Collaborative Practice Agreements, the official text

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

(A166, R138, S449)

AN ACT TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 40-43-30, RELATING TO DEFINITIONS FOR THE SOUTH CAROLINA PHARMACY PRACTICE ACT, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-43-245 SO AS TO AUTHORIZE PHARMACISTS AND PHYSICIANS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; BY AMENDING SECTION 40-47-20, RELATING TO DEFINITIONS FOR PHYSICIANS AND MISCELLANEOUS HEALTHCARE PROFESSIONALS, SO AS TO PROVIDE A DEFINITION FOR COLLABORATIVE PRACTICE AGREEMENTS; BY ADDING SECTION 40-47-205 SO AS TO AUTHORIZE PHYSICIANS AND PHARMACISTS TO ENTER INTO COLLABORATIVE PRACTICE AGREEMENTS; AND TO REQUIRE THE STATE BOARD OF PHARMACY AND THE STATE BOARD OF MEDICAL EXAMINERS TO PROMULGATE REGULATIONS GOVERNING THE USE OF COLLABORATIVE PRACTICE AGREEMENTS AND TO PROVIDE THAT COLLABORATIVE PRACTICE AGREEMENTS MAY NOT BE IMPLEMENTED UNTIL AFTER THE REGULATIONS ARE EFFECTIVE.

Be it enacted by the General Assembly of the State of South Carolina:

Pharmacy Practice Act, "collaborative practice agreement" defined

SECTION 1. Section 40-43-30 of the S.C. Code is amended by adding:

(62) "Collaborative practice agreement" means a written agreement between a pharmacist and a physician, both of whom are licensed and in good standing in this State, actively practicing, and physically located within the geographic boundaries of this State, that sets out a plan to provide evidence-based medication management services and other related patient care services that support the treatment goals established by the physician including, but not limited to, monitoring, education, and assessments for specifically identified patients delegated to the pharmacist by the physician responsible for treating the patients. The pharmacist and the physician must have access to the same electronic medical records system or, if that is not practicable, must develop a HIPAA-compliant method to share written medical records to document regular, secure, and timely communication between the physician and the pharmacist to ensure coordinated patient care.

Pharmacy Practice Act, collaborative practice agreements with physicians authorized

SECTION 2. Chapter 43, Title 40 of the S.C. Code is amended by adding:

Section 40-43-245. Pharmacists are authorized to enter into collaborative practice agreements with physicians.

Medical Practice Act, "collaborative practice agreement" defined

SECTION 3. Section 40-47-20 of the S.C. Code is amended by adding:

(60) "Collaborative practice agreement" means a written agreement between a pharmacist and a physician, both of whom are licensed and in good standing in this State, actively practicing, and physically located within the geographic boundaries of this State, that sets out a plan to provide evidence-based medication management services and other related patient care services that support the treatment goals established by the physician including, but not limited to, monitoring, education, and assessments for specifically identified patients delegated to the pharmacist by the physician responsible for treating the patients. The pharmacist and the physician must have access to the same electronic medical records system or, if that is not practicable, must develop a HIPAA-compliant method to share written medical records to document regular, secure, and timely communication between the physician and the pharmacist to ensure coordinated patient care.

Medical Practice Act, collaborative practice agreements with pharmacists authorized

SECTION 4. Chapter 47, Title 40 of the S.C. Code is amended by adding:

Section 40-47-205. Physicians are authorized to enter into collaborative practice agreements with pharmacists.

Regulations and implementation

SECTION 5. The State Board of Pharmacy and the State Board of Medical Examiners shall each promulgate regulations governing the use of collaborative practice agreements. Collaborative practice agreements may not be implemented until the effective date of the regulations promulgated pursuant to this section.

Time effective

SECTION 6. This act takes effect upon approval by the Governor.

Ratified the 14th day of May, 2026.

Approved the 18th day of May, 2026.

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