Delaware 152nd General Assembly (2023-2024) Status: Enacted Bipartisan · 13 D · 5 R cosponsors

HB 286 — AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO GENETICS BASED DISCRIMINATION.

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 March 13, 2024. 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.

  • 24 sponsors

    24 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (13 D · 5 R) — cross-party backing.

  • 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 removed

95 line(s) added, 22 removed.

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Spiegelman HOUSE OF REPRESENTATIVES 152nd GENERAL ASSEMBLY HOUSE AMENDMENT NO.
Spiegelman & Rep.
1 TO HOUSE SUBSTITUTE NO.
Heffernan & Rep.
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 AMEND House Substitute No.
286 AN ACT TO AMEND TITLE 18 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 :
CM Page 1 of 3 Released:
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.
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Latest
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.
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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 by deleting line 36 in its entirety and inserting in lieu thereof the following:
286 prohibits discrimination in life insurance based on genetic characteristics, genetic information, or the result of any genetic test.
“not do any of the following based solely on any genetic characteristic or genetic information contained in the result of any genetic test.”.
House Substitute No.
FURTHER AMEND House Substitute No.
286 by deleting lines 43 through 45 in their entirety and inserting in lieu thereof the following:
286 differs from House Bill No.
“any genetic test that is in an individual’s medical record or pertinent family history.”.
286 as follows:
FURTHER AMEND House Substitute No.
1.
1 for House Bill No.
Provides a definition of “direct-to-consumer genetic testing”.
286 by deleting lines 55 through 56 in their entirety and inserting in lieu thereof the following:
2.
“(e) A person engaged in the business of life insurance cannot attempt to obtain or obtain information from an entity providing direct-to-consumer genetic testing without the written informed consent of the individual as required under § 1202 of Title 16.”.
Allows the use of any genetic information that is in an individual's medical record or application for life insurance.
SYNOPSIS 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.
3.
This Amendment also revises the requirement for written informed consent for information from direct-to- consumer genetic testing so it applies to persons engaged in the business of life insurance so that the Department of Insurance can enforce this requirement.
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”.
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03/13/2024 02:14 PM 5971520136
View plain text versions (3)

Action History

  1. Signed by Governor

  2. Passed By House. Votes: 37 YES 4 ABSENT

  3. Passed By Senate. Votes: 18 YES 3 ABSENT

  4. Amendment SA 1 to HS 1 - Passed By Senate. Votes: 18 YES 3 ABSENT

  5. Amendment SA 1 to HS 1 - Introduced and Placed With Bill

  6. Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 5 On Its Merits

  7. Assigned to Banking, Business, Insurance & Technology Committee in Senate

  8. Passed By House. Votes: 37 YES 4 ABSENT

  9. Amendment HA 1 to HS 1 - Passed In House by Voice Vote

  10. Amendment HA 1 to HS 1 - Introduced and Placed With Bill

  11. was introduced and adopted in lieu of HB 286

Sponsors

Sponsorship breakdown

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24 sponsors · 0 co-sponsors · 38 not signed on

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.

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 37 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 6001
Democratic 19001
Republican 12002
Total 37004
% of votes cast 90%0%0%10%
How each member voted (41)
Member Party Vote
Michael Ramone — Not Voting
Paul S. Baumbach — Yea
Peter C. Schwartzkopf — Yea
Sean Matthews — Yea
Sherry Dorsey Walker — Yea
Stell Parker Selby — Yea
Valerie Longhurst — Yea
Cyndie Romer Democratic Yea
DeShanna U Neal Democratic Yea
Debra Heffernan Democratic Yea
Edward S. Osienski Democratic Yea
Eric Morrison Democratic Yea
Franklin D. Cooke Democratic Yea
Kendra Johnson Democratic Yea
Kerri Evelyn Harris Democratic Yea
Kimberly Williams Democratic Not Voting
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
Sophie Phillips 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
Jeff Hilovsky Republican Yea
Jeffrey N. Spiegelman Republican Yea
Jesse R. Vanderwende Republican Yea
Kevin S Hensley Republican Yea
Lyndon D. Yearick Republican Not Voting
Michael F. Smith Republican Not Voting
Richard G. Collins Republican Yea
Ronald E. Gray Republican Yea
Shannon Morris Republican Yea
Timothy D. Dukes Republican Yea
Valerie Jones Giltner Republican Yea

Official roll call →

SM

Passed 18 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democratic 13000
Republican 4002
Unaffiliated 1001
Total 18003
% 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

Official roll call →

SM

Passed 37 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 6001
Democratic 18002
Republican 13001
Total 37004
% of votes cast 90%0%0%10%
How each member voted (41)
Member Party Vote
Michael Ramone — Yea
Paul S. Baumbach — Yea
Peter C. Schwartzkopf — Yea
Sean Matthews — Yea
Sherry Dorsey Walker — Yea
Stell Parker Selby — Not Voting
Valerie Longhurst — Yea
Cyndie Romer Democratic Yea
DeShanna U Neal Democratic Yea
Debra Heffernan Democratic Yea
Edward S. Osienski Democratic Yea
Eric Morrison Democratic Not Voting
Franklin D. Cooke Democratic Yea
Kendra Johnson Democratic Yea
Kerri Evelyn Harris 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
Sophie Phillips Democratic Yea
Stephanie T. Bolden Democratic Not Voting
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
Jeff Hilovsky 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 Not Voting
Valerie Jones Giltner Republican Yea

Official roll call →

Subjects

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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?
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