The bill S. 915 aims to amend the South Carolina Code of Laws regarding Medicaid provider and recipient fraud by introducing tiered violations and penalties for false claims, statements, or representations made by medical providers and applicants for assistance under the State Medicaid Program. Specifically, it amends Sections 43-7-60 and 43-7-70 to establish a classification system for offenses, ranging from Class A misdemeanors to Class E felonies, based on the economic advantage sought or received. Additionally, the bill allows for the use of consent agreements between the Attorney General and individuals accused of violations, enabling them to consent to penalties without admitting guilt.

Furthermore, the bill enhances the enforcement capabilities of the Attorney General by amending Section 43-7-90 to authorize the issuance of administrative subpoenas for gathering information related to Medicaid fraud investigations. This legislative change is designed to strengthen the state's ability to combat fraud within the Medicaid system, ensuring that penalties are proportionate to the severity of the offenses and providing mechanisms for restitution to victims. The act will take effect upon approval by the Governor.

Statutes affected:
02/10/2026: 43-7-60, 43-7-70, 43-7-90
Latest Version: 43-7-60, 43-7-70, 43-7-90