The bill H. 4148 proposes an amendment to Article I of the South Carolina Constitution by adding Section 26, which establishes that every individual has a fundamental right to healthcare that is provided and paid for by the state. This amendment aims to ensure that healthcare is recognized as a basic right for all residents of South Carolina.

To implement this amendment, the bill mandates that it be presented to qualified voters during the next general election. Voters will have the opportunity to express their support or opposition to the amendment through a ballot that includes the question of whether Article I should be amended to include the right to state-provided healthcare.