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HA2TOSB94 • 2025

This Amendment clarifies the scope of practice for a respiratory care practitioner by explicitly including the management of extracorporeal life support and associated integrated therapies, and defining the term "associated integrated therapies."

This Amendment clarifies the scope of practice for a respiratory care practitioner by explicitly including the management of extracorporeal life support and associated integrated therapies, and defining the term "associated integrated therapies."

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Heffernan
Last action
2026-06-30
Official status
Passed 6/30/26
Effective date
Not listed

Plain English Breakdown

Checked against official source text during the last sync.

Amendment to Define Respiratory Care Practitioner Duties

This amendment updates the rules for respiratory care practitioners by adding specific life support machines they can manage and defining related medical treatments.

What This Bill Does

  • Adds management of extracorporeal membrane oxygenation (ECMO) to practitioner duties.
  • Allows practitioners to manage extracorporeal carbon dioxide removal (ECCO2R).
  • Includes the use of associated integrated therapies in their scope of practice.
  • Defines 'associated integrated therapies' as clinical interventions, equipment, or procedures functionally or technically integrated with ECMO or ECCO2R systems.

Who It Names or Affects

  • Respiratory care practitioners

Terms To Know

Extracorporeal membrane oxygenation (ECMO)
A type of extracorporeal life support system.
Associated integrated therapies
Clinical interventions, equipment, or procedures functionally or technically integrated with ECMO or ECCO2R systems, including renal replacement therapy, mechanical ventilation, and anticoagulation management.

Limits and Unknowns

  • The official text does not state when this change will officially take effect.
  • The provided material only confirms the amendment passed in the House; final Senate action or governor approval is not shown.

Bill History

  1. 2026-06-30 Delaware General Assembly

    Passed In House by Voice Vote

  2. 2026-06-29 Delaware General Assembly

    Introduced and Placed With Bill

Official Summary Text

This Amendment clarifies the scope of practice for a respiratory care practitioner by explicitly including the management of extracorporeal life support and associated integrated therapies, and defining the term "associated integrated therapies."

Current Bill Text

Read the full stored bill text 
Legislation Document

SPONSOR:

Rep. Heffernan & Rep. Jones Giltner

HOUSE OF REPRESENTATIVES

153rd GENERAL ASSEMBLY

HOUSE AMENDMENT NO. 2

TO

SENATE BILL NO. 94

AMEND Senate Bill No. 94 by deleting lines 30 and 31 in their entirety and inserting in lieu thereof the following:

“

(11) Management of extracorporeal membrane oxygenation (ECMO), extracorporeal carbon dioxide removal (ECCO2R) and associated integrated therapies. “Associated integrated therapies” means any clinical interventions, equipment, or procedures that are functionally or technically integrated with ECMO or ECCO2R systems, including renal replacement therapy, mechanical ventilation, and anticoagulation management.

”.

SYNOPSIS

This Amendment clarifies the scope of practice for a respiratory care practitioner by explicitly including the management of extracorporeal life support and associated integrated therapies, and defining the term "associated integrated therapies."