# Delaware HB 212: AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO OVERPAYMENT RECOVERY AND AUDIT PRACTICES. Delaware HB 212, AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO OVERPAYMENT RECOVERY AND AUDIT PRACTICES., is a 153rd General Assembly (2024–2026) House bill sponsored by William Bush (Democratic); status failed, last action 2025-09-03 (HS 1 for HB 212 - Signed by Governor); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/DE-HB212-153 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Delaware HB 212 - State: Delaware - Session: 153rd General Assembly (2024–2026) - Title: AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO OVERPAYMENT RECOVERY AND AUDIT PRACTICES. - Status: failed - Chamber: House - Introduced: 2025-06-10 - Last action: 2025-09-03, HS 1 for HB 212 - Signed by Governor - Sponsor: William Bush (Democratic) - Cosponsors: 5 - Touches household money: yes - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Pharmacies get written payment recovery notices: benefit, low. Pharmacy benefit managers must give pharmacies written notice when seeking money back through a recovery or chargeback. The notice must identify the error in processing or paying the claim. It must also explain why the recovery or chargeback is justified. - Providers protected from projected overpayment claims: benefit, low. Health insurers and plans must base overpayment findings on actual overpayments, not projections. They cannot project overpayments from patient counts, similar diagnoses, or similar drug orders or refills. Auditors also cannot calculate money to recover or penalties by projecting findings from some… - Shorter deadline for reclaiming provider payments: benefit, low. Health insurers and plans generally have 12 months after paying a claim to start recovering overpayments, down from 24 months. Recovery starts when an initial audit report or similar notice identifies the error to the provider. The deadline does not apply to recoveries requested or required by self… - Some pharmacy investigations bypass audit protections: cost, low. The pharmacy audit subchapter does not cover specified investigations of pharmacy records. This applies when physical review or review of claims data or statements indicates fraud, waste, abuse, or intentional misconduct. It also applies when other investigative methods indicate criminal wrongdoing… ## Sponsors and cosponsors - Sponsor: William Bush (Democratic), House - Cosponsor: Stephanie T. Bolden (Democratic), House - Cosponsor: Spiros Mantzavinos (Democratic), Senate - Cosponsor: Nicole Poore (Democratic), Senate - Cosponsor: Bryan Townsend (Democratic), Senate - Cosponsor: David L. Wilson (Republican), Senate ## Actions (8) - 2025-09-03: HS 1 for HB 212 - Signed by Governor (Governor) - 2025-06-30: HS 1 for HB 212 - Passed By Senate. Votes: 21 YES (Senate) - 2025-06-25: HS 1 for HB 212 - Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 7 On Its Merits (Senate) - 2025-06-24: HS 1 for HB 212 - Assigned to Banking, Business, Insurance & Technology Committee in Senate (Senate) - 2025-06-24: HS 1 for HB 212 - Passed By House. Votes: 40 YES 1 VACANT (House) - 2025-06-18: Substituted in House by HS 1 for HB 212 (House) - 2025-06-17: Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 9 On Its Merits (House) - 2025-06-10: Introduced and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House (House) ## Bill text - Current, 2025-06-10: [HTML](https://legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=142479&legislationTypeId=1&docTypeId=2) ## Related bills - HS 1 for HB 449: AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO THE DIETITIAN/NUTRITIONIST LICENSURE ACT. (passed house) - HB 357: AN ACT TO AMEND TITLES 10 AND 13 OF THE DELAWARE CODE RELATING TO THE DUTY TO SUPPORT POOR PERSONS. (signed) - SB 279: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL-BASED OCCUPATIONAL THERAPISTS. (vetoed) - HB 393: AN ACT TO AMEND TITLE 26 OF THE DELAWARE CODE RELATING TO PROTECTIONS FOR PUBLIC UTILITY CONSUMERS. (vetoed) - SB 231: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL SOCIAL WORKERS. (vetoed) - HB 356: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO PFAS IN FIREFIGHTING FOAM AND EQUIPMENT. (failed) ## Sources - [Current (HTML)](https://legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=142479&legislationTypeId=1&docTypeId=2) ## Related - [HS 1 for HB 449: AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO THE DIETITIAN/NUTRITI…](https://policyrisk.com/state-bill/DE-HS1FORHB449-153) - [HB 357: AN ACT TO AMEND TITLES 10 AND 13 OF THE DELAWARE CODE RELATING TO THE DUTY TO S…](https://policyrisk.com/state-bill/DE-HB357-153) - [SB 279: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL-BASED OCCUPATI…](https://policyrisk.com/state-bill/DE-SB279-153) - [HB 393: AN ACT TO AMEND TITLE 26 OF THE DELAWARE CODE RELATING TO PROTECTIONS FOR PUBLI…](https://policyrisk.com/state-bill/DE-HB393-153) - [SB 231: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL SOCIAL WORKERS.](https://policyrisk.com/state-bill/DE-SB231-153) - [HB 356: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO PFAS IN FIREFIGHTING…](https://policyrisk.com/state-bill/DE-HB356-153) - [Delaware bills](https://policyrisk.com/states/delaware/bills) - [Delaware state hub](https://policyrisk.com/states/delaware) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/DE-HB212-153 (as of 2026-10-12).