Is In Vitro Fertilization (IVF) Legal in South Carolina After the 2026 Policy Reforms?

Yes, IVF is legal in South Carolina, with no statewide bans or criminal penalties for providers or patients. The state follows federal guidelines while deferring to local ethics boards for procedural oversight. Recent 2026 legislative shifts mandate stricter embryo disposition reporting to the South Carolina Department of Health and Environmental Control (DHEC), aligning with emerging national trends in reproductive technology regulation.

Key Regulations for In Vitro Fertilization (IVF) in South Carolina

  • Embryo Disposition Protocols: Clinics must submit annual reports to DHEC detailing embryo storage, donation, or disposal under the South Carolina Assisted Reproductive Technology Act (2026 amendments). Non-compliance risks license suspension.
  • Parental Rights Clarification: State courts recognize preimplantation genetic testing (PGT) results in custody disputes, per S.C. Code § 63-17-310, ensuring genetic parentage overrides gestational carrier agreements if contested.
  • Insurance Mandates: Since 2024, private insurers must cover IVF cycles for infertility diagnoses, capped at three attempts per patient under Act 2024-127, though self-insured plans remain exempt.

Providers must also adhere to FDA guidelines for gamete handling, including donor screening and cryopreservation standards. Local bioethics committees at institutions like MUSC Health review experimental protocols, though their rulings lack statutory enforcement power. Violations of consent protocols (e.g., undisclosed embryo screening) may trigger civil litigation under S.C. Code § 44-66-30.