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Passage of One Big Beautiful Bill threatens rural health care

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Passage of One Big Beautiful Bill threatens rural health care


CHARLESTON, S.C. (WCSC) – South Carolina’s Republican leadership is praising the passage of the One Big Beautiful Bill.

While the benefits could help grow certain sectors of the economy, others are expected to be hurt.

Perhaps the largest hit from the bill is its impact on those who rely on federal health insurance. The nonpartisan Congressional Budget Office estimates nearly 11 million people are expected to be dropped from Medicaid programs by 2034.

In South Carolina, about 37% of insured people are enrolled through Medicaid or Medicare. Maya Pack at the South Carolina Institute of Medicine and Public Health says the good news is that South Carolina is somewhat insulated from the worst parts of the bill.

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“Anyone who’s currently enrolled in our state’s Medicaid program, there are no immediate changes, and I think that’s the most important thing for folks to know,” Pack said. “Because our state has not chosen to expand Medicaid as allowed under the Affordable Care Act of 2010, our state is actually not going to receive the negative impacts to our Medicaid programs’ budgets nearly to the same extent that other states are.”

In the long run, however, KFF, an independent health policy resource, estimates South Carolina’s uninsured population will grow by about 230,000 people over the next 10 years.

Health care in rural communities is already strained. Kevin Bennett, the director of the SC Center for Rural & Primary Healthcare at the University of South Carolina School of Medicine, says rural health systems are in a fragile state. Bennett says not only will there be more uninsured people walking through the door, but changes to reimbursements mean providers will be able to collect less money from insurers.

“Larger systems, the Prismas of the world, have more resources to absorb that,” Bennett said. “Smaller hospitals, smaller providers and clinics are going to really suffer. A 2% reduction in revenues might be enough to put them under, and that’s what we’re afraid of.”

Lieutenant Governor Pamela Evette responded to questions on Wednesday about how the state will adjust to make sure hospitals won’t close in rural areas, like Williamsburg County, where nearly 28% of the population is covered by Medicaid.

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“In the One Big Beautiful Bill, we’ve heard it talked about that, you know, Medicaid will be cut for illegal immigrants here in this country,” Evette said, dodging the question. “President Trump has been very clear that Medicaid was intended for citizens. Taxpayers want to know that their tax dollars are being spent wisely.”

It was already illegal for undocumented immigrants to receive Medicaid or Medicare. The OBBBA now prohibits benefits for individuals with lawful immigration status. These are legal workers who have paid taxes in the U.S. for decades.

Making the situation worse, inaction in Washington could also spell trouble for those covered by Marketplace plans. Pack says the Affordable Care Act Enhanced Premium Tax Credits are set to expire at the end of the year. Unless Congress passes an extension for those tax credits, Pack says thousands could lose coverage.

She says there are nearly half a million people in this state on a marketplace plan.

“And over 95% of those folks are receiving a tax subsidy to be able to afford their premium costs. And so with the expiration of these tax credits, we fear that many of those people will no longer be able to afford that insurance coverage.”

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Pack says there are changes to health insurance every year, making it difficult to predict exactly what will happen. She says we will certainly see more uninsured people in the coming years.



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SC legislature considers legal sports betting – again

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Will Jordan was introduced to sports betting through his coworkers during his sophomore year at the University of South Carolina.

Jordan, a senior, still makes bets today, including a losing wager on this year’s Superbowl. But his outlook on the practice changed after he saw the impact on his friends and others his age, he said. Jordan tends to keep his betting to simply the outcome of a game. But he sees his friends getting more and more into obscure proposition bets. Those are wagers on smaller, individual events or statistics connected to a game, including individual players’ performances.

The amount of advertising for gambling and the expansion of less-regulated alternatives disturb Jordan, he said.

“I’ve just really gotten turned off and a little bit frightened for the future on these sportsbooks,” Jordan said. “When I first got introduced to it, it was obviously a lot more novel for me. But now it’s starting to get a little concerning.”

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Jordan uses traditional betting apps such as BetMGM and Bet365 in his home state of Virginia, where betting on a game is legal. In South Carolina he uses Fliff, the first app he was introduced to. Fliff uses an in-app currency, so players are betting with house money, and thus falls under sweepstakes regulations instead of gambling laws.

But legal sports betting and a casino may be in South Carolina’s future if state legislators pass two bills in the Statehouse. Casinos and sportsbooks came up in the 2025 legislative session but failed to make it into law.

Supporters say legalization will bring economic benefits and make gambling safer, but opponents point to the dangers of gambling addiction.

If South Carolina approves sports betting, it would join a growing number of states that allow online sportsbooks.  

The impact of gambling

Only one state had a legal sportsbook in 2017, according to a study from researchers at the University of California at San Diego.

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Seven years later, that number rose to 38. 

USC Professor Stephen Shapiro broke sports bettors into a few categories, including fanatics, moderates and casuals, for research he has done on the industry. More casual gamblers tend to be older, while younger gamblers increasingly fall into the fanatic group, he said.

Shapiro began his studies around the time of the 2018 U.S. Supreme Court decision that opened the door for wide legalization of sports gambling. 

Shapiro’s work doesn’t focus on gambling addiction, but he takes it into account. Online sports betting has a higher risk for problem gambling as result of its greater accessibility and the ability to place in-game bets. Traditionally, a gambler would bet on which team wins. But now bettors can gamble on what actions certain players make or the exact score at the end of a quarter.

“The fact that you can do almost an infinite amount of bets within a game just sets up a landscape for problem betting,” Shapiro said. 

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The betting market is new and unsaturated, leading companies to spend billions on marketing. Ads pop up everywhere – on phones, computers and televisions. Each time a state legalizes betting, a new market appears. And where sports wagering is already legal, there are millions of sports fans who could be potential gamblers, Shapiro said. 

Counselor Laura Nicklin treats patients with gambling disorders at LRADAC, a Columbia nonprofit agency that runs a treatment center for substance abuse and other addictions. 

There are various criteria used to define gambling addiction, Nicklin said. They include whether someone’s gambling causes them distress or interferes with their employment or relationships. 

The legality of any potentially addictive activity has an effect on the risk of addiction, Nicklin said.

“When something’s legal, people are more likely to engage in it … whether that’s substances or gambling,” Nicklin said. “When you’re more likely to engage, you’re more likely to become addicted to it.”

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The accessibility of gambling on the phone presents another problem. It can be used to pass the time just like other addictive activities such as social media use, Nicklin said. 

“It can be something you do just to numb out when you’re feeling stressed,” Nicklin said. “Pull out your phone, numb out doing any of those activities, including gambling on an app.”

Access to apps and digital programs can usually be blocked, and accounts can be deleted. But that access can just as easily be restored. 

Nicklin and other counselors work with patients to develop coping skills to combat these challenges. 

Inability to cope with past issues is a common lead-up to addictive disorders, Nicklin said.

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“Almost everybody I see coming in with some sort of addiction has some old wounds, like trauma wounds, grief, unmet needs that they’ve been unable to address,” Nicklin said.

Unlike substance abusers, gamblers are not directly ingesting chemicals that affect the brain’s chemistry. But the dopamine rush brought on by betting can act in a similar fashion and fulfill the same role in addressing unmet needs.

Getting to the bottom of those past experiences is one of the first steps in treatment. 

What counts as gambling?

Another area Shapiro wants to explore are prediction markets.

Users can put money down on the outcome of future events with these services, but they are regulated as financial instruments such as stocks instead of betting services. 

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Kalshi and Polymarket are two major players in this field, but financial apps like Robinhood and Webull have also expanded into these services. 

“It acts very much like gambling,” Shapiro said.

Using Robinhood, a South Carolina resident can buy a contract on whether a Gamecock team wins its next basketball game. Sports betting is illegal in South Carolina, but the legal status of prediction markets allows this bet to be made.

Kalshi and Polymarket “are the two biggest culprits right now for people my age in regards to sports betting,” Jordan said.

An ongoing lawsuit might change that.

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South Carolina Gambling Recovery LLC filed the lawsuit against Kalshi, Robinhood, Webull and the international trading and technology firm Susquehanna last year. The LLC, which incorporated in Delaware, asserts that these markets violate South Carolina’s existing gambling regulations.

The legal challenge was filed in Oconee County, South Carolina, before the federal court system took it up. 

Shapiro wonders why consumers would choose between traditional sports betting and prediction markets in states where the former is legal. He also wants to research how the prediction markets influence how sports fans consume games. 

Traditional casinos and sportsbooks are split on this new formula.

Some lobby against the practice. Others, such as FanDuel, are starting their own prediction markets to offer alongside existing betting mechanisms.

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The industry addresses the state

Representatives from Caesars Entertainment, FanDuel and PrizePicks advocated for legal sportsbetting in front of a Senate subcommittee last month.

Legal sportsbooks would provide a regulated, taxable avenue for an activity many South Carolinians already take part in by going across state lines or using illegal services, they said. 

FanDuel has “cutting-edge, responsible gaming tools, ” said Louis Trombetta, director of government relations for the sportsbook and former executive director for Florida’s gaming commission. 

The programs track user activity and can slow things down if odd behavior emerges, he said. If a gambler usually places small bets and suddenly makes a $1,000 wager, the system flags it for the company to check in on.

Gambling companies want to make money, but unhealthy habits among customers can be a problem for bookmakers in the long term, he said.

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“We want our customers to be enjoying our product without becoming problem gamblers,” Trombetta said. “That is the goal.”

Opponents to legalization showed up as well. President Steve Pettit of the conservative Palmetto Family Alliance told the committee that betting systems rely on those who struggle with gambling, particularly young men. 

“Recreational gambling is like a campfire,” Pettit said. “Problem gambling is when the fire escapes the ring or the pit. And pathological gambling is like a wildfire. Legalized, phone-based betting does not contain the fire. It places an ignition in every pocket.”

The Palmetto Family Alliance has made this argument before. The organization began as the Legacy Alliance Foundation, which formed to fight video poker decades ago.

 

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South Carolina Lottery Powerball, Pick 3 results for March 4, 2026

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South Carolina Lottery Powerball, Pick 3 results for March 4, 2026


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The South Carolina Education Lottery offers several draw games for those aiming to win big.

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Here’s a look at March 4, 2026, results for each game:

Winning Powerball numbers from March 4 drawing

07-14-42-47-56, Powerball: 06, Power Play: 4

Check Powerball payouts and previous drawings here.

Winning Pick 3 Plus FIREBALL numbers from March 4 drawing

Midday: 4-6-9, FB: 3

Evening: 1-2-4, FB: 3

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Check Pick 3 Plus FIREBALL payouts and previous drawings here.

Winning Pick 4 Plus FIREBALL numbers from March 4 drawing

Midday: 1-3-2-3, FB: 3

Evening: 4-6-4-8, FB: 3

Check Pick 4 Plus FIREBALL payouts and previous drawings here.

Winning Cash Pop numbers from March 4 drawing

Midday: 09

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Evening: 12

Check Cash Pop payouts and previous drawings here.

Winning Palmetto Cash 5 numbers from March 4 drawing

03-29-30-35-38

Check Palmetto Cash 5 payouts and previous drawings here.

Winning Powerball Double Play numbers from March 4 drawing

05-10-26-53-59, Powerball: 06

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Check Powerball Double Play payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your lottery prize

The South Carolina Education Lottery provides multiple ways to claim prizes, depending on the amount won:

For prizes up to $500, you can redeem your winnings directly at any authorized South Carolina Education Lottery retailer. Simply present your signed winning ticket at the retailer for an immediate payout.

Winnings $501 to $100,000, may be redeemed by mailing your signed winning ticket along with a completed claim form and a copy of a government-issued photo ID to the South Carolina Education Lottery Claims Center. For security, keep copies of your documents and use registered mail to ensure the safe arrival of your ticket.

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SC Education Lottery

P.O. Box 11039

Columbia, SC 29211-1039

For large winnings above $100,000, claims must be made in person at the South Carolina Education Lottery Headquarters in Columbia. To claim, bring your signed winning ticket, a completed claim form, a government-issued photo ID, and your Social Security card for identity verification. Winners of large prizes may also set up an Electronic Funds Transfer (EFT) for convenient direct deposit of winnings.

Columbia Claims Center

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1303 Assembly Street

Columbia, SC 29201

Claim Deadline: All prizes must be claimed within 180 days of the draw date for draw games.

For more details and to access the claim form, visit the South Carolina Lottery claim page.

When are the South Carolina Lottery drawings held?

  • Powerball: 10:59 p.m. ET on Monday, Wednesday, and Saturday.
  • Mega Millions: 11 p.m. ET on Tuesday and Friday.
  • Pick 3: Daily at 12:59 p.m. (Midday) and 6:59 p.m. (Evening).
  • Pick 4: Daily at 12:59 p.m. (Midday) and 6:59 p.m. (Evening).
  • Cash Pop: Daily at 12:59 p.m. (Midday) and 6:59 p.m. (Evening).
  • Palmetto Cash 5: 6:59 p.m. ET daily.

This results page was generated automatically using information from TinBu and a template written and reviewed by a South Carolina editor. You can send feedback using this form.



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House ethics committee investigating SC Republican for alleged overbilling

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House ethics committee investigating SC Republican for alleged overbilling


The House ethics committee announced Monday it is investigating Representative Nancy Mace, the South Carolina Republican, for potentially improper reimbursement.

Mace may have sought and received reimbursements for Washington property expenses that were greater than the costs she actually incurred. The congresswoman has taken issue with the reliability of the committee’s evidence, however.

The committee began its investigation following a December referral from the House Office of Congressional Conduct (OCC), an independent body that reviews allegations of misconduct. The OCC recommended that the committee investigate Mace’s reimbursement activity since there is “substantial” reason to believe she acted unethically – potentially in violation of House rules, standards of conduct and federal law.

Bills and statements from early 2023 to mid-2024 show that Mace overbilled the House for over $9,000 during that period, the OCC said. She allegedly requested the maximum reimbursement each month, at times receiving over a thousand dollars more than what she was entitled to, although the details of her finances are murky. Mace owned the property with her fiancé, who may have helped pay for it, according to the OCC.

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“Based on the information available to the OCC, it appears Rep. Mace was reimbursed amounts exceeding the actual costs incurred for the DC Property during several months in 2023 and 2024,” the office said in its report.

“Further, if Rep. Mace did not pay for 100% of expenses related to the DC property – a determination the OCC could neither reach nor reject due to the Congresswoman’s lack of cooperation – this would increase the disparity between the amounts Rep. Mace was reimbursed and her actual expenses incurred.”

Mace’s lawyer, William Sullivan, Jr., wrote in response to the report in December that the OCC’s conclusions were “fundamentally flawed.” The report appeared to include unverified assertions and materials from the congresswoman’s former fiancé, who has a history of abusive and retaliatory behavior toward her, Sullivan said. The couple’s relationship ended in late 2023 to protect Mace’s “safety and wellbeing,” he noted.

“The Referral Report’s reliance on material and information originating from [the former fiancé] is therefore deeply problematic,” Sullivan wrote. “[The fiancé’s] personal motives, documented misuse of legal process, and demonstrated willingness to advance distorted or incomplete narratives about the Congresswoman raise substantial concerns about the accuracy and fairness of any claims premised upon or aligned with his accounts.”

The ethics committee is in the initial stage of its investigation and is gathering more information before advancing.

Have questions, concerns or tips? Send them to Ray at rjlewis@sbgtv.com.

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