This Act requires that health insurance offered in this State provide coverage for fertility care services, including in vitro fertilization ("IVF") procedures, for individuals who suffer from a disease or condition that results in the inability to procreate or to carry a pregnancy to a live birth. This Act also requires that health insurance offered in this State provide coverage for fertility preservation for individuals diagnosed with cancer and other diseases, when medically necessary treatment could adversely affect their fertility. Like all other diseases, infertility should be covered by insurance. According to the National Infertility Association, RESOLVE, infertility affects 1 in 8 couples and 3 in 4 never obtain needed treatment, often because they cannot afford it. Everyone deserves the right to procreate and to try to build a family. Right now, many Delaware families diagnosed with infertility fall into a “coverage gap” and pay out-of-pocket for fertility care services. Only certain employers provide any fertility care coverage in Delaware and what they do provide is often very limited. Families generally must pay high co-pays or adhere to service restrictions and lifetime dollar caps that strictly limit their treatment options, and thus make it unaffordable for many of them to proceed without risking their financial security or without achieving a successful pregnancy. For example, 1 IVF cycle can cost between $15,000 and $25,000 and, on average, it takes 2 to 3 cycles to achieve pregnancy. Additionally, highly inflated managed care pharmacy prices for IVF medications, where families with coverage can pay as much as 100% more for medications compared to prices charged to self-pay families, often contribute to 25-50% or more of total IVF costs, which can quickly drain lifetime caps and severely limit overall IVF care options. According to the National Conference of State Legislatures, 15 states currently have laws regarding insurance coverage for infertility diagnosis or treatment, including 2 states that border Delaware, New Jersey and Maryland. This puts the State at a significant competitive disadvantage, as many reproductive age residents intentionally change employers and leave Delaware to gain more attractive fertility care benefits. It is also well-documented that individuals who self-pay for an IVF procedure, or have limited benefits, often demand that 2 or more embryos be transferred to their uterus. This greatly increases the risk of multiple births and is a dangerous and costly approach for heavily burdened health care resources, and can be completely avoided with greater access to covered fertility care services. Studies show that states with insurance coverage have a lower rate of multiple births because fewer embryos are transferred. This Act requires insurers to cover fertility care services based on the current standard of care for IVF treatments to achieve pregnancy success rates for singleton births at the lowest possible costs. This will greatly reduce the risk of multiple births and greatly reduce hospital and health care costs, thus saving employers money. Several recent studies have found that the cost of perinatal and neonatal care for twins is about $100,000, whereas singleton pregnancies cost about $13,000. Triplet pregnancies can cost $400,000 or more. For every 100 pregnancies from IVF that are singletons but could have been twins, about $8.7 million dollars is saved, on top of reduced pain and suffering for parents and premature babies. This Act would significantly reduce this high financial and societal burden by promoting IVF technologies that use single-embryo transfers. This Act could increase the number of persons treated for infertility, but also increase the number of babies born in Delaware by 2-300 per year, thus increasing the state’s birth rate by 1-2% and providing a boost to the local economy, while also decreasing health care costs.
Sponsored bills
The Act made changes to motor vehicle franchising practices, by doing the following: (1) Prohibiting a new motor vehicle manufacturer from recovering its costs for compensating its dealers for recalls or warranty parts and service by reducing the amount due to the dealer or imposing a charge. (2) Establishing the process for and method of compensating a dealer for a recall related to a used motor vehicle. (3) Providing a process by which a dealer may protest a franchise termination with the Public Service Commission. (4) Protecting consumer data. (5) Making technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual. This Substitute Act incorporates these changes and makes an additional change to § 4903(b) of Title 6.
This Act permits private sector labor organizations and employers to enter into union security agreements to the full extent allowed under federal law.
This bill raises the civil penalty for a violation of section 3503 of the Workplace Fraud Act ("Act") from a range of $1,000 to $5,000 to $5,000 to $20,000. The bill also raises the civil penalty for wrongful discharge or discrimination under the Act from a range of $5,000 to $10,000 to $20,000 to $50,000. Finally, this bill provides that civil penalties and other revenue collected will be retained by the Department of Labor for enforcement purposes.
This Senate Concurrent Resolution does all of the following: (1) Recognizes Diwali as an important festival. (2) Recognizes and appreciates religious diversity in India and the United States. (3) Supports the friendship and cooperation between the United States and India. (4) Acknowledges the onset of Diwali and expresses its warmest wishes to those celebrating Diwali in Delaware, the United States, India, and throughout the world.
This Act strengthens the shelter requirements for dogs that are kept outside by requiring the following: 1. Adds failure to provide enhanced shelter to the crime of cruelty to animals. 2. Adds a third or subsequent violation of the shelter requirements, to the crime of cruelty to animals. 3. That dogs be provided with enhanced shelter if the dog is outdoors for more than 30 minutes between the hours of 11:00 pm and 6:00 am or when the temperature is below 32 degrees Fahrenheit or above 90 degrees Fahrenheit. 4. That cages, crates, and carriers intended for travel or short-term, temporary confinement may not be used as outdoor housing facilities. 5. That outdoor housing facilities and enhanced shelters must provide clean and moisture-resistant bedding material and protection from wind. 6. That an enhanced shelter must include the following: minimum space requirements; heat when the temperature is below 32 degrees Fahrenheit; fresh, circulating air when the temperature is above 90 degrees Fahrenheit; and food and water that do not freeze. This Act also imposes a higher civil penalty for subsequent violations of § 3044F, the specifications for the humane handling, care, and treatment of dogs. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual.
This Act strengthens restrictions on the tethering of dogs by doing the following: 1. Changes the crime of cruelty to animals as follows: • Removes the existing crime of tethering a dog for 18 hours in a 24 hour period and makes it a crime to tether a dog outside for more than 30 minutes when the temperature is below 32 degrees Fahrenheit or above 90 degrees Fahrenheit. • Removes the exception for tethering a dog who is a nursing mother or a dog under 4 months of age if the dog is tethered on land owned or leased by the dog's owner. • Prohibits tethering a dog for more than 30 minutes between the hours of 11:00 pm and 6:00 am. • Adds a third or subsequent violation of the tethering requirements in § 3044F of Title 16 to the crime of cruelty to animals. 2. Changes the civil specifications for the humane handling, care, and treatment of dogs as follows: • Requires that the tether not be attached to a choke, pinch, or prong collar. • Requires that the owner be present on the property. • Imposes a higher civil penalty for subsequent for violations of § 3044F, the specifications for the humane handling, care, and treatment of dogs. This Act also makes technical corrections to conform existing law to the standards to the Delaware Legislative Drafting Manual.
This Act brings Delaware sex offender registration laws into compliance with the federal Sex Offender Registration and Notification Act ("SORNA") by standardizing the tier designation of sex offenders are assigned based upon offense of conviction. This Act removes discretion previously granted to the Board of Parole to redesignate sex offenders and standardizes designation in a manner consistent with established Superior Court precedent. See State v. Brown, 2013 WL 2149882 (Del. Super. 2013); Lane v. Board of Parole, 2012 WL 5509711 (Del. Super. 2012). Finally, this Act streamlines the designation process by directing review to the Superior Court in the first instance.
This Act prohibits the use and dissemination of information obtained from the machine readable zone of a driver's license or identification card issued by the Division of Motor Vehicles, with limited exceptions. This Act seeks to protect members of the public at large from having their personal information used for purposes other than those enumerated in this act. Various states have taken similar action to protect the personal information of citizens. This Act is modeled after legislation that was passed in Virginia. The Act is substituted for Senate Bill No. 255 and differs from Senate Bill No. 255 by (1) moving the legislation to Subchapter I (General Provisions) of Chapter 25 (Prohibited Trade Practices) of Title 6 of the Delaware Code; (2) providing a definition for the term “merchant”; (3) correcting the name of the Division of Motor Vehicles; (4) clarifying the existence of both a private cause of action and enforcement authority by the Department of Justice’s Consumer Protection Unit; (5) changing the term “criminal activity” to “unlawful activity” wherever it appears; (6) clarifying the Act’s language relating to check services companies; and (7) making technical corrections to conform the Act to the standards of the Delaware Legislative Drafting Manual.
This Bill expands the offense of falsifying business records by including the act of altering or modifying and creating false medical records. Currently, no specific statute exists to prevent a person from falsely creating, altering, or modifying a medical record. Expanding the offense of falsifying business records to include medical records will be a useful tool for combating healthcare provider fraud, protecting patients, and assisting patients in ensuring the integrity of their medical records.