SA 1 to HS 1 for HB 200 —
Last action — Passed
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill has passed the Senate. Introduced June 24, 2026. It now moves to the second chamber.
Next likely step: consideration and a floor vote in the House.
Odds of enactment
Moderate chanceBased on the sponsor, cosponsors, and committee posture, this bill has a moderate 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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Passed Senate
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
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Cleared a recorded vote
Passed 1 recorded vote so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
In plain language
This amendment expands coverage for essential health services related to PrEP and PEP medications.
The amendment defines essential services for PrEP and PEP treatments and updates coverage requirements, ensuring at least one therapeutic equivalent medication is available without extra costs. It also specifies the conditions under which health plans can impose requirements on additional equivalents.
What this means for you
- Workers: Workers seeking PrEP and PEP medications can expect better insurance coverage for essential healthcare services.
- Consumers: Consumers will have improved access to necessary counseling and treatment options without additional costs.
Summary
This Amendment amends House Substitute No. 1 for House Bill No. 200, as amended by making all of the following changes: 1. Adding a definition of “essential services” which include testing and counseling services related to providing PEP and PrEP treatment. 2. Adding a definition of “FDA” to shorthand references, added by this Amendment, to the United States Food and Drug Administration. 3. Changing the definition of “medically necessary” to references the definition in Chapter 33, Subchapter II and Chapter 35, Subchapter V of Title 18, relating to pre-authorization transparency. The updated definition is commonly used for other health coverage mandates. 4. Adds a definition of “therapeutic equivalent” of a PrEP or PEP medication. 5. Adding medically necessary essential services to the list of required coverage. 6. Specifying that, if there are 1 or more FDA-approved therapeutic equivalent medications for a PEP medication or a PrEP medication, a health plan, policy, certificate, or contract is not required to cover all therapeutic equivalent versions of that PEP medication or that PrEP medication, so long as at least 1 therapeutic equivalent of that PEP medication and at least 1 therapeutic equivalent version of that PrEP medication is covered without cost-sharing, prior authorization, and step therapy requirements. For the purposes of the coverage requirement, a long-acting version of a PEP medication or a PrEP medication is not the therapeutic equivalent of another long-acting version of a PEP medication or a PrEP medication with a different duration 7. Allowing a health plan, certificate, policy, or contract to cover more than 1 therapeutic equivalent of a PEP medication or a PrEP medication and impose cost-sharing, prior authorization, and step therapy requirements, so long as at least 1 version of that PEP medication and at least 1 version of that PrEP medication in the same method of administration is covered without cost-sharing, prior authorization, and step therapy requirements. But a health plan, certificate, policy, or contract must provide a PEP medication or a PrEP medication without cost-sharing, prior authorization, or step therapy requirements, regardless of whether there is a therapeutic equivalent, if a covered individual’s or recipient’s treating health-care provider recommends that particular PEP medication or that particular PrEP medication based on a medical determination regarding that covered individual or recipient. 8. Changing the applicability date so that the coverage requirement applies to all policies, contracts, or certificates, that are issued, renewed, modified, altered, amended, or reissued after December 31, 2026.
Bill Text
We don't have the full text on file for this bill yet.
Read SA 1 to HS 1 for HB 200 on the official Delaware source →Action History
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Passed
Sponsors
- Marie Pinkney · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 61 not signed on
Sponsors (1)
- Marie Pinkney Democratic
Co-sponsors (0)
None.
Not signed on (61)
61 members have not signed on to this bill.
Show all 61 →"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 |
|---|---|---|---|---|
| Democratic | 14 | 0 | 0 | 1 |
| Republican | 6 | 0 | 0 | 0 |
| Total | 20 | 0 | 0 | 1 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Bryan Townsend | Democratic | Yea |
| Daniel Cruce | 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 | Not Voting |
| Marie Pinkney | Democratic | Yea |
| Nicole Poore | Democratic | Yea |
| Ray Seigfried | 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 | Yea |
| Bryant L. Richardson | Republican | Yea |
| Dave G. Lawson | Republican | Yea |
| David L. Wilson | Republican | Yea |
| Eric Buckson | Republican | Yea |
| Gerald W. Hocker | Republican | Yea |
Subjects
Frequently asked questions
- What does SA 1 to HS 1 for HB 200 do?
- This Amendment amends House Substitute No. 1 for House Bill No. 200, as amended by making all of the following changes: 1. Adding a definition of “essential services” which include testing and counseling services related to providing PEP and PrEP treatment. 2. Adding a definition of “FDA” to shorthand references, added by this Amendment, to the United States Food and Drug Administration. 3. Changing the definition of “medically necessary” to references the definition in Chapter 33, Subchapter II and Chapter 35, Subchapter V of Title 18, relating to pre-authorization transparency. The updated definition is commonly used for other health coverage mandates. 4. Adds a definition of “therapeutic equivalent” of a PrEP or PEP medication. 5. Adding medically necessary essential services to the list of required coverage. 6. Specifying that, if there are 1 or more FDA-approved therapeutic equivalent medications for a PEP medication or a PrEP medication, a health plan, policy, certificate, or contract is not required to cover all therapeutic equivalent versions of that PEP medication or that PrEP medication, so long as at least 1 therapeutic equivalent of that PEP medication and at least 1 therapeutic equivalent version of that PrEP medication is covered without cost-sharing, prior authorization, and step therapy requirements. For the purposes of the coverage requirement, a long-acting version of a PEP medication or a PrEP medication is not the therapeutic equivalent of another long-acting version of a PEP medication or a PrEP medication with a different duration 7. Allowing a health plan, certificate, policy, or contract to cover more than 1 therapeutic equivalent of a PEP medication or a PrEP medication and impose cost-sharing, prior authorization, and step therapy requirements, so long as at least 1 version of that PEP medication and at least 1 version of that PrEP medication in the same method of administration is covered without cost-sharing, prior authorization, and step therapy requirements. But a health plan, certificate, policy, or contract must provide a PEP medication or a PrEP medication without cost-sharing, prior authorization, or step therapy requirements, regardless of whether there is a therapeutic equivalent, if a covered individual’s or recipient’s treating health-care provider recommends that particular PEP medication or that particular PrEP medication based on a medical determination regarding that covered individual or recipient. 8. Changing the applicability date so that the coverage requirement applies to all policies, contracts, or certificates, that are issued, renewed, modified, altered, amended, or reissued after December 31, 2026.
- Who sponsors SA 1 to HS 1 for HB 200?
- SA 1 to HS 1 for HB 200 is sponsored by Marie Pinkney (Democratic).
- What is the current status of SA 1 to HS 1 for HB 200?
- This bill has passed the Senate. Introduced June 24, 2026. It now moves to the second chamber.
- Where can I track SA 1 to HS 1 for HB 200?
- Track SA 1 to HS 1 for HB 200 free on One Click Politics — get push/email alerts when it moves.
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