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DelawareHB 200153rd General Assembly (2024–2026)HouseWALLET

AN ACT TO AMEND TITLE 18, TITLE 29, AND TITLE 31 OF THE DELAWARE CODE RELATING TO INSURANCE COVERAGE FOR TREATMENT TO PREVENT HIV INFECTION.

Sponsored By: Nnamdi O. Chukwuocha (Democratic)

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

HIV prevention coverage for privately insured Delawareans

Beginning January 1, 2027, Delaware individual, group, and blanket health policies must cover medically needed HIV prevention treatment. This includes PrEP before exposure, PEP after exposure, and services to give the treatment. Medical need includes prescribing these treatments for people at increased risk of HIV. Plans cannot charge deductibles, copays, coinsurance, or other out-of-pocket costs for this care, subject to the exceptions below. They cannot require prior approval, require trying another treatment first, or unreasonably delay coverage decisions. The law applies to covered policies, contracts, or certificates renewed, modified, altered, amended, or reissued after December 31, 2026. Accident-only, specified-disease, hospital-indemnity, Medicare-supplement, long-term-care, disability-income, and other limited health policies are excluded. Cost-sharing exceptions preserve federal high-deductible plan status and, for individual policies, catastrophic plan status. When needed to preserve health savings account eligibility, qualified high-deductible plans provide no-cost care only after the deductible is met. Individual plans can keep other policy limits, including provider restrictions, when consistent with these protections.

Medicaid covers HIV prevention without patient charges

Beginning January 1, 2027, Delaware Medicaid carriers must cover medically needed HIV prevention treatment, to the extent federal law allows. Coverage includes PrEP before exposure, PEP after exposure, and services to give the treatment. Medical need includes prescribing these treatments for people at increased risk of HIV. Carriers cannot charge patients deductibles, copays, coinsurance, or other out-of-pocket costs for this care. They cannot require prior approval, require trying another treatment first, or unreasonably delay coverage decisions. These protections apply to the extent federal law allows. The law covers policies, contracts, or certificates renewed, modified, altered, amended, or reissued after December 31, 2026.

State workers get no-cost HIV prevention

Beginning January 1, 2027, Delaware's State employee health plan must cover medically needed HIV prevention treatment. Coverage includes PrEP before exposure, PEP after exposure, and services to give the treatment. Medical need includes prescribing these treatments for people at increased risk of HIV. The plan cannot charge patients deductibles, copays, coinsurance, or other out-of-pocket costs for this care. It cannot require prior approval, require trying another treatment first, or unreasonably delay coverage decisions. The law covers policies, contracts, or certificates renewed, modified, altered, amended, or reissued after December 31, 2026.

Sponsors & Cosponsors

Sponsor

  • Nnamdi O. Chukwuocha

    Democratic • House

Cosponsors

  • Krista Griffith

    Democratic • House

  • Kendra Johnson

    Democratic • House

  • Eric Morrison

    Democratic • House

  • DeShanna U Neal

    Democratic • House

  • Marie Pinkney

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. HS 1 for HB 200 - Signed by Governor

    8/31/2026Governor

  2. HS 1 for HB 200 - Passed By House. Votes: 39 YES 2 ABSENT

    6/25/2026House

  3. HS 1 for HB 200 - Passed By Senate. Votes: 21 YES

    6/24/2026Senate

  4. HS 1 for HB 200 - - Passed By Senate. Votes: 20 YES 1 ABSENT

    6/24/2026Senate

  5. Substituted in House by HS 1 for HB 200

    6/23/2026House

  6. HS 1 for HB 200 - Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 1 Favorable, 5 On Its Merits

    4/22/2026Senate

  7. HS 1 for HB 200 - Assigned to Banking, Business, Insurance & Technology Committee in Senate

    3/26/2026Senate

  8. HS 1 for HB 200 - Passed By House. Votes: 39 YES 1 NOT VOTING 1 ABSENT

    3/26/2026House

  9. HS 1 for HB 200 - - Passed In House by Voice Vote

    3/26/2026House

  10. Substituted in House by HS 1 for HB 200

    3/17/2026House

  11. HS 1 for HB 200 - Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 8 On Its Merits

    3/17/2026House

  12. Substituted in House by HS 1 for HB 200

    1/8/2026House

  13. Introduced and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House

    6/26/2025House

Bill Text

  • Current

    6/26/2025

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