This Act directs the Insurance Commissioner, in collaboration with the Department of Labor, Department of Health and Social Services, and Department of Finance to develop the Delaware Easy Enrollment Health Insurance Program. Under this program, individuals filing state tax forms or unemployment compensation applications will be able to check off on the form whether they have health insurance and whether they would like assistance in determining their eligibility (or their dependents) for any of the following: Medicaid, Delaware Healthy Children Program, or affordability assistance in an Affordable Care Act Exchange plan. The goal of the program is to maximize enrollment of eligible indidviduals in health care programs to improve access and reduce insurance costs for all residents of Delaware

This Act directs the Department of Health and Social Services to develop and operate a limited medical assistance program for children in Delaware who are not otherwise covered, including children who are not documented. A child resident in the state whose family income is low enough that they would qualify on that basis for Medicaid or CHIP coverage, but is not eligible for Medicaid or other federally funded coverage, is eligible for coverage and medical care under this Act. The coverage would be co-extensive with that provided by CHIP and Medicaid, except that it would not include in-patient care at a hospital or other healthcare facility. The Act also directs the State to submit a plan amendment to the Centers for Medicare & Medicaid Services so that the state can take advantage of the federal CHIP option to include coverage of pregnant women regardless of immigration status.

This Act allows pharmacists, under protocol approved by the Division of Public Health, to provide HIV pre-exposure and post-exposure prophylaxis treatments.

This Act amends Chapter 25, Title 24 of the Delaware Code relating to the Practice of Pharmacy. The amendments authorize pharmacists to engage in “collaborative pharmacy practice” with one or more “practitioners” meaning individuals who are authorized by law to prescribe drugs in the course of professional practice. Pharmacists may also do so pursuant to a “collaborative pharmacy practice agreement,” which means a written and signed agreement between one or more pharmacists and one or more practitioners that provides for a collaborative pharmacy practice.

Currently, all health insurance plans subject to requirements under Delaware law must include at least 1 formulation of epinephrine autoinjectors on the lowest tier of the carrier’s drug formulary for individuals who are 18 years of age or younger. This Act expands this requirement to all covered individuals, regardless of age, by January 1, 2024. This Act also makes a technical correction to §§ 3571Y of Title 18 to add standard language about applicability, which is already in § 3370D of Title 18.

Section 1 provides that changes in coverage terms for a health-care service or in the clinical criteria used to conduct pre-authorization reviews for a health-care service will not apply until the next plan year, for any covered person who received pre-authorization for the service prior to the change. It also requires the Delaware Department of Insurance to publish on its website information concerning the aggregate number of pre-authorization approvals, denials, and appeals for each insurer, health-benefit plan, or health-care service corporation using pre-authorization review.

An Act to amend Title 16 of the Delaware Code relating to the Delaware Health Care Commission and State of Delaware health care spending and quality benchmarks. Delaware’s per capita health care spending consistently ranks in the top ten highest spending states and has historically outpaced economic growth in Delaware. Enhanced transparency and shared accountability for spending and quality targets have been used to accelerate changes in our health care delivery system, creating benefits for employers, state government and health care consumers. House Joint Resolution 7 of the 149th General Assembly and Executive Order Nineteen tasked the Delaware Department of Health and Social Services (DHSS) with the establishment of annual health care spending and quality benchmarks as a strategy to address the unsustainable growth in health care spending while also measuring aspects of health care quality. This Act serves to replace Executive Order Twenty-Five which established Delaware’s Spending and Quality Benchmark initiative in 2018. The codification of these benchmarks supports the continuation of Delaware’s Road to Value by improving the transparency of health care spending and quality, as well as providing attainable goals needed to achieve better health care, lower costs, and healthier communities.