South Carolina 2025-2026 Regular Session

South Carolina House Bill H5486

Introduced
4/1/26  

Caption

Medicaid

Impact

The passage of H5486 would have significant implications on state healthcare policy by establishing a formal process for the evaluation of kidney disease treatments within the Medicaid program. This annual review process would not only aim to verify the adequacy of current treatment options but also provide a structured approach for potentially introducing new therapies that may become necessary over time. Legislators aimed to enhance the quality of care for these patients through this initiative, which could lead to improved health outcomes.

Summary

House Bill H5486 seeks to amend the South Carolina Code of Laws by introducing Section 44-6-120. This section mandates that the Department of Health and Human Services conduct an annual review of medications and treatments available under the South Carolina Medicaid program specifically aimed at individuals diagnosed with chronic and rare kidney diseases. The overarching goal of this bill is to ensure that the treatments provided to Medicaid enrollees are sufficient to meet their medical needs and to recommend any additional treatments deemed necessary.

Contention

While the bill presents a proactive measure to accommodate the healthcare needs of chronic and rare kidney disease patients, there could be points of contention regarding the allocation of Medicaid resources and the operational impact on the Department of Health and Human Services. Some may argue that increasing the scope of reviews and potential treatments adds an administrative burden, while others might highlight the necessity for such evaluations to foster patient-centered healthcare reforms. The anticipated input from the public, particularly those affected by kidney diseases, could further expose varying perspectives on the efficacy and utility of existing treatments.

Companion Bills

No companion bills found.

Previously Filed As

SC SB236

Provides relative to kidney disease. (8/1/26) (EN NO IMPACT See Note)

SC HB3434

MEDICAID-NUTRITION THERAPY

SC A3369

Requires SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover anti-obesity medications.

SC A2451

Requires Medicaid and NJ FamilyCare to provide medically tailored nutrition services for certain enrollees.

SC SB363

Health care coverage: independent medical review.

SC S0978

Chronic Kidney Disease Month

SC HB1504

MEDICAID-CHOLINE SUPPLEMENTS

SC HB144

HIV medications; prohibit health plans and Medicaid from subjecting to protocols that restrict dispensing of.

SC HB1497

HIV medications; prohibit health plans and Medicaid from subjecting to protocols that restrict dispensing of.

SC SB234

Makes revisions relating to Medicaid. (BDR 38-40)

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