The bill H. 3966 aims to amend the South Carolina Code of Laws by adding Section 38-61-90, which establishes that a direct primary care agreement is not considered a contract of insurance and is therefore not subject to regulation by the Department of Insurance. The bill defines a direct primary care agreement as a written contract between a patient and a healthcare provider that includes specific terms regarding termination, services provided, fees, and the nature of the agreement itself. Notably, it emphasizes that such agreements do not qualify as health insurance and do not fulfill any federal health insurance mandates.
Key provisions of the bill include the ability for either party to terminate the agreement without penalty, a clear description of healthcare services in exchange for a periodic fee, and a prohibition on the provider from charging additional fees for services included in the agreement. The bill also requires that the agreement prominently states its non-insurance status. This legislation is set to take effect upon the Governor's approval.
Statutes affected: 02/12/2025: 38-61-90
Latest Version: 38-61-90