South Carolina enacted FY2022-23 budget Proviso 23.4, barring MUSC from using state funds for gender-affirming care for transgender minors under 16
On July 1, 2022, South Carolina's FY2022-23 General Appropriations Act (H.5150, Act No. 239) took effect carrying Proviso 23.4, which bars the Medical University of South Carolina (MUSC) from using state appropriated funds for gender-affirming care for patients under 16. The General Assembly adopted the proviso in its June 15, 2022 conference report, and Governor Henry McMaster's June 22 line-item veto message did not strike it. This is the first-year enactment of a proviso South Carolina has renewed annually since.