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HB 435 Delaware House · 153rd General Assembly (2025-2026)

AN ACT TO AMEND TITLES 18, 29, AND 31 OF THE DELAWARE CODE RELATING TO CERTIFIED REGISTERED NURSE ANESTHETISTS.

Summary
This Act prohibits individual, group, state employee, and Medicaid health plans from differentiating in the reimbursement rate of a health service based on whether the service was provided by a certified registered nurse anesthetist or by a physician.
Issues: ✓ HealthcareSupports HealthcareBill prevents reimbursement discrimination between CRNAs and physicians, protecting access to anesthesia services and ensuring fair payment for healthcare providers.90% confidence
Bill status passed both 4 of 5 stages cleared
Introduction
May 2026
Committee Review
Jun 2026
House Passage
Jun 2026
Senate Passage
Jun 2026
Governor
Introduced May 21, 2026 Last action Jun 30, 2026
Floor votes · Senate Jun 30, 2026 · House Jun 18, 2026

How they voted

20–0
Passed · 1 other
Total votes 21
Jun 30, 2026
D Democratic15
15 Yea
100% Yea
R Republican6
5 Yea 1
83% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
10
Key actions
6
Committee
4
Jun 30, 2026
Upper · Passed
Passed By Senate. Votes: 20 YES 1 ABSENT
upper
Jun 25, 2026
Upper · Passed
Reported Out of Committee (Finance) in Senate with 4 On Its Merits
upper
Jun 24, 2026
Introduced
Assigned to Finance Committee in Senate
upper
Jun 24, 2026
Upper · Passed
Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 6 On Its Merits
upper
Jun 18, 2026
Introduced
Assigned to Banking, Business, Insurance & Technology Committee in Senate
upper
Jun 18, 2026
Lower · Passed
Passed By House. Votes: 41 YES
lower
Jun 16, 2026
Lower · Passed
Reported Out of Committee (Appropriations) in House with 5 On Its Merits
lower
Jun 10, 2026
Introduced
Assigned to Appropriations Committee in House
lower
Jun 9, 2026
Lower · Passed
Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 7 On Its Merits
lower
May 21, 2026
Introduced
Introduced and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House
lower
8 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Claire Snyder-Hall
Claire Snyder-Hall
DDemocratic
DE
14
P
Photo of Dave Wilson
Dave Wilson
RRepublican
DE
18
P
Photo of Kerri Harris
Kerri Harris
DDemocratic
DE
32
P
Photo of Mara Gorman
Mara Gorman
DDemocratic
DE
23
P
Photo of Melissa Minor-Brown
Melissa Minor-Brown
DDemocratic
DE
17
P
Photo of Nicole Poore
Nicole Poore
DDemocratic
DE
12
P
Photo of Spiros Mantzavinos
Spiros Mantzavinos
DDemocratic
DE
7
P
Photo of Stell Selby
Stell Selby
DDemocratic
DE
20