HB 327 Delaware House · 153rd General Assembly (2025-2026)

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO STANDARDS FOR LEVELS OF NEONATAL CARE.

Summary
This Act amends Title 16 to establish statewide standards for levels of neonatal care for facilities that operate neonatal nurseries or neonatal intensive care units. The Act requires facilities to comply with nationally recognized standards for levels of neonatal care established by the American Academy of Pediatrics (AAP), ensuring that newborns receive care in facilities equipped to meet the complexity of their medical needs. Under the Act, the Secretary of the Department of Health and Social Services (DHSS) will designate each facility's level of neonatal care based on compliance with the AAP standards, including staffing, equipment, facility capabilities, and patient protocols. The Act further establishes additional requirements for facilities providing Level IV NICU services which care for the most critically ill and medically complex newborns. DHSS must adopt implementing rules by January 30, 2027, and will seek input from the Delaware Perinatal Quality Collaborative and existing NICU providers in developing these rules.
Bill status passed both 4 of 5 stages cleared
Introduction
Mar 2026
Committee Review
May 2026
House Passage
Jun 2026
Senate Passage
Jun 2026
Governor
Introduced Mar 19, 2026 Last action Jun 16, 2026
Maddy AI version diff · 1 comparison

What changed between versions

SA 1 to HB 327 Bill Text · 3 edits
MINOR
The final enacted bill text of HB 327 does not incorporate the Senate Amendment that would have extended the Department of Health and Social Services' rule adoption deadline from January 30, 2027 to June 30, 2027. The final bill retains the original January 30, 2027 deadline for DHSS to adopt implementing rules for neonatal care level designations. The remaining changes are primarily presentational: the full bill text is now displayed (including preamble and all sections), the chamber designation shifts from Senate to House of Representatives, and the sponsor list expands significantly.
TIMELINE

The Senate Amendment that would have extended the DHSS rule adoption deadline from January 30, 2027 to June 30, 2027 was not adopted. The final bill keeps the original January 30, 2027 deadline.

SCOPE

The full text of the bill is now presented, including WHEREAS preamble clauses establishing policy rationale (Delaware's 17th highest infant mortality rate, benefits of NICU designations aligned with AAP standards) and all operative sections defining requirements for neonatal care facility designations.

TECHNICAL

Sponsor list expanded from a single Senator (Pinkney) to a broad coalition of multiple Representatives and Senators, and the chamber heading changed from Delaware State Senate to House of Representatives to reflect the bill's final form as a House Bill.

Floor votes · Senate Jun 11, 2026 · House Apr 23, 2026

How they voted

200
Passed · 1 other
Total votes 21
Jun 11, 2026
D Democratic15
14 Yea 1
93% Yea
R Republican6
6 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
9
Key actions
6
Committee
2
Amendments
2
Jun 16, 2026
Lower · Passed
Passed By House. Votes: 39 YES 2 ABSENT
lower
Jun 11, 2026
Upper · Passed
Passed By Senate. Votes: 20 YES 1 ABSENT
upper
Jun 11, 2026
Upper · Passed
Amendment SA 1 to HB 327 - Passed By Senate. Votes: 18 YES 3 ABSENT
upper
May 19, 2026
Introduced
Amendment SA 1 to HB 327 - Introduced and Placed With Bill
lower
May 13, 2026
Upper · Passed
Reported Out of Committee (Health & Social Services) in Senate with 7 Favorable
upper
Apr 23, 2026
Introduced
Assigned to Health & Social Services Committee in Senate
upper
Apr 23, 2026
Lower · Passed
Passed By House. Votes: 33 YES 3 NO 5 ABSENT
lower
Apr 15, 2026
Lower · Passed
Reported Out of Committee (Health & Human Development) in House with 11 On Its Merits
lower
Mar 19, 2026
Introduced
Introduced and Assigned to Health & Human Development Committee in House
lower
26 primary · 0 co-sponsors

Sponsors