South Carolina 2025-2026 Regular Session

South Carolina House Bill H4691

Introduced
1/13/26  

Caption

Medicaid

Impact

The implications of HB 4691 are significant for family planning services across South Carolina. By prohibiting abortion clinics from participating in Medicaid for family planning, the bill directly affects the availability of such services from these providers. This aligns with prior executive orders and legislative measures aimed at limiting public funds' allocation to abortion services and ensuring that such organizations do not benefit indirectly through Medicaid allocations for family health services. The enforcement of HB 4691 reinforces a stringent regulatory approach to public funding and health care service provision related to reproductive health.

Summary

House Bill 4691 seeks to amend the South Carolina Code of Laws by adding a new section that explicitly states that organizations classified as abortion clinics are not qualified to provide family planning services under the South Carolina Medicaid program. This legislative move aims to clarify previous legal frameworks and reinforce the state's longstanding policy against using taxpayer funds to support abortion services. The bill stipulates that any facilities recognized as abortion clinics, and their affiliated providers, shall be ineligible for Medicaid funding designed for family planning purposes.

Contention

Discussions surrounding HB 4691 have highlighted deep divisions over issues of reproductive rights and health care access. Proponents of the bill argue that it is a necessary step to protect unborn children's rights and prevent taxpayer money from being funneled to organizations that perform abortions. Conversely, critics assert that the legislation may restrict access to essential health services for women, particularly low-income individuals who rely on Medicaid for family planning. The bill also faces potential legal challenges, reflecting ongoing national debates about abortion rights and healthcare fund allocations.

Companion Bills

No companion bills found.

Previously Filed As

SC S0778

Prohibit Medicaid Funding for Family Planning by Abortion Providers

SC H546

Medicaid Modernization

SC H696

Medicaid & HHS Adjust./Other Critical Needs

SC HB979

Medicaid; exclude from participation any providers that perform or are affiliated with performance of abortions.

SC H4464

Medicaid

SC HR0154

A resolution to urge Congress to uphold Medicaid patients’ right to provider choice by establishing a private right of action under 42 U.S.C. §Â 1983 and urge the Michigan Department of Health and Human Services to monitor state and federal actions affecting Medicaid’s provider-choice policies.

SC S1095

Prohibit Abortions

SC HB1015

Preserve Medicaid Health-Care Services

SC S0486

Medicaid

SC SB1139

Relating To Medicaid.

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