State guide
South Carolina Home Care Compliance
All six compliance areas for South Carolina home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
South Carolina at a glance South Carolina licenses non-medical In-Home Care Providers (Reg. 61-122) and home health agencies (Reg. 61-77, with CON) — oversight moved to the new Department of Public Health in July 2024, with updated in-home care standards proposed in 2025. South Carolina has no state minimum wage, overtime, or paid sick leave law — FLSA rules govern home care agencies, and local wage mandates are preempted.
Requirements by category
Health Benefits & ACA → South Carolina uses HealthCare.gov, is a non-expansion state, and has no state benefits mandates. HealthCare.govNoNo Occupational Health → South Carolina's in-home care provider regulation requires an annual TB risk assessment and caregiver health assessments including TB… Required4+ employees Caregiver Training → South Carolina licenses Medicare-style home health agencies under R.61-77 and, since 2022, non-medical in-home care providers under… 75 (federal)None (agency-determined)12 hrs/yr (HHA); topics only (IHC) Wage & Hour → South Carolina has no state minimum wage, overtime, or paid sick leave law — FLSA rules govern home care agencies, and local wage mandates… $7.25 (federal)FLSA onlyNone Licensure & Survey Readiness → South Carolina licenses non-medical In-Home Care Providers (Reg. 61-122) and home health agencies (Reg. 61-77, with CON) — oversight moved… SC Dept. of Public HealthS.C. Code § 44-70-10; Reg. 61-122In-home care provider; Home… Background Checks → South Carolina requires pre-employment criminal record checks for direct caregivers at licensed in-home care providers — a SLED state… ConditionalNurse aide registry; sex…
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Reviewed quarterly by Vitable Health.