This Act is the product of the work of stakeholders who, with the encouragement of Senate Concurrent Resolution No. 50 (152nd General Assembly), met to examine how to integrate mobile-integrated healthcare and community paramedicine into existing regulatory structures in this State. Mobile-integrated healthcare and community paramedicine are innovative patient-centered models for the delivery of health care services that utilize mobile resources to deliver care and services to patients in an out-of-hospital environment in coordination with healthcare facilities or other healthcare providers. As part of mobile-integrated healthcare and community paramedicine programs, emergency medical services provider agencies across the country of all sizes and types are partnering with hospitals, primary care physicians, nurses, and mental health and social services providers on innovative programs that both navigate patients to the right level of care as well as achieve goals of improved care and lower costs. Clinical research studies comparing patients in traditional hospitals with patients who received hospital-level care at home through mobile-integrated healthcare and community paramedicine programs have found that those who received in-home care experienced fewer readmissions, lower mortality rates, reduced falls, and higher patient satisfaction rates. Based on temporary federal law enacted to relieve strain on healthcare systems caused by the COVID-19 pandemic, hospitals in this State developed relationships with emergency medical services provider agencies to implement mobile-integrated healthcare and community paramedicine programs. However, this temporary federal authorization will end on December 31, 2024. Many states have acted ahead of the expiration of this federal authorization to incorporate mobile-integrated healthcare and community paramedicine programs into existing regulatory structures. This Act integrates mobile-integrated healthcare and community paramedicine programs into existing regulatory structures in this State by authorizing the establishment of mobile-integrated healthcare and community paramedicine programs in this State through the Office of Emergency Medical Services (“Office”) in the Department of Health and Social Service’s Division of Public Health (“Division”). Specifically, this Act does the following: (1) Authorizes an organization licensed as or actively seeking licensure as an emergency medical services provider agency to apply to the Office to establish a mobile-integrated healthcare or community paramedicine program. (2) Requires the Office to review applications to establish mobile-integrated healthcare or community paramedicine programs and make recommendations to the Director of the Division, who is required to approve applications that meet the requirements established by this Act and regulations adopted by the Office. (3) The Office is required to establish standards, approved by the Board of Medical Licensure and Discipline, for the establishment and operation of mobile-integrated healthcare or community paramedicine programs This Act takes effect immediately for purposes of the Office of Emergency Medical Services preparing to implement this Act, but is not implemented until the date of publication in the Register of Regulations of a notice by the Director of the Office of Emergency Medical Services that the Office is prepared to implement this Act. The changes to the definition section, § 9802 of Title 16 of the Delaware Code, in Sections 2 and 3 of this Act are identical. These changes had to be made twice as § 9802 of Title 16 currently has 2 versions, one effective until July 17, 2028, and one effect as of July 17, 2028. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual and, in Section 5 of this Act, to correct an internal reference in § 6701B of Title 18 of the Delaware Code affected by changes in Sections 2 and 3 of this Act.
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This Act modernizes and expands the concept of maternal mental health by replacing the definition of maternal depression with the more encompassing definition of perinatal mood and anxiety disorder. This Act contemplates treatment for any caregiver who may be affected by perinatal mood and anxiety disorder. This Act avoids use of gender-based pronouns as recommended by the Legislative Drafting Manual.
Pharmacists in Delaware provide some of the same medical services as physicians, advance practice registered nurses, and physician assistants, including immunizations. The General Assembly has recently added to the services that pharmacists may provide, including prescribing birth control, testing and treating for a variety of conditions, and prescribing pre-exposure and post-exposure HIV prophylaxis. However, health insurance plans do not currently recognize pharmacists as a provider type that may seek reimbursement for these services, despite already providing coverage for the same services if they were obtained from other providers. This could lead to many pharmacists not providing such expanded services due to the lack of insurance coverage. This Act requires health insurance providers to provide the same reimbursement to pharmacists that is already provided other providers performing the same services at the same rates as advance practice registered nurses and physician assistants. This bill also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual.
This Act updates House Bill 455 from the 151st General Assembly by providing the same legal protections afforded providers of contraceptive and abortion services to providers of fertility treatment. In summary, this Act does the following: (1) Clarifies that medical professionals who provide fertility treatment care cannot be disciplined for such services even if such services are illegal or considered to be unprofessional conduct or the unauthorized practice of medicine in another state, so long as such services are lawful in this State; (2) Prohibits health care providers from disclosing communications and records concerning fertility treatment without the patient’s authorization in any civil action or proceeding, with some exceptions; (3) Protects health care providers from out-of-state civil actions relating to fertility treatment that is legal in Delaware, including the issuance of a summons or the enforcement of subpoenas relating to such cases; (4) Creates a cause of action for recouperation of out-of-state judgments relating to fertility treatment that is lawful in Delaware; and (5) Prohibits insurance companies from taking any adverse action against health care professionals who provide fertility treatment and services.
This Act updates provisions of the code covering the Delaware Institute of Medical Education Research (DIMER), which creates partnerships with out-of-state medical schools as an alternative to creating a state sponsored medical school. Specifically, this Act does the following: (1) Updates the name of the Jefferson Medical College of Thomas Jefferson University to “Sidney Kimmel Medical College of Thomas Jefferson University”; (2) Adds the Philadelphia College of Osteopathic Medicine as a DIMER medical school; (3) Alters and updates the composition of the DIMER Board and provides that all members will be appointed by the Governor; (4) Clarifies that a vacant Board position is not counted for quorum purposes; (5) Requires the Board Chair to be elected from the members of the Board, rather than appointed by the Chair of the Delaware Health Care Commission; (6) Requires the Board to select candidates for the Chair and Vice Chair from a nominating committee determined by the Board; and (7) Provides that the Board Chair and Vice Chair shall serve no more than 3 consecutive terms.
This Act provides that the next of kin of a deceased police officer, member of a fire department, or member of the Delaware National Guard is entitled to a Delaware state flag if the deceased person served in at least 1 qualifying entity for at least 10 years and died in the line of duty or while an active member. This Act is a substitute for and differs from Senate Bill No. 221 in the following ways: - Applies to Delaware state flags only. - Removes language that referenced draping a flag over a casket at the deceased person's funeral service. - Removes auxiliary members of a volunteer fire department or a member of service organization providing volunteer ambulance services from list of individuals who qualify for a flag. - Uses the broader term "law-enforcement officer" and clarifies the definition. - Clarifies that a firefighter may be either paid or volunteer to qualify for a flag. - Names the following entities as responsible for providing flags: the Delaware Volunteer Firefighters Association for firefighters, the Department of Safety and Homeland Security for police officers, and the Delaware National Guard for their members.
This bill seeks to amend sections of Chapter 66 concerning the members of Delaware Volunteer Fire Departments. This bill will hold current members to the same standards as applicants with relation to criminal activity.
This Act creates the Delaware Grocery Initiative. The Delaware Grocery Initiative is a healthy foods initiative that seeks to provide financial assistance to eligible food resources as designated by the bill. The Act defines food deserts and eligibility requirements for the initiative. The Act authorizes the Division of Small Business to implement the grant and financial support system. This substitute bill does the following: 1. Adds the following terms in the definition section of the Act: Council, food resource, Healthy Foods Retail Initiative, Program, and specialty grocer. 2. Modifies the definition of food desert. 3. Removes terms of grocery store, rural tract, and urban tract in lieu of the new definitions of food resource and food desert. 4. Designates the Division of Small Business, instead of the Office of State Planning, as theagency authorized to implement the Delaware Grocery Initiative and authorizes the Division of Small Business to adopt rules. 5. Replaces the grocery and food desert study with a food access strategy. 6. Subject to appropriation, creates a food access strategy to address food insecurity and requires submission of a report to the General Assembly and the Governor by June 1, 2025.
This Act makes the crime of “patronizing a prostitute” a class E felony rather than a misdemeanor where the person from whom prostitution is sought is a minor.
This Act amends the Charter of the Town of Newport in the following ways: Section 1 of the Act amends Article III of the Charter pertaining to the Mayor and Commissioners. It provides that the Mayor and Commissioners may discuss matters pertaining to the appointment of Town administrative officers or employees with the Town Manager in Executive Session. In addition, the Charter currently provides that the Mayor and Commissioners may deal with Town officers and employees directly for the purposes of inquiries and investigations; Section 1 eliminates this exception and requires the Mayor and Commissioners to deal with such officers and employees through the Town Manager for all purposes. Section 1 also modifies the criteria for which a Mayor or Commissioner forfeits office based on attendance of meetings: while currently the Charter provides that a Mayor or Commissioner forfeits office for failure to attend 3 successive monthly meetings or 4 regular meetings in a 12-month period, Section 1 provides only that failure to attend 4 regular meetings in a 12-month period will result in forfeiture. Finally, Section 1 eliminates the requirement for the Mayor and Commissioners to meet in July and August. Section 2 of the Act amends Article IV of the Charter pertaining to assessment of property and taxes. It streamlines the procedures for how the Town may use property assessments performed by New Castle County. Section 3 of the Act amends Article VI of the Charter pertaining to finances and indebtedness. It eliminates certain requirements for a capital improvement plan submitted by the Town Manager to the Commissioners. Section 4 of the Act amends Article VI of the Charter pertaining to Town Appointive Offices. It eliminates certain actions required to be taken by the Mayor in the event that the Town chooses not to use property assessments performed by the county. In addition, Section 4 provides that the Town Manager, rather than the Mayor, may appoint a Town Building Inspector, and eliminates the separate position of "Town Plumbing Inspector." Section 5 of the Act amends Article VIII of the Charter pertaining to Election rules and Procedure. It provides that the Town Clerk or Town Manager must give notice of any election or referendum. Section 5 also requires a criminal background check of all candidates seeking election as Commissioner, at the candidates' expense; a successful candidate may be reimbursed for the cost of the background check up to $75. Finally, Section 5 provides that the Town will use the State's voter registration rolls and eliminates any provision for absentee voting. Section 6 of the Act amends Article IX of the Charter pertaining to the Town Manager. Consistent with the changes made in Section 3 of the Act, Section 6 eliminates the requirement that the Town Manager submit a capital plan to the Commissioners. Section 7 of the Act amends Article X of the Charter pertaining to Town Administration. It provides that the Chief of Police, rather than the Commissioners, will have the power to implement policies for governing the Police Department. Section 7 also provides that the Police Department will have statewide police arrest and enforcement powers equivalent to those held by a member of the Delaware State Police, subject to certain terms. In addition, Section 7 removes the provisions for a Town Board of Health. Section 8 of the Act amends Article XI of the Charter pertaining to Planning. It removes the provisions for a Town Planning Commission and provides that the Commissioners must adopt a comprehensive development plan at least every 10 years. Section 9 of the Act amends Article XII of the Charter pertaining to General Provisions and, specifically, to Charter Amendments. It eliminates the requirement for a Town referendum on amendments to the Charter.