Delaware 151st General Assembly (2021-2022) Status: Enacted Bipartisan · 16 D · 7 R cosponsors

HB 48 — AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO THE DELAWARE HEALTH CARE COMMISSION.

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 January 07, 2021. Enacted.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 32 sponsors

    6 primary, 26 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (16 D · 7 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

This Act establishes a Health Care Provider Loan Repayment Program for new primary care providers to be administered by the Delaware Health Care Commission. Under the loan repayment program, the Health Care Commission may award education loan repayment grants to new primary care providers of up to $50,000 per year for a maximum of 4 years. Priority consideration may be given to DIMER-participating students and participants in Delaware based residency programs. Sites eligible to apply for grants on behalf of their new primary care providers must be located in underserved areas or areas of need and must accept Medicare and Medicaid participants. Grants to hospital sites must be matched on a dollar-for-dollar basis by the applicant hospital and the disbursement of grants from the program is contingent upon an initial, one-time contribution to the Health Care Provider Loan Repayment Program, in an amount Fiscal Year 21 appropriation of State funds up to a maximum of $1 million, from Delaware health insurers. This Act also provides that the Delaware Healthcare Commission may award Health Care Provider Repayment grants on a prorated annual basis.

Bill Text

What changed in the latest version

65 added · 9 removed

65 line(s) added, 9 removed.

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Bentz HOUSE OF REPRESENTATIVES 151st GENERAL ASSEMBLY HOUSE AMENDMENT NO.
Bentz & Rep.
1 TO HOUSE BILL NO.
Shupe & Sen.
48 AMEND House Bill No.
Poore & Rep.
48 on line 39 by deleting “Fiscal Year 21” and inserting in lieu thereof “Fiscal Year 22”.
Bush & Rep.
SYNOPSIS This amendment clarifies that the disbursement of grants is contingent upon an initial, one-time contribution to the Health Care Provider Loan Repayment Program, in an amount Fiscal Year 22 appropriation of State funds up to an maximum of $1 million, from Delaware Health insurers.
Minor-Brown & Sen.
S.
McBride Reps.
Baumbach, Brady, Briggs King, Dorsey Walker, Griffith, Heffernan, K.
Johnson, Lambert, Longhurst, Lynn, Morrison, Postles, Ramone, D.
Short, Michael Smith, Wilson-Anton, Yearick;
Sens.
Hansen, Lawson, Lopez, Paradee, Pettyjohn, Pinkney, Sokola, Sturgeon, Townsend HOUSE OF REPRESENTATIVES 151st GENERAL ASSEMBLY HOUSE BILL NO.
48 AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO THE DELAWARE HEALTH CARE COMMISSION.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:
Section 1.
Amend §9903, Title 16 of the Delaware Code by making insertions as shown by underline and deletions as shown by strikethrough as follows:
§ 9903.
Duties and authority of the Commission.
(g) The Commission shall be responsible for the administration of a Health Care Provider Loan Repayment Program (HCPLRP).
The HCPLRP must be administered consistent with all of the following guidelines:
(1) Subject to the appropriation of sufficient funds, the Commission may award education loan repayment grants to qualifying clinicians of up to $50,000 per year for a maximum of four years.
(2) Eligible sites may apply to the Commission on behalf of their affiliated, qualifying clinicians for education loan repayment grants from the HCPLRP.
Sites eligible to apply for education loan repayment grants on behalf of their qualifying clinicians include all of the following sites located in underserved areas or areas of need:
a.
Hospital primary care practices.
b.
Private practices.
c.
Federally Qualified Health Centers.
d.
Community outpatient facilities.
e.
Community mental health facilities.
f.
Free medical clinics.
(3) Health Care Provider Loan Repayment grants may only be awarded by the Commission to sites that accept Medicare and Medicaid participants, and may not include concierge practices.
To be eligible for a Health Care Provider Loan Repayment grant, private practice sites must participate in the Voluntary Initiative Program HD :
NSW :
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Health Care Provider Loan Repayment grants to hospital sites must be subject to a dollar-for-dollar match by the applicant hospital.
(4) The award of Health Care Provider Loan Repayment grants must be limited to the recruitment and retention of new primary care providers in ambulatory and outpatient settings.
For purposes of this paragraph, a new primary care provider means any of the following providers who have completed graduate education within six months of the application for a Health Care Provider Loan Repayment grant being submitted:
a.
Physicians practicing Family Medicine (including osteopathic general practice), Internal Medicine, Pediatrics, Obstetrics/Gynecology, Geriatrics, and Psychiatry.
b.
Nurse Practitioners, Certified Nurse Midwives, Clinical Nurse Specialists, and Physicians Assistants practicing Adult Medicine, Family Medicine, Pediatrics, Psychiatry/Mental Health, Geriatrics, and Women’s Health.
(5) The Commission may grant priority consideration to applications submitted on behalf of primary care clinicians that are DIMER-participating students or participants in Delaware-based residency programs and may annually spend up to $150,000 on marketing and infrastructure to attract clinicians to apply to the HCPLRP.
(6) The Commission shall issue an annual report detailing the number of clinicians applying for and awarded Health Care Provider Loan Repayment grants, including information regarding the number of applicants and grant recipients by practice area and site location.
Section 2.
Notwithstanding any provision of this Act or law to the contrary, disbursement of education loan repayment grants from the Health Care Provider Loan Repayment Program shall be contingent upon an initial, one-time contribution to the program, in an amount equal to the Fiscal Year 21 appropriation of State funds up to a maximum of $1 million, from Delaware health insurers.
SYNOPSIS This Act establishes a Health Care Provider Loan Repayment Program for new primary care providers to be administered by the Delaware Health Care Commission.
Under the loan repayment program, the Health Care Commission may award education loan repayment grants to new primary care providers of up to $50,000 per year for a maximum of 4 years.
Priority consideration may be given to DIMER-participating students and participants in Delaware based residency programs.
Sites eligible to apply for grants on behalf of their new primary care providers must be located in underserved areas or areas of need and must accept Medicare and Medicaid participants.
Grants to hospital sites must be matched on a dollar-for-dollar basis by the applicant hospital and the disbursement of grants from the program is contingent upon an initial, one-time contribution to the Health Care Provider Loan Repayment Program, in an amount Fiscal Year 21 appropriation of State funds up to a maximum of $1 million, from Delaware health insurers.
This Act also provides that the Delaware Healthcare Commission may award Health Care Provider Repayment grants on a prorated annual basis.
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Action History

  1. Signed by Governor

  2. Passed By Senate. Votes: 21 YES

  3. Reported Out of Committee (Finance) in Senate with 4 On Its Merits

  4. Assigned to Finance Committee in Senate

  5. Reported Out of Committee (Health & Social Services) in Senate with 5 Favorable, 1 On Its Merits

  6. Assigned to Health & Social Services Committee in Senate

  7. Passed By House. Votes: 41 YES

  8. Amendment HA 1 to HB 48 - Passed In House by Voice Vote

  9. Reported Out of Committee (Appropriations) in House with 3 Favorable, 3 On Its Merits

  10. Assigned to Appropriations Committee in House

  11. Reported Out of Committee (Health & Human Development) in House with 8 Favorable, 7 On Its Merits

  12. Amendment HA 1 to HB 48 - Introduced and Placed With Bill

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

Sponsors

Sponsorship breakdown

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6 sponsors · 26 co-sponsors · 30 not signed on

Sponsors (6)

Not signed on (30)

30 members have not signed on to this bill.

Show all 30 →

"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

2/3

Passed 21 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 5000
Democratic 11000
Republican 5000
Total 21000
% of votes cast 100%0%0%0%
How each member voted (21)
Member Party Vote
Bruce C. Ennis — Yea
Colin Bonini — Yea
Ernesto B Lopez — Yea
Kyle Evans Gay — Yea
Sarah McBride — 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
Marie Pinkney Democratic Yea
Nicole Poore Democratic Yea
S. Elizabeth Lockman Democratic Yea
Spiros Mantzavinos Democratic Yea
Stephanie L. Hansen Democratic Yea
Trey Paradee Democratic Yea
Brian Pettyjohn Republican Yea
Bryant L. Richardson Republican Yea
Dave G. Lawson Republican Yea
David L. Wilson Republican Yea
Gerald W. Hocker Republican Yea

Official roll call →

SM

Passed 41 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13000
Democratic 16000
Republican 12000
Total 41000
% of votes cast 100%0%0%0%
How each member voted (41)
Member Party Vote
Andria L. Bennett — Yea
David Bentz — Yea
Gerald L. Brady — Yea
John A. Kowalko — Yea
John L. Mitchell — Yea
Michael Ramone — Yea
Paul S. Baumbach — Yea
Peter C. Schwartzkopf — 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
Eric Morrison Democratic Yea
Franklin D. Cooke Democratic Yea
Kendra Johnson Democratic Yea
Kimberly Williams Democratic Yea
Krista Griffith Democratic Yea
Larry Lambert Democratic Yea
Madinah Wilson-Anton Democratic Yea
Melissa Minor-Brown Democratic Yea
Nnamdi O. Chukwuocha Democratic Yea
Sean M. Lynn Democratic Yea
Sherae'a Moore Democratic Yea
Stephanie T. Bolden Democratic Yea
William Bush Democratic Yea
William J. Carson Democratic Yea
Bryan W. Shupe Republican Yea
Charles S Postles Jr. Republican Yea
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 Yea
Ronald E. Gray Republican Yea
Shannon Morris Republican Yea
Timothy D. Dukes Republican Yea

Official roll call →

Subjects

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 48 do?
This Act establishes a Health Care Provider Loan Repayment Program for new primary care providers to be administered by the Delaware Health Care Commission. Under the loan repayment program, the Health Care Commission may award education loan repayment grants to new primary care providers of up to $50,000 per year for a maximum of 4 years. Priority consideration may be given to DIMER-participating students and participants in Delaware based residency programs. Sites eligible to apply for grants on behalf of their new primary care providers must be located in underserved areas or areas of need and must accept Medicare and Medicaid participants. Grants to hospital sites must be matched on a dollar-for-dollar basis by the applicant hospital and the disbursement of grants from the program is contingent upon an initial, one-time contribution to the Health Care Provider Loan Repayment Program, in an amount Fiscal Year 21 appropriation of State funds up to a maximum of $1 million, from Delaware health insurers. This Act also provides that the Delaware Healthcare Commission may award Health Care Provider Repayment grants on a prorated annual basis.
Who sponsors HB 48?
HB 48 is sponsored by Nicole Poore (Democratic), Bryan W. Shupe (Republican), William Bush (Democratic), Melissa Minor-Brown (Democratic), Stephanie L. Hansen (Democratic), Dave G. Lawson (Republican), Trey Paradee (Democratic), Brian Pettyjohn (Republican), Marie Pinkney (Democratic), David P. Sokola (Democratic), Laura V. Sturgeon (Democratic), Bryan Townsend (Democratic), Krista Griffith (Democratic), Debra Heffernan (Democratic), Kendra Johnson (Democratic), Larry Lambert (Democratic), Sean M. Lynn (Democratic), Eric Morrison (Democratic), Charles S Postles Jr. (Republican), Daniel B. Short (Republican), Michael F. Smith (Republican), Madinah Wilson-Anton (Democratic), Lyndon D. Yearick (Republican), Sherry Dorsey Walker, Michael Ramone, Valerie Longhurst, Ruth Briggs King, Gerald L. Brady, Paul S. Baumbach, Ernesto B Lopez, Sarah McBride, and David Bentz.
What is the current status of HB 48?
This bill has been enacted into law. Introduced January 07, 2021. Enacted.
Where can I track HB 48?
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