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DelawareSB 334153rd General Assembly (2024–2026)SenateWALLET

AN ACT TO AMEND TITLES 18 AND 29 OF THE DELAWARE CODE RELATING TO HEALTH CARE.

Sponsored By: Marie Pinkney (Democratic)

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 6 benefits, 0 costs, 0 mixed.

Faster credentialing and provisional pay

This would have set deadlines for credentialing. Carriers would have had 15 days to say whether an application was clean and 30 days after a clean application to approve or deny it (or explain a delay). Providers could have received provisional credentials when deadlines were missed or when they worked in shortage areas, federally qualified health centers, or met other listed conditions. Carriers would have had to pay claims back to the date a complete application was submitted if the provider was later credentialed, and carriers could recoup payments only for 120 days after denying a provisionally credentialed applicant.

State employee plans follow rules

This would have required that health coverage for Delaware state employees be provided by a carrier that followed the bill's credentialing rules. The change would not have altered who is eligible for state employee coverage or the benefit amounts.

Workers' compensation credential exemption

This would have said that a provider already certified under Delaware workers' compensation rules would not have been required to get an extra credential under the new law to be paid for workers' compensation services.

Fair hearings before credential actions

This would have required carriers to give a written explanation and supporting evidence before denying, suspending, nonrenewing, or terminating credentials. Providers would have had 30 days to request a hearing, and hearings would have to be held within 30 days before a three-member panel that includes a clinical peer. These procedures would not have applied to imminent patient-harm cases, final fraud findings, or final government disciplinary actions.

Simpler credentialing and no fees

This would have required carriers that credential providers to use written policies and a health-professional review committee. Carriers would have had to accept a single uniform application (CAQH or Pharmacy Profiles) and accept out-of-state or online submissions. Carriers could not charge providers a fee to process credentialing. Carriers could not recredential a provider within three years and would have to give at least 90 days' written notice before recredentialing.

State complaint process and penalties

This would have let a health care professional file a complaint with the state agency that regulates the carrier, with referrals to other agencies when appropriate. A carrier found violating the chapter could have been ordered to pay damages of up to $500 per day of delay, capped at $5,000 per incident.

Sponsors & Cosponsors

Sponsor

  • Marie Pinkney

    Democratic • Senate

Cosponsors

  • Kerri Evelyn Harris

    Democratic • House

  • Ray Seigfried

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. SS 1 for SB 334 - Signed by Governor

    9/8/2026Governor

  2. SS 1 for SB 334 - Passed By House. Votes: 41 YES

    6/23/2026House

  3. SS 1 for SB 334 - Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 1 Favorable, 8 On Its Merits

    6/16/2026House

  4. SS 1 for SB 334 - Assigned to Economic Development/Banking/Insurance & Commerce Committee in House

    6/11/2026House

  5. SS 1 for SB 334 - Passed By Senate. Votes: 20 YES 1 ABSENT

    6/11/2026Senate

  6. SS 1 for SB 334 - - Passed By Senate. Votes: 19 YES 2 ABSENT

    6/11/2026Senate

  7. SS 1 for SB 334 - - Introduced and Placed With Bill

    6/11/2026Senate

  8. Substituted in Senate by SS 1 for SB 334

    6/10/2026Senate

  9. Reported Out of Committee (Health & Social Services) in Senate with 3 Favorable, 3 On Its Merits

    6/10/2026Senate

  10. Introduced and Assigned to Health & Social Services Committee in Senate

    5/28/2026Senate

Bill Text

  • Current

    5/28/2026

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