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DelawareHB 435153rd General Assembly (2024–2026)House

AN ACT TO AMEND TITLES 18, 29, AND 31 OF THE DELAWARE CODE RELATING TO CERTIFIED REGISTERED NURSE ANESTHETISTS.

Sponsored By: Melissa Minor-Brown (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Nurse anesthetists gain stronger insurance payment protections

The law applies to policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued after December 31, 2026. Delaware individual, group, state employee, and Medicaid plans must pay certified registered nurse anesthetists at least the physician rate for the same covered service. The service must fall within the nurse anesthetist’s licensed scope of practice. Health insurers cannot exclude these nurses as covered providers or deny benefits because they provided an eligible service. Plans can vary payments based on quality or performance, while keeping the base rate at least equal to physician rates. The law does not set household premiums or copayments.

Sponsors & Cosponsors

Sponsor

  • Melissa Minor-Brown

    Democratic • House

Cosponsors

  • Alonna Berry

    Democratic • House

  • Mara Gorman

    Democratic • House

  • Kerri Evelyn Harris

    Democratic • House

  • Larry Lambert

    Democratic • House

  • Nicole Poore

    Democratic • Senate

  • Claire Snyder-Hall

    Democratic • House

  • David L. Wilson

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 61 • No: 0

Senate vote • 6/30/2026

Passed (SM required)

Yes: 20 • No: 0

House vote • 6/18/2026

Passed (3/4 required)

Yes: 41 • No: 0

Actions Timeline

  1. Signed by Governor

    8/31/2026Governor

  2. Passed By Senate. Votes: 20 YES 1 ABSENT

    6/30/2026Senate

  3. Reported Out of Committee (Finance) in Senate with 4 On Its Merits

    6/25/2026Senate

  4. Assigned to Finance Committee in Senate

    6/24/2026Senate

  5. Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 6 On Its Merits

    6/24/2026Senate

  6. Assigned to Banking, Business, Insurance & Technology Committee in Senate

    6/18/2026Senate

  7. Passed By House. Votes: 41 YES

    6/18/2026House

  8. Reported Out of Committee (Appropriations) in House with 5 On Its Merits

    6/16/2026House

  9. Reported Out of Committee (Appropriations) in House with 5 On Its Merits

    6/16/2026House

  10. Assigned to Appropriations Committee in House

    6/10/2026House

  11. Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 7 On Its Merits

    6/9/2026House

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

    5/21/2026House

Bill Text

  • Current

    5/21/2026

    HTML

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