yourstate.us
S.C. Code § 38-71-1740

Responsibility for errors and omissions by parties to managed care participating provider agreements; limitations on network providers to discuss treatments, risks and legal obligations with an insured or member prohibited; permissible limitations

South Carolina · South Carolina Code Title 38, Chapter 71 — Accident and Health Insurance · Status: effective

Get this as JSONEmbed this
Cite this
Citation
S.C. Code § 38-71-1740, Responsibility for errors and omissions by parties to managed care participating provider agreements; limitations on network providers to discuss treatments, risks and legal obligations with an insured or member prohibited; permissible limitations, South Carolina, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1579985
Permanent ID
ys:prov:1579985@1
SHA-256
4515b8441d454183685de660de52ccba109de24e6a9bc16545b3998e0333809e

The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.

Full text

(A) For purposes of any health insurance plan, health maintenance organization, or any other health benefits plan offered in this State under the jurisdiction of South Carolina law: (1) Each party to a managed care participating provider agreement is responsible for the legal consequences and costs of his own acts or omissions, or both, and is not responsible for the acts or omissions, or both, of the other party. A clause in a participating provider agreement to the contrary is unlawful in this State, as a matter of public policy, whether entered into before or after January 1, 1999. (2) To the extent that a network plan requires an insured or a member to receive health benefits through a network of providers, the provisions of participating provider agreements may not limit the network provider's: (a) ability to discuss with an insured or a member, the treatment options available to the insured or member, risks associated with treatments, utilization management decisions, and recommended course of treatment; (b) legal obligations to an insured or a member as specified under the provider's professional license. (B) Nothing in this section: (1) prevents a network plan from prohibiting disclosure by network providers of trade secrets; (2) subjects a network plan to liability for clinical decisions made solely by the network provider; and (3) limits the ability of the network plan otherwise prudently to administer its provider contracts.