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 Senate Bill 132 - 2019 PA Practice Act

For additional clarification on the new law, visit our Legislation FAQ page.

The 2018-2019 Legislative Committee, chaired by Kevin Harmon and Megan Fulton, successfully led the modernization of the 2019 PA Practice Act. Senate Bill 132 (now Act No. 32) was signed into law on May 13, 2019 by Governor McMaster and will go into effect August 11, 2019. The bill decreases administrative burdens when applying for PA licensure and allows PAs to increase access to care for patients and their families.

The 2019-2020 Legislative Committee, chaired by Megan Fulton and Lesli Woodall, is coordinating communication across South Carolina regarding the new law.

How to prepare:


The documents linked below provide insight and guidance on how this new law improves utilization of current and future practicing PAs in SC.


Act No. 32 of 2019


PA Practice Act of 2019 Detailed Summary


PA Practice Act of 2019 General Summary

PA Practice Act of 2019 FAQ


PA Practice Act of 2013/2019 Comparison


Press Release


The new law will allow PAs to practice additional tasks; however, you must complete an addendum to your scope of practice guidelines before you can do so. We have been working with the Board of Medical Examiners (BME) over the past several months to develop an addendum that can easily be used to update these guidelines.


Click HERE to access the addendum. 


Whether you will practice these new tasks or not, all PAs must complete this addendum.  We encourage you to complete this at your earliest convenience. Checking yes or no for each item listed will determine whether or not the task is added to your scope of practice guidelines. Please review these tasks with your primary supervising and alternating physicians prior to signature. The addendum must be submitted to the BME before you perform the items selected. We recommend you send the addendum via email ( to the BME to expedite and track your submission. Upon submission, you may perform the new tasks selected beginning August 11. In addition, any addendum you complete with the BME must be submitted to your hospital credentialing committee if you work for a hospital system. We also recommend keeping a copy in your personal records as your scope of practice guidelines can be audited at any time.



Senate Bill 314 - Preceptor Tax Incentive


'Preceptor' means a physician, advanced practice nurse practitioner, or physician assistant who provides supervision and instruction during South Carolina based programs’ student clinical training experiences, is not otherwise compensated for doing so, and provides a minimum of two required clinical rotations within a calendar year. This bill allows an income tax credit for the first four and a tax deduction for any additional clinical rotations a physician, APRN or PA serves as the preceptor.  Senate Bill 314 took effect upon Governor McMaster’s signature on May 16, 2019 and shall apply to tax years 2020 through 2025.


S.314 Fact Sheet



House Bill 4004 - POST Bill (Physician Orders for Scope of Treatment)


H.4004 would allow a patient with an advanced illness to execute a POST form which consists of a set of medical orders signed by the patient's physician addressing key medical decisions consistent with patient goals of care concerning treatment at the end of life.  The bill also creates the POST Advisory Council to advise the Department of Health and Environmental Control regarding program design, standards, data collection and evaluation, quality improvement, funding, and program evaluation.  The Senate amended H.4004 to allow APRNs and PAs to sign the POST form.  The Conference Report was adopted in the Senate by a vote of 40 – 0 and the House by a vote of 106 – 0.  The bill was ratified on May 22, 2019 and took effect upon Governor McMaster’s signature on May 24, 2019.


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