Senate adopts amendment easing cross-border telemedicine supervision

Apr 22, 2026

Sen. Johnson explained an amendment to permit physicians licensed in South Carolina to oversee nurse practitioners across contiguous counties in nearby states, aligning practice rules with neighboring states; the Senate adopted the amendment after clarifying licensing and collaborative-agreement safeguards.

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Sen. Johnson (York) explained Amendment 12, which clarifies telemedicine supervision when a physician is licensed in both South and North Carolina and the counties are contiguous. "The proviso as written states that if you are living and then practicing in North Carolina and want to oversee a nurse practitioner... then you also have to be licensed in South Carolina," Johnson said, framing the change as harmonizing cross-border practice while protecting scope-of-practice standards.

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