# Delaware SB 274: AN ACT TO AMEND TITLE 16 AND TITLE 21 OF THE DELAWARE CODE RELATING TO DELAWARE MEDICAL ORDERS FOR SCOPE OF TREATMENT. Delaware SB 274, AN ACT TO AMEND TITLE 16 AND TITLE 21 OF THE DELAWARE CODE RELATING TO DELAWARE MEDICAL ORDERS FOR SCOPE OF TREATMENT., is a 153rd General Assembly (2024–2026) Senate bill sponsored by Marie Pinkney (Democratic); status signed, last action 2026-09-08 (Signed by Governor) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/DE-SB274-153 - 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 274 - State: Delaware - Session: 153rd General Assembly (2024–2026) - Title: AN ACT TO AMEND TITLE 16 AND TITLE 21 OF THE DELAWARE CODE RELATING TO DELAWARE MEDICAL ORDERS FOR SCOPE OF TREATMENT. - Status: signed - Chamber: Senate - Introduced: 2026-04-09 - Last action: 2026-09-08, Signed by Governor - Sponsor: Marie Pinkney (Democratic) - Cosponsors: 4 - Touches household money: no - Roll calls: 2 (58 yes, 1 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Care orders qualify for ID designations: benefit, low. A Delaware driver license or ID card’s medical-condition designation can reflect an advance health-care directive or POLST medical order. Out-of-state orders also count if effective under Delaware’s advance-directive or POLST chapter. The law took effect immediately. Implementation occurs at the ea… - Clearer rules for patients’ care orders: benefit, low. A POLST medical order must record your care choices and explain its effects in plain language. You must sign voluntarily after talking with a health-care practitioner; the practitioner must also sign and date it. If the practitioner is absent when you or your representative signs, the person presen… - Patients keep valid earlier care orders: benefit, low. Delaware renames its portable treatment orders from DMOST to POLST without canceling valid existing forms. Earlier forms remain valid if they meet Delaware’s current chapter or met the issuing state’s law when created. Delaware also accepts out-of-state orders meeting Delaware’s rules, the issuing… - Representatives can request patients’ care changes: benefit, low. After a patient loses decision-making capacity, an authorized representative can ask to change or cancel the POLST medical order. The representative can also ask for different treatment. The representative must first consult the patient’s health-care practitioner and consider the change necessary f… ## Sponsors and cosponsors - Sponsor: Marie Pinkney (Democratic), Senate - Cosponsor: Kamela T Smith (Democratic), House - Cosponsor: Larry Lambert (Democratic), House - Cosponsor: Eric Morrison (Democratic), House - Cosponsor: Claire Snyder-Hall (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-06-24 | House | Passed (SM required) | pass | 37 | 1 | | | 2026-05-12 | Senate | Passed (SM required) | pass | 21 | 0 | | ## Actions (7) - 2026-09-08: Signed by Governor (Governor) - 2026-06-24: Passed By House. Votes: 37 YES 1 NO 3 ABSENT (House) - 2026-06-17: Reported Out of Committee (Health & Human Development) in House with 1 Favorable, 9 On Its Merits (House) - 2026-05-13: Assigned to Health & Human Development Committee in House (House) - 2026-05-12: Passed By Senate. Votes: 21 YES (Senate) - 2026-05-05: Reported Out of Committee (Health & Social Services) in Senate with 1 Favorable, 4 On Its Merits (Senate) - 2026-04-09: Introduced and Assigned to Health & Social Services Committee in Senate (Senate) ## Bill text - Current, 2026-04-09: [HTML](https://legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=143033&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=143033&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-SB274-153 (as of 2026-10-19).