HB 286 — AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO GENETICS BASED DISCRIMINATION.
Last action — Signed by Governor
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 13, 2024. Enacted.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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24 sponsors
24 primary, 0 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (13 D · 5 R) — cross-party backing.
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Cleared a recorded vote
Passed 3 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
Like House Bill No. 286, House Substitute No. 1 for House Bill No. 286 prohibits discrimination in life insurance based on genetic characteristics, genetic information, or the result of any genetic test. House Substitute No. 1 for House Bill No. 286 differs from House Bill No. 286 as follows: 1. Provides a definition of “direct-to-consumer genetic testing”. 2. Allows the use of any genetic information that is in an individual's medical record or application for life insurance. 3. Allows a person engaged in the business of life insurance to request that an individual share genetic information from a direct-to-consumer genetic testing or to request that an individual provide written consent for entity to provide that information. 4. Allows an entity that provides direct-to-consumer genetic testing to share information with a person engaged in the business of life insurance but only with the written consent of the individual. 5. Clarifies that a person engaged in the business of life insurance may not do any of the following: a. Require that an individual take a genetic test. b. Require that an individual provide genetic information received from an entity providing direct-to-consumer genetic testing or provide written consent for the entity to provide that information. c. Take into consideration the refusal by an individual to take a genetic test, provide genetic information received from direct-to-consumer genetic testing, or provide written consent to share information from direct-to-consumer genetic testing. Like HB 286, HS 1 for HB 286 also does all of the following: 1. Makes corresponding corrections to § 2317 of Title 18 by revising the heading for clarity and the definition of "insurance" to conform with the terms and definitions used in Title 18. 2. Is known as "The Ericka Byler Act”.
Bill Text
What changed in the latest version
95 added · 22 removed95 line(s) added, 22 removed.
Spiegelman HOUSE& OFRep. REPRESENTATIVES 152nd GENERAL ASSEMBLY HOUSE AMENDMENT NO.
1Heffernan TO& HOUSERep. SUBSTITUTE NO.
Hilovsky & Rep.
Bush & Rep.
Dorsey Walker & Sen.
Hansen & Sen.
S.
McBride & Sen.
Paradee Reps.
Baumbach, Bolden, Collins, Gray, Hensley, K.
Johnson, Lambert, Morrison, Osienski, Ramone, Romer, Michael Smith, Harris;
Sens.
Hoffner, Huxtable, Sokola, Walsh, Wilson HOUSE OF REPRESENTATIVES 152nd GENERAL ASSEMBLY HOUSE SUBSTITUTE NO.
286 AN ACT TO AMEND HouseTITLE Substitute18 No.OF THE DELAWARE CODE RELATING TO GENETICS BASED DISCRIMINATION.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:
Section 1.
Amend § 2317, Title 18 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
§ 2317.
Genetics based discrimination.
discrimination prohibited;
health insurance.
(a) For purposes of this section:
(1) “Genetic characteristic” means any inherited gene or chromosome, or alteration thereof, that is scientifically or medically believed to predispose an individual to a disease, disorder, or syndrome, or to be associated with a statistically significant increased risk of development of a disease, disorder, or syndrome.
(2) “Genetic information” means information about inherited genes or chromosomes, and of alterations thereof, whether obtained from an individual or family member, that is scientifically or medically believed to predispose an individual to disease, disorder, or syndrome, or believed to be associated with a statistically significant increased risk of development of a disease, disorder, or syndrome.
“Genetic information” includes information regarding carrier status, information regarding an increased likelihood of future disease or increased sensitivity to any substance, information derived from laboratory tests that identify mutations in specific genes or chromosomes, requests for genetic services or counseling, tests of gene products, and direct analysis of genes or chromosomes.
(3) “Genetic test” means a test for determining the presence or absence of an inherited genetic characteristic in an individual, including tests of nucleic acids such as DNA, RNA and mitochondrial DNA, chromosomes or proteins in order to identify a predisposing genetic characteristic associated with disease, disorder, or syndrome.
LC :
DIG :
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03/13/2024 02:14 PM (4) “Insurance” means health coverage “health insurance” as defined in § 3602(11) of this title or in regulations promulgated by the Insurance Commissioner, not including title.
“Insurance” does not include disability insurance or long- term care insurance.
Section 2.
Amend Chapter 23, Title 18 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
§ 2317A.
Genetics based discrimination prohibited;
life insurance and annuities.
(a) For purposes of this section:
(1) “Direct-to-consumer genetic testing” means any of the following:
a.
A consumer-initiated genetic testing product or service offered directly to a consumer.
Show all 106 changed lines (66 more)
b.
The collection, use, or analysis of genetic data that is collected or derived from a direct-to-consumer genetic testing product or service and is directly provided by a consumer.
(2) “Life insurance” means contracts for life insurance and annuities under Chapter 29, Chapter 31, or Chapter 32 of this title.
(3) The following terms mean as defined in § 2317 of this title:
a.
“Genetic characteristic”.
b.
“Genetic information”.
c.
“Genetic test”.
(b) Except as provided under subsection (c) of this section, a person engaged in the business of life insurance may not do any of the following solely based on any genetic characteristic, genetic information, or the result of any genetic test:
(1) Deny, refuse to issue, refuse to renew, refuse to reissue, cancel, or otherwise terminate an insurance policy or restrict coverage.
(2) Add any surcharge or rating factor to a premium of an insurance policy.
(3) Otherwise discriminate in the offering, issuance, cancellation, amount of coverage, price, payment of claims, or any other condition of an insurance policy without additional actuarial justification.
(c) Subsection (b) of this section does not apply to any genetic characteristic, genetic information, or the result of any genetic test that is in any of the following:
(1) An individual’s medical record or pertinent family history.
(2) An individual’s application for life insurance.
(d) A person engaged in the business of life insurance may not do any of the following:
(1)a.
Require or request that an individual or a member of the individual’s family take a genetic test.
LC :
DIG :
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03/13/2024 02:14 PM b.
Take into consideration the refusal by an individual to take a genetic test.
(2)a.
Require that an individual provide genetic information received from an entity providing direct-to- consumer genetic testing.
b.
Require that an individual provide written consent for an entity providing direct-to-consumer genetic testing to share information about the individual.
c.
Take into consideration the refusal by an individual to provide genetic information or written consent under paragraphs (d)(2)a.
or (d)(2)b.
of this section.
(e) An entity providing direct-to-consumer genetic testing may not share any information with a person engaged in the business of life insurance without the written consent of the individual as required under § 1202 of Title 16.
Section 3.
This Act is known as "The Ericka Byler Act”.
SYNOPSIS Like House Bill No.
286, House Substitute No.
286 byprohibits deletingdiscrimination linein 36life ininsurance itsbased entiretyon andgenetic insertingcharacteristics, ingenetic lieuinformation, thereofor the following:result of any genetic test.
“notHouse doSubstitute anyNo. of the following based solely on any genetic characteristic or genetic information contained in the result of any genetic test.”.
FURTHER AMEND House Substitute No.
286 bydiffers deletingfrom linesHouse 43Bill throughNo. 45 in their entirety and inserting in lieu thereof the following:
“any286 geneticas testfollows: that is in an individual’s medical record or pertinent family history.”.
FURTHER1. AMEND House Substitute No.
1Provides fora Housedefinition Billof No.“direct-to-consumer genetic testing”.
2862. by deleting lines 55 through 56 in their entirety and inserting in lieu thereof the following:
“(e)Allows A person engaged in the businessuse of lifeany insurancegenetic cannotinformation attemptthat tois obtainin or obtain information from an entityindividual's providingmedical direct-to-consumerrecord geneticor testingapplication withoutfor thelife writteninsurance. informed consent of the individual as required under § 1202 of Title 16.”.
SYNOPSIS3. This Amendment aligns the restrictions and exceptions in this Act so they apply to genetic information from direct-to-consumer genetic testing but not to genetic information that is in an individual's medical record or pertinent family history.
ThisAllows Amendmenta alsoperson revisesengaged in the requirementbusiness forof writtenlife informedinsurance consentto forrequest informationthat froman direct-to-individual consumershare genetic testinginformation sofrom ita appliesdirect-to-consumer togenetic personstesting engagedor into therequest businessthat ofan lifeindividual insuranceprovide sowritten thatconsent thefor Departmententity ofto Insuranceprovide canthat enforceinformation. this requirement.
4.
Allows an entity that provides direct-to-consumer genetic testing to share information with a person engaged in the business of life insurance but only with the written consent of the individual.
5.
Clarifies that a person engaged in the business of life insurance may not do any of the following:
a.
Require that an individual take a genetic test.
b.
Require that an individual provide genetic information received from an entity providing direct-to-consumer genetic testing or provide written consent for the entity to provide that information.
c.
Take into consideration the refusal by an individual to take a genetic test, provide genetic information received from direct-to-consumer genetic testing, or provide written consent to share information from direct-to-consumer genetic testing.
Like HB 286, HS 1 for HB 286 also does all of the following:
1.
Makes corresponding corrections to § 2317 of Title 18 by revising the heading for clarity and the definition of "insurance" to conform with the terms and definitions used in Title 18.
2.
Is known as "The Ericka Byler Act”.
CM Page 13 of 13 Released:
03/14/202403/13/2024 12:5102:14 PM 59715201375971520136
Show all 106 changed rows (66 more)
Action History
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Signed by Governor
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Passed By House. Votes: 37 YES 4 ABSENT
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Passed By Senate. Votes: 18 YES 3 ABSENT
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Amendment SA 1 to HS 1 - Passed By Senate. Votes: 18 YES 3 ABSENT
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Amendment SA 1 to HS 1 - Introduced and Placed With Bill
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Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 5 On Its Merits
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Assigned to Banking, Business, Insurance & Technology Committee in Senate
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Passed By House. Votes: 37 YES 4 ABSENT
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Amendment HA 1 to HS 1 - Passed In House by Voice Vote
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Amendment HA 1 to HS 1 - Introduced and Placed With Bill
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was introduced and adopted in lieu of HB 286
Sponsors
- David L. Wilson · Primary
- David P. Sokola · Primary
- Kerri Evelyn Harris · Primary
- Michael F. Smith · Primary
- Cyndie Romer · Primary
- Edward S. Osienski · Primary
- Eric Morrison · Primary
- Spiros Mantzavinos · Primary
- Kendra Johnson · Primary
- John "Jack" Walsh · Primary
- Ronald E. Gray · Primary
- Richard G. Collins · Primary
- Darius J. Brown · Primary
- Trey Paradee · Primary
- William Bush · Primary
- Laura V. Sturgeon · Primary
- Russell Huxtable · Primary
- Jeffrey N. Spiegelman · Primary
- Sherry Dorsey Walker · Primary
- Sarah McBride · Primary
- Paul S. Baumbach · Primary
- Michael Ramone · Primary
- Peter C. Schwartzkopf · Primary
- Sean Matthews · Primary
Sponsorship breakdown
Export CSV (upgrade) →24 sponsors · 0 co-sponsors · 38 not signed on
Sponsors (24)
- David L. Wilson Republican
- David P. Sokola Democratic
- Kerri Evelyn Harris Democratic
- Michael F. Smith Republican
- Cyndie Romer Democratic
- Edward S. Osienski Democratic
- Eric Morrison Democratic
- Spiros Mantzavinos Democratic
- Kendra Johnson Democratic
- John "Jack" Walsh Democratic
- Ronald E. Gray Republican
- Richard G. Collins Republican
- Darius J. Brown Democratic
- Trey Paradee Democratic
- William Bush Democratic
- Laura V. Sturgeon Democratic
- Russell Huxtable Democratic
- Jeffrey N. Spiegelman Republican
- Sherry Dorsey Walker
- Sarah McBride
- Paul S. Baumbach
- Michael Ramone
- Peter C. Schwartzkopf
- Sean Matthews
Co-sponsors (0)
None.
Not signed on (38)
38 members have not signed on to this bill.
Show all 38 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 6 | 0 | 0 | 1 |
| Democratic | 19 | 0 | 0 | 1 |
| Republican | 12 | 0 | 0 | 2 |
| Total | 37 | 0 | 0 | 4 |
| % of votes cast | 90% | 0% | 0% | 10% |
How each member voted (41)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 13 | 0 | 0 | 0 |
| Republican | 4 | 0 | 0 | 2 |
| Unaffiliated | 1 | 0 | 0 | 1 |
| Total | 18 | 0 | 0 | 3 |
| % of votes cast | 86% | 0% | 0% | 14% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Kyle Evans Gay | — | Not Voting |
| Sarah McBride | — | Yea |
| Bryan Townsend | Democratic | Yea |
| Darius J. Brown | Democratic | Yea |
| David P. Sokola | Democratic | Yea |
| John "Jack" Walsh | Democratic | Yea |
| Kyra L. Hoffner | Democratic | Yea |
| Laura V. Sturgeon | Democratic | Yea |
| Marie Pinkney | Democratic | Yea |
| Nicole Poore | Democratic | Yea |
| Russell Huxtable | Democratic | Yea |
| S. Elizabeth Lockman | Democratic | Yea |
| Spiros Mantzavinos | Democratic | Yea |
| Stephanie L. Hansen | Democratic | Yea |
| Trey Paradee | Democratic | Yea |
| Brian Pettyjohn | Republican | Not Voting |
| Bryant L. Richardson | Republican | Yea |
| Dave G. Lawson | Republican | Not Voting |
| David L. Wilson | Republican | Yea |
| Eric Buckson | Republican | Yea |
| Gerald W. Hocker | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 6 | 0 | 0 | 1 |
| Democratic | 18 | 0 | 0 | 2 |
| Republican | 13 | 0 | 0 | 1 |
| Total | 37 | 0 | 0 | 4 |
| % of votes cast | 90% | 0% | 0% | 10% |
How each member voted (41)
Subjects
Frequently asked questions
- What does HB 286 do?
- Like House Bill No. 286, House Substitute No. 1 for House Bill No. 286 prohibits discrimination in life insurance based on genetic characteristics, genetic information, or the result of any genetic test. House Substitute No. 1 for House Bill No. 286 differs from House Bill No. 286 as follows: 1. Provides a definition of “direct-to-consumer genetic testing”. 2. Allows the use of any genetic information that is in an individual's medical record or application for life insurance. 3. Allows a person engaged in the business of life insurance to request that an individual share genetic information from a direct-to-consumer genetic testing or to request that an individual provide written consent for entity to provide that information. 4. Allows an entity that provides direct-to-consumer genetic testing to share information with a person engaged in the business of life insurance but only with the written consent of the individual. 5. Clarifies that a person engaged in the business of life insurance may not do any of the following: a. Require that an individual take a genetic test. b. Require that an individual provide genetic information received from an entity providing direct-to-consumer genetic testing or provide written consent for the entity to provide that information. c. Take into consideration the refusal by an individual to take a genetic test, provide genetic information received from direct-to-consumer genetic testing, or provide written consent to share information from direct-to-consumer genetic testing. Like HB 286, HS 1 for HB 286 also does all of the following: 1. Makes corresponding corrections to § 2317 of Title 18 by revising the heading for clarity and the definition of "insurance" to conform with the terms and definitions used in Title 18. 2. Is known as "The Ericka Byler Act”.
- Who sponsors HB 286?
- HB 286 is sponsored by David L. Wilson (Republican), David P. Sokola (Democratic), Kerri Evelyn Harris (Democratic), Michael F. Smith (Republican), Cyndie Romer (Democratic), Edward S. Osienski (Democratic), Eric Morrison (Democratic), Spiros Mantzavinos (Democratic), Kendra Johnson (Democratic), John "Jack" Walsh (Democratic), Ronald E. Gray (Republican), Richard G. Collins (Republican), Darius J. Brown (Democratic), Trey Paradee (Democratic), William Bush (Democratic), Laura V. Sturgeon (Democratic), Russell Huxtable (Democratic), Jeffrey N. Spiegelman (Republican), Sherry Dorsey Walker, Sarah McBride, Paul S. Baumbach, Michael Ramone, Peter C. Schwartzkopf, and Sean Matthews.
- What is the current status of HB 286?
- This bill has been enacted into law. Introduced March 13, 2024. Enacted.
- Where can I track HB 286?
- Track HB 286 free on One Click Politics — get push/email alerts when it moves.
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