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HB 435 DE
Passed Legislature

AN ACT TO AMEND TITLES 18, 29, AND 31 OF THE DELAWARE CODE RELATING TO CERTIFIED REGISTERED NURSE ANESTHETISTS.

DE · session 153 · Assembly / House · bill

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Introduced May 21, 2026

Latest action (Jun 30, 2026) Passed By Senate. Votes: 20 YES 1 ABSENT

Summary

This act prohibits health insurance plans in Delaware from paying different reimbursement rates based on whether anesthesia services are provided by a certified registered nurse anesthetist or a physician. The prohibition applies to individual health plans, group health plans, state employee health plans, and Medicaid plans. The legislation requires these plans to reimburse the same amount for anesthesia services regardless of the type of qualified provider delivering the care.

AI-generated plain-language summary of the bill (from the OpenStates abstract — no full text available yet) — neutral, and may be imperfect.

Official abstract

This Act prohibits individual, group, state employee, and Medicaid health plans from differentiating in the reimbursement rate of a health service based on whether the service was provided by a certified registered nurse anesthetist or by a physician.

Sponsors (8)

Action history (11)

  1. May 21, 2026 Introduced and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House · lower
  2. Jun 9, 2026 Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 7 On Its Merits · lower
  3. Jun 10, 2026 Assigned to Appropriations Committee in House · lower
  4. Jun 16, 2026 Reported Out of Committee (Appropriations) in House with 5 On Its Merits · lower
  5. Jun 16, 2026 Reported Out of Committee (Appropriations) in House with 5 On Its Merits · lower
  6. Jun 18, 2026 Passed By House. Votes: 41 YES · lower
  7. Jun 18, 2026 Assigned to Banking, Business, Insurance & Technology Committee in Senate · upper
  8. Jun 24, 2026 Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 6 On Its Merits · upper
  9. Jun 24, 2026 Assigned to Finance Committee in Senate · upper
  10. Jun 25, 2026 Reported Out of Committee (Finance) in Senate with 4 On Its Merits · upper
  11. Jun 30, 2026 Passed By Senate. Votes: 20 YES 1 ABSENT · upper

Full text

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