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---
type: "Bill"
title: "Telehealth and Telemedicine Modernization Act"
description: "AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE \"SOUTH CAROLINA TELEHEALTH AND TELEMEDICINE MODERNIZATION ACT\" BY ADDING CHAPTER 42 TO TITLE 40 SO AS TO DEFINE NECESSARY TERMS AND PROVIDE REQUIREMENTS FOR CERTAIN REGULATED HEALTH CARE PROFESSIONALS WHO PROVIDE HEALTH CARE BY MEANS OF TELEHEALTH; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS IN THE MEDICAL PRACTICE ACT, SO AS TO DEFINE \"TELEHEALTH\"; BY AMENDING SECTION 40-47-37, RELATING TO THE PRACTICE OF TELEMEDICINE, SO AS TO REVISE REQUIREMENTS FOR THE PRACTICE OF TELEMEDICINE AND TO INCLUDE PROVISIONS CONCERNING TELEHEALTH; TO AMEND SECTION 40-33-34, RELATING TO THE AUTHORITY OF ADVANCED PRACTICE REGISTERED NURSES TO PRACTICE TELEMEDICINE, SO AS TO ALSO AUTHORIZE THE PRACTICE OF TELEHEALTH BY ADVANCED PRACTICE REGISTERED NURSES AND TO CLARIFY THAT LICENSURE TO PRACTICE MEDICINE IN THIS STATE IS NOT REQUIRED FOR ADVANCED PRACTICE REGISTERED NURSES TO PRACTICE TELEMEDICINE OR TELEHEALTH EXCEPT AS OTHERWISE REQUIRED; AND TO AMEND SECTION 40-47-935, RELATING TO THE AUTHORITY OF PHYSICIAN ASSISTANTS TO PRACTICE TELEMEDICINE, SO AS TO ALSO AUTHORIZE THE PRACTICE OF TELEHEALTH BY PHYSICIAN ASSISTANTS AND TO CLARIFY THAT LICENSURE TO PRACTICE MEDICINE IN THIS STATE IS NOT REQUIRED FOR PHYSICIAN ASSISTANTS TO PRACTICE TELEMEDICINE OR TELEHEALTH EXCEPT AS OTHERWISE REQUIRED. - RATIFIED TITLE"
jurisdiction: "us/states/sc"
legislature: "South Carolina General Assembly"
session: "2023-2024"
identifier: "H 4159"
citation: "South Carolina H 4159 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Ballentine", "Blackwell", "Bradley", "Davis", "Erickson", "Herbkersman", "Hewitt", "M.M. Smith", "W. Newton"]
version_count: 8
action_count: 24
vote_count: 3
first_action: "2023-03-15"
last_action: "2024-03-14"
source: "openstates"
source_identifier: "ocd-bill/d899a28f-2b85-4bfe-a53f-b60c3a8baf9e"
source_url: "https://www.scstatehouse.gov/billsearch.php?billnumbers=4159&session=125&summary=B"
source_hash: "f73ef8036531a5f8e2d83aa8a4076a7adbe68305e6f3ff89d16b727244bf913f"
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 4159 (2023-2024) — Telehealth and Telemedicine Modernization Act
AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ENACTING THE "SOUTH CAROLINA TELEHEALTH AND TELEMEDICINE MODERNIZATION ACT" BY ADDING CHAPTER 42 TO TITLE 40 SO AS TO DEFINE NECESSARY TERMS AND PROVIDE REQUIREMENTS FOR CERTAIN REGULATED HEALTH CARE PROFESSIONALS WHO PROVIDE HEALTH CARE BY MEANS OF TELEHEALTH; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS IN THE MEDICAL PRACTICE ACT, SO AS TO DEFINE "TELEHEALTH"; BY AMENDING SECTION 40-47-37, RELATING TO THE PRACTICE OF TELEMEDICINE, SO AS TO REVISE REQUIREMENTS FOR THE PRACTICE OF TELEMEDICINE AND TO INCLUDE PROVISIONS CONCERNING TELEHEALTH; TO AMEND SECTION 40-33-34, RELATING TO THE AUTHORITY OF ADVANCED PRACTICE REGISTERED NURSES TO PRACTICE TELEMEDICINE, SO AS TO ALSO AUTHORIZE THE PRACTICE OF TELEHEALTH BY ADVANCED PRACTICE REGISTERED NURSES AND TO CLARIFY THAT LICENSURE TO PRACTICE MEDICINE IN THIS STATE IS NOT REQUIRED FOR ADVANCED PRACTICE REGISTERED NURSES TO PRACTICE TELEMEDICINE OR TELEHEALTH EXCEPT AS OTHERWISE REQUIRED; AND TO AMEND SECTION 40-47-935, RELATING TO THE AUTHORITY OF PHYSICIAN ASSISTANTS TO PRACTICE TELEMEDICINE, SO AS TO ALSO AUTHORIZE THE PRACTICE OF TELEHEALTH BY PHYSICIAN ASSISTANTS AND TO CLARIFY THAT LICENSURE TO PRACTICE MEDICINE IN THIS STATE IS NOT REQUIRED FOR PHYSICIAN ASSISTANTS TO PRACTICE TELEMEDICINE OR TELEHEALTH EXCEPT AS OTHERWISE REQUIRED. - 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/4159.htm)
2. **01/18/2024** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20240118.htm)
3. **01/19/2024** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20240119.htm)
4. **01/24/2024** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20240124.htm)
5. **03/15/2023** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20230315.htm)
6. **03/17/2023** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20230317.htm)
7. **05/04/2023** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20230504.htm)
8. **05/04/2023-A** (committee substitute) — [source](https://www.scstatehouse.gov/sess125_2023-2024/prever/4159_20230504a.htm)
## Votes
- 3rd Reading — **41–0** (pass) · upper
- Concur in Senate Amendments — **109–0** (pass) · lower
- Passage of Bill — **109–0** (pass) · lower
## Sponsors
- Ballentine — primary (person)
- Blackwell — primary (person)
- Bradley — primary (person)
- Davis — primary (person)
- Erickson — primary (person)
- Herbkersman — primary (person)
- Hewitt — primary (person)
- M.M. Smith — primary (person)
- W. Newton — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-03-15** Introduced and read first time `introduction, reading-1`
- **2023-03-15** Referred to Committee on Medical, Military, Public and Municipal Affairs `referral-committee`
- **2023-03-17** Scrivener's error corrected
- **2023-05-03** Committee report: Favorable with amendment Medical, Military, Public and Municipal Affairs `committee-passage-favorable`
- **2023-05-04** Member(s) request name added as sponsor: Blackwell
- **2023-05-04** Amended `amendment-passage`
- **2023-05-04** Read second time `reading-2`
- **2023-05-04** Roll call Yeas-109 Nays-0
- **2023-05-04** Unanimous consent for third reading on next legislative day
- **2023-05-05** Read third time and sent to Senate `passage, reading-3`
- **2023-05-09** Introduced and read first time `introduction, reading-1`
- **2023-05-09** Referred to Committee on Medical Affairs `referral-committee`
- **2024-01-18** Committee report: Favorable with amendment Medical Affairs `committee-passage-favorable`
- **2024-01-19** Scrivener's error corrected
- **2024-01-24** Committee Amendment Adopted `amendment-passage`
- **2024-01-24** Read second time `reading-2`
- **2024-01-25** Read third time and returned to House with amendments `passage, reading-3`
- **2024-01-25** Roll call Ayes-41 Nays-0
- **2024-01-31** Concurred in Senate amendment and enrolled
- **2024-01-31** Roll call Yeas-109 Nays-0
- **2024-03-07** Ratified R 125
- **2024-03-11** Signed By Governor `executive-signature`
- **2024-03-14** Effective date 03/11/24
- **2024-03-14** Act No. 120
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d899a28f-2b85-4bfe-a53f-b60c3a8baf9e`. Confidence: reported (aggregated from official South Carolina legislature records).