South Carolina Code
S.C. Code Ann. § 44-41-650 (2026)
Exceptions for rape and incest; physician required to notify law enforcement
✓ current as of May 2026
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(A) A physician may perform, induce, or attempt to perform or induce an abortion on a pregnant woman after the fetal heartbeat has been detected in accordance with Section 44-41-630 if:
(1) the pregnancy is the result of rape, and the probable gestational age of the unborn child is not more than twelve weeks; or
(2) the pregnancy is the result of incest, and the probable gestational age of the unborn child is not more than twelve weeks.
(B) A physician who performs or induces an abortion on a pregnant woman based on an exception contained in this section must report the allegation of rape or incest to the sheriff in the county in which the abortion was performed. The report must be made no later than twenty-four hours after performing or inducing the abortion, may be made orally or otherwise, and shall include the name and contact information of the pregnant woman making the allegation. Prior to performing or inducing an abortion, the physician who performs or induces an abortion based on an allegation of rape or incest must notify the pregnant woman that the physician will report the allegation of rape or incest to the sheriff. The physician shall make written notations in the pregnant woman's medical records that the abortion was performed pursuant to the applicable exception, that the doctor notified the sheriff of the allegation of rape or incest in a timely manner, and that the woman was notified prior to the abortion that the physician would notify the sheriff of the allegation of rape or incest.
(C) A person who violates this section is guilty of a felony and, upon conviction, must be fined ten thousand dollars, imprisoned for not more than two years, or both.
HISTORY: 2021 Act No. 1 (S.1), SECTION 3, eff February 18, 2021; 2023 Act No. 70 (S.474), SECTION 2, eff May 25, 2023.
Validity
For the validity of the previous version of this section, see Planned Parenthood South Atlantic v. State, 882 S.E.2d 770 (S.C. 2023); see Dobbs v. Jackson Women's Health Org., 142 S.Ct. 2228 (U.S. 2022).
Editor's Note
2023 Act No. 70, SECTIONS 11 and 12, provide as follows:
"SECTION 11. The Public Employee Benefit Authority and the State Health Plan shall cover prescribed contraceptives for dependents under the same terms and conditions that the Plan provides contraceptive coverage for employees and spouses. The State Health Plan shall not apply patient cost sharing provisions to covered contraceptives.
"SECTION 12. The President of the Senate, on behalf of the Senate, and the Speaker of the House of Representatives, on behalf of the House of Representatives have an unconditional right to intervene on behalf of their respective bodies in a state court action and may provide evidence or argument, written or oral, if a party to that court action challenges the constitutionality of this act. In a federal court action that challenges the constitutionality of this act the Legislature may seek to intervene, to file an amicus brief, or to present arguments in accordance with federal rules of procedure. Intervention by the Legislature pursuant to this provision does not limit the duty of the Attorney General to appear and prosecute legal actions or defend state agencies, officers or employees as otherwise provided. In any action in which the Legislature intervenes or participates, the Senate and the House of Representatives shall function independently from each other in the representation of their respective clients."
Effect of Amendment
2023 Act No. 70, SECTION 2, rewrote the section.
(1) the pregnancy is the result of rape, and the probable gestational age of the unborn child is not more than twelve weeks; or
(2) the pregnancy is the result of incest, and the probable gestational age of the unborn child is not more than twelve weeks.
(B) A physician who performs or induces an abortion on a pregnant woman based on an exception contained in this section must report the allegation of rape or incest to the sheriff in the county in which the abortion was performed. The report must be made no later than twenty-four hours after performing or inducing the abortion, may be made orally or otherwise, and shall include the name and contact information of the pregnant woman making the allegation. Prior to performing or inducing an abortion, the physician who performs or induces an abortion based on an allegation of rape or incest must notify the pregnant woman that the physician will report the allegation of rape or incest to the sheriff. The physician shall make written notations in the pregnant woman's medical records that the abortion was performed pursuant to the applicable exception, that the doctor notified the sheriff of the allegation of rape or incest in a timely manner, and that the woman was notified prior to the abortion that the physician would notify the sheriff of the allegation of rape or incest.
(C) A person who violates this section is guilty of a felony and, upon conviction, must be fined ten thousand dollars, imprisoned for not more than two years, or both.
HISTORY: 2021 Act No. 1 (S.1), SECTION 3, eff February 18, 2021; 2023 Act No. 70 (S.474), SECTION 2, eff May 25, 2023.
Validity
For the validity of the previous version of this section, see Planned Parenthood South Atlantic v. State, 882 S.E.2d 770 (S.C. 2023); see Dobbs v. Jackson Women's Health Org., 142 S.Ct. 2228 (U.S. 2022).
Editor's Note
2023 Act No. 70, SECTIONS 11 and 12, provide as follows:
"SECTION 11. The Public Employee Benefit Authority and the State Health Plan shall cover prescribed contraceptives for dependents under the same terms and conditions that the Plan provides contraceptive coverage for employees and spouses. The State Health Plan shall not apply patient cost sharing provisions to covered contraceptives.
"SECTION 12. The President of the Senate, on behalf of the Senate, and the Speaker of the House of Representatives, on behalf of the House of Representatives have an unconditional right to intervene on behalf of their respective bodies in a state court action and may provide evidence or argument, written or oral, if a party to that court action challenges the constitutionality of this act. In a federal court action that challenges the constitutionality of this act the Legislature may seek to intervene, to file an amicus brief, or to present arguments in accordance with federal rules of procedure. Intervention by the Legislature pursuant to this provision does not limit the duty of the Attorney General to appear and prosecute legal actions or defend state agencies, officers or employees as otherwise provided. In any action in which the Legislature intervenes or participates, the Senate and the House of Representatives shall function independently from each other in the representation of their respective clients."
Effect of Amendment
2023 Act No. 70, SECTION 2, rewrote the section.
Notes of Decisions
Cited in 3
cases (3 in the last 5 years), 2021–2023 · leading case: Planned Parenthood South Atl. v. Wilson (D.S.C. 2021).
Planned Parenthood South Atl. v. Wilson (D.S.C. 2021). “Section 44-41- 610 defines a fetal heartbeat; Section 44-41-650 imposes penalties for violating the Act; Section 44-41-660 precludes application of the penalties proscribed in Section 44-41-650 in the event an abortion is performed in contravention of Section 44-41-680 for…”
Planned Parenthood South Atl. v. State of South Carolina (2023). “See S.C. Code Ann. §§ 44-41-650 (B), -680(D) (Supp.”
Planned Parenthood South Atl. v. State of South Carolina (2023). “See S.C. Code Ann. §§ 44-41-650 (B), -680(D) (Supp.”
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