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DelawareSB 313153rd General Assembly (2024–2026)Senate

AN ACT TO AMEND TITLES 16 AND 29 OF THE DELAWARE CODE RELATING TO THE PROTECTION OF NONPROFIT ACUTE CARE HOSPITALS.

Sponsored By: Spiros Mantzavinos (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

More oversight of nonprofit hospital property deals

Delaware expands oversight of nonprofit acute care hospital property deals, including deals made through affiliates. Covered deals include sales and leases transferring core inpatient and emergency-service property to a party that is not a charity or nonprofit. Hospitals must notify the Attorney General at least 180 days before a covered deal closes. The Attorney General must send hospital notices to the Governor and state health secretary within 10 days. These notice changes expire July 1, 2028, unless lawmakers end them sooner or extend them; the expanded property definition does not.

Nonprofit hospitals gain protections, buyers face limits

Delaware bars parties that are not charities or nonprofits from covered ownership or control deals involving nonprofit acute care hospitals. Control is presumed with at least 25% of any class of voting shares or membership interests, including through affiliates. This includes interests in the hospital or an entity it uses to operate. Control is also presumed with rights to appoint, remove, or approve a board member or key officer, or veto major decisions. Prohibited deals have no legal effect; the ban covers deals not fully signed and effective before the law took effect. Parties that are not charities or nonprofits also cannot apply for state approval to build, develop, open, or acquire an acute care hospital. Those applications have no legal effect, and the state board cannot accept or review them. Both restrictions expire July 1, 2028, unless lawmakers end them sooner or extend them; enforcement cases started before expiration can continue.

Sponsors & Cosponsors

Sponsor

  • Spiros Mantzavinos

    Democratic • Senate

Cosponsors

  • Frank Burns

    Democratic • House

  • Kyra L. Hoffner

    Democratic • Senate

  • Kendra Johnson

    Democratic • House

  • Cyndie Romer

    Democratic • House

  • Melanie Ross Levin

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 57 • No: 1

House vote • 6/25/2026

Passed (SM required)

Yes: 37 • No: 1

Senate vote • 6/11/2026

Passed (SM required)

Yes: 20 • No: 0

Actions Timeline

  1. Signed by Governor

    7/20/2026Governor

  2. Passed By House. Votes: 37 YES 1 NO 3 ABSENT

    6/25/2026House

  3. Reported Out of Committee (Health & Human Development) in House with 9 On Its Merits

    6/18/2026House

  4. Assigned to Health & Human Development Committee in House

    6/11/2026House

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

    6/11/2026Senate

  6. Amendment SA 1 to SB 313 - Passed By Senate. Votes: 20 YES 1 ABSENT

    6/11/2026Senate

  7. Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 3 Favorable, 4 On Its Merits

    5/20/2026Senate

  8. Amendment SA 1 to SB 313 - Introduced and Placed With Bill

    5/14/2026Senate

  9. Introduced and Assigned to Banking, Business, Insurance & Technology Committee in Senate

    5/12/2026Senate

Bill Text

  • Current

    5/12/2026

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