Delaware 150th General Assembly (2019-2020) Status: Enacted Bipartisan · 7 D · 2 R cosponsors

HB 220 — AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO INSURANCE COVERAGE FOR DRUG AND ALCOHOL DEPENDENCY AND MEDICATION ASSISTED TREATMENT.

Last action — Signed by Governor

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced June 13, 2019. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 17 sponsors

    2 primary, 15 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 D · 2 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

This Act adds coverage for Medication Assisted Treatment ("MAT") for drug and alcohol dependencies to the mental health parity laws for health insurance. This Act requires health insurance carriers to provide coverage for prescription medications approved by the U.S. Food and Drug Administration for MAT at no greater financial burden than for prescription medication for other illness or disease, without step therapy requirements, and at the lowest tier of the drug formulary. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual.

Bill Text

What changed in the latest version

39 added · 6 removed

39 line(s) added, 6 removed.

→
Previous
Latest
1 TO HOUSE BILL NO.
2 TO HOUSE BILL NO.
220 on line 94 by deleting "similar" after "other" and before "coverage".
220 between lines 29 and 30 by inserting the following:
SYNOPSIS This Amendment clarifies that under current law and as amended by this Act, § 3343 of Title 18 does not apply to State-sponsored insurance plans under Title 29.
“( ) “Medication-assisted treatment” means the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a whole patient approach to the treatment of drug and alcohol dependencies.”.
FURTHER AMEND House Bill No.
220 on line 49 by deleting “prescription medication approved by the FDA for the treatment of drug and alcohol dependencies” and inserting in lieu thereof “medication-assisted treatment”.
FURTHER AMEND House Bill No.
220 by deleting lines 87 through 88 in their entirety and inserting in lieu thereof the following:
“f.
A carrier must authorize coverage of prescription medicine without imposing a step therapy requirement for at least 1 formulation of each prescription medication for medication-assisted treatment that is on each tier of the drug formulary developed and maintained by the carrier.”.
FURTHER AMEND House Bill No.
220 between lines 97 and 98 by inserting the following and redesignating internal references accordingly:
“(a) For purposes of this section, “medication-assisted treatment” means the use of U.S.
Food and Drug Administration-approved medications, in combination with counseling and behavioral therapies, to provide a whole patient approach to the treatment of drug and alcohol dependencies.”.
FURTHER AMEND House Bill No.
220 on lines 99 through 100 by deleting “prescription medication approved by the U.S.
Food and Drug Administration (FDA) for the treatment of drug and alcohol dependencies” and inserting in lieu thereof “medication-assisted treatment”.
FURTHER AMEND House Bill No.
220 by deleting line 110 in its entirety and inserting in lieu thereof the following:
“(2) Must authorize coverage of prescription medicine without imposing a step therapy requirement for at least 1 formulation of each prescription medication for medication-assisted treatment that is on each tier of the drug formulary developed and maintained by the health insurer.”.
CM Page 1 of 1 Released:
CM Page 1 of 2 Released:
06/19/2019 10:48 AM 5971500203
06/25/2019 12:41 PM Section 3.
If this Act is enacted into law in 2019, this Act applies to insurance policies, plans, and contracts that are issued, entered into, or renewed on or after January 1, 2020.
Section 4.
If this Act is enacted into law in 2020, this Act applies to insurance policies, plans, and contracts that are issued, entered into, or renewed on or after January 1, 2021.”.
SYNOPSIS This Amendment does the following:
1.
Defines "medication assisted treatment".
2.
Uses the term "medication assisted treatment" to identify medication approved for the treatment of drug and alcohol dependencies.
3.
Requires that at least 1 formulation of each prescription medication for medication assisted treatment on each tier of a drug formulary be available without a step therapy requirement.
4.
Adds an effective date for this Act.
LC :
DIG :
CM Page 2 of 2 Released:
06/25/2019 12:41 PM 5971500210
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Action History

  1. Signed by Governor

  2. Passed By Senate. Votes: 20 YES 1 ABSENT

  3. Suspension of Rules in Senate

  4. Passed By House. Votes: 38 YES 2 NO 1 ABSENT

  5. Amendment HA 2 to HB 220 - Passed In House by Voice Vote

  6. Amendment HA 1 to HB 220 - Passed In House by Voice Vote

  7. Amendment HA 2 to HB 220 - Introduced and Placed With Bill

  8. Reported Out of Committee (Health & Human Development) in House with 8 On Its Merits

  9. Amendment HA 1 to HB 220 - Introduced and Placed With Bill

  10. Introduced and Assigned to Health & Human Development Committee in House

Sponsors

Sponsorship breakdown

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2 sponsors · 15 co-sponsors · 45 not signed on · 2 voted No

Sponsors (2)

Co-sponsors (15)

Not signed on (45)

45 members have not signed on to this bill.

Show all 45 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

SM

Passed 20 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 7000
Democratic 9000
Republican 4001
Total 20001
% of votes cast 95%0%0%5%
How each member voted (21)
Member Party Vote
Anthony Delcollo — Yea
Bruce C. Ennis — Yea
Catherine Cloutier — Yea
Colin Bonini — Yea
David B. McBride — Yea
Ernesto B Lopez — Yea
Harris B. McDowell — Yea
Bryan Townsend Democratic Yea
Darius J. Brown Democratic Yea
David P. Sokola Democratic Yea
John "Jack" Walsh Democratic Yea
Laura V. Sturgeon Democratic Yea
Nicole Poore Democratic Yea
S. Elizabeth Lockman Democratic Yea
Stephanie L. Hansen Democratic Yea
Trey Paradee Democratic Yea
Brian Pettyjohn Republican Yea
Bryant L. Richardson Republican Not Voting
Dave G. Lawson Republican Yea
David L. Wilson Republican Yea
Gerald W. Hocker Republican Yea

Official roll call →

SM

Passed 38 Yea · 2 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 17000
Democratic 11001
Republican 10200
Total 38201
% of votes cast 93%5%0%2%
How each member voted (41)
Member Party Vote
Andria L. Bennett — Yea
David Bentz — Yea
Earl G. Jaques Jr. — Yea
Gerald L. Brady — Yea
John A. Kowalko — Yea
John J. Viola — Yea
John L. Mitchell — Yea
Michael Ramone — Yea
Paul S. Baumbach — Yea
Peter C. Schwartzkopf — Yea
Quinton Johnson — Yea
Raymond Seigfried — Yea
Ruth Briggs King — Yea
Sean Matthews — Yea
Sherry Dorsey Walker — Yea
Stephen Smyk — Yea
Valerie Longhurst — Yea
Debra Heffernan Democratic Yea
Edward S. Osienski Democratic Yea
Franklin D. Cooke Democratic Yea
Kendra Johnson Democratic Yea
Kimberly Williams Democratic Yea
Krista Griffith Democratic Yea
Melissa Minor-Brown Democratic Yea
Nnamdi O. Chukwuocha Democratic Yea
Sean M. Lynn Democratic Not Voting
Stephanie T. Bolden Democratic Yea
William Bush Democratic Yea
William J. Carson Democratic Yea
Bryan W. Shupe Republican Yea
Charles S Postles Jr. Republican Nay
Daniel B. Short Republican Yea
Jeffrey N. Spiegelman Republican Yea
Jesse R. Vanderwende Republican Yea
Kevin S Hensley Republican Yea
Lyndon D. Yearick Republican Yea
Michael F. Smith Republican Yea
Richard G. Collins Republican Nay
Ronald E. Gray Republican Yea
Shannon Morris Republican Yea
Timothy D. Dukes Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 220 do?
This Act adds coverage for Medication Assisted Treatment ("MAT") for drug and alcohol dependencies to the mental health parity laws for health insurance. This Act requires health insurance carriers to provide coverage for prescription medications approved by the U.S. Food and Drug Administration for MAT at no greater financial burden than for prescription medication for other illness or disease, without step therapy requirements, and at the lowest tier of the drug formulary. This Act also makes technical corrections to conform existing law to the standards of the Delaware Legislative Drafting Manual.
Who sponsors HB 220?
HB 220 is sponsored by Michael F. Smith (Republican), Melissa Minor-Brown (Democratic), Kendra Johnson (Democratic), Kevin S Hensley (Republican), Laura V. Sturgeon, David P. Sokola (Democratic), S. Elizabeth Lockman (Democratic), Stephanie L. Hansen (Democratic), Darius J. Brown (Democratic), Bryan Townsend (Democratic), David Bentz, Bruce C. Ennis, Paul S. Baumbach, Gerald L. Brady, Ruth Briggs King, John A. Kowalko, and Raymond Seigfried.
What is the current status of HB 220?
This bill has been enacted into law. Introduced June 13, 2019. Enacted.
Where can I track HB 220?
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