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DelawareHB 56153rd General Assembly (2024–2026)HouseWALLET

AN ACT TO AMEND TITLES 18, 29, AND 31 OF THE DELAWARE CODE RELATING TO COVERAGE FOR REMOVAL OF EXCESS SKIN AND SUBCUTANEOUS TISSUE.

Sponsored By: Eric Morrison (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Private health plans must cover skin removal

Beginning January 1, 2027, qualifying Delaware individual, group, and blanket health policies must cover medically necessary excess-skin removal. This includes panniculectomy, surgery to remove significant excess skin and fat beneath the skin from the belly. The procedure must meet Delaware’s medical-necessity definition for the policy type. The mandate applies to policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued after December 31, 2026. Existing deductibles, coinsurance, covered-charge limits, rules for coordinating insurance payments, and provider or facility restrictions remain allowed. Accident-only, specified-disease, hospital-indemnity, Medicare-supplement, long-term-care, disability-income, and other limited-benefit policies are excluded.

Qualifying Medicaid plans must cover skin removal

Beginning January 1, 2027, carriers must cover medically necessary excess-skin removal in plans issued under 31 Del. C. § 503(3). This includes panniculectomy, surgery to remove significant excess skin and fat beneath the skin from the belly. The procedure must meet the medical-necessity definition in Delaware insurance law. The mandate applies to policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued after December 31, 2026.

State employee plans must cover skin removal

Beginning January 1, 2027, the Delaware State employee health plan must cover medically necessary excess-skin removal. This includes panniculectomy, surgery to remove significant excess skin and fat beneath the skin from the belly. The procedure must meet the medical-necessity definition in Delaware insurance law. The mandate applies to policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued after December 31, 2026.

Sponsors & Cosponsors

Sponsor

  • Eric Morrison

    Democratic • House

Cosponsors

  • Kyra L. Hoffner

    Democratic • Senate

  • Kendra Johnson

    Democratic • House

  • Kamela T Smith

    Democratic • House

  • Larry Lambert

    Democratic • House

  • DeShanna U Neal

    Democratic • House

  • Marie Pinkney

    Democratic • Senate

  • Melanie Ross Levin

    Democratic • House

  • Claire Snyder-Hall

    Democratic • House

  • Madinah Wilson-Anton

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 49 • No: 9

Senate vote • 6/25/2025

Passed (SM required)

Yes: 20 • No: 1

House vote • 4/17/2025

Passed (SM required)

Yes: 29 • No: 8

Actions Timeline

  1. Signed by Governor

    7/21/2025Governor

  2. Passed By Senate. Votes: 20 YES 1 NO

    6/25/2025Senate

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

    6/10/2025Senate

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

    4/17/2025Senate

  5. Passed By House. Votes: 29 YES 8 NO 4 ABSENT

    4/17/2025House

  6. Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 1 Favorable, 7 On Its Merits

    3/18/2025House

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

    3/6/2025House

Bill Text

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