SB 281 Delaware Senate · 153rd General Assembly (2025-2026)

AN ACT TO AMEND TITLE 31 AND TITLE 29 OF THE DELAWARE CODE RELATING TO TECHNICAL UPDATES FOR THE DELAWARE HOSPITAL FOR THE CHRONICALLY ILL.

Summary
The Department of Health and Social Services (DHSS), through the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD), operates the Delaware Hospital for the Chronically Ill (DHCI), a Long-Term Care (LTC) facility in Smyrna, Delaware. DHCI is a facility of last resort for Delawareans that require a skilled nursing facility level of care and have no viable options for private nursing facility care. The Delaware Hospital for the Chronically Ill’s name no longer reflects the dignity of all residents who live there. The existing statute uses outdated and offensive language, often referring to residents as “inmates.” It does not align with current policies and procedures around operation and maintenance of DHCI or the skilled care, screening, and admission of its residents, nor does it recognize DHCI’s role as a skilled nursing facility that maintains a five-star rating from the Centers for Medicare and Medicaid Services (CMS). This bill provides a technical update to reflect DHCI’s current practices, policies and procedures as a LTC facility of last resort. It strikes outdated language and aligns the statute with current DHCI, state, CMS practices and requirements. Finally, this bill renames the Delaware Hospital for the Chronically Ill to the Eleanor Cain Center. It will be named in honor of Eleanor Lee Cain, who served as the DSAAPD director from 1973 to 2001 and was a champion for older adults.
Bill status passed both 4 of 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
Jun 2026
Governor
Introduced Apr 16, 2026 Last action Jun 16, 2026
Maddy AI version diff · 1 comparison

What changed between versions

SA 1 to SB 281 Bill Text · 6 edits
MODERATE
The document transitions from a narrow Senate Amendment No. 1 (which proposed removing the requirement that applicants be refused by all private long-term care facilities) to the full enacted bill text for SB 281. The final bill renames the Delaware Hospital for the Chronically Ill to the Eleanor Cain Center, modernizes outdated statutory language, and establishes updated admission requirements and financial liability rules for this state-operated skilled nursing facility of last resort.
Scope change
The bill's scope is now fully articulated as a technical update to modernize the statutory framework for the state's long-term care facility of last resort, rename it in honor of Eleanor Lee Cain (DSAAPD director 1973-2001), and align the law with current CMS regulations and operational practices.
SCOPE

The bill's title and scope are now fully stated: it amends Title 31 (welfare agencies) and Title 29 to provide technical updates for the Delaware Hospital for the Chronically Ill, including renaming it the Eleanor Cain Center.

DEFINITION

New definitions section establishes 'Center' as the Eleanor Cain Center (a skilled nursing care facility on a 62-acre campus in Smyrna), 'CMS' as Centers for Medicaid and Medicare Services, and 'Department' as DHSS.

REQUIREMENT

Admission requirements are codified: applicant must need skilled nursing facility level of care, must choose long-term care after being informed of community options, must have been refused by all private long-term care facilities in Delaware (refusal of other viable options does not satisfy this), and must complete a Medicaid financial interview.

The Center must operate in accordance with federal and state laws including CMS regulations (42 C.F.R. 483), promote resident dignity and quality of life, and provide ongoing activity programs supporting physical, mental, and psychosocial wellbeing.

FISCAL

The cost of operation, maintenance, and resident care at the Eleanor Cain Center shall be paid by the State Treasurer.

TECHNICAL

Sponsorship expanded from Sen. Paradee alone to include Sen. Hoffner, Rep. Bush, Rep. Carson as co-sponsors, plus Sens. Huxtable, Pinkney, Seigfried, Sokola, Wilson and Reps. Hilovsky, K. Johnson.

Floor votes · Senate May 5, 2026 · House Jun 16, 2026

How they voted

210
Passed
Total votes 21
May 5, 2026
D Democratic15
15 Yea
100% Yea
R Republican6
6 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
5
Committee
2
Amendments
2
Jun 16, 2026
Lower · Passed
Passed By House. Votes: 37 YES 1 NO 3 ABSENT
lower
May 14, 2026
Lower · Passed
Reported Out of Committee (Health & Human Development) in House with 9 On Its Merits
lower
May 6, 2026
Introduced
Assigned to Health & Human Development Committee in House
lower
May 5, 2026
Upper · Passed
Passed By Senate. Votes: 21 YES
upper
May 5, 2026
Upper · Passed
Amendment SA 1 to SB 281 - Passed By Senate. Votes: 21 YES
upper
Apr 22, 2026
Upper · Passed
Reported Out of Committee (Health & Social Services) in Senate with 6 Favorable
upper
Apr 21, 2026
Introduced
Amendment SA 1 to SB 281 - Introduced and Placed With Bill
upper
Apr 16, 2026
Introduced
Introduced and Assigned to Health & Social Services Committee in Senate
upper
10 primary · 0 co-sponsors

Sponsors