "2023-2024"
identifier: "H 4113"
citation: "South Carolina H 4113 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Gilliard", "Herbkersman", "Jefferson", "Kirby", "M.M. Smith", "Sandifer"]
version_count: 4
action_count: 21
vote_count: 2
first_action: "2023-03-09"
last_action: "2024-05-20"
source: "openstates"
source_identifier: "ocd-bill/18a62315-f53b-42e7-a5ac-767c2578d772"
source_url: "https://www.scstatehouse.gov/billsearch.php?billnumbers=4113&session=125&summary=B"
source_hash: "c91e4a285c1781f6534d6e2be813c118f8dcc7573c67219606a9a0fe11edb241"
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 4113 (2023-2024) — Ambulance Assessment

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 9 TO CHAPTER 6, TITLE 44 SO AS TO CREATE AN AMBULANCE ASSESSMENT FEE FOR PRIVATE AMBULANCE SERVICES; TO REQUIRE THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES TO ESTABLISH AND CHARGE AMBULANCE SERVICES A UNIFORM FEE; TO ESTABLISH AN AMBULANCE FEE TRUST FUND AND TO PROVIDE FOR THE AUTHORIZED USES OF THE FUND; TO ALLOW THE DEPARTMENT TO IMPOSE PENALTIES AGAINST AMBULANCE SERVICES THAT FAIL TO PAY ASSESSED FEES; AND FOR OTHER PURPOSES. - 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/sess125_2023-2024/bills/4113.htm)
2. **02/28/2024** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4113_20240228.htm)
3. **03/09/2023** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4113_20230309.htm)
4. **04/18/2024** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4113_20240418.htm)

## Votes

- Passage of Bill — **88–26** (pass) · lower
- 2nd Reading — **40–0** (pass) · upper

## Sponsors

- Gilliard — primary (person)
- Herbkersman — primary (person)
- Jefferson — primary (person)
- Kirby — primary (person)
- M.M. Smith — primary (person)
- Sandifer — primary (person)

## Timeline

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

- **2023-03-09** Introduced and read first time `introduction, reading-1`
- **2023-03-09** Referred to Committee on Labor, Commerce and Industry `referral-committee`
- **2023-04-25** Member(s) request name added as sponsor: Sandifer
- **2024-01-17** Member(s) request name added as sponsor: Jefferson
- **2024-01-30** Member(s) request name added as sponsor: M.M.Smith
- **2024-02-14** Member(s) request name added as sponsor: Kirby
- **2024-02-28** Committee report: Favorable Labor, Commerce and Industry `committee-passage-favorable`
- **2024-03-05** Member(s) request name added as sponsor: Gilliard
- **2024-03-05** Read second time `reading-2`
- **2024-03-05** Roll call Yeas-88 Nays-26
- **2024-03-06** Read third time and sent to Senate `passage, reading-3`
- **2024-03-07** Introduced and read first time `introduction, reading-1`
- **2024-03-07** Referred to Committee on Medical Affairs `referral-committee`
- **2024-04-18** Committee report: Favorable Medical Affairs `committee-passage-favorable`
- **2024-04-25** Read second time `reading-2`
- **2024-04-25** Roll call Ayes-40 Nays-0
- **2024-04-30** Read third time and enrolled `passage, reading-3`
- **2024-05-08** Ratified R 154
- **2024-05-13** Signed By Governor `executive-signature`
- **2024-05-20** Effective date 05/13/24
- **2024-05-20** Act No. 139

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/18a62315-f53b-42e7-a5ac-767c2578d772`. Confidence: reported (aggregated from official South Carolina legislature records).