2022 South Carolina Legislative Session Preview

Raleigh, North Carolina, USA State Capitol Building.

The South Carolina General Assembly convened Tuesday, January 11, with 170 legislators returning to Columbia ready to debate issues left over from the 2021 session, along with new bills introduced for 2022.  They will meet for 18 weeks through mid-May for the second year of the state’s two-year session.

Along with policy proposals, state lawmakers will craft a state budget using about $11 billion in revenues, roughly $2 billion more than typical due to growth, surpluses, and contingency reserve funds.

If approved by legislators, Governor Henry McMaster’s proposed budget would cut state personal income taxes, reform education funding, and double the size of South Carolina’s rainy-day reserve fund.

After the session ends, lawmakers and statewide constitutional officers – including the governor, attorney general, and secretary of state – will turn their attention to campaigning. March 31 is the filing deadline to run for office or reelection, with partisan primary elections in June followed by general elections in November.

Voters in state Senate District 31 will participate in a special election on March 29, picking a replacement for the late Sen. Hugh Leatherman, who passed away in November.


Governor McMaster’s proposed budget would use $20 million in one-time lottery revenues to address the state’s nursing shortage. Those funds would be used at public colleges and universities, including technical colleges, to supplement faculty salaries and provide tuition reimbursement or scholarships for students enrolled in graduate-level nurse educator programs, Doctor of Nursing Practice programs, and Ph.D. programs. After graduation, scholarship recipients would have to agree to assume a faculty role in a state nursing program.

Proposed House bills address telehealth, investigational drugs, access to transplants, and newborn health screenings:

  • H3230 would reimburse authorized practitioners for mental health telehealth services delivered to patients enrolled in Medicaid.
  • H4567 would allow investigational drug treatment for patients with conditions caused by a pandemic. The patient’s informed consent would allow a physician who has recommended an investigational drug, biological product, or device to use it for treatment.  
  • H4597 would ensure that providers make reasonable modifications to allow individuals with disabilities access to transplantation-related services. It would also prevent the denial of medical services to individuals with disabilities related to organ transplantation.
  • H4599 would require that newborn health screenings include spinal muscular atrophy.

Senate bills up for consideration include changing requirements for physicians and hospitals:

  • S66 would ban anyone from practicing medicine if they are not a member in good standing of the South Carolina Medical Association.
  • S161 would require hospital systems to address how patients, including underserved populations, could continue to access services and programs following service delivery changes.
  • S269 would require hospitals that provide intensive or critical care services to have at least one board-certified critical care doctor on duty or on call at all times of the day.

Medical Marijuana

Proposed legislation would require doctors to meet with patients in person before prescribing marijuana, checking for any history of substance abuse. Doctors would also have to draft a treatment plan for each patient. The proposal specifies which illnesses could be treated with medical marijuana, a list that includes cancer, multiple sclerosis, glaucoma, sickle cell anemia, and autism.


Last year the General Assembly passed a law outlawing most abortions, but opponents filed lawsuits to challenge its legality. As a result, state courts have temporarily suspended the law from taking effect until they rule on those lawsuits. Regardless, lawmakers may attempt to address abortion again during this legislative session, even as the pending litigation – and upcoming U.S. Supreme Court rulings – make it hard to predict the viability of new legislation.


The governor’s recommended budget proposes allocating more than $200 million to improve K-12 and higher education, including raising minimum teacher salaries by $2,000 to $38,000.


South Carolina legislators adopted new state legislative district maps last month.  The Senate approved House and Senate map proposals in a 43-1 vote on December 7, and the House approved the new districts in a 75-27 vote on December 9.

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