DelawareHB 205153rd General Assembly (2024–2026)House

AN ACT TO AMEND TITLES 10, 11, 18, 24, AND 29 OF THE DELAWARE CODE RELATING TO HEALTHCARE SERVICES.

Sponsored By: Cyndie Romer (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 5 benefits, 0 costs, 0 mixed.

Recovery rights after outside healthcare judgments

People facing another state's judgment over Delaware-lawful healthcare gain a right to seek damages from those bringing or enforcing the case. This covers providing, receiving, assisting with, or supporting that care when it forms at least part of the judgment's basis. Recovery includes damages from the case or judgment, including the judgment amount sought for enforcement, plus qualifying costs and reasonable attorney fees. Exceptions cover specified patient claims, qualifying contract claims, and claims arising under similar Delaware law. Recovery is unavailable when none of the acts underlying the judgment occurred in Delaware.

Stronger privacy for patients' healthcare records

Providers generally cannot disclose healthcare messages or exam information in civil cases without written permission. Permission can come from the patient, guardian, or legal representative. Exceptions cover specified patient-filed healthcare negligence cases, licensing-board complaint investigations, and abuse investigations. The licensing and abuse exceptions do not allow disclosure for provider investigations targeting care lawful in Delaware but banned elsewhere. Ordinary record sharing among treating providers remains allowed.

Delaware limits outside enforcement against healthcare

Delaware courts cannot apply covered out-of-state civil laws targeting care lawful in Delaware, including abortion and fertility treatment. The protection also covers helping with, attempting, or intending the covered conduct, and blocks related demands for information or testimony. For covered legal demands tied to outside criminal investigations or prosecutions, the underlying acts must also be crimes in Delaware. State and local workers cannot give covered investigators information or help about care lawful if provided entirely in Delaware. This assistance ban covers specified law-enforcement agencies, private citizens, and similar groups, unless federal law requires cooperation.

Delaware providers gain protection from discipline

The law defines covered healthcare broadly, including medical care, mental health care, prescriptions, and reproductive care. Reproductive care includes abortion, pregnancy termination, FDA-standard emergency contraception, pregnancy services, and fertility treatment. Providers must be authorized to practice in Delaware and stay within that authority. Delaware medical, physician-assistant, and nursing regulators cannot discipline providers merely because another state bans care given to its residents. This protects performing, recommending, or providing care lawful in Delaware; Delaware's own professional standards still apply.

Providers protected from liability insurance penalties

Professional liability insurers cannot penalize health professionals or organizations for providing or helping provide Delaware-lawful care to out-of-state patients. Banned penalties include higher premiums, denied coverage, cancellation, and refusal to renew. The protection expressly includes medical professionals prescribing abortion medication by telehealth to out-of-state patients. It applies to penalties based on providing that care, not every insurance decision.

Sponsors & Cosponsors

Sponsor

  • Cyndie Romer

    Democratic • House

Cosponsors

  • Stephanie T. Bolden

    Democratic • House

  • Mara Gorman

    Democratic • House

  • Russell Huxtable

    Democratic • Senate

  • Melissa Minor-Brown

    Democratic • House

  • Eric Morrison

    Democratic • House

  • Josue O Ortega

    Democratic • House

  • Edward S. Osienski

    Democratic • House

  • Ray Seigfried

    Democratic • Senate

  • Claire Snyder-Hall

    Democratic • House

  • David P. Sokola

    Democratic • Senate

  • Bryan Townsend

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 44 • No: 17

Senate vote • 6/30/2025

Passed (SM required)

Yes: 15 • No: 6

House vote • 6/17/2025

Passed (SM required)

Yes: 29 • No: 11

Actions Timeline

  1. Signed by Governor

    7/21/2025Governor
  2. Passed By Senate. Votes: 15 YES 6 NO

    6/30/2025Senate
  3. Reported Out of Committee (Judiciary) in Senate with 2 Favorable, 5 On Its Merits

    6/25/2025Senate
  4. Assigned to Judiciary Committee in Senate

    6/17/2025Senate
  5. Passed By House. Votes: 29 YES 11 NO 1 ABSENT

    6/17/2025House
  6. Amendment HA 2 to HB 205 - Passed In House by Voice Vote

    6/17/2025House
  7. Amendment HA 1 to HB 205 - Passed In House by Voice Vote

    6/17/2025House
  8. Amendment HA 2 to HB 205 - Introduced and Placed With Bill

    6/17/2025House
  9. Reported Out of Committee (Judiciary) in House with 7 On Its Merits

    6/11/2025House
  10. Amendment HA 1 to HB 205 - Introduced and Placed With Bill

    6/10/2025House
  11. Introduced and Assigned to Judiciary Committee in House

    6/5/2025House

Bill Text

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