SOUTH CAROLINA REVENUE AND FISCAL AFFAIRS OFFICE
S
TATEMENT OF ESTIMATED FISCAL IMPACT
WWW.RFA.SC.GOV • (803)734-3793
This fiscal impact statement is produced in compliance with the South Carolina Code of Laws and House and Senate rules. The focus of
the analysis is on governmental expenditure and revenue impacts and may not provide a comprehensive summary of the legislation.
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H. 3996
Fiscal Impact Summary
This bill increases the number of anesthesiologists’ assistants that an anesthesiologist may
supervise from two to four. The bill also removes the requirement that an anesthesiologist
assistant license applicant must appear before a member of the Board of Medical Examiners and
present certain credentials and knowledge prior to receiving licensure.
This bill will have no fiscal impact on the Department of Labor, Licensing and Regulation (LLR)
or the Board of Medical Examiners. Increasing the number of anesthesiologist’s assistants that an
anesthesiologist may supervise can be managed within the normal course of business.
Additionally, the removal of the requirement for certain academic credentials and knowledge to
be presented to a member of the Board of Medical Examiners prior to licensure as an
anesthesiologist assistant will have no cost savings on LLR or the Board of Medical Examiners
as the review of these credentials and knowledge will be shifted to other areas of the program.
For reference, there are currently ninety licensed anesthesiologist’s assistants in South Carolina.
Explanation of Fiscal Impact
Introduced on February 13, 2025
State Expenditure
This bill increases the number of anesthesiologists’ assistants that an anesthesiologist may
supervise from two to four. The bill also removes the requirement that an anesthesiologist
assistant license applicant must appear before a member of the Board of Medical Examiners and
present certain credentials and knowledge prior to receiving licensure.
LLR indicates that increasing the number of anesthesiologist’s assistants that an anesthesiologist
may supervise will have no expenditure impact on the department or the Board of Medical
Examiners since this can be managed within the normal course of business. Additionally, LLR
indicates that the removal of the requirement for certain academic credentials and knowledge to
be presented to a member of the Board of Medical Examiners prior to licensure as an
anesthesiologist assistant will have no cost savings on LLR or the Board of Medical Examiners
as the review of these credentials and knowledge will be shifted to other areas of the program.
Bill Number: H. 3996 Introduced on Februar
y 13, 2025
Subject: Anesthesiolo gist Assistants
Requestor: House Medical, Military, Public, and Municipal Affairs
RFA Analyst(s): Welsh
Impact Date: February 20, 2025
__________________________________
Frank A. Rainwater, Executive Director
DISCLAIMER: THIS FISCAL IMPACT STATEMENT REPRESENTS THE OPINION AND INTERPRETATION OF THE
AGENCY OFFICIAL WHO APPROVED AND SIGNED THIS DOCUMENT. IT IS PROVIDED AS INFORMATION TO
THE GENERAL ASSEMBLY AND IS NOT TO BE CONSIDERED AS AN EXPRESSION OF LEGISLATIVE INTENT.
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H. 3996
Therefore, this bill will have no fiscal impact on LLR or the Board of Medical Examiners. For
reference, there are currently ninety licensed anesthesiologist’s assistants in South Carolina.
State Revenue
N/A
Local Expenditure
N/A
Local Revenue
N/A