# Delaware SB 213: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW. Delaware SB 213, AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW., is a 153rd General Assembly (2024–2026) Senate bill sponsored by Bryan Townsend (Democratic); status signed, last action 2026-01-30 (Signed by Governor) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/DE-SB213-153 - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Delaware SB 213 - State: Delaware - Session: 153rd General Assembly (2024–2026) - Title: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW. - Status: signed - Chamber: Senate - Introduced: 2025-12-30 - Last action: 2026-01-30, Signed by Governor - Sponsor: Bryan Townsend (Democratic) - Cosponsors: 5 - Touches household money: no - Roll calls: 2 (54 yes, 7 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Hospitals face plans for excess spending: cost, low. Beginning in 2027, the state hospital review board must notify hospitals whose yearly cost growth exceeds the state’s target. The Board may require a spending-control plan within 45 days after its determination and notice. Plans must explain the causes, list specific steps and measurable results, a… - Hospitals shift from approvals to reporting: mixed, low. The law ends routine state approval of Delaware hospitals’ proposed budgets and replaces it with yearly spending reports. Reports cover finances, services, patient use, and insurer and other buyer payments consistent with federal public disclosure rules. Hospitals must explain yearly changes and st… - Hospitals trade financial risk for exemptions: mixed, low. Hospitals are exempt from spending-control plans for a year when the Board finds they have a qualifying cost-control arrangement. A Medicare or Medicaid global budget must cover at least 50% of past patient volume and risk at least 3% of net patient revenue. A downside-risk arrangement must cover a… ## Sponsors and cosponsors - Sponsor: Bryan Townsend (Democratic), Senate - Cosponsor: Kerri Evelyn Harris (Democratic), House - Cosponsor: S. Elizabeth Lockman (Democratic), Senate - Cosponsor: Melissa Minor-Brown (Democratic), House - Cosponsor: Edward S. Osienski (Democratic), House - Cosponsor: David P. Sokola (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-01-29 | House | Passed (SM required) | pass | 33 | 7 | | | 2026-01-20 | Senate | Passed (SM required) | pass | 21 | 0 | | ## Actions (9) - 2026-01-30: Signed by Governor (Governor) - 2026-01-29: Passed By House. Votes: 33 YES 7 NO 1 NOT VOTING (House) - 2026-01-28: Reported Out of Committee (Administration) in House with 2 Favorable, 3 On Its Merits (House) - 2026-01-21: Assigned to Administration Committee in House (House) - 2026-01-20: Passed By Senate. Votes: 21 YES (Senate) - 2026-01-20: Amendment SA 1 to SB 213 - Passed By Senate. Votes: 21 YES (Senate) - 2026-01-19: Amendment SA 1 to SB 213 - Introduced and Placed With Bill (Senate) - 2026-01-14: Reported Out of Committee (Executive) in Senate with 2 Favorable, 5 On Its Merits (Senate) - 2025-12-30: Introduced and Assigned to Executive Committee in Senate (Senate) ## Bill text - Current, 2025-12-30: [HTML](https://legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=142741&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 231: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL SOCIAL WORKERS. (vetoed) - 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) - 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=142741&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 231: AN ACT TO AMEND TITLE 14 OF THE DELAWARE CODE RELATING TO SCHOOL SOCIAL WORKERS.](https://policyrisk.com/state-bill/DE-SB231-153) - [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) - [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-SB213-153 (as of 2026-10-19).