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signed · Delaware · Senate Apr 28, 2026

SB 238: AN ACT TO AMEND TITLE 24, TITLE 29, AND TITLE 31 OF THE DELAWARE CODE RELATING TO INSURANCE COVERAGE FOR CHIROPRACTIC THERAPY AND PHYSICAL THERAPY.

In Delaware, all individual health insurance policies, all group and blanket health insurance policies, the State employee health insurance plan, and Medicaid are required to cover chiropractic and physical therapy treatment for chronic back pain without annual or lifetime numerical limits on physical therapy or chiropractic care visits. To evaluate the effectiveness of this coverage requirement, the Patient Centered Care Subcommittee of the Addiction Action Committee, under the Delaware Department of Health and Social Services, sent a survey to chiropractic therapy and physical therapy providers in Delaware. Although the survey showed that the coverage requirement has improved treatment of chronic pain patients, the survey also showed that the coverage requirement provides supportive chronic pain treatment for only the thoracic region of the spine, which is the middle of the spine from the base of the neck to the bottom of the ribs, and the lumbar region of the spine, which is the lower back. The treatment of chronic pain through chiropractic supportive care, physical therapy, or both, can prevent a patient from requiring opioid pain medications or more expensive treatments, but excluding vital areas of the spine and body from coverage may limit the effectiveness of chiropractic therapy and physical therapy treatment and limits a chronic pain patient’s potential for improvement. This Act encourages treatment of chronic pain patients without opioids by updating the required health insurance coverage to prohibit annual or lifetime numerical visits on physical therapy or chiropractic care visits that are for the purpose of treating the spine and other neuromusculoskeletal structures, including extremities. The updated coverage required under this Act applies to all policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued after December 31, 2026. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual.
Dave Wilson (R) Frank Cooke (D) Mara Gorman (D) Dave Sokola (D) Stell Selby (D)
signed · Delaware · House Apr 23, 2026

HB 191: AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO MEDICAL PROFESSIONALS, TITLES, AND NONHUMAN ENTITIES.

This Act clarifies that a nonhuman entity, including an agent powered by AI, may not be licensed as a professional nurse, APRN, practical nurse, physician, or physician assistant. It further clarifies that a nonhuman entity may not use any of the foregoing professional titles.
Ed Osienski (D) Melissa Minor-Brown (D) Stell Selby (D) Nicole Poore (D) Jack Walsh (D)
signed · Delaware · House Apr 23, 2026

HB 277: AN ACT TO AMEND TITLE 21 OF THE DELAWARE CODE RELATING TO SAFETY DURING TRAFFIC STOPS.

This Act codifies the Delaware State Police program that makes available a “blue envelope” for use by a person with a disability. The intent of this program is to increase safety for both officers and persons with a disability during a traffic stop. The envelope contains written information for officers regarding interacting with a person with a disability, as well as guidance for the person with a disability on safe interactions with law-enforcement during a traffic stop. The envelope is sized to be able to contain a driver’s license, motor vehicle registration card, and insurance identification card and other related documents.
Dave Wilson (R) Frank Cooke (D) Shannon Morris (R) Mara Gorman (D) Dave Sokola (D)
signed · Delaware · House Apr 23, 2026

HB 224: AN ACT TO AMEND TITLE 16 AND TITLE 24 OF THE DELAWARE CODE RELATING TO REGISTRATION OF DEATH.

The Act authorizes licensed Physician Assistants (PA) in Delaware to pronounce death and to complete a medical certification of death. This Act also removes registered nurses from the list of practitioners who may complete a medical certification of death, as it conflicts with the scope of practice set out in Title 24. This Act also makes technical changes to conform to the Legislative Drafting Manual.
Dave Wilson (R) Frank Cooke (D) Valerie Giltner (R) Bill Carson (D) Stell Selby (D)
signed · Delaware · Senate Apr 23, 2026

SB 110: AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO THE EXAMINING BOARD OF PHYSICAL THERAPISTS AND ATHLETIC TRAINERS.

The purpose of this Act is to expand patient access to physical therapy services. Currently, a physical therapist may treat an individual without a referral up to 30 days after which time a physician must be consulted. The amendment extends that deadline to 90 days with the objective of ensuring continuity of care. Physical therapists will still be required to practice within their scope of training and expertise. This Act also clarifies the requirements for renewal and reactivation of licenses to ensure consistency with other Title 24 boards and the processes used by the Division of Professional Regulation.
Dave Wilson (R) Nicole Poore (D) Kerri Harris (D) Claire Snyder-Hall (D) Russ Huxtable (D)
signed · Delaware · House Apr 23, 2026

HB 221: AN ACT TO AMEND TITLE 3 OF THE DELAWARE CODE RELATING TO PESTICIDES.

This Act allows the Department of Agriculture to increase the biennial pesticide registration fee, which currently may not exceed $140, up to a maximum fee of $500. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual. This Act requires a greater than majority vote for passage because § 10 of Article VIII of the Delaware Constitution requires the affirmative vote of three-fifths of the members elected to each house of the General Assembly to increase the effective rate of any tax levied or license fee imposed.
Bill Carson (D) Russ Huxtable (D)
signed · Delaware · House Mar 27, 2026

HB 266: AN ACT TO AMEND TITLE 21 OF THE DELAWARE CODE RELATING TO MOTORIZED SCOOTERS.

HB 266 (Delaware Code Title 21 amendment) allows large Delaware municipalities to permit the rental of low-speed motorized scooters through local ordinances or regulations. This directly affects cities (like Wilmington or Newark) and scooter rental companies by giving local governments authority to establish rules for scooter operations. The key provision removes a barrier by enabling municipalities to create their own permitting systems for scooter rentals, rather than requiring state-level approval. The bill passed the House unanimously and is now before the Senate Environment Committee.
Dave Wilson (R) Frank Cooke (D) Kerri Harris (D) Darius Brown (D) Spiros Mantzavinos (D)
signed · Delaware · House Mar 19, 2026

HB 231: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO UNIFORM HEALTH DATA.

This Act updates Delaware’s Uniform Health Data laws. This Act corrects the form number of UB-82 to UB-04. This Act provides that emergency department data is included in the data that the Hospital Discharge Technical Advisory Committee studies. Finally, this Act makes technical corrections to conform to the requirements of the Legislative Drafting Manual.
Dave Wilson (R) Frank Cooke (D) Bill Carson (D) Stell Selby (D) Kam Smith (D)
signed · Delaware · Senate Mar 16, 2026

SB 210: AN ACT TO AMEND TITLE 26 OF THE DELAWARE CODE RELATING TO PUBLIC UTILITIES.

This bill amends the definition of “Community-owned energy generating facility” in Title 26 of the Delaware Code, § 1001(5) by adding the requirement that the point of interconnection be located in the service area of a utility under the regulation of the Public Service Commission.
Stephanie Hansen (D) Dave Sokola (D) Bryant Richardson (R) Nicole Poore (D) Trey Paradee (D)
signed · Delaware · Senate Mar 16, 2026

SB 191: AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO THE DELAWARE INSTITUTE FOR DENTAL EDUCATION AND RESEARCH.

This Act updates the language establishing the board of directors for the Delaware Institute for Dental Education and Research. This Act adjusts the composition of the voting and non-voting members of the board, the term limits of any board members, and procedures for how the Chair and Vice Chair are selected. The Act clarifies that any member of the board must complete a training on diversity. Any consultant from a university asked to assist the board with its official business does not vote. The Act makes minor changes pertaining to the purpose and duties of the board.
Bryant Richardson (R) Ray Seigfried (D)
signed · Delaware · Senate Mar 12, 2026

SB 230: AN ACT TO AMEND TITLE 9 OF THE DELAWARE CODE RELATING TO SUBPOENA POWER.

This Act is a substitute bill for Senate Bill No. 230 and differs from Senate Bill No. 230 by removing the language related to Section 284 of the Delaware General Corporation Law. This Act defines, for purposes of this section, “county authority” as the Chief Financial Officer of the Office of Finance, the Director of the Department of Finance of Kent County, and the Finance Director of Sussex County. This Act expressly authorizes the county authority to compel the production of testimony and documentary evidence whenever a county relies upon, or defends its reliance upon, the income approach or cost comparison approaches to assess the fair market value of real property. This Act permits the enforcement of subpoenas by order of the Superior Court and permits use of the court’s contempt powers.
Mara Gorman (D) Bryant Richardson (R) Jack Walsh (D) Kerri Harris (D) Trey Paradee (D)
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