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Hospital Charity Care in South Carolina: 100 to 200 Percent FPL MIAP Sponsorship

Updated September 4, 2026. Quick answer: South Carolina’s Medically Indigent Assistance Program gives full hospital-cost sponsorship at or under 100% of the federal poverty level and partial sponsorship up to 200%.

This guide is limited to the cited South Carolina MIAP source and its stated scope.

What changes in South Carolina

  • Full sponsorship for inpatient hospital services is available for eligible individuals whose gross family income is at or below 100% of the poverty guidelines.
  • Partial sponsorship for inpatient hospital services is available for eligible individuals whose gross family income is between 100% and 200% of the poverty guidelines.
  • A general hospital equipped to provide the necessary treatment can face a civil penalty of up to $10,000 for refusing to admit or accept transfer of a MIAP-sponsored patient.
  • Nothing in the statute relieves a hospital of its separate Hill-Burton obligation to provide unreimbursed medical care to indigent persons.

Where this rule stops

MIAP sponsorship is a separate state program from a hospital’s own federally required financial assistance policy; a reader applies through the state program, not only through the hospital’s own FAP paperwork.

How to verify before you apply

  1. Identify the hospital or facility covered by the source and obtain its current policy.
  2. Ask for the current written policy and application instructions.
  3. Compare the policy with the official source below before relying on any threshold, discount, or deadline.

Related hospital-assistance guides

Primary source

Read S.C. Code Ann. § 44-6-150; S.C. Code Regs. § 126-535. Verify the current official text and the facility’s current policy before acting; this is a source-backed planning guide, not individualized legal advice.

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