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SB213 • 2025

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.

Budget Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Last action
2026-01-30
Official status
Signed by Governor
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.

What This Bill Does

  • AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.
  • The Hospital Budget Review Act, House Substitute No.
  • 2 to House Bill No.
  • 350 (152nd General Assembly), enacted in 2024, ("HB 350") created the Diamond State Hospital Cost Review Board (“Board”) in an effort to bring greater transparency and accountability to hospital spending in Delaware.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-01-30 Delaware General Assembly

    Signed by Governor

  2. 2026-01-29 Delaware General Assembly

    Passed By House. Votes: 33 YES 7 NO 1 NOT VOTING

  3. 2026-01-28 Delaware General Assembly

    Reported Out of Committee (Administration) in House with 2 Favorable, 3 On Its Merits

  4. 2026-01-21 Delaware General Assembly

    Assigned to Administration Committee in House

  5. 2026-01-20 Delaware General Assembly

    Amendment SA 1 to SB 213 - Passed By Senate. Votes: 21 YES

  6. 2026-01-20 Delaware General Assembly

    Passed By Senate. Votes: 21 YES

  7. 2026-01-19 Delaware General Assembly

    Amendment SA 1 to SB 213 - Introduced and Placed With Bill

  8. 2026-01-14 Delaware General Assembly

    Reported Out of Committee (Executive) in Senate with 2 Favorable, 5 On Its Merits

  9. 2025-12-30 Delaware General Assembly

    Introduced and Assigned to Executive Committee in Senate

Official Summary Text

AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO HOSPITAL BUDGET REVIEW.
The Hospital Budget Review Act, House Substitute No. 2 to House Bill No. 350 (152nd General Assembly), enacted in 2024, ("HB 350") created the Diamond State Hospital Cost Review Board (“Board”) in an effort to bring greater transparency and accountability to hospital spending in Delaware. HB 350 requires hospitals to submit their budgets to the Board annually, disclose financial and operational information, and comply with the State’s healthcare spending benchmark. HB 350 also authorizes the Board to prospectively approve or modify hospital budgets and imposes penalties for non-compliance.

Shortly after HB 350’s enactment, ChristianaCare filed suit in the Court of Chancery, alleging principally that the prospective budget approval and modification authority granted to the Board violates the Delaware Constitution. The litigation raised broader constitutional and policy questions about the balance between State oversight of health care spending and the autonomy of private, nonprofit h