South Carolina 2025-2026 Regular Session

South Carolina House Bill H4746

Introduced
1/13/26  

Caption

Physicals and EKGs for student athletes

Impact

The implementation of H4746 is expected to influence state laws concerning school athletics significantly. It not only establishes a more structured health assessment protocol for student athletes but also imposes responsibilities on school districts and governing bodies to ensure adherence to these new regulations. By mandating physical examinations and EKGs, the state aims to lower the risk of athletic-related health incidents, enhancing the overall welfare of student athletes under its jurisdiction.

Summary

House Bill 4746 seeks to amend the South Carolina Code of Laws by introducing a requirement for students in grades seven through twelve participating in interscholastic athletics to undergo an annual physical examination and a one-time electrocardiogram (EKG) prior to their initial participation. Starting from the 2027-2028 school year, these provisions aim to enhance the health and safety of student athletes by ensuring they are adequately screened for underlying medical conditions that could pose risks during athletic activities. Compliance documentation will need to be submitted to the respective school district before students can take part in any athletic competition or practice.

Contention

While the bill's intent focuses on health and safety, it has raised some points of contention. Specifically, provisions allowing for exemptions based on religious objections or medical conditions could generate discussions concerning liability for schools should an injured student have been exempted from required examinations. Furthermore, ensuring that electrocardiograms are accessible at low or no cost may present logistical challenges to schools and could debate resources allocated for student health initiatives.

Companion Bills

No companion bills found.

Previously Filed As

SC S1070

Electrocardiograms for Student Athletes

SC H1135

Electrocardiograms for Student Athletes

SC H4622

To protect the lives of student athletes; Freddy’s law

SC H5046

To protect the lives of student athletes; Freddy’s law

SC SB00194

An Act Concerning Cardiac Screening And Sudden Cardiac Arrest Prevention For Certain Student Athletes.

SC HB3589

STUDENT ATHLETE MEDICAL EVAL

SC S0178

Athletics in Public K-12 Schools

SC HB3596

Relating to prevention of and safety requirements regarding sudden cardiac arrest affecting public school students participating in interscholastic athletics.

SC HB335

Quality Basic Education Act; address mental health risks for student athletes

SC HB3211

INTERSCHOLAR ATHLETICS-STUDENT

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